The Surgeon’s Studio

Chapter 2811: 2764 Hold the formation

Views:

Zheng Ren sat in the operating cabin and practiced day and night.

When the part of the task of creating beauty from distance is completed, it still does not stop. 500 energy points provide durability. For Zheng Ren, this is just an .asxs., definitely not the end.

And less than 3 hours after he completed the task, the completion rate of the consecutive tasks had become 5/100.

Su Yun's talent is beyond words, and Zheng Ren is also very convinced of it.

He is a cheat, Su Yun... If talent can be regarded as a cheat, he should also activate the cheat very much.

There was a genius chasing behind him, and Zheng Ren felt that he was running forward a little faster.

I perform surgeries, train surgeries, and chat with Xiao Shitou every day. My life is very stable.

Xiao Shitou's condition is relatively stable. He takes medicine on time every day. Zheng Ren visits him three times a day. His body is gradually recovering.

Although his blood oxygen saturation was not perfect, Zheng Ren felt that after receiving targeted treatment for abnormal conditions, Bota's response was top-notch in the world, and he had no reason to ask for more.

Two days later, preparations for the gallbladder cancer surgery at the Department of Hepatobiliary Surgery were completed. This was a live surgery, so Zheng Ren deliberately only practiced until 8 o'clock the night before and then took Su Yun home.

Laparoscopic gallbladder cancer surgery is not difficult, but it is definitely not easy. Zheng Ren wants to maintain sufficient energy and physical strength to face it.

Unlike the 3D-printed simulator, I faced real people during the live surgery, and there was no room for carelessness.

The operation is still scheduled to start at 1:30 p.m.

The operation went smoothly, including disinfection, laying sterile drape, establishing pneumoperitoneum, and using laparoscopic forceps to peel off the tumor tissue bit by bit. Zheng Ren did it in an orderly manner. Su Yun's ability to hold the mirror was at its peak. There was no communication between the two during the silent surgery, and only the song of good luck floated in the operating room.

"Lao He!"

Halfway through the operation, the door of the operating room opened and an anesthesiologist hurriedly shouted.

"Huh?" Lao He was a little unhappy. This was a live broadcast of the surgery. He called himself so loudly. What if Boss Zheng was startled and the surgery went wrong!

But after a quick glance, Boss Zheng was still as stone-like, concentrating on the operation even if the sky fell.

"Second Hands, there is a problem with the intubation. Director Xu wants you to take a look." The anesthesiologist said hurriedly.

Director Xu was not here, so why should he do it by himself... Lao He had no choice but to stand up and run over in a hurry.

There are still assistants here, and I have my own assistant taking care of me during the operation, so I should be fine. But it didn't seem good to be away for too long, so Lao He struggled and trotted over to get the second hand.

A group of people were busy talking inside, and the operating room was filled with a chilling atmosphere.

What the hell happened? Lao He immediately glanced at it. The laryngoscope device was put aside. It was obvious that the laryngoscope had been used, but the tube still could not be inserted. ,

Lao He's heart tightened and he was a little nervous.

The patient was given oxygen by mask, while Director Xu stood aside with a serious face.

"Light rod equipment!" Lao He didn't need anyone to tell him, he knew what Director Xu wanted him to do.

My level of tracheal intubation under the guidance of a light wand is the highest in the entire anesthesiology department. This is due to... my luck is really bad. In order to avoid accidents, leading to anesthesia accidents and the patient dying on the operating table, Lao He specially learned this technique and practiced it for a long time.

Although the technology of light wand guided intubation is not difficult, the subtleties show that even Director Xu cannot compare with him.

Lao He stood next to the patient's head, and the anesthesiologist handed over the light rod guidance device.

A small pad is placed on the patient's neck to slightly tilt the head back, making it easier for the patient to open his mouth and make intubation easier.

However, anesthetics had been used and the patient's breathing became weaker and weaker. Lao He felt a little panicked.

He gently lifted the patient's lower jaw forward and upward to increase the distance between the upper and lower incisors. When he was about to lower the light rod for guidance, he suddenly said in a deep voice: "Call Boss Zheng! Six hands!"

When such an "accident" occurs, the most powerful person must be found to take over. Director Xu tried a laryngoscope, but it turned out that it didn't work, so he asked Lao He to perform tracheal intubation under the guidance of a light wand.

Without Boss Zheng around, Lao He felt unsure.

It doesn't matter even if there is a live broadcast of surgery on the other side. In the face of an emergency, those are just trivial matters.

After Lao He shouted, he immediately held the handle of the light wand with a pen, and gently inserted the light wand with the tracheal tube into the deep part of the throat along the natural curvature of the throat.

At the same time, rotate the light rod 15-20 degrees clockwise. The goal is to make the bright spot at the tip of the light rod appear deeper than the thyroid cartilage and in the gap between the trachea and muscles.

Then Lao He gently rotated counterclockwise while withdrawing the light rod.

This series of actions was done very skillfully, and it took less than 5 seconds. If it had been anyone else, they would still be trying to insert the light rod into the patient's throat.

Lao He concentrated on the operation because this was the most critical step.

When the resistance to counterclockwise rotation disappears, the light can usually illuminate the trachea for an instant. At this time, hold the tip of the light rod and slightly rotate it back and forth in clockwise and counterclockwise directions to find the best position to illuminate the trachea.

Lao He has performed more than 10 similar emergency cases. Every time he performs the operation, he will see the beam of light illuminating the trachea.

But Lao He was disappointed 0.2 seconds later.

He didn't dare to blink for fear of missing the best spot. But even so, there was still no illuminated trachea.

If the trachea is not visible, there is naturally no series of steps in which you gently push the light rod forward 2-3cm past the vocal cords, fix the position of the light rod with your right hand, release your jaw with your left hand, hold the catheter and send it forward along the light rod into the trachea. step.

Tracheal intubation under light wand guidance also failed.

"Director Xu, you can't see, you can't see at all." Lao He said hurriedly as he raised his head.

What a deal!

Lao He wanted to try it again and saw Boss Zheng striding in.

"what's the situation?"

"Tracheal intubation failed after anesthesia induction. I tried laryngoscope and light wand guidance, but neither worked." Director Xu said hurriedly.

Zheng Ren was still wearing a device for live broadcasting the surgery, but he didn't realize it.

Combining Director Xu's narrative and the system panel, Zheng Ren understood the basic situation in the shortest time.

The patient's airway resistance suddenly increased, the peak airway pressure was 38-45mmHg, SpO2 dropped sharply to about 70%, HR was 112 times/min, and BP was 150/76mmHg. General anesthesia was considered to induce bronchospasm during the intubation period.

"Mask-breathing bag double pressure assisted ventilation!" Zheng Ren said in a deep voice, "Prepare the tracheotomy bag."