"Is it Little Zheng from the 912?" Chief Xu asked in confusion.
"Yes." Zheng Ren nodded.
"Why are you here?" Director Xu was pleasantly surprised. The unhappiness he felt when he asked him to reopen the box to take a look disappeared.
Seeing that Chief Xu was about to leave the operating table, Zheng Ren quickly said, "Chief Xu, the surgery isn't over yet! Let's open it first. "
"Oh, oh."
This time, Director Xu did not insist at all. His principles and stance had been tossed beyond the clouds along with his previous anger.
"Boss Zheng, it's an honor to meet you." Department Chief Xu suppressed his excitement and said, "What did you do to Department Chief Qiu? He's an anesthesiologist."
"How can you say that?" Director Qiu said unhappily.
When he saw Chief Xu begin to twist the steel wire in reverse, he glanced at the waveform of the ECG monitor and the radial artery pressure curve. He felt that there was still enough time.
"You're welcome," he said faintly. Then, he said, "Don't withdraw the extracorporeal circulation just yet. Prepare to establish it again immediately!"
The circulatory specialist was dumbfounded. The legendary Boss Zheng?! It had been six hours, and there was nothing different about it.
No, he was not allowed to close his chest. This was a big deal. Even Chief Physician Xu and Chief Physician Qiu did not notice anything unusual on the stage. Why did they stop the chest closure at the last moment? Holding back and waiting for the final moment to slap him in the face?
No, that's not right. The cardiopulmonary bypass specialist immediately shook off all the messy thoughts in his mind. Boss Zheng said that there was a problem. If he opened it and saw that there was nothing wrong, he would be slapping himself in the face.
Su Yun saw Director Xu's face full of worship, and his hands that were twisting the steel wire were trembling slightly. He found it funny and said, "Director Xu, steady your hands and hurry up."
"Oh, oh, rest assured." Director Xu was so docile that it was as if he had changed into another person. He was no longer as cold as an iceberg. Instead, he responded like an intern.
"Boss Zheng, what's going on?" Chief Qiu whispered in his ear.
"The electrocardiogram does not match with the radial artery pressure curve. Mitral valve is considered …"
Zheng Ren was halfway through his sentence when the ECG alarm suddenly rang. Then, the ventilator began to issue a sharp alarm to alert the people in the operating room of an abnormal situation.
"Hold on tight! Prepare for cardiopulmonary bypass. "Zheng Ren had already switched to surgeon mode. In this room, he was the one and only king!
Although they still did not know what was going on, the people in the operating room began to move. Chief Xu did not have the time to express his admiration to Boss Zheng and Su Yun. He seized the time to twist the steel wire.
At this time, the blood pressure plummeted, and the peak value of the arterial waveform gradually became straight.
"Dopamine, speed up."
"Epinephrine, 1mg intravenously."
"Another shot of epinephrine!"
"Hurry up with extracorporeal circulation and prepare to re-establish it."
"Open the chest faster! Follow the petal opening pattern. "
Orders were issued one after another, and the peaceful atmosphere in the operating theater disappeared.
Department Director Qiu and the circulating nurse seized the time to get busy. Their feet barely touched the ground, and it was as if they were flying.
He was most afraid of this kind of situation. Fortunately, Boss Zheng had reminded him. Otherwise, it would have taken 10 minutes to twist the steel wire. During this period of time, they had to rely on medication to maintain the patient's vital signs. Looking at the blood pressure, the medication had a little effect in the beginning, but it soon became useless.
The blood pressure medication could not maintain the patient's blood pressure. The average pressure was 20 to 30 mmHg, and the heart rate increased to 120 to 130 beats per minute. That was not all. The SpO2 waveform of the patient's left hand was consistent with the pressure waveform of the right radial artery.
There was no need to say what a straight line meant. Everyone present knew.
What the hell is going on?
Twenty seconds later, the waveform recovered slightly. However, before everyone could relax, the straight line appeared in their field of vision again.
This situation occurred repeatedly, and the interval was getting shorter and shorter. The heart rate also rose to 120 to 150 beats per minute. The blood flow of the radial artery manometry tube was smooth, indicating that the radial artery manometry tube was normal. It was not a problem with the machine. There was really something wrong!
Chief Xu used the fastest speed to open the chest cavity and began to establish extracorporeal circulation. Because of Zheng Ren and Su Yun's previous reminder, this period of time was shortened to a certain extent.
"Aortic root pressure measurement!" Zheng Ren said in a deep voice.
Chief Xu immediately began to measure the patient's aortic root pressure. It was the same as the radial artery … He immediately broke out in sweat again.
Boss Zheng was not shooting for no reason, but he had seen something abnormal. What the f * ck went wrong?! Chief Xu felt his hands go cold, and his movements became extremely slow. It was as if he had entered another world.
Not only was the aortic root pressure measurement consistent with the radial artery, but the aortic root had also softened, and the sound of the biological valve had also disappeared. This all meant one thing … Something had really happened to the position of the valve replacement!
Emergency establishment of extracorporeal circulation, a second turn.
Because of the prior reminder, the preparation time of the extracorporeal circulation machine did not delay the surgery. When the heart was opened, the posterior mitral valve's chordae tendineae broke from the musculus, causing the chordae tendineae to be embedded in the artificial valve, causing the valve to be stuck.
It was really f * cking stuck! Chief Qiu and Chief Xu looked at the scene in front of them helplessly, their hearts filled with horror.
The free chordae tendineae were removed, and the original biological valve was still continuously sutured. It was not difficult to deal with, at least for Chief Xu. The final difficulty lay in the cooperation between the surgeon and the anesthesiologist.
After observing the abnormal situation, whether the anesthesiologist had an idea or not was the key to whether he could warn the surgeon in time. Under the pressure of the surgeon's powerful aura, not all anesthesiologists could adhere to their own judgment and perform a second thoracotomy in time to explore the abnormality.
Valve sticking after the rupture of the mitral valve tendineae was an uncommon complication of valve replacement surgery.
This time, it might have something to do with the patient's heart failure. Chief Xu felt a little wronged. After the valve replacement, he carefully observed for a few minutes. When he saw that there did not seem to be a problem with the mitral valve tendineae, he continued the next step.
Who would have thought that something would happen after the chest closure?
F * cking hell! The job of a doctor could not be done. There were big holes everywhere. Who knew which one day he would be buried in one of them?
After the mitral valve tendineae was urgently cut, the biological valve began to work again, and the instrument's alarm sound disappeared.
The rest was a routine operation. Chief Xu raised his head to look at Boss Zheng and said in a low voice, "Boss Zheng, thank you."
"You're welcome." Zheng Ren also let out a long sigh. At first, he saw that there was a vague problem with the electrocardiogram and radial artery pressure curve. He only confirmed that something was wrong when he entered the System's operating theater.
But why was Su Yun so determined?
Zheng Ren looked at Su Yun with some doubt.
"Why are you looking at me?" Su Yun was recording the anesthesia form. He looked up at Zheng Ren as if he had sensed it.
"How did you determine it?"
"There's a problem, but I'm not sure. Seeing that you're so sure, I'm also sure. It's such a simple matter, "Su Yun said. "At most, we'll reopen the chest and delay the surgery for half an hour. The two of us can just go back dejectedly."
Zheng Ren spread his hands.
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.
