Famous Among Top Surgeons in the 90s
Chapter 956: [956] is truly effective

Chapter 956: [956] is truly effective

Thinking about these preparations, everyone knew how high the risk of this operation was.

Paroxysmal supraventricular tachycardia itself required an electrocardiogram for diagnosis, yet she was at the scene without even a stethoscope. How could she have determined that the patient urgently needed a carotid sinus massage to save his life?

Was she treating a dead horse as if it were alive?

Was it a blind cat catching a dead rat?

Was it sheer luck?

She hadn’t killed someone and had actually saved a life.

Zhou Junpeng’s eyes scrutinized Xie Wanying’s face intently, feeling that her operation this time seemed more miraculous than the last time she performed a puncture in the emergency room, completely baffling.

Faced with the questioning gaze of her senior, Xie Wanying didn’t know how to explain her brain’s ability to generate visual images from calculations. Just now, she had a strong feeling that if she hadn’t done so, the patient might have died suddenly.

Limb convulsions could be a feature of Arrhythmogenic right ventricular dysplasia, where the most terrifying consequence is sudden death. Moreover, the patient’s pulse had soared to nearly 240 beats per minute, which was the limit. If she didn’t urgently reduce the heart rate, the heart could suddenly fail.

Based on her previous observations and judgment, the patient had not suffered a myocardial infarction but was suffering from heatstroke due to high temperatures. This differential diagnosis was very important. Literature suggested that paroxysmal supraventricular tachycardia accompanied by heatstroke wasn’t uncommon. Additionally, she knew the most dreadful complication of carotid sinus massage was the cerebral stroke or infarction caused by the detachment of carotid artery plaques, and the incidence rate was indeed very low, approximately 0.5% as per international statistics.

In comparison to cardiac compression after the patient’s heartbeat stopped or a precordial thump, there was no doubt that carotid sinus massage was a better treatment approach. Not only was it more targeted for this disease, but it also avoided rib damage, unlike the other two treatment methods.

In the face of a patient in urgent need of rescue, a doctor sometimes had extremely limited methods to choose from, such that they might need to use everything available at the scene to save the patient. Xie Wanying thought this way, so she did it.

Of course, her choice might seem reckless and hasty compared to the guidelines of the medical association in the eyes of her seniors.

"Examine him with the stethoscope," Fu Xin Heng finally spoke, perhaps having caught his breath and composed himself.

Following the order, Zhou Junpeng took out the stethoscope, plugged the earpieces into his ears, and carefully placed the diaphragm under the patient’s clothing to listen to the apex beat of the heart.

The patient’s heart rate was now about 90 beats per minute. From this number, it could be inferred that the patient’s heart rate under the critical condition must have exceeded 200 beats per minute. If the massage of the carotid sinus was effective, the reduction in heart rate would be very noticeable. Moreover, when they had arrived, they had seen obvious symptoms of relief in the patient.

Did that mean Xie Wanying’s operation was effective and her judgment was correct?

Zhou Junpeng couldn’t help but wonder again where her luck had come from.

In medicine, luck for doctors and patients was often called a miracle. However, teachers generally did not endorse this idea. They would analyze the situation afterward to determine what had happened and explain it scientifically. It was equivalent to saying that any respectable teacher would absolutely not admit to there being luck involved in saving lives.

Zhou Junpeng returned the stethoscope and turned back, waiting for what Fu Xin Heng would instruct next.

In any case, that Fu Xin Heng hadn’t immediately scolded anyone was beyond his expectations.

Two cold glints of scrutiny swept across Xie Wanying’s face.