Chapter 2564

Ringer's lactate solution and colloidal solution were input before cardiopulmonary bypass, and CVP was maintained at 10 ~ 12mmhg. The operation went smoothly, accompanied by anesthesia, without flaws.

An hour,

Two hours,

three hours,

Six hours

Mitral valve replacement, tricuspid valvuloplasty and left atrial folding were completed one after another. Zheng Ren kept wiping the sweat for the operator. Director Qiu was shocked.

It is rumored in the Jianghu that boss Zheng is young and vigorous. He kept thinking last night whether boss Zheng wanted to say that Lao Xu is wrong here and there during the operation. Talking indiscriminately led to frequent surgical accidents.

But when boss Zheng came on stage, he knew that there were not enough people. He took over the anesthesia directly and stood behind the operator to see the operation, but he didn't say a word.

It's a Jianghu rumor. I can't hear it. Director Qiu thought to himself. Boss Zheng's temper is so good that he is arrogant and domineering? The next time someone says that, you'll have to turn your face if you stand up.

It's bullying to say that people are rude with such a good temper. Director Qiu has seen a lot of people trampling on people in the medical circle, especially for some rising stars.

This is boss Zheng, who, relying on his own strength, directly killed a path of blood, stood at the end of the food chain and looked down at everyone.

"Stop cardiopulmonary bypass." Director Xu said in a deep voice, a little tired in his voice.

Shengsheng stood attentively for 6 hours. The tense and delicate operation made the operating room diffuse the smell of dopamine and adrenaline.

After opening the ascending aorta, intrathoracic electric defibrillation, energy 20j, once, cardiac rebound.

Pump adrenaline 0.02 after 10 minutes of restart μ g/kg. Min and nitroglycerin 0.5 μ g/kg. min。

Su Yun paid attention to maintaining PetCO2 between 30 ~ 40mmhg and blood K + concentration around 4.5mmol/l.

The operator did a good job in the operation, and the anesthesia cooperation was almost perfect. After 6 hours of hard work, it was finally over.

After washing and closing his chest, director Qiu breathed a sigh.

Once upon a time, when I assigned the counter to Bao Lao, I was busy at the back of my head every time. But the mutual cooperation between boss Zheng and Dr. Su's anesthesia is as light as weight, which shows the problem.

The layman watches the excitement while the expert watches the doorway. Many problems that may affect the operation were avoided and eliminated by boss Zheng and Dr. Su in advance, so the operation was forced to go smoothly.

Master Xu may not know that he doesn't have the mind to take care of so many things, but he has to be like a mirror in his heart. Director Qiu is constantly thinking about how to pat boss Zheng with rainbow fart after operation.

Director Qiu was distressed that boss Zheng should be comfortable and not be too explicit. I haven't flattered since I became a senior director. I'm really not good at this.

"The intraoperative bleeding was about 800ml, the fresh frozen blood paddle was 800ml, the cold precipitation was 10 units, the postoperative Hb was 95g / L, and the hematocrit was 28%. The patient had urine throughout the operation, and the total urine volume was 2500ml." Su Yun whispered while writing the anesthesia record.

The sound penetrated through the three-layer mask and seemed a little stuffy.

Flush and close the chest, and start screwing the steel wire on the operating table to close the sternum. Director Qiu felt confident, went to Zheng Ren and whispered, "boss Zheng, your anesthesia level is also very high."

"A little understanding, not as good as my anesthesiologist." Zheng Ren's eyes fixed on the monitor and didn't move away for a second.

Director Qiu was worried about something. He took a look at ECG monitoring. All kinds of values were ideal. It's not a problem, but boss Zheng's nature is more cautious. Director Qiu thought to himself.

"Your anesthesiologist... Is the legendary Lao he?"

"Yes." Zheng Ren's answer is very simple.

"What's his full name? I'll ask when I go back. I'll have dinner with this old he when I say anything at the next annual anesthesia meeting." Director Qiu said with a smile.

But the goodwill was thrown out, but boss Zheng didn't answer. Director Qiu was a little cold in his heart.

I put my attitude to the level of a full-time anesthesiologist in boss Zheng's medical group. Why doesn't boss Zheng take over? It's a little embarrassing.

"Operator, close your chest and wait a minute." Zheng Ren suddenly said in a deep voice.

Su Yun also seems to be looking at the screen. Instead of facing his boss, he squints.

Director Qiu was stunned. He took a look at the various values of ECG monitoring and ventilator. There was no problem at all

On the operating table, Dr. Qin is talking and laughing with the instrument nurse. The car doesn't drive fast. It's just used to relieve the nervous pressure. Maybe it can make the venous reflux of the swollen lower limbs faster.

"Don't close your chest." Su Yun stood up and said, "open it."

"What?!"

"What?!"

Dr. Qin and director Qiu were stunned.

Director Xu, who was twisting the steel wire, looked up and tied a white sterile gauze strip on his sterile hat. The gauze strip had been beaten through by sweat.

He looked suspiciously at ECG monitoring, Zheng Ren and Su Yun, then bowed his head and continued to twist the steel wire.

"Don't close your chest. Don't you hear me." Su Yun denounced that the situation was urgent. His words had begun to get dirty.

Director Xu looked up and didn't look at Su Yun. Instead, he looked at director Qiu coldly and said, "director Qiu, take care of the visiting doctors. What does it look like in the operating room?"

"The director, open it again and have another look." Zheng Rendao, "the ECG wave does not coincide with the radial artery pressure curve wave. There may be a problem."

He spoke slowly and without emphasis, but there was an indisputable smell between the lines. It seems that... The operating room is run by his family. Whoever is dishonest will be kicked out.

Uh

Director Qiu was stunned. Is the ECG wave inconsistent with the radial artery pressure curve wave? What's wrong?

ECG is sinus rhythm, no problem. The radial artery pressure curve seems to be ok

Director Xu once again determined that the values were stable. He glared at Su Yun and scolded, "are you an operator or am I an operator!"

"How can you do that? If the boss is tough, he still has to have a full-time anesthesiologist." Su Yun said contemptuously, "hurry up and have a look. It's more troublesome to open the skin after sewing."

"This......" Zheng Ren wondered.

"Director Xu, director Xu." Director Qiu's cold sweat came down. He didn't understand that boss Zheng was just as gentle as the spring breeze. The years in the operating room were quiet. Why did he suddenly burst into trouble.

Is it to show a sense of existence? It's impossible. To show a sense of existence, boss Zheng has countless means and techniques to avoid making fun of patients in the operating room.

It's not fatal, but it's delayed after all.

"Director Xu, consider the artificial valve Caton, open it and have a look. It's too late." Zheng Ren said in a deep voice.

"Who are you?" Director Xu said unhappily, "I did the operation. I know it well. You anesthetist visiting from abroad, beep here..."

"Director Xu, this is boss Zheng!" Director Qiu couldn't care about anything else. He immediately stopped director Xu's words and said directly.

"Boss Zheng? Which one?"

"Who is 912..." director Qiu was confused, but he still took the time to appease the people present.

Director Xu was stunned.