What was he doing?
Sun Chao did not understand. He looked at the operating area, then at the ECG monitor, and he was dumbfounded.
After Zheng Ren finished speaking, he stretched out his hand and two pieces of gauze fell into his hand. He carefully put a gauze through the aorta and handed it to Su Yun, who was the first assistant. The other piece of gauze was passed through the superior vein and handed over to the second assistant, Zhao Yunlong.
He pulled the aorta to the left and the superior venuria to the right in preparation to move the pulmonary artery and the superior venuria away.
“Wait a moment.” Zheng Ren squinted his eyes to look at the dosage of the micro pump. After it was 15.5 “, Zheng Ren said,” speed up the isopterus kidney, 10 ml. Su Yun, Lao Zhao, start pulling it. “
Su Yun and Zhao Yunlong used a little more force, exposing the surgical area. The electrocardiogram began to scream like crazy.
The toot of the alarm sounded like a storm, ringing all around. The operating theater suddenly became busy and messy.
At this moment, Lucky’s singing became so soft that it couldn’t be heard.
Zheng Ren ignored the alarms of the ventilators and monitors. He held a hemostat in one hand and a pair of blunt scissors in the other as he began to separate the aorta and the superior vein.
His hand did not move at all. Only his fingers, hemostatic forceps, and blunt scissors were moving. Sun Chao was dumbfounded. This speed was too fast!
The surgery was F * cking awesome!
However, the patient’s heart rate dropped instantly, and his heartbeat became weaker and weaker. Was it too late?
“1mg of epinephrine, 5mg of saline, intravenous injection!” Zheng Ren said as he performed the surgery.
Immediately, the epinephrine that old he had already pumped was pushed in rapidly. From the moment Zheng Ren started speaking to the moment he pushed, it did not even take five seconds.
“Pump the pump to isodopterus, 30 ml per hour!” Zheng Ren said,”push another shot of epinephrine.”
Old he did not question whether such a large dosage was possible. He tapped a few times and increased the speed to 30ml/h. Then, he injected a syringe of epinephrine.
Then, old he called the circulating nurse and continued to inject epinephrine.
Five tubes … It didn’t seem to be enough. Old he took advantage of boss Zheng’s busy wandering to inject a few more tubes of adrenaline and placed them in front of him as a backup.
This thing wasn’t expensive, so it was fine to waste it. It was better than being in a hurry and delaying boss Zheng’s rescue.
Comparing a few cents worth of medicine to a life, the choice was obvious.
Old he’s hands were like bullets. A row of pumped adrenaline was lined up, ready to inject at any time.
Only one voice could be heard in the operating theater.
Zheng Ren’s voice was mixed with the alarms of the monitors and ventilators, but he was like a reef in the waves, unmoving.
He had to inject epinephrine continuously to barely stabilize his heart rate.
Zheng Ren used his fastest speed to separate about 3.5 cm of the right pulmonary artery and then began to separate the posterior wall of the proximal end of the right pulmonary artery.
Sun Chao’s eyes were wide open. The surgery was done so well that it felt like he was flying.
At this time, he put himself in the shoes of the patient. If he were to perform the untrambled surgery as he had previously thought, the patient’s heart would probably stop beating after aspiration lasted for one second the moment he touched the blood clot!
Then, the emergency treatment began.
Time passed by little by little during the emergency treatment.
A 12 – centimeter blood clot would not be completely removed without three to five hours of extraction. The key question was this patient. Could she last this long?
It was definitely impossible.
In the next second, he might die from a cardiac arrest.
Was the young boss Zheng right again?
Sun Chao was a little dazed. He had prepared a lot of reprimands to get back at 912 for the embarrassment that the Affiliated Hospital of the medical University had lost.
Although he was definitely not required to perform the surgery himself, and even if he were to remove the plug, there was director Zhang Lin from the cardiology department and director Mao Chi from the vascular surgery. There was no difference in his level.
However, he didn’t expect that 912 didn’t even use maochi.
The foreign professor had been lectured by boss Zheng like a dog when he performed internal ilial vein removing and opening up. In the end, he was chased off the stage because there were too many people on the operating table.
He was young and overbearing!
In Sun Chao’s mind, his impression of boss Zheng was getting deeper and deeper.
The key was … When he was down there, he was really angry and reprimanded boss Zheng for treating human lives like grass!
Thinking about it now, it was just as embarrassing as how angry she was at that time.
She was right.
“Boss Zheng, has the cardiopulmonary bypass been established?” Old he finally asked.
He had already prepared a full set of cardiopulmonary bypass machines and made all the necessary preparations. Old he was exhausted because he had to prepare a cardiopulmonary bypass machine for the emergency treatment just now.
“I’m not going to use it for now. ” Zheng Ren said as he wandered around.
“The heart is beating non – stop?” Old he confirmed for the last time.
Although he felt that the possibility was not high, as long as boss Zheng said it, he just had to follow it.
“Yes, I won’t stop.” “Yes,” Zheng Ren replied affirmatively.
There was a 0.6cm diameter pouch on the proximal end of the obstruction belt and the distal suture. Zheng Ren reached out and The Lancet knife was in his hand.
He carefully cut open the right pulmonary artery. There was no blood flowing out, but there was a purplish – Black blood clot in the operating area.
Everyone behind the operating table took a small step forward as if they had heard the horn of a charge.
“Epinephrine, push.” Zheng Ren’s words were concise.
Old he immediately took another syringe of epinephrine and injected it.
This was the advantage of having a familiar anesthetist. He did not need to say too much. If it was a normal surgery, everyone would gossip on the operating table to pass the lonely time.
At that time, he was afraid that he would be too lonely on the operating table.
However, what were doctors and nurses most afraid of? It was this kind of situation where no one spoke, and everyone tactfully shut their mouths, almost using the 7#thread to sew their mouths.
This kind of emergency treatment was all about tacit understanding.
Sun Chao felt a little emotional. Boss Zheng’s surgery … Should be good. There were so few cardiothoracic surgeries nowadays, and he could not judge the standard of the surgery.
However, regardless of how well the surgery was performed, just the row of adrenaline in front of the anesthetist was enough to make people feel a sense of awe. (Note 1)
Professional, professional to the bones.
Next, should he use the negative pressure aspirator and the biliary forceps to take out the bile duct’s stonemutter alternately? Sun Chao gathered his spirit and moved forward by another 10 cm.
Because he was standing behind Su Yun, he could not see the surgical field.
Director Sun Chao even suspected that the first assistant in front of him had been doing blind exercises the entire time.
MB! Why were the people from 912 so bold to perform a pulmonary artery removing surgery with blind exercise?
“Who is it?” Su Yun felt someone gently touch her from behind and was instantly unhappy. Without even looking, she raised her hand, and a hemostatic forceps hit Sun Chao’s shoulder. She then jumped up high and landed on the external instrument that was absorbing the negative pressure on the wall behind her.
“Pa!” A crisp sound was heard.
“It’s time to remove the bolt, why are you pushing!” Su Yun didn’t even look at who it was and threw the equipment at the person with great skill.
“…” The air in the operating theater froze, and everyone, including Associate Hospital director Yuan, found it difficult to breathe.
“Get lost.” Su Yun roared in a low voice.
……
……
[Note 1: I thought of a chapter in the past where I had the last shot of adrenaline.]
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