Before the cardiopulmonary bypass, lactic Ringer's solution and colloid were injected. The CVP was maintained at 10 to 12 mmHg. The surgery went smoothly. The anesthesia protected the patient, and there were no flaws.
One hour …
Two hours …
Three hours …
Six hours …
Mitral valve replacement, tricuspid valvuloplasty, and left atrial folding were completed one after another. Chief Qiu was shocked as he watched.
Rumor had it that Boss Zheng was young and impetuous. He had been thinking last night whether Boss Zheng would say that Old Xu was wrong during the surgery and that his nonsense had led to the frequent surgical accidents.
However, Boss Zheng knew that there was not enough manpower after he went on stage, so he took over the anesthesia and stood behind the surgeon to watch the surgery without saying a word.
'These rumors are really unbearable,' Chief Qiu thought to himself. Boss Zheng's temper was extremely good. Why was he arrogant and domineering? The next time someone said that, he would fall out with them if he stood up.
He had such a good temper, yet he said that the other party was arrogant. This was bullying. Chief Qiu had seen many cases of people stepping on others in the medical circle, especially for some of the rising stars. The pressure was even greater.
This was also Boss Zheng. With his own strength, he directly killed a path of blood, standing at the end of the food chain and looking down on everyone.
"Stop the cardiopulmonary bypass," Chief Xu said in a deep voice, a hint of exhaustion in his voice.
He stood attentively for six hours. The nervous and delicate surgery filled the operating theater with the smell of dopamine and adrenaline.
After opening the ascending aorta, the chest was defibrillated. Energy of 20J, one beat, and the heart beat again.
Ten minutes after the beat, epinephrine 0.02 μg/L and nitroglycerin 0.5 μg/L were pumped.
Su Yun paid attention to maintaining the PETCO2 between 30 to 40 mmHg and the blood K + concentration at around 4.5 mmol/L.
The surgeon did a good job. The anesthesia was almost perfect. After six hours of hard work, it was finally over.
After rinsing and closing the chest, Chief Qiu let out a long breath.
In the past, when he was supporting Old Bao, he was always so busy that his feet hit the back of his head. However, Boss Zheng and Doctor Su's cooperation with each other was very easy, which was very telling.
The layman watched the show, while the expert knew the ropes. Many problems that could affect the surgery were avoided and eliminated in advance by Boss Zheng and Doctor Su, so the surgery went smoothly.
Chief Surgeon Xu might not know. He did not have the mood to care about so many things, but his heart was as clear as a mirror. Chief Qiu kept thinking about how to flatter Boss Zheng with a rainbow fart after the surgery.
He wanted Boss Zheng to be comfortable, but he could not be too explicit. Director Qiu was a little distressed. Ever since he became the director, he had never flattered anyone. He was indeed not good at it.
"About 800ml of blood was lost during the operation, 800ml of fresh frozen blood was transfused, 10 units of cold precipitation, Hb95g/L, hematocrit Hct 28%. The patient urinated throughout the surgery, and the total urine volume was 2500ml, "Su Yun muttered as he wrote the anesthesia record.
The voice passed through the three layers of masks, sounding a little muffled.
After rinsing and closing the chest, the operating table began to tighten the steel wire to close the sternum. Chief Qiu walked up to Zheng Ren and whispered, "Boss Zheng, your anesthesia skills are also very high."
"I know a little, but I'm not as good as my anesthesiologist." Zheng Ren's eyes were glued to the monitor.
Chief Qiu was worried. He glanced at the ECG monitor. All the values were ideal. 'It's not a problem, but Boss Zheng is more cautious by nature,' Director Qiu thought to himself.
"Your anesthesiologist … is he the legendary Lao He?"
"Yes." Zheng Ren's answer was very simple.
"What's his full name? I'll go back and ask. At the next annual meeting of anesthesiologists, I'll have a meal with this Lao He to get to know him, "Chief Qiu said with a smile.
However, after throwing out his goodwill, Boss Zheng did not answer. Chief Qiu's heart felt a little cold.
He had already put his attitude on the level of a full-time anesthesiologist in Boss Zheng's medical team. Why did Boss Zheng not answer? This was a little awkward.
"Surgeon, close the chest and wait a moment," Zheng Ren suddenly said in a deep voice.
Su Yun seemed to be looking at the screen as well. He did not refute his boss. Instead, he narrowed his eyes and observed.
Chief Qiu was stunned for a moment. He took a look at the various values of the ECG monitor and the ventilator. There was no problem at all …
On the operating table, Doctor Qin was chatting and laughing with the scrub nurse. He did not drive fast. He only used this to relieve the nervous mental pressure. Perhaps it could speed up the venous return of the swollen lower limbs.
"Don't close the chest," Su Yun stood up and said. "Open it."
"What?!"
"What?!"
Doctor Qin and Chief Qiu were stunned.
Chief Xu, who was twisting the steel wire, raised his head. There was a white sterile gauze tied on his sterile cap. The gauze was already drenched in sweat.
He looked at the ECG monitor in confusion, then at Zheng Ren and Su Yun in confusion. Then, he lowered his head and continued to twist the steel wire.
"I told you not to close the chest. Didn't you hear me?" Su Yun reprimanded. The situation was a little urgent. His words had already started to dirty.
Chief Xu raised his head. He did not look at Su Yun. Instead, he looked at Chief Qiu coldly and said, "Chief Qiu, control the doctors who came to visit. They're cursing in the operating theater.
"Chief, open it again and take another look," Zheng Ren said. "The ECG wave and the radial artery pressure curve do not match. Consider that there might be a problem."
He spoke very slowly. There was no emphasis in his tone, but there was an unquestionable tone between the lines. It was as if … the operating theater was owned by his family. Whoever was not honest would be kicked out.
Uh …
Chief Qiu was stunned. The ECG wave and the radial artery pressure curve did not match? Where did it not match?
The ECG wave was a sinus rhythm. There was no problem. The radial artery pressure curve seemed to be fine …
Chief Xu once again confirmed that the various values were stable. He glared at Su Yun and scolded, "Are you the surgeon or am I the surgeon?!"
"How can you be so capable? Whether the boss is awesome or not, he still needs a professional anesthesiologist, "Su Yun said disdainfully." Hurry up and open it to take a look. It'll be more troublesome after the skin is sutured. "
"This …" Zheng Ren was puzzled.
"Chief Xu, Chief Xu." Chief Qiu broke out in a cold sweat. He did not understand why Boss Zheng, who was as gentle as a spring breeze and the entire operating theater was peaceful, suddenly exploded and attacked.
Was he trying to show his presence? That could not be. To show his presence, Boss Zheng had countless methods and techniques. He would not joke around with the patient in the operating theater.
Although it was not fatal, it would still delay the surgery.
"Chief Xu, consider that the artificial valve is stuck. Open it to take a look. If you wait any longer, it will be too late," Zheng Ren said in a deep voice.
"Who are you?" Chief Xu said unhappily. "I was the one who performed the surgery. I know what I'm doing. You're an anesthesiologist from outside. Why are you talking here …"
"Chief Xu, this is Boss Zheng!" Chief Qiu could not care about anything else. He immediately stopped Chief Xu and said directly.
"Boss Zheng? Which one? "
"Which one from the 912 …" Chief Qiu was confused, but he still took the time to comfort everyone present.
Chief Xu was stunned.
What?
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