Before extracorporeal circulation, lactated Ringer's solution and colloid fluid, Hg, were infused. The surgery went smoothly, the anesthesia was great, and there were no flaws.
One hour,
two hours,
Three hours,
Six hours…
Mitral valve replacement, tricuspid valvuloplasty and left atrial plication were completed one after another. Zheng Ren kept wiping the surgeon's sweat, which made Director Qiu jump with fear.
There were rumors in the world that Boss Zheng was young and energetic. He had been thinking last night whether Boss Zheng was going to tell Lao Xu that something was wrong here or there, and that his random talk led to frequent surgical accidents.
But when Boss Zheng came on stage, he knew that there were not enough manpower, so he directly took over the anesthesia. He stood behind the surgeon and watched the operation without saying a word.
I really can't listen to these rumors, Director Qiu thought to himself. Boss Zheng has such a good temper, why is he so arrogant and domineering? The next time someone says that, you will have to fall out if you stand up.
He has such a good temper and calls people arrogant. This is bullying people's honesty. Director Qiu has seen a lot of people stepping down on others in the medical circle. Especially for some rising stars, the pressure is even greater.
This is Boss Zheng, who directly cuts his way through his own strength, standing at the end of the food chain and looking down on everyone.
"Stop the extracorporeal circulation." Director Xu said solemnly, with a hint of exhaustion in his voice.
Shengsheng stood there with concentration for 6 hours. The intense and delicate operation filled the operating room with the smell of dopamine and adrenaline.
After opening the ascending aorta, intrathoracic defibrillation was performed with 20J energy for 1 time and the heart was restarted.
Ten minutes after resumption of jumping, epinephrine 0.02 μg/kg.min and nitroglycerin 0.5 μg/kg.min were injected by pump.
Su Yun pays attention to maintaining the PETHg range, and the blood K+ concentration is around 4.5mmol/L.
The surgeon did a good job with the surgery, and the anesthesia was almost perfect. After 6 hours of hard work, it was finally over.
After rinsing and closing his chest, Director Qiu let out a sigh of relief.
In the past, when I was setting up the stage for Mr. Bao, I would be so busy that I would hit the back of my head every time. However, the anesthesia provided by Boss Zheng and Dr. Su worked together with ease, which explains the problem.
A layman looks at the excitement, an expert looks at the door. Many problems that may affect the operation were avoided and eliminated by Boss Zheng and Dr. Su in advance, so the operation went smoothly.
Director Shuzhe Xu may not know that he doesn't have the heart to care about so many things, but he has a clear mind. Director Qiu was constantly thinking about how to pat Boss Zheng with a rainbow fart after surgery.
Director Qiu was a little distressed because he wanted Boss Zheng to be comfortable but not too explicit. I haven't flattered anyone since I became the chief director, and I'm really not good at it.
"The bleeding during the operation was about 800ml, 800ml of fresh frozen blood was transfused, and 10 units of cryoprecipitate were obtained. After the operation, Hb95g/L, hematocrit Hct28%. The patient had urine throughout the operation, and the total urine volume was 2500ml." Su Yun wrote the anesthesia record while writing Shan, while whispering.
The sound penetrated the three-layer mask and seemed a bit muffled.
After flushing and closing the chest, the operating table began to tighten the wire to close the sternum. Director Qiu reassured himself, walked to Zheng Ren, and whispered: "Boss Zheng, your level of anesthesia is also very high."
"I know a little bit, but I'm not as good as my anesthetist." Zheng Ren's eyes were fixed on the monitor and he didn't look away for a second.
Director Qiu was worried that something was wrong. He took a look at the ECG monitor and found that all the values were ideal. It's not that there is a problem, but Boss Zheng is more cautious by nature, Director Qiu thought to himself.
"Your anesthesiologist... is the legendary Lao He?"
"Yeah." Zheng Ren answered simply.
"What's your full name? I'll ask when I get back. At the next anesthesia annual meeting, I want to have a meal with this old He and get close to him." Director Qiu said with a smile.
But he threw it out in good faith, but Boss Zheng didn't answer, and Director Qiu felt a little cold.
I have already acted like a full-time anesthetist in Boss Zheng’s medical team, so why doesn’t Boss Zheng take over? This is a bit embarrassing.
"Master, close your chest and wait a moment." Zheng Ren suddenly said in a deep voice.
Su Yun seemed to be looking at the screen too. He didn't criticize his boss, but squinted his eyes to observe.
Director Qiu was stunned for a moment. He took a look at the various values of the ECG monitoring and ventilator. There was no problem at all...
On the operating table, Dr. Qin was chatting and laughing with the instrument nurse. The car was not driving very fast, just to relieve the tense mental pressure, and maybe it could speed up the venous return of the swollen lower limbs.
"Don't close your chest." Su Yun stood up and said, "Open it."
"What?!"
"What?!"
Doctor Qin and Director Qiu were stunned.
Director Xu, who was twisting the wire, looked up. There was a strip of white sterile gauze tied on the sterile cap. The gauze strip had been soaked with sweat.
He glanced at the ECG monitor in confusion, then at Zheng Ren and Su Yun, then lowered his head and continued to twist the wire.
"I told you not to close your chest, I didn't hear anything." Su Yun scolded, the situation was a bit urgent, and he started to speak dirty.
Director Xu raised his head and did not look at Su Yun. Instead, he looked at Director Qiu coldly and said, "Director Qiu, what does it look like for the visiting doctor to curse and curse in the operating room?"
"Director, please reopen it and take another look." Zheng Ren said, "The ECG oscilloscope and the radial artery pressure curve wave do not match, so we think there may be a problem."
He spoke very slowly, without an emphatic tone, but there was an unquestionable flavor between the lines. It's as if... the operating room is run by his family, and anyone who is dishonest will be kicked out.
Well…
Director Qiu was stunned for a moment. The ECG oscilloscope and the radial artery pressure curve wave did not match? Where's the mismatch
The electrocardiogram showed sinus rhythm, so there was no problem. The radial pressure curve seems to be okay too…
Director Xu once again confirmed that all the values were stable. He glared at Su Yun and scolded: "Are you a magician or am I a magician!"
"How can you be so good? If the boss is awesome, he still needs a full-time anesthetist." Su Yun said contemptuously: "Hurry up and take a look. It will be more troublesome to sew the skin and then open it again."
"This..." Zheng Ren was confused for a moment.
"Director Xu, Director Xu." Director Qiu broke into a cold sweat. He didn't understand why Boss Zheng suddenly became violent when he was as gentle as a spring breeze just now. The whole operating room was quiet for years.
Do you want to show your presence? It's not possible. To show his presence, Boss Zheng has countless means and techniques to avoid making fun of patients in the operating room.
Although it is not fatal, it will delay the surgery after all.
"Director Xu, consider that the artificial valve is stuck. Open it and take a look. It will be too late." Zheng Ren said in a deep voice.
"Who are you?" Director Xu said unhappily: "I did the surgery, and I knew it well. You, a visiting anesthesiologist, are beeping here..."
"Director Xu, this is Boss Zheng!" Director Qiu didn't care about anything else. He immediately stopped Director Xu and said directly.
"Boss Zheng? Which one?"
"Who from 912..." Director Qiu was confused, but he still took the time to comfort everyone present.
Director Xu was stunned.