There are three operating rooms in this corridor, two of which have rescue teams busy doing ECMO for Gu Jun and Xue Ba.
In addition to the scrubbing table, there is a row of rest chairs beside the corridor, and several screens are hung on the opposite wall, broadcasting images from several cameras above and beside the operating table in real time. Some substitute medical staff and conjurers are all ready to go into the operating room at any time.
Uncle Dan and Zhang Huohuo were also sitting on chairs, although they were still looking at the screen, they were already exhausted.
Not only have I experienced everything on the small island, but it takes a lot of energy to continue doing chest compressions. They and others took turns to press for more than two hours before. In fact, they exhausted their last bit of strength very early. It can't last for this period of time at all.
"Uncle Egg, Shiyu! What's the situation?" At this time, Lou Xiaoning rushed over from the front hall, followed by Peacock and Mo Qing.
They only knew that they were doing ECMO here, and that Deng Ximei, who had spontaneous heartbeat and breathing, underwent some imaging tests before being transferred to the intensive care unit.
"I'm still doing the blood vessel built-in tube to open the access." Uncle Dan responded softly, staring at the image on the screen without blinking, "Ah Jun opened his mouth here and found the blood vessel... good job, that's it , Amazing... Complete the puncture and catheterization!"
The doctors and nurses in the corridor were a little excited, and the command center also raised their spirits. This step went smoothly, which is a good start.
Lou Xiaoning walked to Wu Shiyu's side, and looked into the small window on the door with her left eye, and saw that the operating table was surrounded by medical staff.
From the gaps in those blue clothes, Gu Jun could be vaguely seen on the operating table, connected to blood bags, drips, etc., as well as a bunch of equipment such as ECG monitors and anesthesia machines. Nurses were giving him chest compressions, and some Doctors dealt with the trauma of his limbs, and of course some doctors were doing puncture and catheterization.
In the operating room, Gu Jun is usually the one standing beside the operating table and working seriously, not like now.
"Sigh." Lou Xiaoning couldn't help sighing softly, what a wonderful person, but he is like this now, and Xue Ba is also...
At this time, the voice of Luo De, the chief surgeon of the ecmo team inside, came from the speaker on the screen: "The equipment is precharged."
Some personnel in the operating room are responsible for operating and adjusting the ecmo equipment. There are many parameters and they are constantly changing. The mutual influence of the heart-lung-ecmo system must be understood by personnel who have received corresponding training, and they must be watched and adjusted at any time. , these are the difficulties of ecmo.
After the equipment was pre-flushed, the chief surgeon Luo De immediately connected the intravascular catheter and the connecting tube. Everyone in the operating room and outside was nervous at the moment, and the ecmo started to run!
ECMO has two main diversion methods, one is to draw blood out through the vein, and pump it into another vein after oxygenation. This is VV diversion, which is suitable for cases without risk of cardiac arrest; the other is transvenous bleeding , and finally sent back to the artery, this is va bypass, suitable for cases with cardiopulmonary function problems and the risk of cardiac arrest.
However, if the patient's heart has completely stopped beating for more than three hours under the ultrasound diagnosis, thrombosis and pulmonary edema are likely to occur due to the stagnation of cardiopulmonary blood in the VA mode, so the patient must be immediately performed a thoracotomy to replace the heart with a catheter. It is aaa transfer mode.
What the rescue team first did for Gu Jun was the VA mode.
Uncle Dan and the others saw dark red blood coming out of the catheter from the screen. It was the blood in Gu Jun's body...
The venous blood was originally dark red because of the low oxygen content, but now his blood is too dark, almost black, as if it is about to become viscous and solidified...
Uncle Dan suddenly lost the excitement, and he let out a sigh of relief, looking at the blood, a doctor would know it in his heart.
It's not a narrow escape, Ah Jun is a narrow escape this time. Now it's not just about cardiopulmonary resuscitation and intracranial problems, his various organ functions should have been severely damaged by ischemia and hypoxia, and various complications are almost in sight...
Many medical staff in the corridor are sighing secretly, but when these sighs are stacked together, everyone can hear them.
At the same time, the venous blood returned to Gu Jun's body through the arterial catheter after being oxygenated by the equipment, completing the first cycle.
After the ecmo was successfully connected, the team stopped compressing Gu Jun's chest. Even if the patient can restore the heartbeat, it may take how long it will take. Some people restart the heartbeat as soon as they are connected to ecmo, and some people have a few hours, dozens of hours...
But now on the screen of the ECG monitor, Gu Jun's heart still does not see any spontaneous movement, and when the chest compressions stop, it becomes a straight line.
"There is still half an hour left." Uncle Dan said, "Ah Jun can have a little heartbeat, so there is no need to open his chest..."
The CT equipment had already been transported into the operating room. In this ecmo state, the rescue team performed a brain CT on Gu Jun and diagnosed massive intracranial hemorrhage. The craniotomy was done immediately, as the thoracotomy also seemed imperative, and the open reduction of those fractures came later.
On the other hand, Xue Ba did not suffer from cerebral hemorrhage or fractures, and the ecmo was done smoothly, but his blood condition was worse than that of Gu Jun, and his organs were more severely damaged.
"Hey, don't watch it." Uncle Dan stood up and called Wu Shiyu and others, "We can't help you here, go out to the deck and blow some air."
Uncle Dan was mainly afraid that Wu Shiyu's spirit would be unbearable. Even he couldn't bear to see Ah Jun having his skull and chest opened like this. Ah Jun would have his head shaved, his scalp cut, holes drilled into his skull, and his skull saw…
"Uncle Egg, I'm fine." Wu Shiyu said, "I want to stay here, I feel he can see it, this will give him more motivation to hold on."
"Okay, okay." Uncle Dan didn't force it, it's uncomfortable to stay here, and it's also uncomfortable to go away, so let's do as she wants.
Lou Xiaoning, Peacock, and the others didn't leave. They were sitting on chairs, watching the operation on the screen, and talking at random.
But at this time, it was close to the time when Gu Jun's heart stopped completely for three hours.
A situation caused excitement in the operating room, excited the command center, and made them all stand up in the corridor.
"There is a heartbeat! The patient has a spontaneous heartbeat reaction!"
On the screen of the ECG monitor, there was no longer a dead straight line, but a slight ups and downs, and Gu Jun's heart started beating again.
"This guy really has a good heart!" Lou Xiaoning said excitedly, "I can't accept it."
"No need for chest surgery, good thing, great thing." Uncle Egg kept saying, although cardiac resuscitation does not mean that Ah Jun will come back to life, but it definitely means that there is this opportunity, and a thoracotomy operation is avoided, and more Complications, "Great... Team Xue, Team Xue, you can learn a little bit..."
"Huh..." Wu Shiyu took a long breath and sat down on the chair, "I thought I could see what he had in mind later."
"What else?" Master Tong's voice came from the walkie-talkie, "Can I still have my old Tong?"
Everyone smiled a little in the bitterness. It is true that this battle has not been won yet, and it will take a long time to fight.
But now, they see hope.
Wall-E says
The second update, ask for a monthly pass for the new month! Everyone smashed one, happy National Day!