What is this doing
Sun Chao didn't understand. He looked at the surgical area and then at the ECG monitor, looking confused.
After Zheng Ren finished speaking, he stretched out his hand and two gauze strips fell into his hand. He carefully passed a piece of gauze through the aorta and handed it to Su Yun, the first assistant. Another gauze strip was passed through the superior vena cava and handed to the second assistant, Zhao Yunlong.
Pull the aorta to the left and pull the superior vena cava to the right to prepare to separate the pulmonary artery and the superior vena cava.
"Wait a moment." Zheng Ren squinted and looked at the dose of the micropump. After 15.5", Zheng Ren said, "Isopropyl kidney acceleration, 10ml, Su Yun and Lao Zhao started pulling. "
Su Yun and Zhao Yunlong exerted slight force to expose the surgical area, and the ECG monitor began to roar like crazy.
The beeping alarm sounded like a sudden thunderstorm all around. The operating room suddenly became busy and messy.
At this time, the songs of good luck became inaudible.
Zheng Ren ignored the alarms of the ventilator and monitor. He held a hemostatic forceps in one hand and blunt scissors in the other and began to free the aorta and superior vena cava.
The hands barely moved, only the fingers and the hemostats and blunt scissors moved. Sun Chao was dumbfounded, this speed was too fast!
The surgery was really awesome!
It's just that the patient's heart rate dropped instantly and the heart beat became weaker and weaker. Is it still too late
"1 mg of epinephrine, 5 mg of saline, intravenous injection!" Zheng Ren said while performing the operation.
Immediately, Lao He pushed the adrenaline that he had already pumped in at top speed. From the time Zheng Ren started speaking to the time he finished pushing, it didn't even take 5 seconds.
"The pump for isopropyl kidney is set to 30ml an hour!" Zheng Ren said, "Pump another adrenaline pump."
Lao He did not question whether such a large dosage of medicine was allowed. He clicked a few times, increased the speed to 30ml/H, and then injected another dose of epinephrine.
Then Lao He called the circulating nurse and continued to inject epinephrine ampoules.
5... As if there wasn't enough, Lao He took advantage of Boss Zheng's busy wandering and injected a few more adrenaline shots and put them in front of him for later use.
This thing is not expensive, so just waste it. It is better than rushing around and delaying Boss Zheng's rescue.
When comparing a few cents of medicine to a life, the choice is obvious.
Lao He had a row of pumped adrenaline lined up in his hand like bullets, ready to be injected at any time.
In the operating room, there was only one voice.
Zheng Ren's words were mixed in with the alarm sounds of the monitor and ventilator, as unmoving as rocks in the waves.
Continuous injections of adrenaline managed to stabilize his heart rate.
Zheng Ren used the fastest speed to dissociate about 3.5cm of the right pulmonary artery, and then began to dissociate the proximal posterior wall of the right pulmonary artery.
Sun Chao's eyes widened. This operation made him feel like he was flying.
At this time, he put himself in. If the thrombectomy was performed as he had thought before, the patient's heartbeat would have stopped as soon as the thrombus was touched and aspirated for 1 second!
Then the rescue began.
Time passed bit by bit during the rescue operation.
A 12cm thrombus cannot be removed within three to five hours. The key question is this patient, can she survive this long
Definitely not possible.
The next second, he may suffer cardiac arrest and die.
Is young boss Zheng right again
Sun Chao was in a daze. He had prepared a lot of reprimands to regain the lost face of the Medical University Affiliated Hospital in 912.
Although you definitely don’t need to do the surgery yourself, even if it is thrombectomy, Director Zhang Lin from the Circulation Department and Director Mao Chi from the Vascular Surgery Department are there, so there is no difference between my level and Mao Chi.
But I didn't expect that 912 didn't even use Mao Zhi at all.
The foreign professor performed internal iliac vein thrombectomy and opening surgery, and was trained like a dog by Boss Zheng. In the end, I was kicked off the stage because there were too many people on the operating table.
Young and domineering!
In Sun Chao's mind, these two labels were constantly deepened, deepened, and deepened in his impression of Boss Zheng.
The key is... I was really angry when I was down there, scolding Boss Zheng for not caring about human life!
How angry I was at that time, now I think about how embarrassed I was.
People are right.
"Boss Zheng, has the extracorporeal circulation been established?" Lao He finally asked.
He had already prepared a complete set of extracorporeal circulation machines and made all preparations. Just now, we had to prepare an extracorporeal circulation machine for the emergency rescue, but Lao He was exhausted.
"Be prepared, don't use it for the time being." Zheng Ren said while doing some wandering.
"My heart keeps beating?" Lao He finally confirmed.
Although he thought the possibility was low, he just had to implement whatever Boss Zheng said.
"Yeah, don't stop." Zheng Ren responded affirmatively.
A blocking band was placed on the proximal end and a purse string with a diameter of 0.6cm was sewn on the distal end. As soon as Zheng Ren stretched out his hand, the lancet was slapped in his hand.
The right pulmonary artery segment was carefully incised. There was no blood flowing out of it. What appeared in the surgical area was a purple-black thrombus.
Everyone behind the operating table took a small step forward as if hearing the clarion call for charge.
"Adrenaline, push." Zheng Ren's words were concise and to the point.
Lao He immediately picked up another bottle of epinephrine and pushed it in.
This is the benefit of being a familiar anesthesiologist, you don’t have to say too much. If it were an ordinary surgery, everyone would gossip on the operating table and pass the lonely time.
At that time, I was afraid that I would be too lonely on the operating table.
But what are you most afraid of as a doctor or nurse? It was this kind of situation where no one spoke, everyone kept their mouths shut, and almost had their mouths sewn shut with #7 thread.
This kind of emergency rescue depends entirely on tacit understanding.
Sun Chao felt a little emotional. Boss Zheng's surgery should be... good. There are so few cardiothoracic surgeries now, and he can't judge the level of surgery.
But regardless of how well the operation went, just looking at the row of adrenaline placed in front of the anesthesiologist is enough to make people feel a sense of awe. (Note 1)
Professional, professional to the core.
Next, should we use a negative pressure suction device and a biliary stone removal forceps to remove the thrombus alternately? Sun Chao cheered up and moved forward another 10cm.
Because he was standing behind Su Yun, he couldn't see the operation area at all.
Director Sun Chao even suspected that Yisuke in front of him was practicing blindly all the way.
MB! Blind operation combined with pulmonary artery thrombectomy surgery, why are the people in 912 so courageous
"Who is it?" Su Yun felt someone behind him touched him slightly, and he immediately became unhappy. Without looking, he raised his hand back and hit Sun Chao's shoulder with a pair of hemostatic forceps. He jumped up high again and landed. On the external instrument that is attracted by negative pressure on the wall behind you.
There was a crisp sound of "pop".
"It's time to remove the bolt, why are you squeezing!" Su Yun didn't look at who it was, he threw the equipment and hit people with great skill.
"..." The air in the operating room was stagnant, and everyone including Vice President Yuan found it difficult to breathe.
"Get out of here." Su Yun roared in a low voice.
…
…
Note 1,: I thought of a chapter in Once Upon a Time - The Last Shot of Adrenaline.