After 100 days of signing in system, My first operation shocked the world Chapter 31 - Such an awesome intern, I want them!

Chapter 31: Such an awesome intern, I want them!

The principle of ECMO (Extracorporeal Membrane Oxygenation) is straightforward: it involves extracting venous blood from the body, passing it through a device similar to the heart and lungs, oxygenating it, eliminating carbon dioxide, and returning it to the body. There are two types: V-V (venovenous) circulation, which returns the blood to the veins, and V-A (veno-arterial) circulation, which returns the blood to the arteries.

V-V circulation is suitable for cases where only the lung function is impaired, and there is no risk of cardiac arrest.

However, V-V circulation cannot be used in the case of a young boy with a heart problem.

We can only use V-A circulation, which means extracting blood through the veins, oxygenating and removing carbon dioxide using the ECMO device, and then returning it to the arteries to supply the entire body.

Director Qian from Hospital One said, “Prepare for the surgery in the operating room right away…”

Director Huang from Hospital Eight replied, “Alright.”

And they began preparations. Wang Qiang was excited because he could observe the surgery again! Even though he couldn’t participate in the surgery, he could still learn from observing. He was thrilled!

The other interns from Hospital Eight’s Emergency Department were equally excited and looking forward to witnessing an ECMO rescue for the first time.

But then… these interns were met with disdain from Director Huang of the Emergency Department: “Interns, don’t come in. There are too many people, and it’s crowded…”

The interns: “…………….”

They cried silently~~~~

Interns have no rights and no status!

The resident doctors stood by, delighted because they could enter and watch. But then, Director Huang said, “Resident doctors don’t come in either. The ICU at Hospital One is quite crowded, and the operating room can’t accommodate more people.”

The resident doctors: “…………….”

It was tragic!

They found themselves in the same unfortunate situation as the interns. Wang Qiang, while holding his “Journey to Self,” felt sorry for himself, but then he saw Lin Feng entering the operating room.

Wang Qiang: “?????”

How can Lin Feng enter the operating room? He’s also an intern, right?

In the emergency operating room, Director Qian signed documents and pointed at Lin Feng, saying to Director Huang, “Later, this young man will intubate.”

Director Huang: “What?”

Director Qian: “Don’t worry, he’s very capable. Last time, our hospital’s Director Zhou was saved by him after receiving three stab wounds.”

Director Huang widened his eyes: “Ah… it’s him?”

He stared at Lin Feng intently. Director Zhou Guorong’s three stab wounds were known to everyone in Zhupeng City’s hospitals, and Director Huang was no exception.

“How old is he?”

“24.”

“Oh my god, is he that amazing? Young people these days? I thought it was just a rumor.”

“Hehe… you’ll see his skills later!”

Everyone washed their hands. Nurses helped them put on surgical gowns and gloves. The patient was already under general anesthesia, so the usual anesthesia procedures were not required.

There are three methods to establish the ECMO V-A circuit:

1. Femoral vein (in the buttocks) – femoral artery cannulation.

1. Internal jugular vein (in the neck) – catheter insertion into the carotid artery.

1. Central cannulation: right atrium – catheter insertion into the ascending aorta.

Lin Feng chose the first method:

- An incision was made in the femoral vein, located in the buttocks, and the catheter was inserted from there, extending upwards to the right atrium.

- The venous blood drawn from this was oxygenated in the ECMO oxygenator, driven by a pump, and then infused into the body through the femoral artery.

The advantage of this approach is that it can divert 80% of the blood back to the heart to the oxygenator, reducing pulmonary artery pressure and cardiac preload.

Disinfection…

Incision…

Locate the femoral vein…

Find a suitable-sized catheter for the femoral vein…

Insert the catheter…

Repeat the above steps, locate another artery, and insert the catheter…

Finally, connect the ECMO, monitor and control various data…

Total time: 9 minutes and 10 seconds…

There were no hiccups in between. Everything went smoothly, and without any obstacles, Lin Feng left the battlefield and let the doctors from the ICU take over. Director Qian smiled and gave Lin Feng a thumbs up.

Director Huang looked at Lin Feng in astonishment, amazed by his surgical skills, ease, and confidence in handling the surgical knife and inserting the catheter. Even Director Huang, a veteran surgeon of thirty years, couldn’t compare.

The more skilled a person is, the more they can feel Lin Feng’s excellence!

“Lin, would you be interested in working at our hospital?” Director Huang extended an invitation.

However, his actions angered Director Qian. “Sure, old Huang, you scoundrel! You want to poach our hospital’s talent?”

Director Huang smirked, “Hehehe, I’m desperate for talent. What do you think? If he comes to my hospital and becomes my student, I will nurture him with all my might.”

Director Qian glared at Director Huang in anger.

Upon hearing this, Director Huang was shocked and determined not to give up. “If that’s the case, why do you still use him as an intern? If he comes to my department, I can apply for a high salary and research funding…”

Director Qian sneered, “Haha, do you think you’re smart? The head of our Medical Affairs Department has already taken action.”

Now, he gave up completely.

It’s such a pity. This kind of genius couldn’t be snatched!

By the way, if Lin Feng is so amazing, what about his classmates?

Director Huang asked, “By the way, which university is Lin Feng from?”

Director Qian replied, “Soy Sauce University.”

Director Huang nodded, “Soy Sauce University is still quite impressive, ranked twelfth nationwide.”

He thought, when I go back, I’ll ask Soy Sauce University if they have any similarly strong students. Even if they’re slightly inferior, it doesn’t matter.