Just when Feng Jianguo wanted to take a look at the situation, he pushed him aside with one hand. So hard and not polite at all.
"Fiber bronchoscopy!" Zheng Ren unplugged the ventilator and started artificial respiration without hesitation.
Before the anesthesiologist could react, he saw that the patient's limbs had begun to change color slightly, become cyanotic, and his abdomen was swollen. He was shocked. Was the tracheal tube inserted into the esophagus
"What are you doing standing still!" Su Yun shouted from behind, "Fiber bronchoscope! Go get it quickly!"
The roar was like a whip, hitting the anesthesiologist's body with a "snap".
Myself... The endotracheal tube was inserted in the wrong position
The patient's airway is somewhat deformed and the glottis cannot be seen, but I used a special technique and it should be fine.
But when he saw the patient's hypoxic state and the blood oxygen saturation on the ECG monitoring had dropped to 70%, he had to accept the truth.
Su Yun waited for two seconds and saw that the anesthesiologist was still dazed. He kicked him on the butt and cursed: "Are you waiting for something to happen? You idiot!"
The anesthesiologist had no time to think about it. At this time, his mind was filled with the patient's death from suffocation before the operation.
This was a major medical accident. He woke up immediately and ran to get the fiberoptic bronchoscope.
"Su Yun, is there a problem with the tracheal intubation?" Feng Jianguo asked in a low voice.
Even though we were in the operating room, it was better to keep a low tone when it came to matters involving medical malpractice. This is a habit, and it is also the sword of Damocles hanging over the heads of doctors.
Anyone who is a doctor will have an inexplicable respect for him.
"It's probably because the airway is malformed and the feeding tube is inserted." Su Yun said, "Boss, can you do it? If not, I'll do it."
Zheng Ren ignored him at all and used standard artificial respiration to maintain the last oxygen for the patient who had already been prescribed muscle relaxants.
In less than a minute, the anesthesiologist ran back with a box.
Before he could take action, Su Yun grabbed the box containing the fiberoptic bronchoscope, opened it and began to assemble it skillfully.
Like a special soldier assembling a firearm, the fiberoptic bronchoscope was assembled almost instantly.
Although Zheng Ren had his back to Su Yun, he seemed to be able to see his movements. The moment it was assembled, Zheng Ren stretched out his hand, and Su Yun subconsciously handed the mirror to his hand.
He took a deep breath, gave the patient lying on the operating table the last breath of artificial respiration, and then began to insert the fiberoptic bronchoscope.
There was almost no pause. 6.78 seconds later, he said in a deep voice: "Connect the ventilator."
The anesthesiologist was dumbfounded.
This situation is rarely encountered in anesthesiology departments, but it is extremely dangerous.
The patient himself has lost the ability to breathe on his own under the influence of the drug, and there is no oxygen supply. You can know what will happen without telling him.
The difficulty lies in the airway malformation, and there are time limits for using fiberoptic bronchoscope tubes. Be sure and fast, there is no extra time to waste.
Boss Zheng, how long did this take 10 seconds
After connecting to the ventilator, Zheng Ren observed the patient's vital signs. Seeing that the chest was rising, after giving pure oxygen, the blood oxygen saturation slowly went up, and then he breathed a sigh of relief.
Putting on gloves and picking up the sputum suction tube, Zheng Ren began to suction the patient's sputum.
"Boss, have you... seen traumatic wet lungs?" Su Yun asked.
"Well, I went under the mirror and saw a lot of secretions." Zheng Ren said calmly. A large amount of bloody secretions from the airway was sucked out hissingly, and Zheng Ren felt relieved.
Instead of blaming the anesthesiologist, he asked, "What injury?"
"The fountain tore the lower body directly, and the intestines came out." Feng Jianguo said: "Pianzi... Xiaocao, where is Pianzi!"
"I'll get it from the flat cart." Quan Xiaocao hurriedly went to the flat cart at the door to get the film.
"Give it to me." Zheng Ren focused his eyes on the film without looking at Quan Xiaocao. He took the film bag, took out the film and inserted it into the reader.
"Su Yun, wash your hands and disinfect your hands, hurry up." Zheng Ren said while watching the movie.
"The pelvic fracture is so severe." Su Yun glanced at the film and immediately turned around to disinfect. He patted the anesthetist on the shoulder and said, "Brother, I'm sorry. Wear a lead suit and sit inside."
"Hey." The anesthesiologist squeezed out a voice from his throat and followed Su Yun to put on the lead suit.
"Boss Zheng, the operation is very difficult." Feng Jianguo and Zheng Ren watched the movie together. He had taken a cursory look before and knew that it was extremely difficult.
Rectal rupture, small intestinal prolapse, or burst injury. ,
Just from this diagnosis alone, the judgment that appeared in Feng Jianguo's mind was that the patient's prognosis was poor. Severe infection, large-scale tears, contusions and lacerations in the anal area make the surgery extremely complicated.
And the patients themselves…
The more he thought about it, the more headache he got, and Feng Jianguo sighed.
"Let's do it little by little. It depends on the situation. If it doesn't work, go to the gynecologist for repair." Zheng Ren said.
"Now?" Feng Jianguo asked.
"Let them prepare. They will come up when our operation is almost done." Zheng Ren said.
"Boss, go ahead and brush your hands." Su Yun said.
Zheng Ren paused for a moment, as if he didn't hear Su Yun's words.
"What's wrong?" Su Yun asked while disinfecting.
"I have to call Yi Ren," Zheng Ren said, and then said to the equipment nurse, "I'm sorry, my equipment nurse will be on stage in a moment."
"Surgery is so difficult?" Su Yun was surprised.
Zheng Ren nodded slightly, took out his cell phone to call Xie Yiren, and then went to wash his hands.
Disinfection and laying out sterile sheets are completed as quickly as possible.
Feng Jianguo and the equipment nurse hid. In the operation room, there was an open large trolley case, and the limping young man brought a bunch of consumables to Boss Zheng.
Soon, he walked out with half of the supplies.
"Xiao Feng, you're a little prepared, right?" Feng Jianguo asked as kindly as possible.
"Professor Feng, I have no idea about the condition. I don't know what Mr. Zheng needs for surgery. I can only try to bring everything with me so that Mr. Zheng can choose." Feng Xuhui smiled shyly.
Feng Jianguo felt something in his heart and glanced at Quan Xiaocao as if inadvertently.
The silly kid was nervously watching Boss Zheng and Su Yun operating through the leaded glass, and didn't notice Feng Xuhui's words.
Feng Jianguo felt a little emotional. Only after experiencing many things can he understand how important they are.
Now even if I hold Quan Xiaocao's ears and tell her what to do, the effect will probably be limited.
Ordinary doctors can teach by holding their ears. But learning from Boss Zheng depends on Xiaocao's own fate.
The airtight lead door is closed and the anesthesiologist remains in the operating room.
He didn't dare to be negligent, it was safest to stay inside. It’s not that he is safe, it’s that the patient is safest!
Although I have to take the thread, it's now time and I can't even think about not taking the thread.
I just hope Boss Zheng’s surgery will go faster.