Chapter 2973 Old Captain

"Not for now, just wait a moment." Zheng Ren had already cut off his right lung and put it in the pathology basin. At this time, Lao He held the report card in his hand and reported, "The blood sample 10 minutes ago, the total bilirubin was 876 μmol/L, and the blood gas..."

He only said the problematic item, and did not involve other items, simple and clear.

Liver damage so serious? ! Dr. Charles froze for a moment.

The liver function is severely damaged, but the kidney function is not bad. If Dr. Charles was standing on the operating table, he would definitely have to undergo intraoperative liver dialysis at this moment. As for machines, the Mayo Clinic has nothing, so why cobble together a mottled dialysis machine.

Looking at that machine, parts from at least 4 manufacturers are pieced together, like a beggar.

But Dr. Charles didn't ridicule or ridicule, he was more surprised.

Dr. Zheng is like an experienced captain who has drifted at sea for decades, relying on clues to judge that a storm is coming.

Before that, he had already led his assistants to drive the broken ship to escape from the place with the strongest wind and waves.

It was unimaginable, Dr. Charles thought again, and could only sigh. If it were him on the operating table, he would not have predicted the acute failure of the liver in advance.

The previous unreasonable treatment became clear, although Dr. Charles still couldn't figure out how Zheng "predicted" that the patient would develop acute liver failure.

Is it because of the impact of interventional surgery? Dr. Charles silently searched for the possibility.

"Heparin 40mg plus normal saline 5000mL pre-flush line and plasma perfusion device, blood flow rate 75mL/min, replacement fluid rate 25mL/min." Zheng Ren commanded in a deep voice.

The doctor in the ICU started to operate the machine and performed bilirubin adsorption.

At the same time, Zheng Ren removed the entire heart and lung tissue in a half-inflated lung state, and placed it in the pathological basin. After receiving the 3D-printed lung tissue preserved in Perferdex solution from Xie Yiren, I started the ice bath.

Then the 3D-printed lower lobe of the right lung was placed in the chest cavity and anastomosed in the order of trachea-artery-atrial sleeve.

"Rehydration, 500ml normal saline." Zheng Ren said, "Dopamine, you can give it now."

Lao He immediately turned on the micropump that had been prepared, and the medicine immediately entered the body along the blood vessels.

"Adjust ECMO flow, mean pulmonary artery pressure is below 40 mmHg."

"Hepatic dialysis blood flow speed up, 100mL/min."

"Methylprednisolone 500mg shock."

A series of medical orders were issued, and the auxiliary doctors continuously adjusted the values ​​of ECMO, liver dialysis equipment, micropumps, and ventilators.

At the same time, Zheng Ren placed the lower lobe of the right donor lung in the right chest, continuously sutured the bronchial membrane with 4-0 absorbable monofilament suture, and sutured the cartilage with 4-0 Vicryl suture intermittently.

The stitching is done under a microscope, simple and crisp. It seems that the two things of on-the-spot command and surgery run simultaneously in the brain without interfering with each other.

Even if Dr. Charles once stood at the pinnacle of surgery, he was only at the pinnacle of technique, and he never paid attention to the whole process of surgery and every detail of everyone.

It's not that the details are useless, but that he... can't do it.

Zheng Ren performed the anastomosis under the microscope, Dr. Charles would not be surprised no matter how delicate the technique was. He just sighs with the passage of time, taking away his youthful vigor and stability and meticulousness at the same time, what he used to be able to do now is absolutely impossible.

However, during the operation, he can control all the details on the operating table in every detail, including the ventilator, micropump, ECMO, and liver dialysis. This is simply beyond the reach of human beings.

In the astonishment of Dr. Charles, Zheng Ren clamped the proximal side of the right pulmonary artery, trimmed the blood vessel as appropriate to make it suitable for the caliber of the pulmonary artery, and then continuously sutured the pulmonary artery with 5-0 Prolene suture.

His hands are steady, neither fast nor slow.

Then clamp a vascular clamp on the left atrium proximal to the pulmonary vein, remove the pulmonary vein stump ligature, connect the opening of the upper and lower pulmonary veins, and form a left atrium cuff of appropriate size, which is connected to the right pulmonary vein of the 3D-printed lung donor. The atrial cuff was sutured continuously with 4-0 Prolene suture.

After completing the anastomosis, Zheng Ren covered all the anastomotic openings in turn with 3D printed omentum, and performed the anastomosis patiently and meticulously.

This...the lung transplant on one side is done!

Dr. Charles glanced at the time in surprise, the cold ischemia time of the right lung was 58 minutes!

I didn't feel anything when watching the operation, but the moment the cold numbers appeared in my mind, Dr. Charles knew the gap.

This was the fastest lung transplant he had ever seen. It doesn't matter how fast the operation is done, the key is that the surgeon didn't devote himself to the operation, he is still the soul of the whole field, controlling all medical activities including the operation.

Is this the peak level after the peak? It has surpassed the feeling that I can understand, controlling the audience without missing a trace.

This is the real king of the operating room!

"Shh~" Su Yun let out a long breath, and took a look at the various values ​​of the monitor and ECMO.

"Boss, there seems to be no problem." Su Yun said, "The operation was successful?"

"It's only half, concentrate on it." Zheng Ren glanced at the various values, and began to give the doctor's order again.

"Adjust the ECMO flow, and the mean pulmonary artery pressure will increase by 5mmHg."

"Hepatic dialysis blood flow speed up, 110mL/min."

"Methylprednisolone 500mg shock."

"Dopamine and metaraminol slow down..."

In the singing of Good Luck, Zheng Ren's voice of giving medical orders became cheerful.

"Inflate the right lung, manually inflate the lung." Zheng Ren said softly.

Lao He responded, and began to adjust the position of the tracheal tube, changing to the single-lung mode and ventilating the right lung. As he started to pinch the ball, the air entered the fresh lungs, which inflated like a balloon, and the sound of beeping, beeping, beeping could be heard faintly.

That's not noise, that's the sound of life!

"It's done, next one." Su Yun said with a little excitement.

"Don't worry, warm salt water." Zheng Ren said.

The chest cavity was filled with warm saline, and Lao He pinched the rubber ball to control the expansion of the lung tissue. Finally, Zheng Ren reinforced the greater omentum at the anastomosis of the main trachea, thus completing the unilateral operation.

Then Zheng Ren retracted the Swan-Ganz catheter to the common pulmonary artery, and then placed it in the right pulmonary artery, and started the left lung transplantation.

For Dr. Charles, the surgery was actually done.

There is a difference in the operation process between the left lung and the right lung, but for an operator with a cold ischemia time of 58 minutes on the right side, there is no doubt whether he can complete the operation.

In the operating room, under the BGM of Good Luck, the sounds of various machines running were softly ringing, as if they were accompaniment for Good Luck.

Crisp and clean.