Chapter 2563

"Xiao Qin, don't say a word. Are you a little nervous about such a big operation? Why are you talking so much?" Director Qiu said.

"Director Qiu, I must be nervous. I don't have to stand for long for this operation. I'm a little upset today. I didn't dare to eat early in the morning. Give me 500ml of sugar around 10 o'clock. I hope my stomach won't do anything." Doctor Qin nagged.

"Can you hold on?"

"If you can't hold it, you have to hold it. What if you don't do it?" Assistant Dr. Qin said.

The performer didn't say anything. Like Zheng Ren, he stood in front of the film reader, checked the film first, and then began the last film reading.

Preoperative examination and reading films are important and unimportant, but every detail of the operation should be serious and careful.

For example, the film of the last operation was not taken away and still hung on the film reader. The doctor of the next operation came up to see it as the film of his own patient. There are many examples of wrong position in the end.

Everyone makes mistakes sometimes, but the cost of making mistakes in the medical profession is too high to afford. So most doctors have mild or severe obsessive-compulsive disorder.

Zheng Ren noticed the details of the performer's actions, and his heart liked + 1.

"Director Qiu, during the operation, anesthesia was maintained by inhalation of 1% ~ 1.5% sevoflurane, chestnut injection of propofol and sufentanil, and muscle relaxation was maintained by intermittent intravenous injection of atracurium CIS benzenesulfonate. The operation center rate was maintained at the preoperative compensation level, about 60 ~ 70 times / min. do you think it's ok?"

Su Yun asked respectfully after adjusting the instrument.

"Yes, yes." Director Qiu nodded again and again.

"Little comrade, this attitude is right. Director Qiu's anesthesia level is first-class. Study hard and you will certainly be able to use it back." Assistant Dr. Qin said when he put the patient in position and went to brush his hands.

Director Qiu took a careful look at boss Zheng and saw that he had no emotional change. Another look at Su Yun, three-layer mask... Why does he wear so many masks? This question once again appeared in director Qiu's mind.

It's just a question. Director Qiu doesn't dare to ask.

"Director, I disinfected." Assistant Dr. Qin said to Director Xu after brushing his hands.

Director Xu just nodded. He didn't talk much after he entered the house. I don't know whether it's the tension that leads to less words, or whether it's because he doesn't want to talk.

Disinfect and lay the sterile sheet, and prepare the connecting lines of electric burn, ultrasonic knife and other instruments. Dr. Qin sewed on the sterile sheet and double 7# tied a surgical knot to smooth the messy line.

Director Xu brushed his hands, disinfected, put on sterile clothes, and stood at the position of the operator. A very difficult operation, three people started.

It depends on the number of people. Some smaller hospitals are willing to find four people to fill the operating table. But after all, this is the top ten hospital in China, so there is no need to do face engineering at all.

The sternum saw splits the sternum, and the hum makes Zheng Ren feel a little familiar. It's just that I didn't hold a sternal saw and stand in the position of the operator. This feeling is quite special.

Zheng Ren stood behind the operator to watch the operation and adjusted the focus position of the shadowless lamp from time to time. It's very comfortable for a top performer to be an assistant. Standing on the waiting table below, it was an ultra-high configuration. All kinds of details made director Xu's operation a little smooth.

Director Xu's operation was in order. There was no big problem with skin incision, sternum incision and cardiopulmonary bypass. Even if Zheng Ren was standing on the operating table with hemostatic forceps in his hand, it was useless. He couldn't knock on director Xu's radial process.

"The heart rate slows down. Inject anisodamine 1mg intravenously and observe for a few minutes. If not, continue to give isoproterenol 2 μ g。” Zheng Ren murmured as he watched the operation.

Su Yun sat in the position of Lao he's assistant. He was used to the comfort of the small round stool. He looked around and skillfully wrote the anesthesia record.

He is like a standard anesthesiologist. Director Qiu thought that an operation that should be very busy was busy. He had run to supervise cardiopulmonary bypass.

"Boss, you are too wordy." Su Yun patted a row of syringes in front of him and said.

"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 rescue drugs, he would certainly hang you up and beat you."

"It's all right. I'll cover it with a list. She can't see it." Su Yun smiled. The temperature in the operating room seemed to rise by 1 ℃, warm as spring.

"Then, Ma Shi, what are you doing with so many rescue drugs?" Dr. Qin asked.

"I'm used to it. There's a strict boss in our place. Every time he says what medicine to use in the emergency rescue, he hits the anesthesiologist's head with hemostatic forceps before pushing into the tee three seconds later." Su Yun said with a smile, and then gestured with his hand, "such a big bag."

"I'll go! Director, look at the position of the surgeon!" Dr. Qin exclaimed.

"Have a good operation." Director Xu finally said his first words on the stage.

Zheng Ren felt helpless. If the goods were all right, he would hate himself. Is it really good? Besides, it seems that only Su Yun has smashed people with hemostatic pliers twice, and he hasn't done it once.

"Boss, systolic blood pressure is below 100. Add some liquid?" Seeing that director Qiu was not around, Su Yun directly asked Zheng Ren for instructions.

"Say it below 90." Zheng Rendao, "huge left atrium, heavy pulmonary congestion, fluid volume should be controlled."

"How much urine?" Su Yun asked.

“450ml。”

Zheng Ren didn't look at it and said directly.

Su Yun began to record and observe the patient's vital signs. Director Qiu toured around and heard the dialogue between boss Zheng and Su Yun. He had a certain understanding of their anesthesia level.

The strong are always strong. That's true.

At this anesthesia level, I can't pick out any mistakes anyway. I can't do it myself. No one in China should be stronger. On this anesthesia level, it is said that his full-time anesthesiologist has a higher level! Who the hell is it? Director Qiu broke his head and didn't remember 912 who he didn't know.

20 minutes later, when the blood pressure dropped below 90 mm Hg, the symptomatic treatment was given by rehydration, but Zheng Ren observed that the blood pressure was still slowly decreasing for 10 minutes.

"Ephedrine, 5mg intravenously."

Just after the voice, the syringe has been connected to the tee.

"Little brother, hand speed is fast enough!" Dr. Qin belongs to the kind of person who sees six ways. He saw Su Yun's operation and exclaimed.

"I'm a professional player in E-sports. I used to be an anesthesiologist after I retired. I'm old and my hand speed is not as fast as when I was young." Su Yun said thoughtlessly.

Obviously, this topic interested Dr. Qin more. Although Su Yun was nonsense, he was forced by his solid knowledge. After talking for a few minutes, he blunted Dr. Qin as soon as he said the operation of the order.