"What's going on at home?" Su Yun squatted down and fiddled with the patient's chest tube.
He emptied the fresh blood that had been drained from the chest tube. As he timed it, he bent a section of the chest tube to observe the speed of the drainage.
The chest tube was unobstructed and there was not much drainage. This was confirmed.
What Su Yun was doing did not seem necessary but Zheng Ren knew that he was eliminating problems that might arise from small details.
Many seemingly serious conditions were actually caused by the accumulation of small problems.
"Old Zhao, what about the second-string?" Su Yun asked while fiddling with the chest tube.
"Professor Zhang …" Zhao Yunlong said.
Su Yun was helpless.
It was not to say that Professor Zhang was the best. Everyone's level was different, their ability to take risks and their way of thinking were also different.
Some were more radical, while others were more conservative.
Each has its own advantages, but also its own disadvantages.
As for Professor Zhang, if he went to school, he would be a very good teacher. However, in this extremely complicated situation, he might not be a good candidate for emergency treatment.
"Where is he?" Zheng Ren asked.
"He'll be here soon." Zhao Yunlong said, "Boss … Zheng, help me keep an eye on him. I'll rush the patient's family."
"Go ahead," Zheng Ren said. "Is the catheter room ready for the IABP?"
"It's ready. Chief Zhang Lin is rushing over from home," Zhao Yunlong said.
Zheng Ren nodded and did not continue to speak. Instead, he turned on the computer and began to look at the patient's medical record.
Zhao Yunlong's description was too brief. He only mentioned the most important points and did not have time to explain the rest in detail.
It was better for Zheng Ren to take a closer look at the patient's condition.
The patient was 52 years old and had a family history of hypertension. His father had died of cerebral hemorrhage. There had been no symptoms before. Just as Zhao Yunlong had said, he had come to the hospital two days ago because of chest tightness and shortness of breath.
In the medical record, the patient had said that he had no history of vertigo.
Zheng Ren was skeptical about this point. If there was vertigo, it would be accompanied by a hidden attack.
The patient's medical history could not represent everything. It could only be used as a reference, especially for a patient with a complicated condition like the one in front of him.
During the admission examination, there was an abnormality in the head CT and a cranial MRI was done a day later.
Zheng Ren could feel that the patient's family did not sign the IABP. It could have been due to family and financial reasons.
Zheng Ren looked through the test results and various examination reports one by one.
He quickly gained a certain understanding of the patient's condition. Su Yun looked at the medical record beside him and turned to look at the patient's condition. His neck was almost broken.
"Boss, the Moyamoya disease shown on the MRI is quite serious," Su Yun commented when he saw Zheng Ren insert the MRI film into the radiographic film viewer.
"Okay, I'll think about it …" Zheng Ren had just said that when the monitor's alarm went off.
The sound of beeping echoed in the room.
Zheng Ren and Su Yun stood up abruptly. Zheng Ren's chair fell to the ground with a loud thud.
"Prepare the IABP!" Zheng Ren roared in a low voice.
Su Yun was startled, he subconsciously wanted to reject. Without the signature of the patient's family, they directly performed IABP. Did they have a death wish?
However, he could hear the undeniable determination in Zheng Ren's voice.
Who cares! Su Yun steeled his heart. Anyway, even if the sky fell, the boss would hold it up. Quitting and working at Massachusetts General Hospital seemed like a good choice.
"IABP machine and helium are ready!"
"IABP catheter and puncture kit are ready!"
"0.9% Nacl 500ml + heparin 5000U, ready!"
"Pressure bag, maintain a pressure of 300mmHg?"
Su Yun asked.
"Yes." Zheng Ren lifted the quilt on the patient's body, then opened the IABP puncture kit and prepared the iodophor.
"Lidocaine," Zheng Ren said in a deep voice as he put on his gloves.
Su Yun had already turned on the machine and pushed it to the bedside. He directly unscrewed a plastic bottle of lidocaine and injected the syringe into the sterile bag.
Zheng Ren picked up the syringe, inserted the needle into the opening of the plastic bottle, and extracted the lidocaine.
Without diluting it, he grabbed a handful of iodophor with his right hand and disinfected the patient's femoral artery. Then, he anesthetized it.
The puncture was successful, and the balloon catheter was sent into the patient's femoral artery. Zheng Ren's movements were very fast. Su Yun had just placed the electrode on the patient's chest when the two ECG monitoring systems were running at the same time.
At this time, Zheng Ren had already finished the operation and sent the IABP tube to the descending aorta.
Turning on the counterpulsation pump, Zheng Ren handed the sensor to Su Yun to monitor the aorta pressure.
Su Yun connected the sensor to the mainframe.
The flushing system was connected to the sensor, and the central cavity was connected to the pressure catheter.
The work that Zheng Ren needed to do was basically completed. Su Yun was busy on his side.
After connecting the helium pipe, Su Yun looked at it a few times and confirmed that the helium's working pressure met the requirements.
"Sew it," Su Yun said with certainty.
Zheng Ren nodded and began to fix the helium pipe.
Su Yun, on the other hand, was debugging the various parameters on the mainframe.
Zheng Ren knew that Su Yun was more professional than him in this regard. Letting him do it was the most worry-free method.
There was no need for him to participate at all.
As the IABP system began to work, Zheng Ren let out a long breath. The patient would be fine for a short period of time.
The machine fed the patient's ECG or blood pressure signal into the counterpulsation control device, so that the balloon pump and the patient's heart beat synchronized and reversed.
The moment before the heart contracted, which was when the aorta opened, the balloon deflated, reducing the final diastolic pressure in the aorta and reducing the left ventricular work. Reducing the afterload and oxygen consumption of the myocardium.
The moment before the heart diastole, the balloon inflated, increasing the diastolic coronary perfusion pressure and increasing the myocardial oxygen supply.
This could reduce the load on the left ventricle and the heart. The balloon quickly completed the exhaust the moment before the heart contracted and the aortic valve opened, instantly decompressing the aorta. At the same time, the left ventricular ejection resistance was reduced and cardiac output increased.
The IABP had unparalleled significance for perioperative support and hemodynamic stability.
As the IABP was activated, the screaming ECG monitoring began to gradually calm down.
"Boss, the patient's family hasn't signed it yet." Su Yun adjusted the various parameters of the machine and said helplessly when he saw Zheng Ren packing up the IABP.
"There's no time," Zheng Ren said. "By the time the patient's family signs, the patient will be dead."
"Why isn't Old Zhao back yet?" Su Yun nagged, but his eyes were staring at the monitor.
The emergency treatment this time was considered a success, but the various values and indicators were still not ideal. The patient was still in a state of near-death. As for when he would die, it would depend on fate.
"Boss …" Su Yun said with a frown. "I don't think something is right. The patient's condition is too serious, more serious than I thought."
Zheng Ren also noticed this and thought about what to do next.
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
