"Little Qin, stop talking. Aren't you a little nervous for such a big surgery? Why do you have so much to say?" Chief Qiu said.
"Chief Qiu, of course I'm nervous. I don't know how long this surgery will take. I have a stomachache today and didn't dare to eat early in the morning. Give me 500ml of sugar around 10 o 'clock. I hope my stomach won't cause trouble, "Doctor Qin nagged.
"Can you hold on?"
"You have to hold on even if you can't. What else can you do?" Doctor Qin said.
The surgeon did not say anything. Like Zheng Ren, he stood in front of the radiographic film viewer and checked the radiographic films first. Then, he began to read the radiographic films for the last time.
Preoperative examination of radiographic films and reading of radiographic films were both important and unimportant, but every detail of the surgery had to be taken seriously and carefully.
For example, the radiographic films from the previous surgery were still hanging on the radiographic film viewer. There were many cases where the radiographic films from the next surgery were in the wrong position.
Everyone made mistakes, but the price of making mistakes in the medical profession was too high, and they couldn't afford to bear it. Therefore, most doctors had a little obsessive-compulsive disorder.
Zheng Ren noticed the surgeon's detailed actions and had a good impression of him.
"Chief Qiu, during the surgery, use 1% to 1.5% sevoflurane inhalation, propofol and sufentanil injection to maintain anesthesia, and intermittent intravenous injection of atracurium cis-benzenesulfonate to maintain muscle relaxation. The intraoperative rate will be maintained at the preoperative compensation level, about 60 to 70 times per minute. Is that okay? "
Su Yun finished adjusting the instrument and asked respectfully.
"Yes, yes." Chief Qiu nodded repeatedly.
"Little Comrade, this attitude is right. Chief Qiu's cardiothoracic anesthesia level is top-notch. Learn well and you will definitely be useful when you go back," Doctor Qin said when he finished arranging the patient's position and went to brush his hands.
Chief Qiu carefully glanced at Boss Zheng and saw that there was no change in his emotions. He looked at Su Yun again. Three layers of masks … Why did he wear so many masks? This question appeared in Chief Qiu's mind again.
However, a question was a question. Chief Qiu did not dare to ask.
"Chief, I've disinfected it," Doctor Qin said to Chief Qiu after brushing his hands.
Chief Qiu only nodded. He did not say much after entering the room. He didn't know if it was because he was nervous or because he didn't want to talk.
Doctor Qin disinfected, laid a sterile sheet, and prepared the connection wires for the electric cautery, ultrasonic knife, and other instruments. Doctor Qin sutured on the sterile sheet, tied a surgical knot on the double 7 #, and smoothed out the messy thread.
Chief Xu washed his hands, disinfected, put on a sterile gown, and stood in the surgeon's position. It was an extremely difficult surgery, and the three of them had to work together.
The number of people was average. Some smaller hospitals were willing to find four people to fill the operating table. But after all, this was one of the top ten hospitals in the country, so there was no need to put on a facade.
The buzzing sound of the sternum saw cutting through the sternum was familiar. However, he did not hold the sternum saw in his hand and stood in the position of the surgeon to perform the surgery. This feeling was quite special.
Zheng Ren stood behind the surgeon and watched the surgery, adjusting the focus of the surgical lamp from time to time. It was quite comfortable to be an assistant to a top surgeon. He stood at the waiting table below. It was a super high configuration, and all kinds of details made Chief Physician Xu's surgery process a little smoother.
Chief Xu's surgery was standard. He opened the skin, opened the sternum, and performed cardiopulmonary bypass. There were not many problems. Even if Zheng Ren stood on the operating table with hemostatic forceps in his hand, it would be useless. He could not hit Chief Xu's radial process.
"The heart rate slows down. Inject 1mg of anisodamine and observe for a few minutes. If it doesn't work, continue to inject 2μg of isoproterenol," Zheng Ren said in a deep voice as he watched the surgery.
Su Yun sat in the position of Lao He's assistant. He was already used to the comfort level of the small round stool. He looked around and skillfully wrote the anesthesia record.
He was like a standard anesthesiologist. Qiu Zhu thought that he would be very busy with a surgery, but he was actually so free that he ran to supervise the cardiopulmonary bypass.
"Boss, you're too long-winded," Su Yun said as he patted the row of syringes in front of him.
"You're too wasteful," Doctor Qin nagged. "The head nurse didn't come today. If she came to see you open so many emergency drugs, she would definitely hang you up and beat you."
"It's okay. I'll cover it with a sheet. She can't see it." Su Yun smiled. The temperature in the operating theater seemed to have risen by 1 ° C. It was as warm as spring.
"Speaking of which, anesthesiologist, why did you open so many emergency drugs?" Doctor Qin asked.
"I'm used to it. At our place, we have a strict boss. Every time he says what medicine to use in the emergency department, before it can be pushed into the three-way after three seconds, the hemostatic forceps will hit the anesthesiologist's head," Su Yun said with a smile. Then, he gestured with his hand. "Such a big bag."
"F * ck! Chief, look at the status of the chief surgeon! "Doctor Qin exclaimed.
"Do the surgery well." Chief Xu finally said his first sentence since he came on stage.
Zheng Ren felt very helpless. Was it really okay for this guy to say something to him when he had nothing to do? Besides, it seemed that only Su Yun had used hemostatic forceps to hit people twice. He had never done it even once.
"Boss, the systolic blood pressure is below 100. Should we replenish some fluid?" Su Yun saw that Chief Qiu was not by his side, so he directly asked Zheng Ren for instructions.
"Let's talk about it below 90," Zheng Ren said. "The large left atrium has a lot of pulmonary congestion. The amount of fluid needs to be controlled."
"How much urine?" Su Yun asked.
“450ml。”
Zheng Ren did not even look and said directly.
Su Yun began to record and observe the patient's vital signs. Chief Qiu patrolled around and heard the conversation between Boss Zheng and Su Yun. He already had a certain understanding of the level of anesthesia between the two of them.
The strong would always be strong. It was really like this.
With this level of anesthesia, he could not find any mistakes. If he could not do it, there should be no one in the country who was stronger. With this level of anesthesia, he actually said that his professional anesthesiologist level was higher! Which one was it? Chief Qiu thought until he broke his head, but he could not think of any big hand anesthesiologist he did not know in 912.
Twenty minutes later, when the blood pressure dropped below 90 mm Hg, fluid replacement treatment was carried out. However, Zheng Ren observed for 10 minutes, and the blood pressure was still slowly dropping.
"Ephedrine, 5 mg intravenously."
As soon as he finished speaking, the syringe was already connected to the three-way.
"Little brother, your hand speed is really fast!" Doctor Qin was the kind of person who was observant. When he saw Su Yun's operation, he praised him.
"I'm an e-sports professional player. I used to be. I only became an anesthesiologist after I retired. I'm old, and my hand speed is not as fast as when I was young, "Su Yun said nonsense without any rhyme or reason.
Obviously, this topic made Doctor Qin more interested. Although Su Yun was talking nonsense, his relevant knowledge was solid. After chatting for a few minutes, he had just talked about the operation of the top laner, and Doctor Qin, who was a bronze, was stunned.
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