"Boss Zheng, that's awesome!" Director Qiu was not a rainbow this time, he was telling the truth.
The free Kirschner wire was taken out yesterday, but the case is rather strange, and it is not clear whether the operation was successful or not. Uh... The technique for freeing adhesions with Kirschner wires is indeed good, but it is only good.
But today, Boss Zheng prevented her from closing her breasts and almost caused an unpleasant incident. Now Director Qiu calmed down and thought about everything that had just happened. The more he thought about it, the more he admired her.
There is a relationship between ECG oscillogram and radial artery pressure waveform. No one will deny this. But not many people can see it, and those who even know a little bit about it are relatively good anesthetists.
None of this is important. What is important is that Boss Zheng saw it a few minutes in advance and was able to stop the operation from continuing with confidence and unswervingly.
If you don't have any idea, how dare you ask the surgeon to reopen the sternum that has been screwed on with wires
Once the patient's chest is opened and nothing happens, this matter will spread and affect Boss Zheng's academic status.
They must be sure, this is the gap in realm, Director Qiu sighed in his heart. It makes sense for Boss Zheng to win the Nobel Prize at such a young age.
"Boss Zheng, how did the flap get stuck?" Director Xu asked doubtfully, "I noticed everything that I should pay attention to, but I didn't expect that the flap would get stuck again."
"It's okay. There will definitely be various abnormalities during the operation. I also saw that you paid attention to some key points during the operation. For example, you were worried about the suture getting stuck. You read it twice and observed 3'12" , really already very cautious. "
Zheng Ren said with a smile.
Director Xu was grateful, but immediately felt a sense of awe in the deepest part of his mind.
Did Boss Zheng even notice that he observed 3′12″? He only remembered that he observed it for two or three minutes, but if Director Xu was asked to say how long he watched it, he would not know.
"Furthermore, the bioprosthetic valve itself or the tissue or foreign matter that affects the activity of the bioprosthetic valve can also cause flap jamming. I think you have also paid attention to this, and this is also excluded."
"As for the thrombus stuck after extracorporeal circulation, I paid attention to the dosage of the medicine, and there is no problem." Zheng Ren said casually while looking at the values of each machine.
"Then..." Director Xu asked doubtfully.
"It's a problem with the patient's pathophysiology and anatomy. There's no way to avoid it. If we don't say that our job is very risky, even if we all pay attention to it, we may not be able to avoid it. When I was in 912, the Department of Urology performed a prostate electrosurgery. Our director was very careful during the operation, but an explosion occurred during the operation, causing the bladder to rupture."
At this point, everyone was extremely emotional.
No matter how careful you are, you can only reduce the possibility of some side injuries, but you can never avoid them 100%. Human beings don't even understand their own bodies thoroughly, so trying to avoid all complications is tantamount to wishful thinking.
Boss Zheng finds problems and avoids them, but he is not arrogant. He simply talks about various points and also mentions many details of Director Xu. This person is really not simple.
"Boss Zheng, Dr. Su, how did you two find out?" Director Qiu expressed his interest several times after sighing that Boss Zheng was not easy.
"Director Qiu, how would you judge if you were on the operating table?" Su Yun asked.
"The sudden paroxysmal or sustained ECG oscilloscope is separated from the arterial monitoring pressure curve waveform. It takes several ECG cycles to have a pressure curve wave, and the pressure wave gradually becomes flat. It is a reliable method for diagnosing acute dysfunction of mechanical valves. Basis." Director Qiu said.
"Yes, the initial fluctuations are not obvious, but if you look carefully, there are 0.8 waveform separations in one minute. It may be caused by machine interference or measurement errors, but you always need to observe more." Su Yun smiled.
For less than a minute at a time, Director Qiu sighed, but he couldn't find this situation. Even if it is discovered, it is impossible to firmly ask the surgical director to rework it.
At the end of the day, Boss Zheng is still awesome!
"At the beginning, there was definitely no way to judge that the valve was stuck due to rupture of the mitral valve chordae tendineae. At this time, the anesthesiologist had to make a quick judgment." Zheng Ren said with a smile.
"Exclude factors such as whether the radial artery pressure measuring tube is unobstructed, whether the patient has severe left ventricular insufficiency, whether the volume is insufficient, whether the amount of vasodilator medication is appropriate, whether the anesthesia is too deep, and whether the patient is allergic to protamine."
"I just took a look and everything was fine. I can only wait or open the chest again to see the situation." Zheng Ren said: "Because I am a surgeon, I am more radical. Instead of chatting on the operating table, it is better to open the chest and see directly. Look at the heart. That's the strongest evidence. If there's something wrong with looking straight at it, that's a sure thing."
"What if there is no problem?" Director Qiu asked doubtfully.
"Close your chest, why should you keep it open like watching a movie?" Su Yundao said.
“…”
Director Qiu was speechless, so simple? ! Indeed, depending on the situation after the second thoracotomy, if everything goes well, the chest must be closed. But now the anesthesiologist has to face the wrath of the surgeon!
Outrage!
Interfering with the operation but unable to explain why, I will be shameless in the future.
Seeing Director Qiu's exposed expression, Zheng Ren knew what he was thinking, so he said gently: "Director Qiu, we medical practitioners can't take risks just because of our face."
Director Qiu took a deep breath and said to Boss Zheng...
"Boss, you are the only one who dares to say this. It's not about face, it's about credibility. What will the surgeon think if you make a mistake in judgment this time? What if something happens again next time? Wolf is coming, wolf is coming, I have cried out more times. Who still believes you?" Su Yun responded directly.
These words touched Director Qiu's heart.
Not to mention that in the past, when I was assigned to Mr. Bao, I couldn't make this kind of mistake. Even if I was assigned to the director of surgery with the same qualifications now, I couldn't make an mistake. Once you lose credibility, no one will listen to what you say in the future.
"Ignore him, Director Qiu." Su Yun continued, "He saved the entire universe in his previous life, and his judgments were correct every time. There's nothing to say about a good life. It can't be copied. It would be great if it could be copied. Paste it directly, everyone is so lucky.”
"This is rich clinical experience." Zheng Ren emphasized as he thought about the system operating room.
"Clinical experience with farts. I also saw that the waveforms just didn't match. If you want to directly eliminate machine power interference, I will be the first to express my dissatisfaction." Su Yundao.
Zheng Ren smiled. This guy was good enough and dared to question himself. No matter how many times he was hit, his persistence could not be extinguished.
Anyone with a slightly lower level would directly doubt life, just like Director Qiu.