Chapter 2564 2565, it's really F * cking stuck.
“Is it little boss Zheng from 912?” Director Xu asked in confusion.
“Yes.” Zheng Ren nodded.
“Why are you here?” Director Xu was pleasantly surprised, and the unpleasantness he had felt when he opened it again to take a look disappeared.
Seeing that director Xu was about to leave the stage, Zheng Ren quickly said,””Director Xu, the surgery isn’t over yet! Let’s open it first. “
“Oh, oh.”
This time, director Xu did not insist at all. His principles and stance had flown to the ninth heaven with his previous anger.
“Boss Zheng, it’s an honor to meet you.” Director Xu suppressed his excitement and said,””What did you do to Department Director Qiu? he’s in the anesthesia industry.”
“What are you saying?” Director Qiu said unhappily.
When Zheng Ren saw Department Director Xu starting to twist the wire in the opposite direction, he took a look at the wave form of the ECG monitor and the radial artery pressure curve. He felt that there was still enough time.
“You’re too polite. ” “Don’t stop the cardiopulmonary bypass yet, get ready to build it again!”He said calmly.
The cardiopulmonary bypass (cardiopulmonary bypass) specialist was dumbfounded. It had been a full six hours, but he couldn’t see any difference.
No, he didn’t allow her to close her chest. This was a big deal. Director Xu and director Qiu didn’t notice anything unusual on the stage. What exactly was going on when he didn’t let them close the chest at the last moment? Holding back and slapping his face at the last moment?
‘No, no, no.’ The cardiopulmonary bypass specialist immediately threw away all the messy thoughts in his mind. Boss Zheng said that there was a problem. If he opened it and saw nothing, it would become a slap in his own face.
Su Yun saw the admiration on director Xu’s face, and her hand that was twisting the wire trembled slightly. She found it funny and said,””Director Xu, steady your hands. Hurry up.”
“Oh, oh, don’t worry.” Director Xu was so docile that he seemed to have changed into a different person. He was no longer as cold as an iceberg, but responded like an intern.
“Boss Zheng, what’s going on?” Director Qiu whispered into Zheng Ren’s ear.
“The electrocardiography of the heart is not consistent with the curve of the radial artery pressure. Consider the atrial septal defect …”
Zheng Ren had just finished half of his sentence when the alarm of the ECG monitor suddenly rang. Then, the ventilator also began to use a sharp alarm to remind the people in the operating room that there was an abnormal situation.
“Hold tight! Get ready for cardiopulmonary bypass. ” Zheng Ren had already switched to sorcerer mode. In this room, he was the one and only King!
Although they still didn’t know what was going on, the people in the operating room started to move. Director Xu did not have time to express his admiration to boss Zheng and Su Yun. He seized the time to twist the steel wire.
At this time, the blood pressure plummeted, and the peak of the pulse wave decreased and gradually became a straight line.
“Dopamine, speed up.”
“Epinephrine, 1mg into the vein.”
“Give me another shot of epinephrine!”
“Hurry up with the cardiopulmonary bypass and prepare to rebuild it.”
“Open the chest faster! Open your mouth according to the petal change. “
As the orders were given, the peaceful atmosphere in the operating theater disappeared.
Department Director Qiu and the circulating nurse seized the time to get busy. Their feet barely touched the ground, and they looked as if they were flying.
He was most afraid of this kind of situation. Fortunately, boss Zheng had reminded him, otherwise, it would have taken him 10 minutes to twist the steel wire. During this period of time, the patient had to rely on medicine to maintain his vital signs. Looking at the blood pressure, the medicine was still effective at the beginning, but it soon became useless.
The booster drugs could not maintain the patient’s blood pressure. The average blood pressure was 20 – 30 mmhkg, and the heart rate rose to 120 – 130 beats per minute. That was not all. The wave of the patient’s left SnO2 was the same as the pressure wave of the right radial artery, and they were also in a straight line.
Everyone present knew what a straight line meant.
What the hell happened?
After 20 seconds, the waveform recovered slightly. However, before everyone could relax, it appeared in a straight line again.
This situation occurred repeatedly, and the interval between each time was getting shorter and shorter. The heart rate also rose to 120 to 150 beats per minute. When he withdrew the pressure measurement tube from the radial artery, the smooth blood flow meant that the pressure measurement from the radial artery was normal. It was not a problem with the machine, but something really happened!
Department Director Xu opened his chest as fast as he could and began to establish the external circulation system. Due to Zheng Ren and Su Yun’s previous reminders, this period of time had been shortened to a certain extent.
“Pressure measurement of the aortic root!” Zheng Ren said in a deep voice.
Department Director Xu immediately began to measure the pressure at the patient’s aortic root. It was the same as the radial artery … He immediately started sweating again.
Boss Zheng wasn’t shooting aimlessly, but he saw an abnormality. What the hell went wrong? Director Xu felt his hands turn cold, and the movements in front of him became extremely slow. It was as if he had entered another world.
Not only was the pressure on the aortic root the same as the pressure on the radial artery, but the aortic root had also become soft, and the sound of the biological valve had disappeared. All of this meant one thing … Something had really happened at the position where the valve had just been changed!
He urgently established the external circulation system to turn the situation around for the second time.
Because of the prior warning, the preparation time of the cardiopulmonary bypass machine did not delay the surgery. When the heart was opened, the tendon rope of the reverse valve broke at the matillus, causing the tendon rope to be embedded in the artificial valve and become stuck.
It was really F * cking broken! Director Qiu and director Xu helplessly looked at the scene in front of them and were stunned.
The free tendon was removed, and the original biological valve was still used for continuous suturing. It was not difficult to deal with, at least for director Xu. The final difficulty lay in the cooperation between the surgeon and the anesthetist.
The key to reminding the surgeon in time was whether the anesthetist had a clear idea of what was going on after he or she noticed any abnormalities. Not all anesthetists could stick to their own judgment under the pressure of the powerful aura of the artiste and open up his chest for the second time as soon as possible to detect any abnormalities.
A ruptured flexor tendon could cause a stuck valve, which was a rare complication in a valve replacement surgery.
The appearance this time might be related to the patient’s heart failure. Director Xu felt somewhat innocent. After the valve replacement, he carefully observed for a few minutes. When he saw that there was no problem with the flexor tendon, he continued with the next step.
Who would have thought that something would happen after the chest was closed?
Really F * cking hell! Doctors were not supposed to do this job. There were big pits everywhere, and who knew which one he would be buried in?
After emergency cutting of the flexor tendon cord, the biological valve began to work again, and the instrument’s alarm disappeared.
The rest of the procedure was routine. Director Xu looked up at boss Zheng and whispered,””Boss Zheng, thanks.”
“You’re too polite. ” Zheng Ren also heaved a sigh of relief. In the beginning, he saw that there were some problems with the electrocardiography of the electrocardiography and the curve of the radial artery. It was only after he entered the operating theater that he was sure that something had happened.
But why was Su Yun so determined?
Zheng Ren looked at Su Yun in confusion.
“Why are you looking at me?” Su Yun was taking down the anesthesia sheet. She looked up at Zheng Ren as if she sensed something.
“How did you determine that?”
“There’s a problem, but I’m not sure. Seeing how sure you are, I’m sure too. It’s such a simple matter. ” Su Yun said,”it’s a big deal that we opened the wrong chest again and delayed the operation for half an hour. We’ll just go back with our tails between our legs.”
Zheng Ren spread his hands.