Ice caps and ice packs were commonly used items in the Emergency Medical Center. They were mainly used to protect the brain, which was the most fragile organ in the human body, and prevent it from collapsing due to insufficient blood supply.
Zheng Pei quickly took it for the patient. After half a minute, he turned around and looked at the patient's lips. He could not help but say, "Her lips seem to have become redder?"
After he said that, he quickly measured the patient's neck and said excitedly, "Her pulse has also become stronger."
Ling Ran also felt the patient's pulse before he looked at her pupils and re-confirmed her breathing. After he finished one round, it took him more than ten seconds before he moved away and said, "Let's do the dissection."
No one felt that it was a waste of time. In fact, it was not easy to make any decision at this time.
This was especially so when the patient and the baby might die. Many doctors who were not associate chief physicians might not dare to make such a decision.
After Ling Ran made his decision, everyone breathed a sigh of relief.
The director of the Obstetrics Department, who had been waiting by the side, immediately went forward.
A normal surgeon could actually perform a simple Caesarean section. The steps were quite simple. It would not be too difficult for them to learn and pay attention to the relevant anatomical structure.
But today, Ling Ran did not want to challenge a Caesarean section.
They were both doctors, but the director of the Obstetrics Department was much more skilled in Caesarean sections. Unlike doctors from other departments, they were not willing to perform minor surgeries after they were promoted to chief physicians. A Caesarean section was a surgery with a special status in the Obstetrics and Gynecology Department. It was also the surgery that was performed by the most people. Throughout the year, there would always be some people who needed to ask the director of the Obstetrics Department to personally perform the surgery. This also caused the director of the Obstetrics Department to maintain a corresponding level of proficiency, which was rare.
Today was also the day that the director of the Obstetrics Department had to personally perform the surgery.
Compared to junior doctors, the director of the Obstetrics Department actually performed fewer Caesarean sections. But he was more skilled in the anatomical structure, and his basic movements were more accurate, which could bring better benefits to the patient.
In fact, the director of the Obstetrics Department did not intend to perform the conventional surgery at all.
After confirming with the director of anesthesiology in advance, he picked up a bottle of iodophor and poured it on the patient's abdomen. Then, he picked up a scalpel and cut off the pale yellow fat.
After two seemingly casual cuts, the director of the Obstetrics Department reached out his hand and peeled off the surrounding fat. Then, he picked up a green baby with one hand.
At 40 weeks, the baby had already fully developed. At first glance, it looked like a small beast, but it was extremely weak and shriveled.
The director of the Obstetrics Department casually cut the umbilical cord. Then, he focused his gaze and placed the umbilical cord on the table beside him. At the same time, he looked at Ling Ran and said in a low voice, "Newborn CPR?"
The newborn baby was so quiet that it didn't make any sound, which made everyone nervous.
Even though they had expected it, the doctors who were still cheering just now wanted a happy ending instead of a regretful death.
Everyone looked at Ling Ran again.
Compared to adults, CPR for infants who weighed only a few pounds was a completely different field. Doctors like Zheng Pei had received training, but their practical experience was pitifully low.
He stood up without hesitation and said, "Intubation, anesthesia, and monitor."
"Let me." The chief anesthesiologist took out the newborn's trachea bag that he had prepared and tried to intubate the newborn with a solemn expression.
The newborn only weighed six to seven pounds. Compared to an adult who weighed more than fifty pounds, all the organs and tissues in its body were ten times smaller.
It was needless to say that it was difficult to intubate such a small baby. Most importantly, normal doctors might not have enough experience.
Fortunately, the chief anesthesiologist often went to the Neonatal Department. With full concentration, he only tried it once.
The nurses and doctors in front of the operating table frowned.
Ling Ran moved his fingers, extended his middle finger and ring finger, and placed them in the middle of the baby's chest, slightly below the line that connected the baby's chest.
"1001,1002 …" Ling Ran's movements were very light, and his voice was very soft.
Everyone's gazes also trembled slightly as Ling Ran's movements.
He only used two fingers for CPR, but the depth of the compressions was not inferior to that of an adult. It was only effective when the compressions reached about six inches. Similarly, the frequency was still more than one hundred times per minute.
Such a depth and frequency of compressions could also be seen on an adult's chest. When it was used on a newborn that weighed only six to seven pounds, the visual impact was even stronger.
"Does it have to be so deep?" A young nurse originally hid in the corner and watched, but at this time, she could not help but ask the person beside her.
The male doctor beside her was originally thirsty, but at this time, he nodded solemnly and said, "This is a standard action. When performing CPR on a newborn, the main purpose is to obtain aortic blood pressure and make the blood move. It's definitely not possible if the pressure is not enough."
"I see …" the young nurse habitually replied in a soft voice.
The male doctor immediately puffed out his chest and raised his head. He felt that the knowledge he learned had made another contribution.
"Aortic blood pressure? Where exactly do you mean?" It was the same female voice, but this time, it sounded a little cold.
The male doctor was taken aback. When he looked again, he saw a flash of green Rolex from below.
"Doctor … Doctor Yu …" The young doctor was timid.
During the days when Yu Yuan was the chief resident, she basically abused all the young doctors in the Emergency Medical Center. All the young doctors who dared to express their dissatisfaction would feel physiological fear when they looked at Yu Yuan again after a few rounds of rectal extracts were used on them …
"Where do you mean?" Yu Yuan frowned. She took the green water ghost from her hand and put it back into her pocket.
"I … I think … it should be systolic blood pressure?" the young doctor answered timidly.
"It's coronary artery pressure." Yu Yuan coldly cut off his attempt and said, "Keep quiet when you watch by the side."
"Yes." The young doctor quickly agreed. He guessed that at this time, Yu Yuan would not ask him to help with the surgery. He could not help but breathe a sigh of relief.
Huo Congjun, who just entered the door, immediately locked his gaze on him.
"Now is not the time for you to breathe." Huo Congjun criticized the young doctor sternly. At the same time, he sent the news of his arrival to everyone in the operating theater.
The young doctor could not help but hold his breath. His eyes were filled with injustice.
"Department Director Huo."
"Department Director Huo!"
Everyone lowered their voices and greeted Huo Congjun.
"Is there anything that you need me to support you?" Huo Congjun deliberately came a few minutes later. Zuo Cidian's report made it very clear that he did not need to rush over immediately. If he wanted to support them, it would be more suitable for him to give Ling Ran some space to give orders.
The atmosphere in the operating theater became more serious. No one laughed because of Huo Congjun's joke.
Huo Congjun laughed and said as if he was consoling them, "At least the mother was saved, right?"
Then, he looked at Ling Ran, who was still focused on performing CPR, and said, "How's the situation of the newborn?"
"At least better than before." Ling Ran used a similar sentence to answer Huo Congjun.
"Better than before?" Huo Congjun did not quite understand.
Ling Ran nodded silently and did not answer.
In his opinion, the newborn who was separated from the mother's fetus could at least receive the most complete rescue. Ling Ran himself was already prepared for prolonged CPR. Although he had never seen a successful case of prolonged CPR on a newborn, Ling Ran did not think that it was impossible.
The whispers in the operating theater gradually disappeared. The medical staff, including the chief physicians, felt Ling Ran's determination.
"Wah …"
A cry suddenly came from the recovery table.
"Phew …" The young doctor who stood beside Yu Yuan could not help but exhale heavily.
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