The anesthesiologist is doing anesthesia, the circulating nurse is establishing intravenous access for the patient, and the instrument nurse is sorting out the sterile bags and waiting for a while to count.
The spinal anesthesia was going smoothly. The patient's back was turned to him. Zheng Ren looked at the system panel and the ECG monitor. The two were compared with each other, but he was still confused.
Fortunately, Su Yun and Gu Xiaoran were chatting, and Lao He was inserting the USB flash drive, seemingly ready to bring good luck. No one noticed me, and I had time to think about it carefully.
Coming to the system space again, Zheng Ren clicked to purchase the surgery.
Only this time, he did not perform surgery to stimulate the experimental subjects, but watched quietly.
Even without stimulation, the subject still suffered cardiac arrest 12 minutes later.
Zheng Ren was helpless. Instead of rescuing the experimental subject, he stood in the system operating room with squinted eyes and pondered what might happen.
It wouldn't be hemorrhagic shock, not that fast. Could it be aortic dissection? From the ECG monitoring point of view, it is really possible for blood pressure and heart rate to drop off a cliff.
But Zheng Ren didn't think this possibility was very high, so he just made a note of it and would dissect it later.
Apart from this, Zheng Ren doesn't have any definite ideas. Or maybe it's a disease for which Big Pig Hoof has not given a systematic diagnosis
Or does the patient have any congenital diseases
Anesthesiologist's anesthesia medication error
Allergy to intravenous fluids
Zheng Ren came up with countless possibilities and rejected them one by one in the system operating room.
He checked the anesthesia and rehydration fluids, and then began to dissect the experimental subjects to determine where the problem might occur.
It's not congenital heart disease, nor aortic dissection, nor infusion allergy, nor...
Zheng Ren was investigating everything.
…
…
As time passed by, Mr. Yu smiled and said while disinfecting and laying out sterile sheets: "Lao He, you can't get enough of your good fortune."
"Are you looking for a good compliment?" Lao He said with a smile: "I had a gastrointestinal operation some time ago, and the red wedding dress that Brother Yun put on kept looping endlessly, scaring that girl Quan Xiaocao. Cried."
"Red wedding dress, what is that?"
"A young kid like you must have never heard of it. If you are curious, I suggest you go home and lie in bed at night and listen to it." Su Yun said with a smile, "I won't let you down. It's a great song. Son."
Mr. Yu finished the disinfection and started the operation.
"Mr. Yu, is the adhesion severe?" Su Yun asked as he glanced at his boss who was resting in the corner with his eyes closed.
Today, the boss is as restless as a mouse before an earthquake. Now he is honest, but Su Yun starts to feel uneasy.
Ordinarily, the boss is not that bad. Every time he has doubts, he is proven right. Su Yun attributed this to "women's intuition," which is a kind of metaphysics that cannot be explained scientifically.
And isn’t the purpose of going on stage just to see the nails in the urethra? Why are you just relaxing there with your eyes closed? If that's the case, it's better to sit down there.
No, there must be something wrong!
"The first one is easy to get." Under the general operation, Yu quickly took out the nail closest to the urethral opening.
On the instrument table, the instrument nurse took a piece of gauze and placed it next to Mr. Yu's hand. The black nail looked a bit ferocious.
It's about 4cm, not particularly sharp or sharp, but it's really scary when it's in the urethra.
Su Yun looked at the nails and carefully watched Mr. Yu's operation.
The operation went relatively smoothly, and Mr. Yu was a little cautious in the operation, but the nails were still taken out one by one.
"Mr. Yu, you are too careful." Su Yun smiled.
"Be careful, be careful." Mr. Yu said: "The difficulty is at the end. The nails inside probably sealed the urethral opening, and no urine came out after anesthesia. Brother Yun, do you know what I'm worried about?"
"What?"
"I'm going to try to see if I can take it out. If it doesn't work, I'll just push the nail into the bladder and take it out with a cystoscope." Mr. Yu said, "I'm worried that once there is a gap in the urethra, someone will inadvertently spray urine on me. One face.”
"..." When Su Yun heard this, he immediately remembered the stent surgery for colon cancer that he and his boss had done.
The moment he opened it, the air flow was so fierce that if the boss hadn't stopped him with a sterile sheet, he might not have been able to go back and take a shower four or five times.
"Then you have to be careful." Su Yun did not joke, but seriously warned Mr. Yu, "My boss and I treated a colon tumor patient. After the stent was opened, he had to defecate for an unknown period of time..."
As he was speaking, he saw the boss suddenly stand up from the corner of his eye.
"Syringe!" Zheng Ren said in a deep voice.
The voice was loud, deep, and full of urgency.
At the same time, the monitor alarm suddenly sounded, the sound was sharp, as if it was tearing the good luck song into countless pieces.
Mr. Yu looked up and was shocked to see the heart rate on the ECG monitor drop off a cliff, then return to zero immediately, and the ECG became a straight line.
The speed of change is so fast that there is no chance for anyone to react.
"Su Yun, do heart compression!" Zheng Ren yelled, "Lao He, give 1 mg of epinephrine intravenously!"
Su Yun had already reached the left side of the patient's body when Zheng Ren was talking. The height of the operating table was not very suitable. He directly squeezed the patient to the opposite side, then knelt on the operating table and began to perform heart compressions.
Lao He was not surprised when he saw the patient's cardiac arrest. On the contrary, when the ECG monitoring showed abnormal fluctuations, Lao He felt that his heart was not as uneasy as before.
Sure enough, Boss Zheng is right!
As for why, Lao He didn't think about it. The moment the electrocardiogram straightened, he rushed to the anesthesiologist's side as if there was a fire in his butt.
At this time, the anesthesiologist Xiao Zhou was completely stunned. He looked at the ECG monitor in disbelief and was about to adjust the wires.
In his opinion, it should be a problem with the connection of the wires. Otherwise, how could the patient who was fine one second stop his heart immediately the next.
This unscientific!
Lao He opened a bottle of epinephrine with one hand, and held a syringe in the other hand to draw out the medicine. At this moment, Boss Zheng's voice came, Adrenaline was already preparing.
The medicine was extracted, the three-way connection was opened, and a tube of epinephrine was pushed in in the shortest possible time.
The operating room that was still laughing just now suddenly became solemn.
"Atropine, 0.5mg!"
Lao He's ears trembled slightly, and he saw Boss Zheng tear open a 50ml syringe.
But Lao He didn't have time to see what Boss Zheng was doing. He immediately opened another atropine and injected it intravenously.
"Lidocaine..."
"Atropine..."
"Adrenaline..."
Boss Zheng's voice kept coming, even amidst the sharp alarm sound of the monitor, it was still so calm, like a stone on the seashore. No matter how fierce the waves were, he always stood there.