Boss Zheng, you're amazing! "Director Qiu was not bootlicking this time. He was telling the truth.
The free Kirschner needle was taken out yesterday, but the case was a little strange. He could not tell if the surgery was done well at all. Uh … The Kirschner needles were adhering freely. The technique was not bad, but it was only good.
However, today, Boss Zheng had stopped him from closing the chest and almost made things unpleasant. Now that Director Qiu had calmed down and thought about everything that had just happened, the more he thought about it, the more he admired Boss Zheng.
No one would deny that the electrocardiogram was related to the radial artery pressure waveform. However, there were not many people who could tell. In fact, those who knew a little about it were considered relatively good anesthesiologists.
That was not important. What was important was that Boss Zheng could see it a few minutes in advance. He was still full of confidence and unswervingly stopped the surgery from continuing.
If he did not know what was going on, would he dare to ask the surgeon to reopen the sternum that had been tightened with a steel wire?
Once the patient's chest cavity was opened, this kind of thing would spread like wildfire and affect Boss Zheng's academic status.
Director Qiu sighed in his heart. "He must be confident. This is the gap between their realms." Boss Zheng was able to win the Nobel Prize at such a young age. His reputation was indeed reasonable.
"Boss Zheng, how did the jam happen?" Chief Xu asked in confusion. "I've noticed everything that needs to be paid attention to. I didn't expect the jam to happen."
"It's okay. There will definitely be all kinds of abnormalities during the surgery. I also saw that you paid attention to some key points during the surgery. For example, if you were worried that the suture would jam, you repeatedly looked at it twice and observed the 3 ′ 12 ″ suture. You're really being very cautious. "
Zheng Ren said with a smile.
Director Xu was grateful in his heart, but then a sense of awe rose in the depths of his heart.
Did Boss Zheng even notice that he had observed 3 ′ 12 ″? He only remembered that he had been observing for two to three minutes, but if he asked Director Xu to tell him how long he had been observing, he would not even know.
"Also, the biological valve itself or the tissues or foreign bodies that affect the biological valve's activity can also cause the valve to jam. I see you have also noticed that this point has been excluded. "
"As for the thrombotic valve formation after cardiopulmonary bypass, I've paid attention to the dosage of medication. There's no problem," Zheng Ren said casually as he looked at the numbers on each machine.
"Then …" Director Xu asked doubtfully.
"It's a problem with the patient's physiology and anatomy. There's no way to avoid it. If not for the fact that this job of ours is very risky, we might not be able to avoid it even if we notice it. When I was in the 912, the Department of Genitourinary Surgery performed an electroresection of the prostate. Our chief was very careful, but it still caused an explosion during the operation, causing the bladder to rupture. "
At this point, everyone sighed with emotion.
No matter how careful he was, he could only reduce the possibility of side injuries, but it was impossible to completely avoid them. Humans did not even have a thorough understanding of their own bodies, so it was no different from a fool's dream to avoid all complications.
Boss Zheng discovered the problem and avoided the problem, but he was not arrogant. He simply said all kinds of points and even mentioned many details of Chief Xu. This person was really not simple.
"Boss Zheng, Doctor Su, how did the two of you find out?" Dr. Qiu exclaimed that Boss Zheng was not an ordinary person and raised his interest.
"Chief Qiu, if you were on the operating table, how would you judge?" Su Yun asked.
"Sudden paroxysmal or continuous ECG waveforms are separated from the arterial pressure curve. There is only one pressure curve after several ECG cycles, and the pressure curve gradually becomes flat. This is a reliable basis for the diagnosis of acute mechanical valve dysfunction," Chief Qiu said.
"Yes, the fluctuations at the beginning were not obvious, but if you look closely, there were 0.8 waves of separation in a minute. Perhaps it was caused by machine interference or measurement errors, but we still have to observe more, "Su Yun said with a smile.
In less than a minute, Chief Qiu sighed. He could not discover this situation himself. Even if he discovered it, it was impossible for him to firmly make the Chief of Surgery rework.
At the end of the day, Boss Zheng was still the best!
"At the beginning, there was definitely no way to determine that it was a rupture of the mitral chorda tendinitis that caused the valve to be stuck. At this time, the anesthetist has to make a quick judgment," Zheng Ren said with a smile.
"Factors such as whether the radial artery manometry tube is unobstructed, whether the patient has serious left heart dysfunction, whether the volume is deficient, whether the amount of vasodilator is appropriate, whether the anesthesia is too deep, and whether protamine is allergic are eliminated."
"I took a look just now. Everything is fine. We can only wait or directly open the chest again to see the situation," Zheng Ren said. "Because I'm a surgeon, I'm more radical. Instead of chatting on the operating table, it's better to open the chest and look at the heart. This is the most powerful evidence. If there is a problem with direct observation, then it's confirmed. "
"What if there is no problem?" Chief Qiu asked doubtfully.
"Close the chest. Do you want to treat it like a movie?" Su Yun said.
"…"
Chief Qiu was speechless. That simple?! Indeed, after the second thoracotomy, the chest would be closed if there was nothing wrong. However, the anesthetist would have to face the surgeon's wrath!
Monstrous wrath!
Interfering with the surgery but not being able to explain it, would they still be shameless in the future?
Seeing Chief Qiu's exposed expression, Zheng Ren knew what he was thinking and said gently, "Chief Qiu, we in the medical field can't take risks just because of our reputation, right?"
Chief Qiu took a deep breath. Boss Zheng's words …
"Boss, you're the only one who dares to say that. It's not about reputation, it's about credibility. What would the surgeon think if he made a mistake this time? What if something happens again next time? The wolf is coming, the wolf is coming. No one will believe you if you shout it too many times, "Su Yun retorted.
Chief Qiu's words hit the nail on the head.
In the past, when he was assisting Old Bao, he could not make such a mistake. Even if he was assisting a surgeon with the same qualifications now, he could not make such a mistake. Once there was no credibility, no one would listen to him in the future.
"Ignore him, Chief Qiu," Su Yun continued. "In his previous life, he saved the entire universe. His judgment was right every time. What's there to say about his good fortune? There's no way to replicate it. Speaking of which, it would be great if it could be copied and pasted directly. Everyone is so lucky. "
"This is a wealth of clinical experience," Zheng Ren emphasized as he thought about the operating theater.
"Bullsh * t clinical experience. I saw that the waveform didn't match just now. If you want to directly eliminate the interference of the machine, I'll be the first to express my dissatisfaction," Su Yun said.
Zheng Ren smiled. This guy was good enough to dare to question himself. No matter how many blows he suffered, his persistence could not be extinguished.
If it were someone slightly worse, they would have directly doubted their life, just like Chief Qiu.
Remember the mobile version of the website:
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.
