v3 Chapter 2343： Hot work

"The pregnant woman is going to have a baby." The obstetrician was whispered to remind her as she was preparing something.

"It's still 52 minutes, so hurry up to prepare things!" Zheng Ren's voice was a bit cold and low.

The hospitalization for obstetrics always took a while, and she didn't know how the 52-minute evaluation of Boss Zheng said.

Is it so advanced now? Why don't you know.

And Zheng Ren didn't notice that he had leaked, and continued to direct the rescue.

"Notify the operating room that after everything is ready, hurry up to disinfect and give them 30 minutes." Zheng Ren continued.

"Okay." Linge just arrived and didn't know what happened, but Boss Zheng's instructions must be implemented without hesitation.

的 The gear that rescued the patient turned, and a rattling noise came from the inexplicable space. The huge machine turned around, and many doctors and nurses were busy with it.

"Anesthetist, can our hospital do anesthesia for newborn babies?" Zheng Ren looked at the pregnant woman and emphasized this point again.

"I called the Women and Children's Hospital."

"Hurry up!"

5 minutes, the patient's family agreed to the live broadcast of the operation.

After 12 minutes, the warm quilt was taken to the operating room.

After 14 minutes, two forced inflatable insulation blankets were delivered to the operating room.

After 19 minutes, the sterile infrared radiation table was moved to the operating room.

Operating room begins to disinfect and do aseptic treatment one last time.

23 minutes, the staff of Xinglinyuan Legal Department came to the obstetrics department and signed a legal document with the patient's family with the lawyer of the medical office.

In 34 minutes, Director Wang, anesthesiologist, and professional neonatal nurse of the Women and Children's Hospital came to 912 in an ambulance.

For 45 minutes, the pregnant woman was delivered to the operating room, and the preparation was completed before the operation.

For 47 minutes, Lao He began to do general anesthesia for the pregnant woman with a serious face. The anesthesiologist at the Women and Children's Hospital was busy preparing all the equipment they needed to prepare anesthesia for the fetus.

"The operating room temperature increased, 26 ... 28 degrees Celsius." Zheng Rendao.

"Okay." In the melodious song of good luck, the circuit nurse responded.

The temperature of the operating room is generally adjusted according to the habits of the surgeon, but the temperature required by most surgeons in the operating room is about 24-25 degrees Celsius.

This temperature, I feel the best, not cold or hot, the condition of the surgeon is good, the operation will be smooth.

And 28 degrees Celsius, this temperature is too high for the medical staff in the operating room.

But the itinerant nurse did not ask Boss Zheng why he wanted to raise the temperature, and there were various insulation items beside him, which said everything silently.

The temperature in the operating room must be higher.

Compared with conventional obstetric surgery, maternal and newborn infants are at greater risk of hypothermia during fetal surgery. Maternal anesthesia and prolonged operation time, increased infusion volume during the operation, and the removal of a large amount of heat from the mother after the delivery of the fetus can easily cause the maternal body temperature to drop.

The operation also needs to be performed on the fetus with the placenta. The abdominal cavity is opened and the procedure is prolonged, which further increases the risk of hypothermia in pregnant women.

Not only pregnant women, the fetus also needs to be warmer.

The fetal or neonatal body temperature regulation center is not fully developed, the ability to maintain body temperature is low, and the body temperature is too low, which leads to respiratory complications such as respiratory depression and delayed postoperative wakefulness.

Therefore, the maternal and newborn vital signs should be closely observed during the operation, and effective thermal insulation measures should be taken to provide nursing care for the mother and newborn.

This is just a detail, every detail is a part on that huge machine. Only when all parts are flawless will it be possible to achieve what Zheng Ren wants.

"The radiation warmer starts to warm up." Zheng Ren continued to command.

The Xieyi people came to the operating room carrying the sterile sterile surgical box, brushed their hands and tapped the instruments.

Whether it is a surgeon or an anesthetist, an equipment nurse, or a circuit nurse, there are two sets of men and women.

Nevertheless, the two itinerant nurses are about to fly up, and the pediatric and obstetric doctors who are not on stage are busy together.

The radon radiation warmer was pre-heated. The upper body of the mother was covered with a quilt, and the abduction arm was wrapped with a surgical sheet.

Two sets of forced inflatable insulation blankets are used to cover the lower body of the mother at the same time. One set of exhaust faces is used for maternity insulation, and the other set of exhaust faces is used for newborns without umbilical cord insulation. The temperature is controlled at 45 degrees Celsius.

The instruments for liquid warming are turned on long ago, and the liquid at 37 degrees Celsius is placed in a row. Neat and solemn.

After the anesthesia is completed, Lao He stretches out his hand and raises his thumb to Boss Zheng to signal that the anesthesia is complete.

The airtight door was closed and the operation was officially started.

The doctor in the obstetrics department first performed the operation, and a 12-meter long incision was made on the abdominal wall of the pregnant woman, and a caesarean operation was started.

The first and second fetuses were successfully removed.

At 28 degrees Celsius, wearing a sterile surgical gown for surgery, and faced with a small child with a congenital huge umbilical bulge, the back of the director Wang of the Women and Children's Hospital who had a caesarean section after more than ten minutes of stress Soaked with sweat.

Zheng Ren brushed his hands, dressed, and watched the entire operation without moving.

站在 He stood in front of the thermostat under the legs of the pregnant woman, staring at the third child with a huge umbilical bulge.

The swollen abdominal organs are exposed to the outside of the abdominal cavity through an open umbilical ring, but are different from ordinary hernias. Although all organs are not covered by skin, they are surrounded by a translucent, non-vascular membrane.

层 This layer of membrane is formed by the inner layer of peritoneum and the outer layer of amniotic membrane, and the middle is gelatinous connective tissue.

After taking out the two fetuses, Director Xie Wang did not immediately treat the third child in the uterus, but wiped his head with sweat.

A piece of sterile gauze was wrapped around the head, and the disposable sterile cap was soaked.

In the operating room, no one spoke except for the singing of good luck.

Until now, the operation was officially started, and the most critical surgical steps were exposed.

Director Wang Wang rubbed his sweat and looked up at Zheng Ren ~ www.novelhall.com ~ Zheng Ren nodded slightly, indicating that he was ready.

"Body temperature," Zheng Ren asked.

"Preoperative pregnant woman's body temperature was 36.7 degrees Celsius, and now her body temperature was 37.1 degrees Celsius." Lao He Shen said.

Director Xie Wang then carefully avoided the abdominal organs surrounded by a translucent membrane and gently removed the left arm of the child.

Zheng Ren reached out and patted a syringe with the medicine in his hand.

For triplets, the newborn weighs only 2.6 kg, and the child weighs the lightest. Visual inspection is about 2.3 kg.

The arms are thin and the blood vessels are almost invisible.

If you want to see the truth, the difficulty is not high. In the face of neonatal surgery, Director Wang has done many cases, this step is the most time-consuming.

Invisible blood vessels, but also a needle to see blood. Sometimes the operation is delayed at this step for 5-10 minutes, until the child's arm is punctured with more than 10 needles, and no venous blood vessels can be found.

Looking at the internal organs wrapped in translucent membranes in the pregnant woman's palace, Director Wang sighed.

In the strict sense, the child in front of the eyes is no longer an umbilical bulge. If it is accurate, there should be no belly.

This seriously affects the growth of the fetus.

Vascular conditions are worse, can boss Zheng do it?