Chapter 2764

Zheng Ren sat in the operation cabin day and night practicing.

When [distance produces beauty] is completed, there is still no rest. 500 energy points provide durability. This is only a starting point for Zheng Renlai, not the end.

Less than three hours after he completed the task, the completion of continuous tasks has become 5 / 100.

Su Yun's talent is really unspeakable. Zheng Ren is also convinced of it.

He is a plug-in, Su Yun... If talent is also a plug-in, he should also open the plug-in very big.

There was a genius chasing after him. Zheng Ren felt that he was running a little faster.

I have surgery and training surgery every day. I go to chat with little stone. My life is very stable.

Xiaoshi's condition is stable. He takes medicine on time every day. Zheng Ren visits him three times a day. His body is gradually recovering.

Although his blood oxygen saturation is not perfect, Zheng Ren feels that after the targeted treatment of abnormal conditions, bota's response can be called the world's top, and he has no reason to ask for more.

Two days later, the gallbladder cancer surgery of hepatobiliary surgery was ready. This is a live operation. Zheng Ren specially took Su Yun home at 8 o'clock the night before.

Laparoscopic gallbladder cancer surgery is not difficult to say, it is absolutely not simple to say. Zheng Ren wants to maintain sufficient energy and physical strength to face it.

Unlike the 3D printed Sims, he was faced with live people in the live operation, and could not tolerate any carelessness.

The operation is still scheduled to start at 1:30 p.m.

The operation was very smooth. Zheng Ren did it in an orderly manner by disinfecting and laying sterile sheets, establishing pneumoperitoneum, and stripping tumor tissue little by little with endoscopic pliers. Su Yunfu's level of mirror can be called the peak. They have no silent surgery of communication. Only the song of good luck floats in the operating room.

"Lao he!"

Halfway through the operation, the door of the operating room opened and an anesthesiologist shouted in a hurry.

"Huh?" Lao he is a little unhappy. This is the live broadcast of the operation. He calls himself so loudly. What if boss Zheng is frightened and makes mistakes in the operation!

But after a look, boss Zheng was still like a stone. The sky fell and he was unmoved and focused on the operation.

"Two hands, there is a problem with the intubation. Director Xu asked you to have a look." The anesthesiologist said in a hurry.

Isn't director Xu there? Do you want to do it yourself... Lao he had no choice but to stand up and run over in a hurry.

There is an assistant in the operation, and his own assistant takes care of it. It should be all right. But it doesn't seem good to leave for too long. Lao he tangled up and trotted to 2 hands.

A group of people were busy talking inside, and the operating room was full of a sense of awe.

This is a special accident. Lao he glanced at it immediately. Put the laryngoscope device aside. Obviously, the laryngoscope has been used, but the pipe still can't go in

Lao he was a little nervous.

The patient was given oxygen through the mask, and director Xu stood aside with his face as heavy as water.

"Light bar equipment!" Lao he doesn't need anyone to say. He knows what director Xu came to do.

The level of endotracheal intubation under the guidance of light stick is the highest in the whole anesthesia department, thanks to... My luck is too bad. In order to avoid accidents and anesthesia accidents, the patient died on the operating table. Lao he specialized in this technology and practiced it for a long time.

Although the light stick guided intubation technology is not very difficult, but the details see Kung Fu. Even director Xu can't compare with himself.

Lao he stood on the side of the patient's head and an anesthesiologist handed over a light stick guiding device.

The patient's neck has been padded with a small pad to slightly tilt his head back, which is convenient for the patient to open his mouth and make the intubation easier.

The patient's breathing became weaker and weaker after the anesthetic was used. Lao he felt a little flustered.

He gently lifted the patient's jaw forward and upward to increase the distance between the upper and lower incisors. When he was ready to use the light stick for guidance, he suddenly said in a deep voice: "call boss Zheng! 6 hands!"

In case of such an "accident", we must find the most powerful person to suppress it. Director Xu tried the laryngoscope, but the facts proved that it couldn't. That's why Lao he came to conduct endotracheal intubation under the guidance of a light stick.

Without boss Zheng around, Lao he felt that he had no bottom in his heart.

It doesn't matter even if the surgery is being broadcast live. In the face of an emergency, those are small things.

After Lao he roared, he immediately held the handle of the light stick with a pen, and gently inserted the light stick with the tracheal tube into the deep part of the laryngeal cavity along the natural arc of the throat.

At the same time, rotate the light rod clockwise by 15-20 degrees. The goal is to make the bright spot at the tip of the light rod appear at the level deeper than the thyroid cartilage and the gap between the trachea and the muscle.

Then Lao he gently rotates counterclockwise and retreats the light rod at the same time.

This series of movements was quite skillful, and it took less than 5 seconds before and after. If someone else, I'm afraid I'm still trying to insert the light stick into the patient's throat.

Lao he concentrated on the operation, because this is the most critical step.

When the resistance of counterclockwise rotation disappears, usually the light can illuminate the trachea instantly. At this time, hold the position of the tip of the light rod and rotate back and forth slightly in clockwise and counterclockwise directions to find the best position to illuminate the trachea.

Lao he has done more than 10 similar emergency cases. He will see the beam of light illuminating the trachea during each operation.

But 0.2 seconds later, Lao he was disappointed.

He dared not blink for fear of missing the best position. But even so, I still didn't see the illuminated trachea.

The trachea cannot be seen. Naturally, there is no series of steps to gently send the light rod forward for 2-3cm, cross the vocal cord, fix the position of the light rod with the right hand, loosen the jaw with the left hand, hold the catheter and send it forward along the light rod into the trachea.

The light rod guided endotracheal intubation also failed.

"Director Xu, I can't see. I can't see at all." Lao he said hurriedly as he looked up.

Really special!

Lao he wanted to try again. He saw boss Zheng stride in.

"What happened?"

"After anesthesia induction, endotracheal intubation failed. I tried laryngoscope and light stick guidance, but I couldn't." Director Xu said in a hurry.

Zheng Ren still wears the device for live operation, but he doesn't realize it.

Combined with director Xu's description and system panel, Zheng Ren knew the basic situation in the shortest time.

The patient's airway resistance increased sharply, the peak airway pressure was 38 ~ 45mmhg, SpO2 decreased sharply to about 70%, hr112 times / min, bp150 / 76mmhg. It is considered that bronchospasm is complicated during general anesthesia induction and intubation.

"Mask breathing bag double pressure assisted ventilation!" Zheng Ren said in a deep voice, "prepare the tracheotomy bag."