Chapter 2561 Who Is Boss Zheng's Full-Time Hemp Master?
"Xiao Qin, don't say a few words. Are you a little nervous about such a major operation? Why are you talking so much?" Director Qiu said.
"Director Qiu, I must be nervous. I don't have to stand for a long time for this operation. I have a bit of a stomachache today, and I didn't dare to eat early in the morning. Give me 500ml of candy around 10 o'clock, and I hope my stomach won't be troublesome." Dr. Qin nagged with.
"Can you hold on?"
"If you can't hold on, you have to hold on. What if you don't do anything." Assistant Doctor Qin said.
The operator didn't say anything, just like Zheng Ren, he stood in front of the film reader, checked the film first, and then began to read the film for the last time.
Checking and reading films before surgery is both important and unimportant, but every detail involved in the operation must be serious and careful.
For example, the film from the previous operation was not taken away, and it was still hung on the film reader. The doctor who performed the next operation came up to read it as his own patient's film, and there are many examples of wrong positions in the end.
Everyone makes mistakes sometimes, but the cost of making mistakes in the medical profession is too high to bear. Therefore, most doctors are slightly or severely obsessive-compulsive.
Zheng Ren noticed the details of the operator's actions, and he liked +1.
"Director Qiu, 1%~1.5% sevoflurane inhalation, propofol and sufentanil chestnut injection were used to maintain anesthesia during the operation, and intermittent intravenous injection of atracurium cis-benzenesulfonate was used to maintain muscle relaxation. The heart rate during the operation was maintained at The preoperative compensation level is about 60~70 times/minute, do you think it is okay?"
After Su Yun adjusted the instrument, he asked respectfully.
"Yes, yes." Director Qiu nodded repeatedly.
"Young comrade's attitude is right. Director Qiu's level of anesthesia is first-class. If you study hard, you will definitely be able to use it when you go back." Assistant Dr. Qin said as he finished positioning the patient and went to brush his hands.
Director Qiu took a careful look at Boss Zheng, and saw that he didn't have any emotional changes. Another glance at Su Yun, three layers of masks...why does he have to wear so many masks? This question once again appeared in Director Qiu's mind.
It's just that a question is a question, Director Qiu didn't dare to ask.
"Director, I've disinfected it." Assistant Doctor Qin said to Director Xu after brushing his hands.
Director Xu just nodded, and he didn't say much after he entered the room. I don't know if it's the lack of words caused by nervousness, or because he doesn't want to talk.
After disinfection and laying of sterile sheets, and preparation of electric cauterization, ultrasonic scalpel and other instrument connection lines, Dr. Qin sutured on the sterile sheets, tied a surgical knot with double 7#, and smoothed out the messy threads.
Director Xu brushed his hands, disinfected them, put on a sterile gown, and stood in the position of the operator. An extremely difficult operation was performed by 3 people.
Judging by the number of people, it is quite satisfactory. Some smaller hospitals are willing to find 4 people to fill up the operating table. But after all, this is one of the top ten hospitals in China, so there is no need to do face-saving projects at all.
The sternum saw split the sternum, and the buzzing sound made Zheng Ren feel a little familiar. It's just that I don't hold a sternum saw and stand in the position of the surgeon to perform the operation. This feeling is quite special.
Zheng Ren stood behind the operator watching the operation, adjusting the focus position of the shadowless lamp from time to time. A top performer can be quite comfortable as an assistant. Standing at the waiting desk below, it is equipped with super high equipment, and various details have made Director Xu's operation process a little smoother.
Director Xu's operation was quite satisfactory, with skin opening, sternum opening, and upper extracorporeal circulation without any major problems. Even if Zheng Ren stood on the operating table with hemostatic forceps in his hands, it was useless, and he couldn't hit Director Xu's radial process.
"The heart rate slows down. Inject 1 mg of anisodamine intravenously and observe for a few minutes. If not, continue to give 2 μg of isoproterenol." Zheng Ren said in a deep voice while watching the operation.
Su Yun sat in the position of the old assistant He. He had already gotten used to the comfort of the small round stool. He looked around and skillfully wrote the anesthesia record sheet.
He was like a standard anesthetist. Mr. Qiu thought that he should be very busy in a surgery, but he was so idle that he had already gone to supervise the extracorporeal circulation.
"Boss, you are too wordy." Su Yun said, patting the row of syringes in front of him.
"You are too wasteful." Dr. Qin nagged, "The head nurse didn't come today, if the head nurse came to see you open so many emergency medicines, she would definitely hang you up and beat you."
"It's okay, I'll cover it with a sheet, so she can't see it." Su Yun smiled, the temperature in the operating room seemed to have risen by 1°C, as warm as spring.
"By the way, this anesthesiologist, what are you doing with so many emergency medicines?" Doctor Qin asked.
"I'm used to it. In our company, there is a strict boss. Every time there is a big rescue in the emergency department, he says what kind of medicine to use. After 3 seconds, before it is pushed into the tee, the hemostatic forceps hit the anesthesiologist's head." Su Yun said with a smile, and then gestured with his hands, "Such a big bag."
"I'll go! Director, look at the position of the chief surgeon!" Dr. Qin exclaimed.
"Do the surgery well." Director Xu finally said the first words on stage.
Zheng Ren felt very helpless, so he just said a few words to himself if he had nothing to do, is it really okay? Besides, it seems that only Su Yun has hit people with hemostatic forceps twice, and he has never done it once.
"Boss, the systolic blood pressure is below 100, how about some fluids?" Seeing that Director Qiu was not around, Su Yun asked Zheng Ren for instructions.
"Let's talk about it below 90." Zheng Ren said, "The left atrium is huge, and the lung congestion is very heavy. The amount of fluid must be controlled."
"How much urine?" Su Yun asked.
"450ml."
Zheng Ren didn't even look at it, and said directly.
Su Yun began to record and observe the patient's vital signs. Director Qiu patrolled around and heard the conversation between Boss Zheng and Su Yun, so he already had a certain understanding of the anesthesia level of the two.
The strong are always strong, that's true.
With this level of anesthesia, I couldn't find any mistakes anyway. I can't do it myself, there should be no one in the country who is stronger. With this level of anesthesia, he even said that his full-time anesthesiologist is even better! Who is it? Director Qiu thought about it, but he didn't remember that there was a big-handed hemp master in 912 that he didn't know.
After 20 minutes, when the blood pressure dropped below 90 mm Hg, symptomatic treatment was given with fluid rehydration. However, after Zheng Ren observed for 10 minutes, the blood pressure was still dropping slowly.
"Ephedrine, 5 mg intravenously."
As soon as the voice fell, the syringe was connected to the tee.
"Little brother, you're fast enough!" Dr. Qin is one of those people who can see all kinds of things. He saw Su Yun's operation and exclaimed in admiration.
"I'm a professional e-sports player. I used to be an anesthetist after I retired. I'm getting old, and my hand speed is not as fast as when I was young." Su Yun said nonsense.
Obviously, this topic interests Dr. Qin even more. Although Su Yun is talking nonsense, he has solid knowledge about it. After chatting for a few minutes, Dr. Qin, who is a bronze, was taken aback for a while when he just talked about the operation of the order. .