Wu Shiyu, who had changed into a sterile surgical gown, stood in the corridor outside the surgery room. Through the small window on the door, he could see the situation inside.
There were three surgery rooms in this corridor and two of them were occupied by rescue teams. They were performing ECMO on Gu Jun and Xue Ba.
Other than the scrub table, there was a row of chairs. There were several screens hanging on the opposite wall. They were showing the images captured by the cameras above and beside the surgery table. Some of the substitute doctors and spell members were ready to enter the surgery room at any moment.
Uncle Dan and Zhang Huohuo sat on the chairs. Even though they were still staring at the screen, they were exhausted.
Not only did they experience everything on the island, but it also took a lot of energy to continue performing chest compressions. They and the others had taken turns to perform chest compressions for more than two hours. In fact, they had used up their last bit of energy a long time ago. If it weren't for their willpower supporting them, they wouldn't have been able to last this long.
"Uncle Dan, Shi Yu! What's going on? "Right then, Lou Xiaoning rushed over from the front hall. Peacock and Malachite followed behind her.
They only knew that they were performing ECMO while Deng Ximei, who was breathing on her own, had to undergo some scans before she was transferred to the ICU.
"They are still doing the catheterization." Uncle Dan answered softly as his eyes stared unblinkingly at the image on the screen. "Ah Jun has opened his mouth, we've found the catheterization … Good job, that's it … We've completed the catheterization!"
The doctors and nurses in the corridor were a little excited, and the people at the command center also perked up. This step was very smooth, and it was a good start.
Lou Xiaoning walked to stand beside Wu Shiyu. Her left eye glanced through the small window on the door. The surgery table was surrounded by doctors.
Through the gaps in the blue clothes, Gu Jun could vaguely make out Gu Jun on the operating table. He was connected to a blood bag, an IV drip, an ECG monitor, an anesthetic machine, and a bunch of other equipment. A nurse was giving him chest compressions, a doctor was dealing with the external injuries on his limbs, and of course, a doctor was inserting a catheter.
In the surgery room, Gu Jun was normally the one working beside the surgery table, not like this.
"Sigh." Lou Xiaoning could not help but sigh softly. He was such a good person, but he ended up like this. Xue Ba was also …
At this moment, the voice of the ECMO team's chief surgeon, Luo De, came from the loudspeaker. "Preprocessing the equipment."
Some of the people in the operating room were in charge of adjusting the ECMO equipment. There were many parameters and they were constantly changing. The heart, lung, and ECMO systems interacted with each other. Only people who had received the corresponding training could understand this, and they had to keep an eye on it and adjust it at any time. These were the difficulties of ECMO.
After the equipment was pre-flushed, the chief surgeon, Luo De, immediately connected the endovascular catheter to the connecting tube. Everyone inside and outside the operating room was nervous at this moment. ECMO had begun to operate!
There were two main methods of ECMO bypass. One was to draw the blood through the veins and pump it into another vein after oxygenation. This was V-V bypass and was suitable for patients with no risk of cardiac arrest. The other was to bleed through the veins and send it back to the arteries. This was V-A bypass and was suitable for patients with cardiopulmonary problems and risk of cardiac arrest.
However, if the patient's heart had stopped beating for more than three hours, due to the blood retention in the heart and lungs under V-A mode, it could easily cause thrombosis and pulmonary edema. Therefore, the patient had to undergo thoracotomy and switch to A-A-A bypass.
The first thing the rescue team did for Gu Jun was V-A mode.
From the screen, Uncle Dan and the rest saw dark red blood being drawn out from the catheter. It was Gu Jun's blood …
Due to the low oxygen content, venous blood was already dark red, but now his blood was so dark that it was almost black like it was about to solidify …
Uncle Dan instantly lost his excitement. He sighed with some confusion. Looking at this blood, even the doctors knew what was going to happen.
This time, Ah Jun had a ninety-nine percent chance of death. Now, it was not just the CPR and intracranial problems. His various organs should have suffered severe ischemic and hypoxic damage. Various complications could be seen before their eyes …
Many medical staff in the corridor sighed internally, but when these sighs overlapped, everyone could hear them.
At the same time, after the venous blood was oxygenated, it returned to Gu Jun's body through the arterial catheter, completing the first cycle.
After the ECMO was successfully connected, the team stopped the chest compressions on Gu Jun. Even if the patient could recover his heartbeat, there was no telling how long it would take. Some people would restart once they were connected to the ECMO, others would wait for hours or more …
On the screen of the electrocardiogram monitor, Gu Jun's heart was still not moving. Once the chest compressions stopped, it would be a straight line.
"There's still about half an hour left," Uncle Dan said. "If Ah Jun can recover his heartbeat, we don't need to open his chest …"
The CT equipment had already been moved into the surgery room. In this state of ECMO, the rescue team performed a cranial CT scan on Gu Jun. The diagnosis was massive intracranial hemorrhage. The craniotomy had to be carried out immediately because the thoracotomy appeared to be a necessity. The open reduction for the fractures would come later.
On the other hand, Xue Ba did not suffer from any cerebral hemorrhage or fractures. The ECMO went smoothly, but the blood condition was worse than Gu Jun's, and the damage to his organs was more severe.
"Sigh, I'm done." Uncle Dan stood up and called for Wu Shiyu and the rest. "We won't be of much help here anyway. Let's go out to the deck for some fresh air."
Uncle Dan was afraid that Wu Shiyu would not be able to handle it. Watching Ah Jun being cut open like this, even Uncle Dan himself would not be able to handle it. Ah Jun's hair would be shaved, his scalp sliced open, his skull drilled, and his skull sawed open …
"Uncle Dan, I'm fine." Wu Shiyu said, "I wish to stay here. I have a feeling he will be able to see me. This will give him some motivation."
"Okay, okay." Uncle Dan did not force her. It was hard to stay here and hard to leave, so he decided to follow her wishes.
Lou Xiaoning, Peacock, and the rest did not leave. They sat on the chairs and watched the surgery on the monitor as they chatted among themselves.
But at that moment, when Gu Jun's heart stopped beating for 3 hours, a commotion erupted inside the surgery room.
This situation made the people in the operating theater excited. It also made the people in the command center excited. It also made everyone in the corridor stand up abruptly.
"There's a heartbeat! The patient is showing a spontaneous heartbeat! "
On the screen of the electrocardiogram monitor, it was no longer a straight line but a weak undulation. Gu Jun's heart had started to beat again.
"This man has a good heart!" Lou Xiaoning said excitedly, "I can't help but be impressed."
"That's a good thing, a very good thing." Uncle Dan added. Even though CPR did not mean that Ah Jun would come back to life, it did mean that there was a chance. Furthermore, a thoracotomy was avoided and more complications were avoided. "This is great … Captain Xue, oh Captain Xue, you'd better learn from him …"
"Phew …" Wu Shiyu gave a long sigh and sat down on the chair. "And here I thought we'd be able to see what's in his heart."
"What else could it be?" Tong Ye's voice came from the walkie-talkie. "Who else could it be other than me?"
The group smiled. Admittedly, they had not won this war, it would take a long time.
But now they saw hope.
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