"The pregnant woman is about to give birth," the obstetrics chief resident reminded softly as she was preparing things.
"We can hold on for another 52 minutes. Hurry up and prepare!" Zheng Ren's voice was cold and deep.
The obstetrics and gynecology chief resident was taken aback. She had no idea what Boss Zheng meant by 52 minutes.
Are they all so advanced now? Why didn't he know?
Zheng Ren did not notice that he had let the cat out of the bag and continued to direct the resuscitation.
"Inform the operating theater. After everything is ready, hurry up and disinfect it. Give them 30 minutes," Zheng Ren continued.
"Alright." Lin Ge had just arrived and did not know what had happened. However, Boss Zheng's instructions must be carried out without hesitation.
The gears of rescuing the patient turned, and an inexplicable clicking sound came from the space. The huge machine immediately began to operate, and countless doctors and nurses rushed about.
"Anesthesiologist, can our hospital anesthetize newborns?" Zheng Ren looked at the pregnant woman and emphasized again.
"I'll call the women's and children's hospital."
"Hold on tight!"
Five minutes later, the patient's family agreed to broadcast the surgery live.
Twelve minutes later, the insulated quilt was brought to the operating theater.
Fourteen minutes later, two forced inflatable thermal blankets were sent to the operating theater.
Nineteen minutes later, the sterile infrared radiation table was moved to the operating theater.
The operating theater began to be disinfected and sterilized for the last time.
Twenty-three minutes later, the people from Xinglin Garden's legal department arrived at the obstetrics department and signed the legal documents with the patient's family along with the lawyers from the medical administration division.
Thirty-four minutes later, Chief Wang, the anesthesiologist, and the professional neonatal nurse from the Women's and Children's Hospital arrived at the 912 in an ambulance.
Forty-five minutes later, the pregnant woman was sent to the operating room. The preoperative preparations were completed.
47 minutes later, Lao He began to perform general anesthesia on the pregnant woman with a serious expression. The anesthesiologist of the Women's and Children's Hospital was busy preparing all the equipment he needed to anesthetize the fetus.
"Raise the operating room temperature to 26 … 28 degrees Celsius," Zheng Ren said.
"Okay," the circulating nurse answered amidst the melodious singing of "Good Luck".
The temperature of the operating theater was usually adjusted according to the surgeon's habits, but most surgeons required a temperature of around 24 to 25 degrees Celsius in the operating theater.
This temperature felt the best. It was neither too hot nor too cold. The surgeon's condition was good, and the surgery would go smoothly.
The temperature of 28 degrees Celsius was too high for the medical staff in the operating theater.
However, the circulating nurse did not ask Boss Zheng why he wanted to raise the temperature. There were all kinds of thermal insulation items placed beside him, which explained everything in silence.
The temperature of the operating theater had to be higher.
Compared with conventional obstetrical surgery, the risk of hypothermia was higher during fetal surgery. The prolonged anesthesia and operation time of the pregnant woman, the increased volume of fluid transfusion during the operation, and the large amount of heat taken away from the mother after the delivery of the fetus and other factors could easily cause the body temperature of the pregnant woman to drop.
The operation also required the fetus to be carried out with the placenta. The abdominal cavity was opened, and the surgical process was prolonged, further increasing the risk of hypothermia.
Not only the pregnant woman, but the fetus also needed a higher temperature.
The fetus or newborn's thermoregulatory center is not fully developed, and its ability to maintain body temperature is low. Hypothermia can lead to respiratory complications such as respiratory depression and postoperative delayed awakening.
Therefore, the vital signs of the parturient woman and the newborn must be closely observed during the operation, and effective measures should be taken to protect them.
This was just a detail, and every detail was a component of that huge machine. Only when all the parts were perfect could Zheng Ren achieve the result he wanted.
"Preheat the radiation warmers," Zheng Ren continued to instruct.
Xie Yiren carried a sterilized surgical kit to the operating theater. She washed her hands and went on stage, tapping the instruments lightly.
Whether it was the surgeon, anesthesiologist, scrub nurse, or circulating nurse, they were all different people.
Even so, the two circulating nurses were so busy that they were about to fly. The pediatric and obstetrician doctors who did not go on stage helped to busy themselves.
The radiation warmers were pre-heated. The upper body of the parturient woman was covered with a quilt, and her abducted arm was wrapped with a surgical sheet.
Two sets of forced inflatable thermal blankets were used at the same time to cover the lower body of the parturient woman. One set of exhaust was used to keep the parturient woman warm, and the other was used to keep the newborn warm when the umbilical cord was not broken. The temperature was controlled at 45 degrees Celsius.
The liquid heating instruments had long been turned on, and the 37 degrees Celsius liquid was placed in a row. It was neat and solemn.
After the anesthesia was completed, Old He reached out and gave Boss Zheng a thumbs up, indicating that the anesthesia was complete.
The airtight door was closed, and the surgery officially began.
The obstetrician went into the surgery first. He made a 12cm incision on the pregnant woman's abdominal wall and began the cesarean section.
The first and second fetuses were successfully removed.
In an environment of 28 degrees Celsius, wearing sterile surgical gowns to perform surgery, and facing a small child with congenital giant omphalocele, Chief Wang of the Women's and Children's Hospital's back was drenched in sweat after more than ten minutes of nervousness.
Zheng Ren finished washing his hands, put on his clothes, and watched the entire surgery process as still as a mountain.
He stood in front of the thermostat under the pregnant woman's legs and stared at the third child with a huge omphalocele.
The organs in the abdominal cavity of the omphalocele were exposed outside the abdominal cavity through the open umbilical ring. However, it was different from an ordinary hernia. Although all the organs were not covered by skin, there was a layer of translucent, bloodless membrane that wrapped them together.
This layer of membrane was formed by the inner peritoneum and the outer amniotic membrane. In the middle was the jelly-like connective tissue.
After Chief Wang took out the two fetuses, he did not immediately deal with the third child in the uterus. Instead, he turned his head to wipe his sweat.
A sterile gauze was wrapped around his head, and the disposable sterile cap was already drenched.
In the operating theater, no one spoke other than the song of good luck.
Only now did the surgery officially begin and come into contact with the most critical surgical steps.
After Chief Wang wiped his sweat, he raised his head and looked at Zheng Ren. Zheng Ren nodded slightly, indicating that he was ready.
"Temperature," Zheng Ren asked.
"The temperature of the pregnant woman before the surgery was 36.7 degrees Celsius. Her current temperature is 37.1 degrees Celsius," Old He said in a deep voice.
Chief Wang then carefully avoided the abdominal organs that were wrapped in a translucent membrane and gently removed the child's left arm.
Zheng Ren reached out and a syringe that had been used to extract the medicine was slapped into his hand.
Of the triplets, the heaviest weight of the newborn was only 2.6 kilograms. The child was the lightest, about 2.3 kilograms.
The arm was very thin, and the blood vessels were almost invisible.
It was extremely difficult to hit the nail on the head. Chief Wang had performed many surgeries on newborns. This step was the most time-consuming.
The blood vessels that could not be seen had to hit the nail on the head. Sometimes, the surgery would be delayed for five to ten minutes at this step. Even when the child's arm was pierced more than ten times, they still could not find the vein that could be inserted.
Looking at the translucent membrane-wrapped internal organs in the pregnant woman's uterus, Chief Wang sighed.
Strictly speaking, the child in front of him could no longer be considered an omphalocele. To be precise, it should be said that he did not have a belly.
This seriously affected the growth of the fetus.
The condition of the blood vessels was even worse. Could Boss Zheng do it?
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