"Here, help!" the anesthesiologist opened the door to the operating room and shouted loudly.
Zheng Ren turned around without hesitation and trotted straight towards 9 hands.
"Yiren, be optimistic about Lin Yuan." He was in a hurry and only had time to leave one sentence.
Su Yun didn't care about beating the drowned dog, and ran over with Zheng Ren.
Lao He pulled the flat cart halfway and saw Boss Zheng and Brother Yun running away. Knowing that something was wrong, he immediately let go of the flat cart and ran after them.
Fang Lin had just pulled the patient out when he heard the panicked alarm sounds of various instruments in 9's hands, and he wanted to take a look.
"Take the patient and leave quickly!" Su Yun glared at Fang Lin, and ran into 9 hands with Zheng Ren.
The patient was under local anesthesia and was preparing to walk back after the operation. If there is an accident during the operation, there are too many unpredictable risks.
Zheng Ren strode in and looked up to observe the ECG monitoring.
The heart rate displayed on the ECG monitor was ventricular fibrillation. In less than 3 seconds, the heart rate had dropped from 50 beats/min to 35 beats/min.
"Put the person down." Zheng Ren said in a deep voice.
The anesthesiologist held the tracheal intubation, and several people worked together to lay the patient down. At this time, the heart had stopped.
Su Yun directly started chest heart compressions.
"Epinephrine 1 mg, atropine 0.5 mg intravenously." Zheng Ren squinted at the patient and wrote the doctor's instructions.
He didn't care who was standing on the operating table at this time.
Professor Zhu was also shocked by the situation before him. During esophageal cancer surgery, the patient suffered respiratory and circulatory arrest. What was going on
Zheng Ren pulled down the sterile drape, and subcutaneous emphysema was clearly visible on the patient's neck.
Comparing it with the system panel, Zheng Ren had an idea.
"Methylprednisolone, 40mg, intravenous injection!" Zheng Ren continued to give the doctor's orders.
In an emergency, as long as one person confidently directs the rescue, others will not question it under normal circumstances.
"Ice cap."
"Adrenaline!"
"Dopamine 8μg·kg/min pumped."
"First a dopamine shot."
"Lao He, check the ventilator pipe."
"Atropine 0.5mg."
As the doctor's orders were issued one by one, there was no panic or busyness in the entire operating room, and everyone began to move.
The surgeon, Professor Zhu, and his assistant raised their hands flat in front of their chests, dumbfounded. This rescue was so skillful.
The patient has subcutaneous emphysema. There may be a problem with the ventilator tube. It is more likely that the trachea was ruptured during surgical stripping.
Broken trachea, didn’t notice yet…
"Anesthesiologist, manual operation." Zheng Ren continued.
Three minutes later, the patient's breathing and circulation were stable, but SpO2 continued to fluctuate between 74% and 82%, PETCO2 waveforms appeared intermittently, and air leakage was found during manual breathing.
"Boss Zheng, there is no problem with the pipeline." Lao He checked the pipeline as quickly as possible and reported.
"Surgeon, inject 1000ml of normal saline into the patient's chest!" Zheng Ren didn't know Professor Zhu who was doing the surgery today, so he directly addressed him as the surgeon.
The circulating nurse immediately opened the bottle of physiological saline, and Professor Zhu was stunned for a moment.
The person who broke in was Boss Zheng, and Professor Zhu did not dare to say a word. He knew in his heart that he only had more qualifications and was older than Boss Zheng. When it came to surgery, not to mention that he was old now. Even if he was at his peak when he was young, he still couldn't catch up with him.
Professor Zhu had a variety of mixed emotions in his heart, and he couldn't describe the feeling.
However, he judged logically and knew what Boss Zheng was going to do, so he still took the syringe and injected saline into the chest along the card.
When the patient changes from side to supine position, he will definitely not be able to drink enough water. Professor Zhu estimated the amount of saline to be injected into the chest and felt that it was about to come out.
"Hold the endotracheal tube and position yourself higher." Professor Zhu was thinking wildly when Zheng Ren's voice came.
"Boss, the heart rate has stabilized temporarily." Su Yundao said, "Hurry up, the ventilation volume cannot be so low for a long time."
"Brush your hands."
Zheng Ren walked over to wash his hands very quickly, and you could see that he was anxious.
After Professor Zhu injected 1000ml of physiological saline, Zheng Ren and Su Yun had already returned from brushing their hands.
"Boss, you put on your clothes and I'll do it again."
Uh... this is... Professor Zhu was startled.
This is to seize the position of his own surgeon! He felt ashamed and extremely angry.
But anger is useless, the operation has already gone wrong, and Boss Zheng is here to put out the fire, not to humiliate himself.
I hope the professor is clear about this.
The medicine, no matter how bitter it is, must be swallowed. Who let the surgery cause problems on its own!
Zheng Ren changed his clothes, stood directly next to Professor Zhu, took the endoscopic equipment, "Manual control of breathing, come now."
The anesthesiologist carefully held the ball and performed controlled breathing.
The endoscopic lens found the position of the trachea in the water, and Zheng Ren looked at the screen. Soon there is a rupture about 4 above the tracheal carina.
As the anesthetist squeezed the ball, bubbles bubbled out from the rupture.
"Lao He, the tracheal intubation should be deeper." Zheng Ren said.
Lao He nodded. He cooperated with the anesthetist here and controlled the breathing with his hands while passing the endotracheal tube down.
Past the ulcerated site, secure the endotracheal tube again.
"sewing."
Su Yun stood next to Zheng Ren and squeezed Professor Zhu and his assistant out.
Professor Zhu felt depressed.
But you can't argue on the operating table. The patient's heart stopped just now. It wouldn't look good if it started again.
Professor Zhu stood behind Zheng Ren and watched. After only ten seconds of watching, he realized that Boss Zheng did a great job in the surgery.
The ruptured trachea was quickly sutured, and Zheng Ren took a look at the ECG monitor - blood pressure was 125/94mmHg, heart rate was 67 beats/min, and blood oxygen saturation was 98% to 100%.
"Okay, that's it." Zheng Ren took a closer look at the tumor and understood in his mind what the problem was with Professor Zhu's surgery.
There should be no problem, Zheng Ren turned around and stepped down.
Su Yun paused slightly, sighed, and turned around.
"Boss Zheng, are you okay?" Lao He asked.
"Yeah." Zheng Ren suddenly realized that Su Yun seemed to be sighing.
Thoracic Surgery…
"Let's find a chance to do chest surgery." Zheng Ren said in a low voice.
"It's okay." Su Yun was a little lethargic and said, "A combined thoracoabdominal and laparoscopic esophageal cancer surgery is nothing to do."
Su Yun also knew that his boss was worried about Lin Yuan and had no intention of performing an ordinary esophageal cancer surgery.
The two of them walked out of the surgery room while talking.
"Zheng... Boss Zheng, thank you." Professor Zhu said.
"Oh, you're welcome." Zheng Ren turned around and smiled, then left.
"Eh? Where is Lin Yuan?" Su Yun asked in surprise when he saw that Lin Yuan had disappeared at the end of the corridor.
"I think I've calmed down a bit," Zheng Ren said.
"What happened to her just now?" Lao He asked from the side.
"Hydrogen sulfide poisoning." Zheng Rendao, "With long-term hydrogen sulfide stimulation, the olfactory system may not be so sharp, so this situation occurs."