The anesthesiologist was anesthetizing the patient, the circulating nurse was establishing a venous channel for the patient, and the scrub nurse was arranging the sterile bag.
The spinal anesthesia went smoothly. The patient's back was facing him. Zheng Ren looked at the System panel and the ECG monitor. The two were referring to each other, but it was still dewy.
Fortunately, Su Yun and Gu Xiaoran were chatting. Lao He was plugging in the USB drive. It seemed that he was ready to give him good luck. No one noticed him, so he had time to think about this matter carefully.
Once again, he came to the System space and clicked on the purchase of surgery.
However, this time, he did not perform the surgery to stimulate the simulation mannequin. Instead, he watched quietly.
Even without stimulation, the simulation mannequin still had cardiac arrest 12 minutes later.
Zheng Ren was very helpless. He did not rescue the simulation mannequin. Instead, he squinted his eyes and stood in the operating theater, thinking about what might happen.
It could not be hemorrhagic shock. It could not be that fast. Could it be aortic dissection? From the ECG monitor, it was really possible for the blood pressure and heart rate to drop precipitously.
However, Zheng Ren did not think that this possibility was high. He just secretly noted it down and would dissect it later.
Other than that, Zheng Ren did not have any definite ideas. Perhaps it was the disease that the System did not diagnose?
Or did the patient have some congenital disease?
Did the anesthesiologist make a mistake in using the anesthetic?
Allergic to the fluid of the intravenous infusion?
Countless possibilities were thought of by Zheng Ren, but they were all rejected in the operating theater.
He checked the anesthesia and fluid replacement fluids. Then, he began to dissect the simulation mannequin to determine where the problem might be.
It was not congenital heart disease, aortic dissection, infusion allergy, or …
Zheng Ren checked them one by one.
…
…
Time passed minute by minute. As Chief Yu disinfected and laid out the sterile sheet, he smiled and said, "Lao He, your good luck hasn't come enough."
"I'm just asking for a good compliment," Lao He said with a smile. "Some time ago, I had a gastrointestinal surgery. Brother Yun put on a red wedding dress and it kept repeating. It scared that girl, Quan Xiaocao, to tears."
"Red wedding dress? What's that?"
"A young child like you must have never heard it before. If you're curious, I suggest you go home and lie in bed at night and listen to it," Su Yun said with a smile. "It definitely won't disappoint you. It's a very good song."
After Chief Yu finished disinfection, he began the surgery.
"Mr. Yu, is the adhesion serious?" Su Yun glanced at his boss, who was resting in the corner with his eyes closed.
Today, the boss was as restless as a mouse before an earthquake. Now that he was well-behaved, Su Yun's heart began to feel uneasy.
By right, the boss wouldn't do that. Every time he had a doubt, it was proven that he was right. Su Yun attributed this to a woman's intuition. This was a kind of metaphysics that could not be explained by science.
Moreover, wasn't the purpose of going on stage to see the nail in the urethra? Why was he resting with his eyes closed? If that was the case, he might as well just sit down there.
No, something must be wrong!
"The first one is easy to remove." Director Yu quickly removed the nail closest to the urethral opening.
On the instrument table, the scrub nurse took a piece of gauze and placed it next to Chief Yu's hand. The black nail looked a little hideous.
It was about four centimeters long. It wasn't particularly sharp, but it was still very scary in the urethra.
Su Yun looked at Nail and carefully observed Mr. Yu's operation.
The surgery went relatively smoothly. Mr. Yu's operation was a little cautious, but the nails were still taken out one by one.
"Director Yu, you're too careful." Su Yun laughed.
"It's good to be careful. It's good to be careful." Director Yu said, "The difficult part is at the end. The nail inside probably sealed the urethral opening. After the anesthesia, there was no urine. Brother Yun, do you know what I'm worried about? "
"What?"
"I'm going to try to see if I can take it out. If it doesn't work, I'll directly push the nail into the bladder and then use a cystoscope to take it out," Director Yu said, "I'm worried that once there's a gap in the urethra, I'll accidentally pee on my face."
"…" When Su Yun heard this, he immediately remembered the colon cancer stent surgery that he and the boss had done.
The moment it was opened, the airflow was fierce. If the boss did not help him block it with a sterile sheet, he was afraid that he would not be able to go back and take four or five showers.
"Then you have to be careful." Su Yun was not joking, but seriously warned Director Yu, "The boss and I have done a colon tumor patient. After the stent was opened, I don't know how long it would take …"
As he was speaking, he saw the boss suddenly stand up from the corner of his eye.
"Syringe!" Zheng Ren said in a deep voice.
His voice was very loud, very low, and there was a sense of urgency.
At the same time, the monitor's alarm suddenly sounded. The sound was sharp, as if it was about to tear the song of good luck into countless pieces.
Director Yu raised his head and was stunned to see the heart rate on the ECG monitor drop like a cliff. Immediately, it returned to zero, and the ECG became a straight line.
The change was so fast that it did not give people the slightest chance to react.
"Su Yun, cardiac compression!" Zheng Ren roared. "Lao He, epinephrine 1mg intravenous injection!"
Su Yun had already come to the left side of the patient's body while Zheng Ren was speaking. The height of the operating table was not very suitable, so he directly squeezed the patient to the opposite side. Then, he knelt on the operating table and began to do cardiac compression.
Seeing the patient's heart stop, Lao He was not surprised. Instead, the moment the ECG monitor showed abnormal fluctuations, Lao He felt that his heart was not as perturbed as before.
As expected, Boss Zheng was right!
As for why, Lao He did not think about it. The moment the ECG pulled out a straight line, he rushed to the anesthesiologist's side as if his butt was on fire.
At this moment, the anesthesiologist, Xiao Zhou, was completely dumbfounded. He looked at the ECG monitor in disbelief and was about to adjust the wire.
In his opinion, it should be a problem with the wire connection. Otherwise, how could the patient, who was still fine a second ago, directly stop his heart in the next moment?
This was not scientific!
Lao He opened a tube of epinephrine with one hand and held a syringe with the other hand to draw the medicine. At this moment, Boss Zheng's voice was heard. The epinephrine was already being prepared.
The medicine was drawn, the three connections were opened, and a tube of epinephrine was pushed in in the shortest time possible.
The operating theater, which had been laughing just now, instantly became solemn.
"Atropine, 0.5 mg!"
Lao He's ears trembled slightly. He saw Boss Zheng tear open a 50ml syringe.
However, Lao He did not have time to see what Boss Zheng was doing. He immediately opened another tube of atropine and injected it into the vein.
"Lidocaine …"
"Atropine …"
"Adrenaline …"
Boss Zheng's voice kept coming. Even under the sharp alarm of the monitor, he was still so calm. He was like a stone by the sea. No matter how fierce the waves were, he still stood there.
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