Level Up Doctor Chapter 134

Saber stamen (5)

B In front of the rosette.

The Saber team members stood in a circle.

Everyone seemed nervous ahead of the first case surgery. Considering Jo Ji-hwan’s personality, I knew very well what the aftermath of a failed surgery would be.

“No need to be so edgy.”

Jang Hyuk-pil started his luck.

“We are people who have already proven our skills in our respective fields. There was even a special lecture by Professor Song Myeong-jin yesterday. If we continue as usual, we will succeed without any problems.”

“yes!”

“Is there anyone who is unwell?”

There was a cold silence in response to Hyukpil Jang’s question.

“It’s okay, so tell me in advance. That way, you can deal with it in the operating room.”

“doesn’t exist.”

“doesn’t exist.”

As the staff’s answers continued, Jang Hyuk-pil smiled.

“Then let’s fight and go in.”

The team members’ hands came together at Hyukpil Jang’s suggestion.

“Saber team fighting!”

The scrub began with energetic chants.

thud. thud. thud.

Choi Ki-seok’s heart was pounding. The pressure of the patient’s life and the weight of the surgery was unusually great.

I took a deep breath and tried to stay calm, but it wasn’t easy.

Jiiiing.

The door opened and the staff entered the rosette all at once.

In an instant, the tension disappeared like melting snow.

The Frozen Heart passive was activated upon recognizing the surgery. As my heart grew cold, the surgical process passed through my head like water.

‘let’s go!’

Choi Ki-seok strengthened his resolve and poured out his skills.

[Use the Must Save skill. All abilities temporarily increase by one level.]

[The effects of frozen heart (team members become calmer) and bravery (increased ability to determine the cause) are applied.] [

Team buff Eccentricity is activated.]

[Eccentricity: Eccentricity between staff members Trust increases and you can read the intentions of your colleagues and kill them in advance.]

[Windstone, the reward buff for the ‘Change Your Mind’ mission, is activated.]

[Windstone: The kill speed of all staff is doubled.]

Open the status window . I confirmed it and nodded slightly.

I don’t know if heaven will help me with today’s surgery.

While the sergeants settled in, the auxiliary staff were busy. Heart-lung technician Yoo Byeong-se checked the condition of the heart-lung machine, and Kang Ha-na neatly laid out the surgical tools.

Anesthetist Shin Ah-reum prepared the medication behind the curtain.

“The anesthesia preparations are complete.”

“The surgical instruments are ready.”

“There is nothing wrong with the heart-lung machine.”

Hyukpil Jang drew a circle with his thumb and index finger in response to the staff’s report. Accordingly, Shin Areum attached a patient monitoring device to the patient and began general anesthesia.

“Is there something wrong?”

Jang Hyuk-pil stared at Shin A-reum, who was moving around bustlingly.

“It’s because I feel like the anesthesia isn’t working properly.”

“No anesthesia?”

“I am only vaguely conscious and my muscles are not in a good state of relaxation. I am sorry, but please wait a little longer.”

Shin Areum moved behind the curtain again.

“Is it because of that?”

Youngho Lee, who entered the operating room as a third assistant, tilted his head.

“Do you have any clues?”

“Actually, while I was moving the bed, I made eye contact with the patient and he was gnawing on something. I thought he must have eaten something strange.”

“It certainly might be.”

Hyukpil Jang frowned.

Considering Shin Ah-reum’s repeated failures in anesthesia, it is highly likely that the patient’s intoxicants collided with the anesthetic drug.

I hit the reef even before I grabbed the scalpel…

I have a bad feeling.

After a while, after Shin Ah-reum’s struggle, normal anesthesia was completed.

From now on, groundwork for surgery is needed.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu

Choi Ki-seok disinfected the patient’s chest with povidone cotton and then covered it with a cloth.

“Meth.”

When Jang Hyuk-pil moved the scalpel, the skin from the bottom of the neck to the solar plexus area cracked.

“I’ll make an incision in your sternum.”

Weeeeeeeee.

Choi Ki-seok skillfully cut the sternum in half with a chainsaw. Then Lee Young-ho and a retractor opened the chest area.

“C/S liquid!”

In response to Jang Hyuk-pil’s cries, Shin Areum injected cardiac arrest fluid.

