Chapter 2566

"Boss Zheng, awesome!" Director Qiu is not rainbow fart this time. He is telling the truth.

Yesterday I took out the free Kirschner wire, but the case is strange. I can't see whether the operation is good or not. Er... The free adhesive Kirschner wire is really good, but it's just good.

But today, boss Zheng stopped closing his chest and almost made himself unhappy. Director Qiu now calmed down and looked back at what had just happened. The more he thought about it, the more he worshipped it.

No one will deny that ECG is related to radial artery pressure waveform. But there are not many people who can see it. Even those who know a little fur are good anesthesiologists.

It's not important. What's important is that boss Zheng can see it a few minutes in advance and can confidently and unswervingly prevent the operation from continuing.

If you don't count in your heart, dare you directly ask the operator to reopen the sternum screwed with steel wire?

Once there is nothing wrong with the patient's chest after opening, this kind of thing will spread and affect boss Zheng's academic status.

People must be sure. This is a gap in the realm. Director Qiu sighed in his heart. Boss Zheng is so young that he can get the Nobel Prize. It really makes sense under his reputation.

"Boss Zheng, how did the card flap happen?" Director Xu asked suspiciously, "I've noticed everything that should be noticed. I didn't expect to get stuck."

"It's all right. There must be various abnormalities in the operation. I also see that you pay attention to some key points when you perform the operation. For example, you are worried about the suture flap. You've looked twice and observed 3'12" again. You've really been very cautious. "

Zheng Ren said with a smile.

Director Xu was grateful, but then a sense of awe struck rose in the deepest place.

Did boss Zheng even notice that he observed 3'12 "? I only remember that I observed for two or three minutes, but if director Xu said how long he had watched, he didn't know.

"In addition, tissues and foreign bodies that affect the activity of the biological valve can also lead to valve sticking. I think you have noticed that this is also excluded."

"As for the formation of thrombotic valve sticking after cardiopulmonary bypass, I paid attention to the drug dose, no problem." Zheng Ren said casually while looking at the values of each machine.

"That..." director Xu asked suspiciously.

"It's the patient's pathophysiology and anatomical structure itself, which can't be avoided. If we don't say that our work is risky, we may not be able to avoid it. When I was 912, the urology department did an electric resection of the prostate. Our director was careful and careful. There was still an explosion during the operation, resulting in bladder rupture."

Speaking of this, everyone was very moved.

No matter how careful you are, you can only reduce the possibility of some side injuries, which will never be avoided 100%. Humans don't even study their own bodies thoroughly. Trying to avoid all complications is tantamount to nonsense.

Boss Zheng found and avoided problems, but he was not arrogant. He simply said all kinds of points and mentioned many details of director Xu. This person is really not simple.

"Boss Zheng, Dr. Su, how did you two find out?" Director Qiu sighed that boss Zheng was not simple several times, and then put forward this interest.

"Director Qiu, if you were on the operating table, how would you judge?" Su Yun asked.

"Sudden paroxysmal or persistent ECG wave is separated from the pressure curve waveform of arterial monitoring. There is only one pressure curve wave in several ECG cycles, and the pressure wave tends to be flat gradually. It is a reliable basis for the diagnosis of acute dysfunction of mechanical valve." Director Qiu said.

"Yes, the initial fluctuation is not obvious, but if you look carefully, there are 0.8 waveform separation in a minute. It may be caused by machine interference and measurement error, but you should always observe more." Su Yun smiled.

Less than a minute at a time, director Qiu sighed, but he couldn't find this situation. Even if it is found, it is impossible to firmly ask the director of surgery to rework.

Speaking of head, boss Zheng is still a cow!

"At the beginning, there must be no way to judge whether the valve is stuck due to the rupture of mitral chordae tendineae. At this time, the anesthesiologist should make a quick judgment." Zheng Ren smiled.

"Factors such as patency of radial artery manometry pipeline, severe left ventricular dysfunction, volume deficit, appropriate dosage of vasodilators, deep anesthesia and protamine allergy were excluded."

"Just now I took a look. It's all right. I can only wait or directly reopen my chest to see the situation." Zheng Ren said, "because I'm engaged in surgery and I'm more radical. Instead of chatting on the operating table, I'd better open my eyes and look at my heart. This is the most powerful evidence. If there's a problem with my eyes, it's OK."

"What if it's all right?" Director Qiu asked suspiciously.

"Close your chest. Do you still have to open it as a movie?" Su yundao.

“……”

Director Qiu is speechless, so simple?! Indeed, it depends on the situation after the second thoracotomy. If it's all right, you must close your chest. But at this time, the anesthesiologist has to face the anger of the surgeon!

Outrage!

Interfere with the operation, but I can't say why. I'll be shameless in the future.

Seeing director Qiu's exposed expression, Zheng Ren knew what was thinking in his heart, so Wen Yan said, "director Qiu, we can't take risks because of face."

Director Qiu took a deep breath and said this to boss Zheng

"Boss, you dare say so. It's not face, it's credibility. What will the surgeon think if he makes a mistake this time? What if something happens again next time? The wolf comes, the wolf comes, and who believes you when he cries more often." Su Yun took it directly.

This is in director Qiu's heart.

Don't mention that in the past, we couldn't make such an Oolong for Bao Lao. Even now, we can't make an Oolong for the director of surgery with the same qualifications. Once there is no credibility, no one will listen to what they say in the future.

"Ignore him, director Qiu." Su Yun continued, "he saved the whole universe in his last life. He is right every time. If he has a good life, he can't copy anything. If only he could copy it and paste it directly, everyone's luck is so good."

"This is a wealth of clinical experience." Zheng Ren thought about the system operating room and stressed.

"The clinical experience of fart is that the waveform just doesn't match. I also saw it. If you want to directly eliminate the interference of machine power, I'm the first to express my dissatisfaction." Su yundao.

Zheng Ren smiled. The level of the goods was enough. He dared to question himself. No matter how many blows, he couldn't extinguish his persistence.

If you are a little worse, you will directly doubt life, just like director Qiu.