Zheng Ren touched the patient's heart.
The myocardium continued to tremble irregularly as if it was making a final struggle. However, all its efforts were in vain.
Even with direct cardiac compression, it could only provide a little momentum to the weak heart.
Zheng Ren raised his head and narrowed his eyes as he looked at the electrocardiogram on the ECG monitor.
Three or more ventricular premature contractions appeared in a row!
The QRS wave group was deformed, the time limit exceeded 0.12s, and the direction of the ST-T wave was opposite to the main wave of the QRS wave group!
The ventricular rate exceeded 220 beats per minute, and the arrhythmia was irregular!
The independent atrial activity had no fixed relationship with the QRS wave group, forming ventricular and atrial separation. Occasionally, one or all ventricles were excited and seized the atrium!
What the f * ck! Zheng Ren cursed in his heart.
He was furious.
No one delayed the rescue. All procedures were carried out as quickly as possible, but they still did not seize the best opportunity.
"Magnesium sulfate, 2g intravenous injection!" Zheng Ren growled.
The nurses were running while Su Yun and Zhao Yunlong gave the patient an ECMO.
Two grams of magnesium sulfate were pushed in. Zheng Ren observed for 10 seconds, but the effect was not good.
"Isoproterenoid, 1mg, intravenous injection!
"Isoproterenoid, 1mg, intravenous injection!
"Isoproterenoid, 1mg, intravenous injection!
Even Su Yun was a little flustered by the continuous injection of isoproterenoid.
Isoproterenoid was once the drug of choice for the treatment of ventricular arrhythmia, but because excessive dosage could cause ventricular fibrillation, it was rarely used now.
Was the boss crazy?
However, there was no problem. He had already opened the chest in the ward and performed cardiac compression under direct vision. He was not afraid of ventricular fibrillation at all … He should not be.
Su Yun was a little hesitant.
He had never experienced a rescue with such a large dose of isoproterenoid injection.
The key was the timing of the ECMO implantation.
The earlier the ECMO was used, the greater the patient's chances of survival.
"Isoproterenoid, 1mg, intravenous injection!" Zheng Ren was still giving medical advice, his hand squeezing the patient's heart to maintain the last beat.
He could feel the patient's heart beating weakly.
If it wasn't for his hand holding it, it would have already stopped beating.
After the sixth injection of isoproterenoid, Zheng Ren finally heard the sound he wanted to hear the most. The extracorporeal membrane lung machine was activated. Su Yun had already inserted an ECMO arteriovenous catheter from the femoral artery and vein, and the ECMO assisted the circulation.
On the electrocardiogram, the ventricular tachycardia was slightly alleviated under the effects of a large dose of isoproterenol and magnesium sulfate.
"Su Yun, prepare the chest defibrillation!" Zheng Ren said.
"Okay." Su Yun did not have time to catch his breath. He started looking for electrodes and called Zheng Ren directly.
Two electrodes were placed on the anterior and posterior walls of the patient's heart.
"Boss, how old is it?" Su Yun asked.
What Su Yun meant was how much energy. Generally speaking, the defibrillation in the chest started from 10J and slowly increased to 30J.
However, repeated defibrillation would consume a large amount of ATP, causing the patient's condition to be unstable after resuscitation. Even after a brief sinus rhythm, the patient would soon experience cardiac arrest again.
The last time he was in Sweden, Zheng Ren had used extreme energy to revive Dr. Mehar's heart. It had left a deep impression on Su Yun. He did not think and asked directly.
"22J!" Zheng Ren paused for a moment and then said.
When Professor Zhang heard this, he immediately said, "10J! It can't be too big. You have to gradually increase the energy! "
Su Yun did not even look at him. He completely treated him as air. He adjusted the energy to 22J and glanced at Zheng Ren.
Their eyes met, and Su Yun pressed the button.
With a soft sound, the ear-piercing sound of the ECG monitor stopped.
The heart rate returned to sinus rhythm!
"F * ck …" Su Yun let out a long breath.
Professor Zhang was dumbfounded. Everything in front of him was beyond his scope of understanding.
Zheng Ren also calmed down a little and said, "Tell the operating theater to push the patient up directly."
"Aren't we going to wait?" Su Yun asked.
"We can't wait. If the heparinization happens again, there might be cerebral hemorrhage at any time," Zheng Ren said.
"Okay." Su Yun took off his sterile gloves and took out his phone.
"Boss, open two at the same time. We have to sew the chest wall," Su Yun said.
"Uh … three. Call Lil Fugui and Old Liu to come immediately," Zheng Ren said. "The extracorporeal membrane lung will bleed at any time. I want an arteriography."
"…" Su Yun finally could not help but curse in his heart.
Three at the same time … The boss really dared to think.
However, he was the boss. His mouth was big, and whatever he said was what he wanted. Su Yun cursed in his heart and began to call for people.
Zheng Ren applied pressure on the chest to stop the bleeding and observed the patient's ECG. Seeing that the sinus had recovered, he heaved a sigh of relief.
However, there was only time to heave a sigh of relief.
The thoracic cavity was opened. Not to mention the infection, just a pneumothorax was unbearable.
As soon as they sent the patient to the operating theater, everyone got busy.
Soon, they pushed the hospital bed, ventilator, ECG monitor, and extracorporeal membrane lung machine. A group of people left the ward and went to the operating theater in a mighty manner.
Professor Zhang stood alone in the empty ward, in a daze.
What happened just now?
The chest was opened beside the bed, and the heart was pressed under direct observation. One by one, the propyl kidney was pushed in, and the electric defibrillation in the chest was directly applied with 22J energy …
These were all things that Professor Zhang knew but did not dare to do easily.
Would something happen?
Professor Zhang was still wondering if he was dreaming.
The patient could still be saved? What did Boss Zheng say in the end? It seemed to be three at the same time.
Did he want to do a bypass treatment for the moyamoya disease in the head, disinfect the chest, suture it, and interventional radiography at the same time?
This wasn't just being courageous, it was simply being audacious to the extreme.
One had to know that the patient had heart failure, and even with the support of IABP, he continued to have ventricular arrhythmias.
Three surgeries at the same time. Could the patient withstand such a huge blow?
Professor Zhang did not believe it.
Although he hoped that the patient could survive, Boss Zheng's approach went against the medical common sense that he was familiar with.
Impossible, absolutely impossible!
A few minutes later, Professor Zhang thought about it several times in his heart. He felt that there was no such possibility at all. The patient would definitely die.
He hesitated for a moment, but in the end, he decided to go up and take a look.
In his heart, he did not want to see Boss Zheng make a fool of himself. After all, the coronary bypass surgery was done by him and Zhao Yunlong. Now, he and Boss Zheng were considered grasshoppers on the same rope.
Really … Young people only knew how to cause trouble!
Wouldn't it be better to give up the treatment and let his family pull him away?
There were many people in this world who could not be cured. Three at the same time … At the thought of this, Professor Zhang's heart sank.
It was too scary. It was simply too scary.
He had to follow them. Otherwise, they would not know how to write the course and surgical records after the surgery.
He did not want to blame all the mistakes on himself.
After working for decades, Professor Zhang had seen this kind of dark things many times. He knew that he definitely could not leave.
Sighing, Professor Zhang turned around and walked out of the EICU, ready to go on stage to take a look.
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