“Connect the cannula (tube inserted into the body).”

Taesik Kim inserted an arterial cannula into the patient’s femoral artery and axillary artery, and a venous cannula into the right atrium.

Shake! Drurr.

With the heart-lung machine running, the surgery came to a close.

“Everyone, keep your wits about you! Okay.”

“yes!”

Ki-Seok Choi answered bravely and repeated the surgical procedure.

Coronary artery bypass surgery, mitral valve reconstruction, left ventricular thrombectomy, left ventricular flow ablation and reconstruction.

This is the process of the upcoming Saber surgery.

“Shunt.”

“yes.”

Under Jang Hyuk-pil’s instructions, Kim Tae-sik inserted a small needle into the narrowed coronary artery.

This is to help the patient’s blood flow.

“Meth.”

Hyukpil Jang took a scalpel and peeled off the patient’s rib cartilage and fascia.

Then, the internal thoracic artery hidden inside was revealed.

“Why not?”

“Yes. I have the same thoughts as you, Professor.”

Kim Tae-sik nodded at Jang Hyuk-pil’s words.

The condition of the internal thoracic artery that was intended to be used as a bypass was not good.

“Then, shall we take a graft (graft blood vessel) from the radial artery (the artery on the outside of the lower arm)?”

“Okay. Switch positions with Kiseok. While Taesik takes the graft, Kiseok and I will reconstruct the mitral valve.”

“yes.”

Ki-Seok Choi stood in the position of first assistant and helped Hyuk-Pil Jang.

Suuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuu.

Hyukpil Jang’s scalpel split the mitral valve between the left atrium and left ventricle.

‘It won’t be easy, right?’

Choi Ki-seok looked down at the mitral valve and frowned.

The valve was hanging limply, and the chordae tendineae that held it in place were tattered.

Damage worse than expected at the time of meeting.

It was inevitable that the surgery time would be longer.

“5-0 prolene.”

Gigigigigeek.

Hyukpil Jang tightened the suture needle with a needle holder. Accordingly, Choi Ki-seok pulled the sagging mitral valve taut with forceps, and in the meantime, Jang Hyuk-pil sutured the end of the mitral valve.

“Professor. Graft extraction is complete.”

“I’m sorry, just wait a moment.”

Hyukpil Jang finished suturing the mitral valve and gently touched the valve with forceps.

It felt elastic thanks to the sutures being pulled tightly.

This is a great reconstruction.

Since the graft collection was finished, Ki-Seok Choi and Tae-Sik Kim switched places again.

Mitral valve reconstruction followed.

‘As expected, a senior.’

While assisting, Ki-Seok Choi stared at the transplanted blood vessels in the curved table.

The blood vessels sampled by Kim Tae-sik were clean.

I looked with a dragon’s eye to see if there was any problem, but there was no flaw.

“Whew… it’s barely over.”

Jang Hyuk-pil put down the surgical tools and sighed in relief.

“time is?”

“About 90 minutes have passed.”

“If the condition of the mitral valve had been better, it would have been done in an hour. There is no use lamenting now. Let’s go straight to CABG.”

Coronary artery bypass surgery was started using grafted blood vessels harvested from the radial artery.

Hyukpil Jang made a small hole in the aorta and connected one side of the grafted blood vessel.

But at that very moment, darkness came into the operating room.

The electricity was completely cut off.

“Code Black. Code Black. We inform you once again. Code Black. An unexpected power outage has occurred. Due to a temporary failure of the UPS (Uninterruptible Power Supply), emergency power grid supply is being delayed. We inform you once again. Code Black. “Code Black.”

The broadcast rang out in the pitch-black darkness.

“Fuck!”

Jang Hyuk-pil cursed in a loud voice.

If it had been a normal power outage, it might have been okay. But now, even the patient monitoring device and heart-lung machine have been turned off.

It is difficult to even preserve the patient’s life, let alone perform surgery.

“I’m going crazy.”

Jo Ji-hwan crossed his arms and stared at the turned off monitor.

I felt good because the surgery went satisfactorily, but I was irritated by the power outage.

In the face of a power outage, no doctor has any business.

It may be like a general surgical operation, but the damage from thoracic surgery using a heart-lung machine is uncontrollable.

