"Pregnant women are about to give birth." The obstetric resident always reminded in a low voice while preparing things.
"You can still survive for 52 minutes, so hurry up and prepare things!" Zheng Ren's voice was cold and low.
The hospital resident in the obstetrics department was stunned for a moment. She didn't know how the 52 minutes that Boss Zheng mentioned was evaluated.
Are they all that advanced now? Why don't you know
Zheng Ren didn't notice that he had spilled the beans and continued to direct the rescue.
"Notify the operating room. After everything is ready, take the time to disinfect and give them 30 minutes." Zheng Ren continued.
"Okay." Lin Ge had just arrived and didn't know what happened, but Boss Zheng's instructions must be carried out without hesitation.
The gears used to rescue patients turned, and an inexplicable clicking sound came from the space. The huge machine started to rotate immediately, and countless doctors and nurses were busy working on it.
"Anesthesiologist, can our hospital give anesthesia to newborns?" Zheng Ren looked at the pregnant woman and emphasized this point again.
"I'll call the Women's and Children's Hospital."
"pay close attention!"
After 5 minutes, the patient’s family agreed to live broadcast the surgery.
In 12 minutes, the thermal insulation quilt was brought to the operating room.
In 14 minutes, two forced inflatable thermal blankets were delivered to the operating room.
In 19 minutes, the sterile infrared radiation table was moved to the operating room.
The operating room begins to be disinfected and the final aseptic treatment is performed.
At 23 minutes, people from the Xinglinyuan Legal Department came to the obstetrics department and signed legal documents with the patient's family members together with the lawyers from the medical office.
At 34 minutes, Director Wang from the Women's and Children's Hospital, anesthesiologist, and professional neonatal nurse came to 912 in an ambulance.
In 45 minutes, the pregnant woman was sent to the operating room, and preoperative preparations were completed.
At 47 minutes, Lao He started to give the pregnant woman general anesthesia with a serious face. The anesthesiologist at the Women's and Children's Hospital was busy preparing all the equipment he needed to anesthetize the fetus.
"The temperature in the operating room has increased to 26...28 degrees Celsius." Zheng Ren said.
"Okay." In the melodious song of good luck, the traveling nurse responded.
The temperature in the operating room is generally adjusted according to the surgeon's habits, but most surgeons require a temperature of about 24-25 degrees Celsius in the operating room.
This temperature feels best, neither cold nor hot. Only when the surgeon is in good condition will the operation go smoothly.
And 28 degrees Celsius is too high for medical staff in the operating room.
However, the circulating nurse did not ask Boss Zheng why he wanted to raise the temperature. Various thermal insulation items were placed next to him, which explained everything silently.
The temperature in the operating room must be higher.
The risk of maternal and neonatal hypothermia is greater during intrapartum fetal surgery than during routine obstetric surgery. Factors such as prolonged maternal anesthesia and surgery, increased intraoperative infusion volume, and the fetus taking away a large amount of maternal heat after delivery can easily lead to a drop in maternal body temperature.
The operation also needs to be performed on the fetus with the placenta attached, opening the abdominal cavity, and prolonging the operation, further increasing the risk of hypothermia for pregnant women.
Not only pregnant women, but also the fetus needs a higher temperature.
The fetal or newborn body temperature regulation center is not fully developed and has a low ability to maintain body temperature. Hypothermia can lead to respiratory depression, delayed recovery from surgery and other respiratory complications.
Therefore, it is necessary to closely observe the vital signs of the mother and newborn during the operation, and take effective insulation measures to care for the mother and newborn.
This is just a detail, every detail is a component on that huge machine. Only when all parts are perfect can it be possible to achieve the results Zheng Ren wants.
"The radiation heater starts to warm up." Zheng Ren continued to direct.
Xie Yiren came to the operating room carrying a sterilized surgical box, brushed his hands on the stage, and tapped the instruments.
Whether it is the surgeon, the anesthetist, the equipment nurse, or the circulating nurse, they are all two sets of people.
Even so, the two traveling nurses were extremely busy, and the pediatrician and obstetrician doctors who were not on stage were helping to keep busy.
The radiation warmer is preheated, the mother's upper body is covered with a quilt, and the abducted arm is wrapped with a surgical drape.
Two sets of forced inflatable thermal insulation blankets are used at the same time to cover the lower body of the mother. One set has the exhaust side upward for the mother's insulation, and the other set has the exhaust side downward for the newborn's insulation when the umbilical cord is not cut. The temperature is controlled at 45 degrees Celsius.
The liquid heating instruments had already been turned on, and liquids at 37 degrees Celsius were placed in a row. Neat and solemn.
After the anesthesia was completed, Lao He stretched out his hand and gave Boss Zheng a thumbs up to indicate that the anesthesia was complete.
The airtight door is closed and the operation officially begins.
The obstetrician doctor performed the operation first. He made a 12cm long incision on the pregnant woman's abdominal wall and started the caesarean section.
The first and second fetuses were successfully removed.
In an environment of 28 degrees Celsius, wearing a sterile surgical gown for surgery, and dealing with a small child with a congenital giant omphalocele, Director Wang from the Women's and Children's Hospital, who had a caesarean section more than ten minutes later, had a rash on his back due to the nervousness. Soaked in sweat.
Zheng Ren finished brushing his hands, put on his clothes, and watched the entire operation process without moving.
He stood in front of the thermostatic table under the pregnant woman's legs, staring at the third child with a huge omphalocele.
The abdominal organs in an omphalocele are exposed outside the abdominal cavity through the open umbilical ring, but they are different from ordinary hernias. Although all the organs are not covered by skin, they are wrapped together by a translucent, avascular membrane.
This membrane is made up of the inner peritoneum and the outer amniotic membrane, with a jelly-like connective tissue in the middle.
After Director Wang took out the two fetuses, he did not immediately deal with the third child in the uterus. Instead, he turned his head to wipe the sweat.
A piece of sterile gauze was wrapped around the head, and the disposable sterile cap was soaked.
In the operating room, no one spoke except for the singing of good luck.
Until now, the operation has officially begun, and the most critical surgical steps have been touched upon.
After wiping his sweat, Director Wang looked up at Zheng Ren. Zheng Ren nodded slightly, indicating that he was ready.
"Body temperature." Zheng Ren asked.
"The pregnant woman's temperature before the operation was 36.7 degrees Celsius, and the current temperature is 37.1 degrees Celsius." Lao He said solemnly.
Director Wang then carefully avoided the abdominal organs wrapped in translucent membranes and gently took out the child's left arm.
Zheng Ren stretched out his hand, and a syringe with the medicine filled was slapped into his hand.
Among the triplets, the newborn weighed the heaviest at only 2.6kg, and the infant weighed the lightest, weighing only about 2.3kg by visual inspection.
The arms are so thin that the blood vessels are almost invisible.
If you want to hit the nail on the head, the difficulty is not that high. Director Wang has performed many neonatal surgeries, and this step is the most time-consuming.
Invisible blood vessels, but also to hit the nail on the head. Sometimes the operation will be delayed for 5-10 minutes in this step. Even after more than 10 needles have been inserted into the child's arm, no vein can be found to insert the needle.
Director Wang sighed as he looked at the internal organs wrapped in a translucent membrane inside the uterus of a pregnant woman.
Strictly speaking, the child in front of me does not have an omphalocele. To be precise, it should be - no belly.
This seriously affects fetal growth.
The blood vessel condition is even worse, can Boss Zheng do it