2201 Intraoperative tracheal rupture
Come and help!" the anesthesiologist opened the door of the surgery room and shouted loudly.
Zheng Ren turned around without hesitation and trotted straight for 9 moves.
"Yiren, look forward to Lin Yuan." He was in a hurry and had only time to leave a sentence.
Su Yun didn't care about beating the dog in the water and ran all the way with Zheng Ren.
Old He pulled the flat car halfway through and saw Boss Zheng and Brother Yun running away. He knew that something was wrong, so he immediately let go of the flat car and ran over.
Fang Lin just pulled the patient out and heard the sound of various instruments calling the alarm from 9's hands, and he also wanted to take a look.
"Take the patient away!" Su Yun glared at Fang Lin and ran into 9 moves with Zheng Ren.
The patient has local anesthesia and is about to walk back after the operation. If you see an accident during the operation, there are too many unpredictable risks.
Zheng Ren strode in and looked up at the ECG monitoring.
The heart rate displayed on the electrocardiogram monitoring is ventricular fibrillation, and it took less than 3 seconds to watch it, and the heart rate has dropped from 50 beats/minute to 35 beats/minute.
"Let the person be flat." Zheng Ren said in a deep voice.
The anesthesiologist intubated the trachea and several people worked together to put the patient flat. At this time, the heart had already stopped.
Su Yun directly started external heart compression.
"1mg of epinephrine and 0.5mg of atropine intravenously." Zheng Ren squinted his eyes and looked at the patient, putting a doctor's advice in his mouth.
He didn't care who was standing on the operating table at this time.
Professor Zhu was also shocked by the situation in front of him. During the esophageal cancer surgery, the patient's respiratory cycle was suddenly stopped. What happened?
Zheng Ren pulled the sterile and the patient's neck was clearly visible.
Compared with the system panel, Zheng Ren knew it.
"Arthuron, 40mg, intravenous injection!" Zheng Ren continued to give the doctor's advice.
During emergency treatment, as long as one person is confident in commanding the rescue, under normal circumstances, no one else will question it.
"Ice cap."
"Erepinephrine!"
"Dopamine 8 μg kg/min pumped in."
"Push a dopamine first."
"Old He, check the ventilator's pipes."
“Atropine 0.5mg.”
As doctors issued instructions one by one, there was no panic and busyness in the entire operating room, and everyone began to move.
The craftsman Professor Zhu and his assistant raised their hands on their chests and were stunned. This rescue was too skillful.
The patient has subcutaneous emphysema, which may be due to problems with the ventilator duct, and more likely to be broken during surgical dissection.
Broken trachea, haven't noticed it yet...
"Anesthesiologist, manual operation." Zheng Ren continued.
After 3 minutes, the patient's respiratory cycle was stable, but spo2 continued to fluctuate between 74% and 82%, and the petco2 waveform occurred intermittently. Manual breathing was found to have air leakage.
"Boss Zheng, there is no problem with the pipeline." Lao He checked the pipeline as fast as possible and reported it.
"The surgeon, inject 1000ml of normal saline into the patient's chest cavity!" Zheng Ren did not know Professor Zhu who was undergoing surgery today, so he directly called the surgeon.
The tour nurse immediately opened the bottle of saline, and Professor Zhu was stunned for a moment.
The person who broke in was Boss Zheng, and Professor Zhu didn't dare to say a word. He knew in his heart that he only had qualifications and was deeper than Boss Zheng. If you really talk about surgery, don't mention that he is old now. Even when he was young, he couldn't catch up with him.
Professor Zhu had mixed emotions in his heart, and he couldn't tell the feeling.
However, he made a logical judgment that he knew what Boss Zheng was going to do, so he took the syringe and followed the poke card to get normal saline into his chest.
The patient changed from a lateral lying position to a flat lying position, so there must be no water injection. Professor Zhu estimated that the amount of normal saline was taken into his chest and felt that it was about to emerge.
"Hold the tracheal intubation and your body is a little taller." Professor Zhu was thinking randomly, and Zheng Ren's voice had already come.
"Boss, your heart rate has temporarily stabilized." Su Yun said, "Watch the time, the ventilation volume cannot be so low for a long time."
"Brush your hand."
Zheng Ren walked to brush his hands, and the speed was very fast, and it could be seen that he was anxious.
After Professor Zhu poured 1,000 ml of normal saline in, Zheng Ren and Su Yun had already returned.
"Boss, you wear clothes, I'll try again."
Uh... This is... Professor Zhu was stunned for a moment.
This is to steal the position of his sword! He felt ashamed and very angry.
But anger alone is useless. There has been a mistake in the operation. Boss Zheng is here to put out the fire, not to humiliate himself.
Professor Zhu is clear about this.
No matter how bitter the medicine is, it has to be swallowed. Who made the surgery cause the problem?
Zheng Ren changed his clothes, stood directly next to Professor Zhu, took the laparoscopic device, "Hand-controlled breathing, come now."
The anesthesiologist carefully pinched the ball and took his hands to control his breathing.
The laminoscope lens found the location of the trachea in the water, and Zheng Ren looked at the screen. Soon, about 0.5 cm rupture appeared about 4 cm above the tracheal auger.
As the anesthesiologist pinched the ball, bubbles appeared at the location of the rupture.
"Lao He, the tracheal intubation is a little deeper." Zheng Ren said.
Lao He nodded. He cooperated with the anesthesiologist, while controlling his breathing while intubating the trachea downwards.
Go beyond the rupture position and fix the tracheal intubation again.
"sewing."
Su Yun stood next to Zheng Ren and squeezed Professor Zhu and his assistant down.
Professor Zhu felt depressed.
But you can't argue on the operating table, right? The patient's heartbeat stopped just now, and it wouldn't look good if it makes a fuss again.
Professor Zhu stood behind Zheng Ren and watched. After only a dozen seconds, he found that Boss Zheng had done a good surgery.
The tracheal rupture was quickly sutured, and Zheng Ren took a look at the electrocardiogram monitoring - blood pressure 125/94mmhg, heart rate 67 beats/min, blood oxygen saturation 98% to 100%.
"Okay, let's do it." Zheng Ren looked at the tumor carefully and knew what was wrong with Professor Zhu's surgery.
There should be no problem, Zheng Ren turned around and stepped down.
Su Yun paused slightly, sighed, and turned around.
"Boss Zheng, is it okay?" Lao He asked.
"Yeah." Zheng Ren suddenly realized that Su Yun seemed to sigh.
Chest surgery...
"Look for an opportunity to have a thoracic surgery." Zheng Ren whispered.
"It's okay." Su Yun was a little unconscious and said, "There is nothing to do with a thoracic and abdomen combined with parascopy."
Su Yun also knew that the boss was worried about Lin Yuan and had no intention of undergoing an ordinary esophageal cancer surgery.
The two of them walked out of the art room as they spoke.
"Zheng...Boss Zheng, thank you." Professor Zhu said.
"Oh, you're welcome." Zheng Ren turned around and smiled, then left.
"Huh? Where is Lin Yuan?" Su Yun looked at the end of the corridor and asked in surprise.
"It must be because I've recovered." Zheng Ren said.
"What's wrong with her just now?" Lao He asked.
"Hydrogen sulfide poisoning," said Zheng Ren. "For a long period of hydrogen sulfide stimulation, the olfactory system may not be so sharp, so this will happen."
Chapter completed!