Chapter 1638： : Call the expert!

Although the head nurse frowned, she decisively started to adjust the room temperature!

Gong Daizhen's eyes lit up after a little consideration, and he glanced at Chen Cang, feeling touched in his heart!

Professor Chen is Professor Chen!

The understanding of medicine is really far beyond the average person!

What is medicine everyone?

It is to avoid any risk of any situation that affects the patient!

It's really too strong!

This kind of consciousness, this kind of medical thinking, this kind of ability is really... amazing!

The directors around also slowly reacted!

Looking at Chen Cang with shock, his eyes full of admiration!

Often a detail can be used to observe the ability of a doctor!

why?

Generally speaking, the temperature of the operating room is usually set between 22-25 degrees Celsius.

but!

When a large area of ​​escharectomy is performed, because the patient is in shock, the body temperature itself is low, and it is necessary to keep warm at this time!

In addition, almost the entire body of the patient is exposed at this time, and heat dissipation is accelerated.

The key point is that when a large area of ​​scab is cut, there will definitely be bleeding, a lot of heat will flow away with the fluid, and the temperature of the blood and fluid input during the operation is not high.

Therefore, if the temperature is too low, accidents can easily occur!

At this time, if the room temperature is adjusted to 32 degrees Celsius, at this time, the patient's body temperature is more appropriate!

The success rate of surgery will also increase a lot!

At the beginning of the operation, everyone was shocked by Chen Cang.

The big guy is the big guy!

Those who come to participate in the surgery are all at the director level.

But at this time, after hearing this, everyone in the venue was blinded!

They whispered quietly!

"What's the matter?"

"32 degrees Celsius, this... can this be tolerated? And this is room temperature 32 degrees Celsius. I stand and operate for a long time during the operation. High-intensity surgery must be done carefully. Can such a temperature be sustained?"

"Yes, sweating a lot, is this not dehydrating?"

"Yes! Why?"

I heard this group of young people chatting quietly.

A director on the side couldn’t help but explain: “This is because Professor Chen considered that the patient was in shock and had hypothermia, and worried that the patient’s hypothermia and decreased immunity due to fluid replacement, bleeding, exposure, and heat dissipation during the operation. , Maybe... the infection period will come sooner!"

"Even bad for the healing of the operation!"

"Professor Chen is really well-rounded, worthy of... worthy of being an academician tutor!"

As soon as this remark came out, everyone suddenly became emotional!

but!

What the **** is this academician student tutor?

How can this be called!

Academician or student? Still need a mentor?

God him "academician student tutor"!

This opening of Chen Cang made everyone realize his power!

so amazing!

Everyone has only one thought in their hearts, starting today!

I am "Cang Blow"!

...

...

However, what they don't know is that this is just the beginning!

When everyone in the venue saw the table visiting the surgical instruments, they were immediately blinded!

Three...three tables!

Densely packed surgical instruments, various dressings and medicines, various knives, abrasive tools...

After letting everyone see it, they won't be aware of it!

Don't talk about them, even Qin Xiang and Yang Tao are somewhat powerless and feel a lot of pressure!

Because the precision and difficulty of this operation are far higher than those of ordinary burn surgery, there must be sufficient quantity, complete variety, and good performance of equipment and equipment in preparation of items. The fixed position of rescue equipment is very important!

These are the basis to ensure the successful completion of this group of operations!

Surgical removal of scab is the most important part of skin grafting.

Chen Cang was holding a scalpel and his expression was meticulous. Before the operation started, everyone felt that his back was sweating!

Chen Cang forced himself to calm down!

Then began to remove the eschar.

The patient's skin is covered with eschars and eschars, like dry and cracked bark, exposing the blood!

In fact, in such a situation, anesthesia is not necessary at all!

Because after the third degree burn, the eschar has formed, and there is no nerve sensation. To put it bluntly... the nerves are all dead.

Scorch incision can be performed directly!

Many people may not understand what is a surgical scab.

What is the skin?

It is the largest organ in our human body!

He is resilient, an organ with the ability to regulate and defend!

However, when the skin is damaged by heat, the skin loses its elasticity and becomes a hard eschar!

Moreover, these eschars are simply necrotic skin. They no longer have the possibility of expansion, cannot regulate edema, cannot defend the body, and may even cause damage to the body!

Because after the burn, the tissue is degenerated and edema, and it is isolated under the skin that forms the eschar from the burn. The pressure of the tissue increases, causing the blood vessel to be compressed and injured!

At this time, Chen Cang slowly put his hand on the skin, pressed it gently, and suddenly felt a kind of elastic feedback!

Chen Cang took a deep breath. This is the so-called interstitial tissue pressure!

This operation is not the most important thing, but a good perception of the body!

Perceive how to cut the scab, how deep...

After Chen Cang touched with both hands, the information came back immediately!

"The tissue pressure is a bit high, this operation...Imperative!"

Hearing Chen Cang's words, Qin Xiang planned to use Doppler to check distal pulse or directly measure tissue pressure.

And Chen Cang pressed a little and said, "The interstitial tissue pressure has reached 40mmHg!"

As soon as Chen Cang's voice fell, Qin Xiang was dumbfounded!

Because his test data is just 42!

All of a sudden, Qin Xiang was stunned!

Even Gong Daizhen looked up at Chen Cang, her pupils shrunk slightly, feeling a little scary!

I haven't seen you in this period of time, Professor Chen is strong again!

This is impossible to perceive without extensive clinical experience.

Don't underestimate this skill!

If the interstitial tissue pressure reaches 40mmHg, the nerves and blood vessels will begin to damage.

It must be dealt with as soon as possible.

Such a pressure is not only unfavorable for blood transport, when burns around the chest, this pressure will increase the work of breathing, causing breathing difficulties!

After the preparation work was completed, Chen Cang said directly: "First, deal with the neck eschar!"

Everyone nodded!

This is an important breathing and blood supply channel for the human body, and there is no difference in the first treatment.

At this moment, the patient's neck is tightly adhered, and the originally loose skin is now sticking to the muscles like a barbecue!

The person watching has a numb scalp!

To be honest, the doctors can treat this horrible scene as a video to enjoy, and the others are... handsome but will vomit in three seconds!

Especially at this time, it is the HD camera!

Everyone in the venue called the experts!