v3 Chapter 2764： Betting

Zheng Ren sat in the operation room and practiced day and night.

When [distance produces beauty] this task has not stopped after the part about him is completed, 500 energy points provide durability. This is just a starting point for Zheng Ren, definitely not the end.

And less than 3 hours after he completed the task, the completion of continuous tasks has become 5/100.

Su Yun's talent for this product really can not be said, Zheng Ren is also very convinced.

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

There was a genius behind him, Zheng Ren felt as if he was running forward a little bit faster.

Surgery, training surgery, chat with small stones every day, life is very stable.

The condition of the small stone is still stable. He takes medicine on time every day. Zheng Ren visits three times a day. His body is gradually recovering.

Although his blood oxygen saturation was not perfect, Zheng Ren felt that after the treatment of abnormal conditions and targeted treatment, Botta's response was called the top in the world, and he had no reason to ask for more.

Two days later, gallbladder cancer surgery for hepatobiliary surgery was ready. This was a live-stream operation. Zheng Ren deliberately took Su Yun home at 8 o'clock the evening before.

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

Unlike 3D printed simulators, they face living people during the live broadcast of surgery and cannot afford to be sloppy.

The operation is still scheduled to begin at 1:30 in the afternoon.

The operation was very smooth. Disinfection and placement of sterile sheets, establishment of pneumoperitoneum, and laparoscopic forceps stripped the tumor tissue a little, Zheng Ren did everything in an orderly manner. The level of Su Yunfu's mirror can be called the pinnacle. The two had a silent operation without communication, only good luck singing in the operating room.

"Lao He!"

The operation was half done, the door of the operating room opened, and an anesthetist roared hurriedly.

"Huh?" Lao He was a little upset. This is a live broadcast of the surgery. Call yourself so loud. What to do if Boss Zheng is frightened?

But glanced at it, Boss Zheng still looked like a stone, and he was totally indifferent to the surgery.

"Two hands. There was a problem with the intubation. Director Xu asked you to take a look." The anesthesiologist said hastily.

Isn't Director Xu here? Why do you have to do it yourself ... Lao He had no choice but to stand up and run in a hurry.

There is an assistant, and my own assistant is taking care of the operation. It should be fine. But it seems not good to leave for too long, and Lao He tangled and rushed to 2 hands.

A group of people were busy chatting inside, and the operating room was filled with a breath of killing.

This is what happened, Lao He glanced at once. The laryngoscope device was set aside. Obviously the laryngoscope was already used, but the tube still couldn't get in. ,

Lao He's heart tightened, a little nervous.

The patient's mask was given oxygen, and Director Xu was standing aside, sinking in water.

"Light stick equipment!" No one said Lao He, knowing what Director Xu did to find himself.

The level of tracheal intubation under the guidance of a light rod is the highest in the anesthesiology department. This is due to ... his luck is too bad. In order to avoid accidents and lead to anesthesia, the patient died on the operating table. Lao He learned this technique and practiced it for a long time.

Although the light rod guided intubation technique can not be described as difficult, but the subtleties can be seen, even Director Xu cannot compare with himself.

Lao He stood to the side of the patient's head, and an anesthesiologist handed over the light rod guidance device.

A small pad is placed on the patient's neck early, so that the head is tilted back slightly, which makes it easier for the patient to open the mouth and make the intubation easier.

With the use of anesthesia, the patient's breathing became weaker and weaker, and Lao He felt a little flustered.

He gently lifted the patient's lower jaw forward and upward to increase the distance between the upper and lower incisors. When he was preparing to guide with the light rod, he suddenly said, "Call boss Zheng! 6 hands!"

When this kind of "accident" occurs, we must find the best person to fight. Director Xu tried the laryngoscope and it turned out not to work. That's why Lao Helai was intubated with a light rod.

Without Boss Zheng, Lao He felt unsure.

It doesn't matter if the operation is being broadcast live, but in the face of an unexpected situation, those are trivial matters.

After Lao He roared, immediately held the handle of the light rod with a pen, and inserted the light rod with the tracheal tube along the natural arc of the throat into the deep part of the throat.

At the same time, rotate the light stick 15-20 degrees clockwise, the goal is to make the bright point of the light stick tip appear deeper than the thyroid cartilage, the gap between the trachea and the muscle.

Then Lao He withdrew the light stick while rotating it counterclockwise gently.

This series of moves is quite skillful, taking less than 5 seconds before and after. If I change someone else, I am afraid that I am still trying to insert the light stick into the patient's throat.

Lao He focused on the operation, because this is the most critical step.

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

In a similar emergency, Lao He has done more than 10 cases, and every time in the previous step, he will see the light that illuminates the trachea.

But Lao He was disappointed after 0.2 seconds.

He didn't dare blink, for fear of missing the best spot. Even so, the illuminated trachea was still not seen.

The trachea is invisible, naturally there is no series of gently pushing the light rod forward into the 2-3cm across the vocal cords, holding the position of the light rod with the right hand, releasing the lower jaw with the left hand, holding the catheter and feeding the trachea forward along the light rod into the trachea. step.

Tracheal intubation under a light rod guide also failed.

"Director Xu, invisible, completely invisible." Lao He said hastily as he looked up.

Really special!

Lao He also wanted to try again ~ www.novelhall.com ~ to see Boss Zheng stepping in.

"what's the situation?"

"After tracheal intubation failed after induction of anesthesia, laryngoscope and light rod guidance were not allowed." Director Xu said hastily.

Zheng Ren also wore a surgical live broadcast device, but he didn't realize it.

Combining Director Xu's narration and the system panel, Zheng Ren knew the basic situation in the shortest time.

The patient's airway resistance increased sharply, peak airway pressure was 38-45mmHg, SpO2 dropped sharply to about 70%, HR112 beats / min, BP150 / 76mmHg, considering bronchospasm induced by general anesthesia during intubation.

"Mask-respirator double pressure assisted ventilation!" Zheng Ren said in a deep voice. "Prepare the tracheotomy package."

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