"Xiao Qin, please stop saying a few words. Are you a little nervous about such a major surgery? Why do you talk so much?" Director Qiu said.
"Director Qiu, you must be nervous. You don't have to stand for a long time during this operation. I have a stomachache today and I didn't dare to eat early in the morning. Give me 500ml of sugar around 10 o'clock. I hope my stomach won't cause trouble." Dr. Qin nagged. With.
"Can you hold on?"
"You have to hold on even if you can't hold on. If you don't do anything, I won't do anything." Assistant Dr. Qin said.
The surgeon didn't say anything. Like Zheng Ren, he stood in front of the reader, checked the film once, and then started reading the film for the last time.
Examining and reading the films before surgery is either important or not, but every detail involved in the surgery must be taken seriously and carefully.
For example, the film from the previous surgery was not taken away, but was still hung on the reader. The doctor from the next surgery came up and looked at it as his own patient's film. There were many examples of the wrong position in the end.
Everyone makes mistakes sometimes, but the cost of making mistakes in the medical profession is too high and cannot be afforded. Therefore, most doctors have some mild or severe obsessive-compulsive disorder.
Zheng Ren noticed the details of the artist's actions and felt +1 in his heart.
"Director Qiu, during the operation, 1%~1.5% sevoflurane inhalation, propofol and sufentanil chest injection were used to maintain anesthesia, and intermittent intravenous injection of atracurium besylate was used to maintain muscle relaxation. The heart rate during the operation was maintained at The preoperative compensation level is about 60~70 times/min, do you think it’s okay?”
After Su Yun finished adjusting the instrument, he asked respectfully.
"Okay, okay." Director Qiu nodded repeatedly.
"Young comrade, you have the right attitude. Director Qiu's anesthesia skills are first-class. Study hard and you will definitely be able to use them when you go back." Assistant Dr. Qin said after positioning the patient and brushing his hands.
Director Qiu glanced at Boss Zheng carefully and saw that he had no emotional changes. He glanced at Su Yun again, the three-layer mask... Why did he wear so many masks? This question appeared in Director Qiu's mind again.
It's just that questions are questions, Director Qiu doesn't dare to ask.
"Director, I have disinfected." Assistant Dr. Qin said to Director Xu after coming back from brushing his hands.
Director Xu just nodded and didn't say much after he entered the room. I don't know if it was because he was nervous that he spoke less, or because he was unwilling to speak.
After sterilizing and laying out sterile drape, and preparing the connection lines for electric cautery, ultrasonic scalpel and other instruments, Dr. Qin sutured on the sterile drape and tied a surgical knot with double #7 to smooth out the messy threads.
Director Xu brushed his hands, disinfected them, put on sterile clothes, and stood in the position of the surgeon. An extremely difficult operation requires three people to perform the operation.
Judging from the number of people, it is quite satisfactory. Some smaller hospitals are willing to find 4 people to fill the operating table. But after all, this is one of the top ten hospitals in the country, so there is no need to do any cosmetic work.
The sternum saw split open the sternum, and the buzzing sound made Zheng Ren feel a little familiar. It's just that I didn't hold a sternum saw and stood in the position of the surgeon to perform the surgery. This feeling was quite special.
Zheng Ren stood behind the surgeon and watched the operation, adjusting the focus position of the shadowless lamp from time to time. A top magician can be quite comfortable as an assistant. Standing at the waiting desk below, it was a very high-end equipment, and all the details made Director Xu's surgery a little smoother.
Director Xu's surgery was quite satisfactory, including skin incision, sternotomy, and extracorporeal circulation. There were no major problems. Even if Zheng Ren stood on the operating table with a hemostatic forceps in his hand, it would be of no use as he could not hit Director Xu's radial process.
"Slow down the heart rate. Inject 1 mg of anisodamine intravenously and observe for a few minutes. If it doesn't work, continue to give 2 μg of isoproterenol." Zheng Ren said in a deep voice while watching the operation.
Su Yun sat in the position of Lao He's assistant. He had already become accustomed to the comfort of the small round stool. He looked around and wrote the anesthesia record sheet skillfully.
He was like a standard anesthesiologist. Director Qiu was so busy with an operation that he expected to be very busy that he had already gone to supervise the extracorporeal circulation.
"Boss, you are too long-winded." Su Yun said, patting the row of syringes in front of him.
"You are so wasteful." Dr. Qin nagged, "The head nurse is not here today. If the head nurse comes to see you opening so many rescue medicines, he will definitely hang you up and beat you."
"It's okay. I covered it with a sheet so she couldn't see." Su Yun smiled. The temperature in the operating room seemed to have risen by 1℃, and it was as warm as spring.
"By the way, this anesthetist, why are you opening so many rescue medicines?" Doctor Qin asked.
"I'm used to it. In our place, we have a strict boss. Every time he says what medicine to use during emergency rescue, he will hit the anesthetist on the head with the hemostatic forceps before he can push it into the tee three seconds later." Su Yun said with a smile, and then gestured with his hand, "Such a big bag."
"I'll go! Director, look at the status of my surgical chief!" Dr. Qin exclaimed.
"Do the surgery well." Director Xu finally said his first words on stage.
Zheng Ren felt helpless. Is it really okay for this guy to just criticize himself for nothing? Besides, it seems that only Su Yun has hit someone with a hemostat twice, and he has never done it once.
"Boss, the systolic blood pressure is below 100, please add some fluids?" Seeing that Director Qiu was not around, Su Yun asked Zheng Ren directly for instructions.
"Let's talk about it below 90." Zheng Ren said, "The left atrium is huge and the pulmonary congestion is severe. The amount of fluid must be controlled."
"What's the urine output?" Su Yun asked.
"450ml."
Zheng Ren said directly without even looking.
Su Yun started recording and observing the patient's vital signs. Director Qiu patrolled around and heard the conversation between Boss Zheng and Su Yun, and already had a certain understanding of their anesthesia level.
It is true that the strong always become strong.
With this level of anesthesia, I couldn't find anything wrong anyway. Even if I am not good enough, there should be no one in the country who is stronger. For this level of anesthesia, he actually said that his full-time anesthetist was of a higher level! Who is it? Director Qiu thought about it but couldn't remember that there was any master in 912 that he didn't know.
After 20 minutes, when the blood pressure dropped below 90 mmHg, he was given fluid rehydration and symptomatic treatment. However, Zheng Ren observed for 10 minutes that the blood pressure was still slowly falling.
"Ephedrine, 5 mg intravenously."
As soon as he finished speaking, the syringe was already connected to the tee.
"Little brother, your hands are fast enough!" Dr. Qin is the kind of person who has an eye for all things. When he saw Su Yun's operation, he praised him.
"I am a professional e-sports player. I used to be an anesthesiologist after I retired. I am getting older and my hand speed is not as fast as when I was young." Su Yun said nonsense.
Obviously, this topic interested Dr. Qin even more. Although Su Yun was talking nonsense, he had a solid grasp of the relevant knowledge. After chatting for a few minutes, he was stunned by Dr. Qin as soon as he explained the operation of the top order. .