Chapter 1204: Explore first
Others looked at her face, recalling that she was Director Liâs prized protĂ©gĂ©, and asked her: âHow do you plan to use the bronchoscope on this child?â
Clearly, everyone was aware of the disparity in technical skill levels within the respiratory department.
Regarding this, Xin Yanjun had already brainstormed based on her experience during the journey and said: âYou can only determine the outcome after the inspection. Thinking about it now doesnât help much. The X-ray can only show a general situation.â
What she said wasnât entirely wrong. For instance, surgeons always have to investigate the results first to decide whether a surgery can be performed or if an alternative method is required.
While they agreed with her words, at the same time, everyoneâs eyes continued to focus on Xie Wanying.
Xie Wanying stood before the light panel, her clear and bright eyes studying and analyzing the childâs lungs on the X-ray.
Her silent contemplation seemed to make the surroundings fade away, prompting the group to feel a sense of solemn respect.
Rumors from General Surgery Department Two and Hepatobiliary Surgery had long suggested that her level of focus was unparalleled.
The operating room fell into an unusual silence, which frightened the anesthesiologist: Oh no, when surgeons stop talking, doesnât that imply this matter is extremely troublesome? He quickly prepared short-duration anesthetics in addition to setting up the anesthesia machine, worried that the respiratory team might not manage successfully.
The patientâs condition couldnât afford any delay.
The anesthesiologist anesthetized the child well, and a high-frequency ventilator was connected to the bronchoscope to provide additional oxygen during surgery.
Xin Yanjun donned her mask and gloves, standing at the head of the operating table, ready to start the investigation.
Assigned to assist her mentor, Xie Wanying, as always, stood at her usual side position, fully concentrating on the child patient and her teacherâs hands.
The bronchoscope entered the childâs nasal cavity. Thanks to the anesthesiologist administering sedatives in advance and spraying medication onto areas such as the glottis, the bronchoscope passed through the epiglottis and other checkpoints relatively smoothly.
Soon, the bronchoscope successfully entered the childâs airway.
The operating doctor, along with the observing doctors on the sidelines, held their breath and stared intently.
The bronchoscope probed further downward, meticulously searching the lower left lung lobe bronchus for the unknown foreign object based on the earlier X-ray images.
At last, they located the foreign object. The monitor screen displayed thick white secretions, indicating bronchial inflammation in the child.
At this stage, the operating doctor needed extreme precision and caution. A childâs tracheal diameter is very small, and coupled with inflammation, itâs prone to bleeding with even slight contact. Xin Yanjunâs palms, inside her gloves, were drenched with sweat.
The surrounding doctors watched her operation, seemingly feeling a trace of anxiety and tension themselves, their brows furrowing one after another.
Evidently, this investigative outcome was not favorable.
Part of the foreign object lodged in the childâs bronchus revealed itself.
The foreign object appeared to be encased in thick layers of inflammatory tissue, and the worst fear was that some fibrotic development had occurredâa situation most dreaded by doctors. This indicated the objectâs texture could become harder and tougher. In such cases, whether using a bronchoscope or cardiology intervention, thereâs a serious concern that the object might be too resistant to penetrate or dislodge. Without loosening the foreign object, miniature instruments simply couldnât extract it.
Even more troubling for the bronchoscope was that the distal end of its shaft seemed to maintain some distance from the object.
âProbe further and see if the outer layer can be punctured.â Jin Tianyu decisively instructed in response to the investigative results, âIf it can be, the length falling short doesnât matterâweâll handle it through intervention.â