Chapter 1745 A Row of Adrenaline (Leader LUCKY Bread Tree Plus 3)

What is this for?

Sun Chao didn't understand. He glanced at the surgery area and then at the ECG monitoring, with a confused look on his face.

After Zheng Ren finished speaking, he stretched out his hand, and two gauze strips fell into his hand. He carefully explained that a gauze was passed through the aorta and handed to Su Yun, who was a helper. Another gauze strip was passed through the superior vena cava and handed to Zhao Yunlong, the second assistant.

Pull the aorta to the left and the superior vena cava to the right, ready to swim away from the pulmonary artery and the superior vena cava.

"Wait a moment." Zheng Ren squinted at the dose of the micro pump, after 15.5", Zheng Ren said, "Isoproterenol accelerated, 10ml, Su Yun and Lao Zhao began to stretch. "

Su Yun and Zhao Yunlong exerted a little force, exposing the surgery area, and the ECG monitor began to roar like crazy.

The beeping alarm sounded like a gust of wind and rain, sounding all around. The operating room suddenly became busy and messy.

At this time, the singing of good luck has become inaudible.

Zheng Ren ignored the alarm sounds of the ventilator and monitor. He held hemostatic forceps in one hand and blunt scissors in the other, and began to dissociate the aorta and superior vena cava.

The hand hardly moved, only the fingers, hemostatic forceps and blunt scissors moved. Sun Chao was dumbfounded, this speed is too fast!

The surgery is so awesome!

It's just that the patient's heart rate drops instantly, and the heart beat is getting weaker and weaker. Is it still too late?

"Epinephrine 1mg, saline 5mg, intravenous injection!" Zheng Ren said while performing surgery.

Immediately, Lao He pushed the adrenaline he had already pumped in, extremely fast. It didn't take 5 seconds from Zheng Ren's speech to the end of the push.

"The pump for isoproterenol, mentioned 30ml per hour!" Zheng Ren said, "Push another adrenaline."

Lao He didn't question whether such a large amount of medication was acceptable, he clicked a few times, increased the speed to 30ml/H, and then pushed a dose of epinephrine.

Then Lao He greeted the visiting nurse and continued to take the ampoule of adrenaline.

5... It seems that the number is not enough, Lao He took advantage of Boss Zheng's busy wandering, and took a few more adrenaline in front of him for backup.

This thing is not expensive, waste is waste, it is better than messing around and delaying Boss Zheng's rescue.

Compared with a few cents of medicine and a life, it is obvious how to choose.

Lao He has a row of adrenaline pumped like a bullet in his hand, ready for a bolus injection at any time.

In the operating room, only one voice appeared.

Zheng Ren's voice was mixed with the alarm sounds of the monitor and ventilator, like a reef in the waves, standing still.

The continuous bolus of epinephrine barely stabilized the heart rate.

Zheng Ren dissociated about 3.5cm from the right pulmonary artery at the fastest speed, and then began to dissociate the proximal posterior wall of the right pulmonary artery.

Sun Chao's eyes were straight, and the operation seemed to be flying.

At this time, he put himself in. If he performed the thrombectomy as he had thought before, he was afraid that the patient's heartbeat would stop as soon as he touched the thrombus and sucked for 1 second!

Then the big rescue begins.

Time is passing little by little in the great rescue.

Thromboembolism of 12cm cannot be removed within three to five hours. The key question is this patient, can she survive for so long?

Certainly not.

In the next second, there may be a direct cardiac arrest and death.

Is the young boss Zheng right again?

Sun Chao was a little dazed. He had prepared a lot of reprimands and recovered the face he had lost in the Affiliated Hospital of Medical University on 912.

Although the operation definitely does not require him, even if it is thrombectomy, there is Director Zhang Lin of the Department of Circulation and Director Mao Chi of the Vascular Surgery Department, and there is no difference in his own level.

Unexpectedly, the 912 didn't even need a Mao holder at all.

Foreign professors performed internal iliac vein thrombectomy and surgery, and were trained by Boss Zheng to behave like dogs. In the end, he was expelled from the stage because there were too many people on the operating table.

Young and domineering!

In Sun Chao's mind, in his impression of Boss Zheng, these two labels were continuously deepened, deepened and deepened.

The key is... I was really angry when I was down there, and scolded Boss Zheng for taking his life!

How angry I was at the time, now I think about how embarrassing it is.

People, you are right.

"Boss Zheng, is cardiopulmonary bypass established?" Lao He finally asked.

He had already prepared a full set of extracorporeal circulation machines and made all the preparations. I had to prepare an extracorporeal circulation machine for emergency rescue just now, but Lao He was exhausted.

"Prepare, don't need it for the time being." Zheng Ren said while doing his freewheeling.

"The heart doesn't stop beating?" Lao He finally confirmed.

Although he doesn't think the possibility is high, as long as Boss Zheng says, he just needs to implement it.

"Well, don't stop." Zheng Ren replied affirmatively.

A blocking tape was placed at the proximal end, and a purse with a diameter of 0.6 cm was sewn at the distal end. Zheng Ren stretched out his hand and patted the lancet in his hand.

The right pulmonary artery segment was carefully incised, and there was no blood flow in it, but a purple-black thrombus appeared in the operation area.

Everyone behind the operating table took a small step forward as if hearing the horn of the charge.

"Adrenaline, push." ​​Zheng Ren's words were concise.

Lao He immediately picked up another adrenaline and pushed it in.

This is the benefit of a familiar anesthesiologist, who doesn't have to talk too much. If it is a normal operation, everyone will gossip on the operating table and pass the lonely time.

At that time, I was afraid that I would be too lonely on the operating table.

But as a doctor or nurse, what do you fear most? This is the situation where no one speaks, everyone shuts their mouths knowingly, and almost sews their mouths with 7# thread.

This kind of emergency rescue is entirely based on tacit understanding.

Sun Chao was a little emotional. Boss Zheng performed the surgery... It should be fine. There are so few cardiothoracic surgeries now that he can't judge the level of surgery.

But not to mention how the operation was done, just looking at the row of adrenaline in front of the anesthesiologist was enough to make one feel awe. (Note 1)

Professional, professional to the core.

Next, should I use a negative pressure suction device and a biliary lithotomy forceps to remove the thrombus alternately? Sun Chao cheered up and moved forward another 10cm.

Because he stood behind Su Yun and could not see the surgery area at all.

Director Sun Chao even suspected that the assistant in front of him was doing blind exercises all the way.

MB! Blind exercises cooperate with pulmonary artery thrombectomy, why are people in 912 so courageous?

"Who is it?" Su Yun felt that someone behind him touched him slightly, and suddenly became unhappy. He didn't even look at it. He raised his hand back and smashed a hemostatic pliers on Sun Chao's shoulder. He jumped up and fell. On the external instrument sucked by negative pressure on the wall behind you.

A crisp "pop" sound.

"It's time to take the bolt, what are you squeezing!" Su Yun didn't look at who it was, and he was extremely skilled in throwing equipment and smashing people.

"..." The air in the operating room was stagnant, and everyone, including Vice President Yuan, found it difficult to breathe.

"Go away." Su Yun roared in a low voice.

...

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Note 1,: Reminds me of a previous chapter - the last adrenaline.