Chapter 2201

"Somebody, help!" The anesthesiologist opened the door of the operation room and shouted loudly.

Without hesitation, Zheng Ren turned and trotted straight to 9 hands.

"Yi Ren, watch Lin Yuan." He was in a hurry, leaving only one word in time.

Su Yun also ignored the pain and ran all the way with Zheng Ren.

Lao he pulled the flat car halfway and saw boss Zheng and Brother Yun running away. Knowing that something had happened, he immediately let go of the flat car and ran over.

Fang Lin just pulled the patient out and heard 9 the sound of panic alarm from various instruments in his hand. He also wanted to have a look.

"Take the patient and go quickly!" Su Yun glared at Fang Lin and ran into 9 hands with Zheng Ren.

The patient is under local anesthesia, so he has to go back after the operation. If you see an intraoperative accident, there are too many unpredictable risks.

Zheng Ren strode in and raised his eyes to observe ECG monitoring.

The heart rate displayed on ECG monitoring is ventricular fibrillation. It has been seen for less than 3 seconds, and the heart rate has decreased from 50 beats / min to 35 beats / min.

"Put people flat." Zheng Ren said in a deep voice.

The anesthesiologist intubated the trachea and several people worked together to level the patient. At this time, the heart has stopped suddenly.

Su Yun directly began extrathoracic cardiac compression.

"Adrenaline 1mg, atropine 0.5mg intravenously." Zheng Ren squints at the patient, with a doctor's order in his mouth.

He doesn't care who is standing on the operating table at this time.

Professor Zhu was also stunned by the current situation. Esophageal cancer surgery, intraoperative respiratory and circulatory arrest, what's going on?

Zheng Ren pulled down the sterile sheet, and subcutaneous emphysema was clearly visible in the patient's neck.

Compared with the system panel, Zheng Ren knows it well.

"Methylprednisolone, 40mg, intravenous!" Zheng Ren continues to give medical advice.

In emergency treatment, as long as one person commands the rescue with confidence, others will not question it under normal circumstances.

"Ice cap."

"Adrenaline!"

"Dopamine 8 μ G · kg / min pump in. "

"Push a dopamine first."

"Lao he, check the ventilator pipe."

"Atropine 0.5mg."

The doctor's orders were issued one by one. There was no panic and busyness in the whole operating room, and everyone began to move.

The performer Zhu and his assistant held their hands flat on their chest and looked silly. This rescue is too skilled.

The patient has subcutaneous emphysema. There may be a problem with the ventilator pipe. It is more likely that the trachea was broken during surgical stripping.

Break the trachea and haven't noticed

"Anesthesiologist, manual operation." Zheng Ren continued.

After 3 minutes, the patient's respiratory circulation was stable, but SpO2 fluctuated continuously at 74% ~ 82%, PetCO2 waveform appeared intermittently, and air leakage was found in manual breathing.

"Boss Zheng, the pipeline is OK." Lao he checked the pipeline as quickly as possible and reported it.

"Operator, inject 1000ml normal saline into the patient's chest!" Zheng Ren doesn't know Professor Zhu who is doing surgery today. He directly calls him the operator.

The itinerant nurse immediately opened the bottle of normal saline and Professor Zhu was stunned.

The person who broke in was boss Zheng. Professor Zhu didn't dare to say a word more. He knew in his heart that he had only seniority and was older than boss Zheng. To be honest, he was old now. Even when he was young, his level was at its peak and couldn't catch up with him.

I wish all kinds of emotions in professor's heart are mixed, and I can't tell the taste.

However, he judged logically and knew what boss Zheng was going to do. He still took the syringe and hit normal saline into his chest along the card.

The patient changed from lateral position to horizontal position, and there must not be much water. Professor Zhu estimated the amount of normal saline in his chest and felt that it would come out.

"Hold the endotracheal intubation and be in a higher position." Professor Zhu is thinking, and Zheng Ren's voice has come.

"Boss, the heart rate has stabilized for the time being." Su Yun said, "hurry up, ventilation can't be so low for a long time."

"Brush your hands."

Zheng Ren went to brush his hands quickly. He could see that he was anxious.

After Professor Zhu beat in 1000ml of normal saline, Zheng Ren and Su Yun had brushed their hands back.

"Boss, you put on your clothes and I'll cancel it again."

Er... This is... Professor Zhu was stunned.

This is to grab the position of your main knife! His heart was filled with shame and anger.

But anger alone is useless. There has been a mistake in the operation. Boss Zheng came to put out the fire, not to humiliate himself.

I wish the professor a clear understanding of this.

No matter how bitter the medicine is, you have to swallow it. Who made the operation by himself!

Zheng Ren changed his clothes, stood directly next to Professor Zhu, took over the endoscopic equipment, "hand controlled breathing, come now."

The anesthesiologist carefully held the ball and held his hand to control his breathing.

The endoscope lens finds the position of the trachea in the water, and Zheng Ren looks at the screen. Soon, a rupture of about 0.5 cm appeared about 4 cm above the tracheal carina.

As the anesthesiologist pinched the ball, bubbles came out at the position of the crack.

"Lao he, the endotracheal tube should be deeper." Zheng Rendao.

Lao he nodded. He cooperated with the anesthesiologist of this machine. While controlling his breathing, he sent the endotracheal intubation down.

Cross the broken position and fix the endotracheal tube again.

"Needle, thread."

Su Yun stood next to Zheng Ren and pushed Professor Zhu and his assistant down.

I wish the professor this depression.

But you can't argue on the operating table. No, the patient's heart stopped just now. It's not good to make trouble again.

Professor Zhu stood behind Zheng Ren and looked at it. After only ten seconds, he found that boss Zheng's operation was very good.

The ruptured trachea was quickly sutured. Zheng Ren took a look at ECG monitoring - blood pressure 125 / 94mmhg, heart rate 67 beats / min, blood oxygen saturation 98% ~ 100%.

"All right, that's it." Zheng Ren took a closer look at the tumor and knew what was wrong with Professor Zhu's operation.

There should be no problem. Zheng Ren turned to step down.

Su Yun paused slightly, sighed and turned down.

"Boss Zheng, it's all right?" Lao he asked.

"Yes." Zheng Ren suddenly realized that Su Yun seemed to sigh.

Thoracic surgery

"Let's have a chest operation." Zheng Ren whispered.

"Nothing." Su Yun was a little listless and said, "there's nothing to do with a thoracoabdominal endoscopic esophageal cancer operation."

Su Yun also knew that his boss was worried about Lin Yuan and didn't want to have an ordinary esophageal cancer operation.

As they spoke, they walked out of the operation room.

"Zheng... Boss Zheng, thank you." Professor Zhu said.

"Oh, you're welcome." Zheng Ren turned back and smiled, then left.

"Eh? Where's Lin Yuan?" Su Yun saw that Lin Yuan had disappeared at the end of the corridor and asked in surprise.

"It should be slowing down." Zheng Rendao.

"What happened to her just now?" Lao he asked.

"Hydrogen sulfide poisoning." Zheng Ren said, "if hydrogen sulfide is stimulated for a long time, the olfactory system may not be so sharp, so this will happen."