1796 Chapter 1796: audacious
Zheng Ren touched the patient’s heart.
The heart muscle was trembling irregularly, as if it was making a final struggle. But all its efforts were in vain.
Even if he performed chest compressions under direct observation, he could only provide a small amount of momentum to his weak heart.
Zheng Ren raised his head and squinted his eyes as he looked at the electrocardiogram on the ECG monitor.
Three or more ventricular contractions occurred in succession!
[The QR wave group is deformed. The time limit is more than 0.12 seconds. The direction of the ST T wave is the opposite of the main wave of the QR wave group!]
The ventricular rate exceeded 220 beats per minute, and the heart rate was irregular!
The independent activity of the atrium did not have a fixed relationship with the QR wave group, forming a roommate separation. Occasionally, some or all of the ventricular agitation would reverse the flow and seize the atrium!
Really F * cking hell! Zheng Ren cursed in his heart.
He was furious.
No one delayed the rescue. All the procedures were the fastest, but they still did not manage to grab the best time.
“Magnesium sulfate, 2g injection!” Zheng Ren roared in a deep voice.
The nurses were running around, while Su Yun and Zhao Yunlong were helping the patient with the epineurium.
2 g of magnesium sulfate was pushed in. Zheng Ren observed it for 10 seconds, but the effect was not good.
“Isopterus kidney, 1mg, intravenous injection!”
“Isopterus kidney, 1mg, intravenous injection!”
“Isopterus kidney, 1mg, intravenous injection!”
Even Su Yun was a little flustered by the continuous intravenous infusion into the isopterus kidney.
Epinephrine was once the first choice for the treatment of ventricular arrhythmia, but because excessive dosage could cause ventricular fibrillation, it was rarely used now.
Was the boss crazy?
However, it was not a problem. He had already opened up his chest in the ward and was doing heart pressure under his gaze. He was not afraid of ventricular fibrillation at all … He should not be afraid.
Su Yun was a little hesitant.
He had never experienced this kind of resuscitation with a large dose of isodrapider.
The key was the time it took to impale the diaphragm lung.
The earlier he used epineurium, the higher the patient’s chances of survival.
“Isopterus kidney, 1mg, intravenous injection!” Zheng Ren was still giving medical advice as he held the patient’s heart with his hand to maintain the last pulse.
He could feel the weakness of the patient’s heart.
If she didn’t have her hands to hold it, it would have stopped jumping.
After the sixth push, Zheng Ren finally heard the voice he wanted to hear the most. The epineurium and lung machines were activated. Su Yun had already placed an ECMO arbotic catheter from the femoral artery, and the ECMO would assist in the circulation.
On the electrocardiography, the effect of large doses of isopteryx and magnesium sulfate eased up the ventricular fibrillation slightly.
“Su Yun, prepare to use the internal lightning to remove the tremor!” Zheng Ren said.
“Alright,” he said. Su Yun did not even have time to catch her breath before she started looking for an electrode and directly connected it to Zheng Ren.
Two electrodes were placed on the front and back walls of the patient’s heart.
“Boss, how big is it?” Su Yun asked.
Su Yun meant how much energy it was. Generally speaking, the cardiothoracic electric shock removal surgery started from 10J and slowly increased to 30J.
However, repeated heart beats would consume a large amount of Mt, causing the patient’s condition to not be very stable even after resuscitation. After a short period of sinus rhythm, the patient would have heart arrest again very soon.
That was because Zheng Ren had used his maximum energy to resuscitate Dr. Mehar in Sweden, which had left a deep impression on Su Yun. He did not even think and asked directly.
“22J!”Zheng Ren paused for a moment and then said.
Professor Zhang heard this from behind and immediately said,”“10J! It can’t be too big, it has to gradually increase the energy!”
Su Yun did not even look at him and treated him like air. She adjusted her energy to 22 Joules and looked at Zheng Ren.
Their eyes met, and Su Yun pressed the button.
There was a soft sound, and the ear – piercing sound from the ECG stopped.
His heart rate had returned to normal!
“Damn …” Su Yun let out a long breath.
Professor Zhang was dumbfounded. Everything in front of him was beyond his knowledge.
Zheng Ren calmed down a little and said,”tell the operating room and push the patient up.”
“You’re not waiting?” Su Yun asked.
“We can’t wait any longer. If he goes through heminification again, he might suffer from cerebral hemorrhage at any time.” Zheng Ren said.
“Alright,” he said. Su Yun took off her sterile gloves and took out her phone.
“Boss, let’s operate on two patients at the same time. We need to suture the chest wall.” Su Yun said.
“Uh … Three. Get Fu Gui ‘er and old Liu to come immediately.” Zheng Ren said,”it’s epineurium and can bleed at any time. I need an arteriography.”
“…” Su Yun could not help but curse in her heart.
Three at the same time … The boss was really daring.
However, he was the boss and had a big mouth. He would do whatever he said. Su Yun cursed in her heart and started to call for help.
Zheng Ren applied pressure on the patient’s chest to stop the bleeding and observed the patient’s electrocardiogram. He was only relieved when he saw that the patient had returned to the sinus rhythm.
However, he only had time to heave a sigh of relief.
Once the thoracic cavity was open, not to mention infection, even a pneumothorax attack would not be able to withstand it.
They quickly sent the patient to the operating theater, and everyone was busy.
Soon, the group of people left the ward with the hospital beds, ventilators, ECG monitors, and epcula machines. They went to the operating theater in a grandiose manner.
Professor Zhang stood alone in the empty Ward, in a daze.
What just happened?
He opened up the chest beside the bed, performed cardiac compressions under direct view, pushed in each of the isopterus kidneys, and injected 22 Joules of energy into the cardiothoracic electric shock removal device …
These were things that professor Zhang knew how to do, but he didn’t dare to do so easily.
Will something happen?
Professor Zhang was still wondering if he was dreaming.
Could the patient be saved? What did boss Zheng say in the end? It seemed like three of them had been activated.
Was he planning to perform a bridging treatment for the head of patients with Mochizuki disease, disinfect the chest, suture it, and perform interventional angiography at the same time?
This wasn’t just being bold, this was simply being audacious.
Even with the support of IABP, the patient’s heart failure would still cause continuous ventricular arrhythmia.
If three operations were performed at the same time, would the patient be able to withstand such a huge blow?
Professor Zhang did not believe it.
Although he hoped that the patient could survive, boss Zheng’s approach was against the medical common sense he was familiar with.
Impossible, absolutely impossible!
A few minutes later, professor Zhang thought about it a few times in his heart. He still felt that this possibility did not exist at all. The patient was dead for sure.
He hesitated for a moment, but finally decided to go up and see the situation.
In his heart, he didn’t want to see boss Zheng make a fool of himself. After all, he and Zhao Yunlong had performed the coronary artery bypass surgery. Now, he and boss Zheng were in the same boat.
Really … Young people only know how to stir up trouble!
Wouldn’t it be better to give up treatment and have her family take her away?
There were too many people in the world who couldn’t be cured. Three in a row … At the thought of this, professor Zhang’s heart sank.
It was too terrifying. It was simply too terrifying.
Otherwise, they would not know how to write the course of disease and surgery records after the surgery.
Don’t push all the blame on yourself.
Professor Zhang had been working for decades. He had seen many of these dark things. He knew that he could not leave.
Sighing, professor Zhang turned around and walked out of EICU, ready to go on stage.