Even if the heart-lung machine does not work for just a few minutes, the patient dies on the spot.

“Is UPS restored yet? Someone please contact the central supply office.”

“All right.”

Following Jo Ji-hwan’s instructions, Min Joo-hyuk took his cell phone and went outside.

“Youngho, hold on to mine for a moment.”

“why?”

“There is no time to explain.”

Choi Ki-seok left the dark room and moved to the locker room deep inside the operating room. And I put the cell phones of my team members in one place in my pants pocket.

“Teacher. Is there a circulating nurse available right now?”

“Yes. There is, but what are you going to do? You won’t be able to operate because of the power outage anyway.”

The nurse at the desk said, biting her lip.

“First, please send just two people to Rosette B. Quickly!”

Choi Ki-seok put his cell phone on the desk and explained the situation.

Afterwards, I scrubbed again and went into the rosette.

Rosette was still a dark place, and only Jang Hyuk-pil’s cursing could be heard from time to time.

“Professor. Shouldn’t we continue with the surgery?”

“In this situation?”

“We can’t just sit there like this. During the meeting, it was the professor who said that every second was insufficient for the surgery.”

“That’s under normal circumstances.”

“If you don’t give up, there will be a way.”

While the two were talking, the rosette door opened and two circulating nurses appeared.

“What is that again?”

“Reinforcements.”

A smile appeared on Choi Ki-seok’s lips.

Soon, the circulating nurse illuminated the operating table with her cell phone with the flash turned on.

Some staff members frowned at the sudden bright light.

“Is this enough?”

“thank you.”

“······I really can’t stop you. A guy like you.”

Hyukpil Jang chuckled and grabbed the scalpel.

I was impressed by Choi Ki-seok’s quick actions and determination.

Just because there is a power outage, doesn’t mean that there is nothing to do as a sergeant.

You have to go as far as you can.

“The surgery… continues.”

“Professor. Unless the heart-lung machine is working, surgery is meaningless…”

“Didn’t you hear me? The surgery is continuing.”

“······All right.”

Coronary artery bypass surgery resumed under the light of a cell phone.

Jang Hyuk-pil connected the collected blood vessels to the blood vessels requiring bypass surgery and sutured them.

Despite poor visibility, the suture was close to perfect.

Rattling. Drurrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrrr

Bleep. Bleep.

A welcome sound rang in the staff’s ears.

Three minutes after the complete power outage, the patient monitoring device and heart-lung machine were turned on.

It looks like the UPS has started working.

Although electricity was not completely restored, this was enough to continue the surgery.

“The heart-lung machine is operating normally. There appears to be no functional error.”

“The patient’s blood pressure and pulse are at the lowest.”

Shin Areum and Yoo Byung-se reported the situation.

Jang Hyuk-pil entrusted Shin Areum with the patient’s vitals and focused on the surgery.

Coronary artery bypass surgery was completed. Now you have to go into the game, Saber Surgery.

“From now on, we will remove the left ventricular blood clot.”

“Yes!”

Jang Hyuk-pil gently scraped the blood clot with a scraper, and Kim Tae-sik and Choi Ki-seok removed the blood clot by wiping it with gauze soaked in saline solution. By the way, Kim Tae-sik His behavior was unusual.

The hand holding the gauze was shaking.

Cold sweat was running down his face.

“What’s wrong with Tae-sik Kim?”

Hyuk-pil Jang asked, frowning.

“Ah… It’s nothing.”

“Nothing.” It’s not like it’s nothing. How can I do saber surgery to remove a blood clot?” ”

The truth is… I’m afraid of the dark…”

Kim Tae-sik muttered in a voice the size of a mosquito. He had

at least as much reserve power as possible . However, the first assistant is in the worst condition.

“There is nothing we can do. We’re going to Plan B.”

The sergeants nodded slightly at Jang Hyuk-pil’s instructions.

“I’m sorry, but could you turn off the lights for a moment?”

“Why?”

“I have something to do. It’ll just take a moment.”

The circulation that was assisting Choi Ki-seok’s request . The nurses turned off the flashlight, and

as it became dark again, Choi Gi-seok and Kim Tae-sik’s positions changed in an instant.