What was he doing?
Sun Chao did not understand. He looked at the operating area and then at the ECG monitor. He was dumbfounded.
After he said that, he stretched out his hand and two strips of gauze fell into his hand. He carefully put a piece of gauze through the aorta and handed it to Su Yun, who was the first assistant. Another gauze strip was passed through the superior vena cava and handed to the second assistant, Zhao Yunlong.
He pulled the aorta to the left and the superior vena cava to the right, preparing to separate the pulmonary artery from the superior vena cava.
"Wait a moment." Zheng Ren narrowed his eyes and looked at the dosage of the micro-pump. After 15.5 ″, he said, "Isoproteinone acceleration, 10ml. Su Yun, Old Zhao, start pulling."
Su Yun and Zhao Yunlong used a little force to expose the operating area. The ECG monitor began to roar like crazy.
The operating theater suddenly became busy and messy.
At this moment, Hao Yunlai's singing became almost inaudible.
Zheng Ren ignored the alarms of the ventilator and monitor. With a pair of hemostatic forceps in one hand and a pair of blunt scissors in the other, he began to dissect the aorta and superior vena cava.
His hands barely moved. Only his fingers, hemostatic forceps, and blunt scissors were moving. Sun Chao was dumbfounded. This speed was too fast!
The surgery was so f * cking awesome!
However, the patient's heart rate dropped instantly, and his heartbeat became weaker and weaker. Was it too late?
"1mg epinephrine, 5mg saline, intravenous injection!" Zheng Ren said as he performed the surgery.
Then, Lao He pushed the epinephrine that he had already drawn in his hand in an extremely fast speed. It took less than five seconds for Zheng Ren to finish his speech.
"Increase the isoprenoid pump to 30ml per hour!" Zheng Ren said. "Give me another adrenaline pump."
Lao He did not question whether it was okay to use such a large amount of medicine. He clicked a few times and increased the speed to 30ml/H. Then, he pushed another epinephrine.
Then, Lao He called the circulating nurse and continued to inject epinephrine.
Five … It seemed that the number was not enough. Lao He took advantage of the fact that Boss Zheng was busy wandering to inject a few more epinephrine and placed it in front of him as a backup.
This thing was not expensive, so it was a waste. It was better than being flustered and delaying Boss Zheng's rescue.
Comparing a few cents worth of medicine to a life, the choice was obvious.
Lao He's hands were like bullets, lined up with a row of adrenaline, ready to be injected at any time.
There was only one voice in the operating theater.
Zheng Ren's voice was mixed with the alarm of the monitor and ventilator. He was like a reef in the sea, unmoving.
The continuous injection of adrenaline barely stabilized his heart rate.
Zheng Ren dissociated the right pulmonary artery about 3.5 cm as fast as he could. Then, he began to dissociate the proximal and posterior wall of the right pulmonary artery.
Sun Chao's eyes were glued to the surgery. It was as if the surgery was flying.
At this moment, he put himself in the shoes of the patient. If the thrombectomy was carried out according to what he had thought before, the patient's heart would stop the moment he touched the thrombus and aspirate for a second!
Then the rescue began.
Time passed bit by bit in the rescue.
It would take at least three to five hours to remove a 12cm thrombus. The key question was, could the patient survive that long?
Definitely not.
In the next second, he might die of cardiac arrest.
Was the young Boss Zheng right again?
Sun Chao was a little absent-minded. He had prepared a lot of reprimand to regain the face that the First Affiliated Hospital of Provincial Capital Medical University had lost at the 912.
Although the surgery definitely did not need him, even if it was to remove the thrombus, there was Chief Zhang Lin of the Department of Circulation and Chief Mao Chi of the Department of Vascular Surgery. His level was no different from Mao Chi's.
However, he did not expect the 912 to not even use Mao Chi.
The foreign professor performed the internal iliac vein thrombectomy and opened the surgery, but he was still scolded by Boss Zheng like a dog. In the end, he was chased off the stage because there were too many people on the operating table.
Young and domineering!
In Sun Chao's mind, these two labels were constantly deepened in his impression of Boss Zheng.
The key was … when he was below, he was really angry. He scolded Boss Zheng for treating human life like grass!
At that time, he was so angry. Now that he thought about it, he felt so embarrassed.
He was right.
"Boss Zheng, is the cardiopulmonary bypass established?" Lao He finally asked.
He had already prepared a full set of cardiopulmonary bypass machines and made all the preparations. Just now, the emergency rescue still had to prepare the cardiopulmonary bypass machine, which exhausted Lao He.
"It's on standby. I won't use it for the time being," Zheng Ren said as he did the dissociation.
"The heart won't stop beating?" Lao He confirmed one last time.
Although he felt that the possibility was not high, as long as Boss Zheng said it, he only needed to carry it out.
"Yes, it won't stop," Zheng Ren replied affirmatively.
There was a bandage at the proximal end, and a purse with a diameter of 0.6 cm was sewn at the distal end. Zheng Ren reached out and the lancet slapped into his hand.
He carefully cut open the right pulmonary artery. There was no blood flowing out. What appeared in the surgical area was a purplish-black thrombus.
Everyone behind the operating table seemed to have heard the horn of charge and took half a step forward.
"Epinephrine, push." Zheng Ren's words were concise and comprehensive.
Lao He immediately picked up another epinephrine and pushed it in.
This was the benefit of a familiar anesthesiologist. There was no need to say too much. If it was an ordinary surgery, everyone would gossip at the operating table to pass the lonely time.
At that time, they were afraid that the operating table would be too lonely.
But as doctors and nurses, what were they most afraid of? It was this kind of situation where no one spoke. Everyone tactfully shut their mouths and almost sewed their mouths with # 7 thread.
This kind of emergency rescue depended entirely on tacit understanding.
Sun Chao was a little emotional. Boss Zheng's surgery … should be good. There were so few cardiothoracic surgeries now, so he could not judge the level of the surgery.
However, not to mention how the surgery was done, just looking at the row of epinephrine in front of the anesthesiologist was enough to make people feel a sense of awe. (Note 1)
Professional, professional to the bone.
Next, should he use the negative pressure aspirator and the biliary tract lithotomy forceps to remove the embolus alternately? Sun Chao perked up and moved forward another 10 cm.
Because he was standing behind Su Yun, he could not see the surgical area at all.
Chief Sun Chao even suspected that the first assistant in front of him had been performing blind all the way.
MB！ Blind operation combined with pulmonary artery thrombectomy. Why were the people from the 912 so bold?
"Who is it?" Su Yun felt someone touch him slightly from behind and was immediately unhappy. Without looking, he raised his hand and smashed a pair of hemostatic forceps on Sun Chao's shoulder. Then, he jumped up high and landed on the external instrument that was attracted by negative pressure on the wall behind him.
There was a crisp "pa" sound.
"I'm going to remove the embolus. Why are you squeezing?!" Su Yun did not even look at who it was. He threw the instrument and hit people. He was extremely skilled.
The air in the operating theater was stagnant. Everyone, including Deputy Director Yuan, felt a little difficult to breathe.
"Get lost," Su Yun roared in a low voice.
..
..
Note 1: I thought of a chapter in the past — the last epinephrine.
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