When the Doctor Uses A Hack

Time was of the essence, and the task was urgent, Chen Cang couldn't afford to waste a single minute or second!

Upon learning that the patient was pregnant, Chen Cang hesitated slightly, with a bit of a frown on his face.

This really wasn't a simple matter!

Pregnancy with heart disease is a very serious complication and one of the leading causes of death for both pregnant women and perinatal infants.

It ranks first among non-obstetric reasons for maternal deaths.

Similarly, due to changes in the hemodynamics during pregnancy, hypercoagulable state of the blood, and metabolic changes, the cardiac load on pregnant women is increased, which can worsen the existing heart disease or lead to complications such as heart failure compensation, acute pulmonary edema, and heart failure.

But at this point, Huihui's heart might already have been seriously damaged, and with the additional burden of pregnancy, the difficulty of surgery, the degree of danger, and the prognosis all increased proportionally!

Li Weiyi suddenly said, "Why don't we establish extracorporeal circulation and wait for the director and the others to arrive?"

Chen Cang didn't speak, he just looked up at Li Weiyi, and instantly he was filled with shame, not daring to utter another word.

He knew what he had said was inappropriate!

But he was not capable of carrying out such a surgery; he could only maintain the patient's vital signs and wait for the expert chief to arrive as best as he could!

Yet in that one glance from Chen Cang, there was so much meaning!

After a heart rupture, the most terrifying thing isn't just the bleeding!

The most frightening aspect is the vast amount of heart muscle cells that would die around the rupture!

If the heart is dead, even if saved, could it still function?

Therefore, at this moment, with every additional minute of delay, the probability and risk of death for both the patient and the unborn child increased proportionally!

Alternatively, the risks associated with the heart dramatically escalated!

Chen Cang glanced at the anesthesiologist and said, "Intubate and prepare for anesthesia!"

The anesthesiologist nodded soberly in agreement.

At that moment, Huihui was not in shock; she was just a bit unconscious from fright.

As he was preparing, Huihui suddenly woke up.

Her eyes brimming with tears, upon seeing Chen Cang, she looked upon him as if he were a life-saving straw.

"Doctor! Please..."

"Save my child!"

"I beg you, please save my child..."

"I don't want to die, my child is only five months old, I can't die!"

"I'm okay with dying, but my child..."

At that time, Huihui seemed to have forgotten the pain caused by her own injuries.

The most unbearable thing for her was the child who had not yet been born.

As a mother for the first time, she had so many expectations, so many surprises, so many aspirations, and also so many concerns!

But at this moment, this blow shattered all her fantasies about the future.

Confronted with extreme pain, she was utterly fearless! She didn't even feel where the pain was coming from!

Because the most terrifying thing wasn't death.

It was that her unborn child might have to die along with her.

This was the greatest fear and sorrow!

When she was heartbroken, the blood gushed forth.

Chen Cang reached out voluntarily, holding her hand, and said to Huihui, "Trust me!"

Feeling the conviction and determination in those eyes, the sense of trust from deep within the soul, and the warmth of life emanating from that hand, Huihui suddenly felt much more relaxed and reassured.

At this time, inside Chen Cang's soul resided a level 99 big boss; he well knew that touch, warmth, and the transfer of strength were the best methods to use right now!

So, he held Huihui's hand.

This was an experience, not a skill, more effective than a skill, encompassing the essence of many human relations and societal norms.

Comforting warmth, a relaxing touch, strength that fills one with confidence!

When Chen Cang held her hand, it was actually the most powerful treatment and the most effective solace.

There's a saying in English: "give me five," which is quite cleverly similar.

Chen Cang turned to the anesthesiologist and said,

"I'll start with local anesthesia, then you'll see how it goes and prepare for intubation for general anesthesia! No problem, right?" Chen Cang asked an extra question!

The anesthesiologist nodded, understanding what Chen Cang meant!

Even though curious about who this young man was and even more curious why he emanated an aura of fear,

the most important thing at this moment was to save a life!

What Chen Cang meant was crystal clear: at this time, Huihui was often in a low cardiac output state, extremely intolerant to anesthetic drugs!

Cardiac arrest could easily occur during induction.

Therefore, the best course of action for Chen Cang was to start with thoracotomy under local anesthesia and then complete general anesthesia when conditions allowed!

Chen Cang took a deep breath, prepared for a moment, then turned, dressed in scrubs, and picked up the scalpel.

He glanced at the anesthesiologist, "Give me the anesthetic."
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The anesthesiologist nodded and handed Chen Cang the prepared lidocaine for local anesthesia.

Chen Cang looked at Lele's chest wound, weighed his options, then began to inject the anesthetic. After waiting a bit for the anesthetic to absorb, he made an incision in the middle of the chest!

After opening the chest, Chen Cang glanced at Li Weiyi, "Prepare the autologous blood!"

Li Weiyi was startled, then instantly understood what Chen Cang meant!

At this time, if there is not enough blood available, the next best option is to use autologous blood.

With a good incision, the heart's four chambers and the ascending aorta were immediately exposed.

Chen Cang hesitated slightly, then opened the pericardium.

He said to Tang Lingling, "Spread the sternum!"

Tang Lingling nodded, fully exposing the surgical field.

At this moment, as Chen Cang opened the pericardium, he immediately saw the patient's wound!

[Ding! King-level boss: Cardiac Rupture Beast, a pregnant woman's heart suddenly ruptured with irregular wounds, the interventricular septum has a clear rupture… The wound is severe, please repair immediately!]

Chen Cang narrowed his eyes, ready for surgery!

The demands for cardiac hemostasis and suturing are very high!

It directly relates to the later repair and the heart's return to normal function.

Moreover, if the damage is to a special part, the difficulty may increase proportionally.

Like, for instance, right now!

How much pressure does a King-level boss bring?

Chen Cang didn't dare to imagine.

This wound had damaged the coronary vessels, which undoubtedly was a heavy blow to the entire heart.

As said before, the coronary arteries are the channels that supply blood and oxygen to the heart.

If these are damaged, it leads to myocardial ischemia and necrosis!

That would be much faster than a heart attack!

The pre-operative preparations were ready, everyone was watching Chen Cang, because at this moment, they had lost their pillar of strength.

Even Li Weiyi, Tang Lingling, and others were helpless with things having reached this stage.

Is there any way back?

The confidence and aura emanating from Chen Cang, however, made everyone around him look up to him with respect.

Perhaps, he really had a way!

At this moment, all hope was pinned on Chen Cang!