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2343 Hot work

"The pregnant woman is about to give birth." The obstetrics hospitalized officer whispered to remind him while preparing things.

"You can still last 52 minutes, hurry up and prepare things!" Zheng Ren's voice was a little cold and low.

The obstetrics hospitalized for a moment was stunned, and she didn't know how Boss Zheng said it was evaluated in 52 minutes.

Are you so advanced now? Why don’t you know?

Zheng Ren didn't notice that he had let go and continued to direct the rescue.

"Notify the operating room that after you have prepared everything, hurry up and disinfect them and give them 30 minutes." Zheng Ren continued.

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

The gears to rescue the patient turned, and a cracking sound came from the inexplicable space. The huge machine immediately turned, and countless doctors and nurses were busy.

"Anesthesiologist, can our hospital perform anesthesia on newborn babies?" Zheng Ren looked at the pregnant woman and emphasized this again.

"I'll call the Women and Children's Hospital."

"pay close attention!"

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

In 12 minutes, the insulation quilt was taken to the operating room.

In 14 minutes, two forced inflatable thermal blankets were delivered to the operating room.

In 19 minutes, the sterile infrared radiation platform was moved to the operating room.

The operating room begins to disinfect and do the last sterile treatment.

In 23 minutes, people from the Xinglin Garden Legal Affairs Department came to the obstetrics department and signed legal documents with the patient's family with the lawyers from the Medical Office.

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

In 45 minutes, the pregnant woman was sent to the operating room and the pre-operative preparation was completed.

In 47 minutes, Lao He began to do general anesthesia for pregnant women with a serious expression. The anesthesiologist at the Women and Children's Hospital was busy preparing various equipment he needed and preparing to do anesthesia for the fetus.

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

"Okay." The nurse responded in the melodious song of good luck.

The temperature in the operating room is generally adjusted according to the operator's habits, but the temperature required by most operators in the operating room is around 24-25 degrees Celsius.

This temperature feels the best, it is lukewarm and hot, and the surgeon is in good condition, so that the operation will be smooth.

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

However, the nurse on the tour did not ask Boss Zheng why he wanted to raise the temperature. There were various insulation items next to him, which explained everything in silence.

The temperature in the operating room must be higher.

Compared with routine obstetric surgery, the risk of hypothermia and neonatal during fetal surgery is greater. Factors such as maternal anesthesia and surgery time are prolonged, intraoperative infusion volume increases, and taking away a large amount of calories from the mother after delivery can easily lead to a drop in the mother's body temperature.

The operation also requires the fetus to be performed with the placenta, the abdominal cavity is opened, and the course of the surgery is extended, further increasing the risk of low body temperature in pregnant women.

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

The fetal or neonatal temperature regulation center is not developed well, maintaining low body temperature ability, hypothermia leads to respiratory depression, and postoperative awakening delay occurs.

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

This is just a detail, and every detail is a component on the huge machine. Only when all the components are flawless can it be possible to achieve the results Zheng Ren wants.

"The radiation heater begins to preheat." Zheng Ren continued to command.

Xie Yiren came to the operating room with a sterile surgical box wrapped in a sterile surgery box, brushed his hands on the stage, and lighted the equipment.

Whether it is a surgeon, anesthesiologist, an instrument nurse, or a circuit nurse, they are all two sets of people.

Despite this, the two nurses on the road were about to fly, and the obstetrician doctors were helping each other when they were not on stage.

The radiation heater is preheated, the mother's upper body is covered with a quilt, and the abducted arms are wrapped with a surgical sheet.

Two sets of forced inflatable insulation blankets are used to cover the lower body of the mother. One set of exhaust surface is used for insulation for the mother, and the other set of exhaust surface is used for insulation for the newborn when the umbilical is not broken. The temperature is controlled at 45 degrees Celsius.

The liquid heating instruments have been turned on, and the 37 degrees Celsius liquid is arranged in a row, neat and solemn.

After the anesthesia was completed, Lao He stretched out his hand, gave Boss Zheng a thumbs up, and signaled that the anesthesia was completed.

The airtight door was closed and the operation officially began.

The obstetrician doctor first performed the surgery, and the pregnant woman made a 12cm incision in the abdominal wall and began a caesarean section.

The first and the second fetus were successfully removed.

At 28 degrees Celsius, she was wearing a sterile surgical gown for surgery, and was facing a small child with a huge congenital umbilical ectopicity. Director Wang of the Women's and Children's Hospital who had a caesarean section for more than ten minutes under the influence of nervousness, the back of Director Wang of the Women's and Children's Hospital who had a caesarean section was soaked in sweat.

After finishing brushing his hands, Zheng Ren put on his clothes and watched the entire operation without moving.

He stood in front of the constant temperature table below the pregnant woman's legs, staring at the third child with huge umbilical ectopicity.

The umbilical cemetery of the abdominal cavity is exposed to the abdominal cavity through an open umbilical ring, but it is different from ordinary hernia. Although all organs are not covered by skin, they have a translucent, blood-free membrane that wraps them together.

This membrane is composed of the inner peritoneum and the outer amniotic membrane, with frozen connective tissue in the middle.

After taking out the two fetuses, Director Wang did not immediately deal with the third child in the uterus, but instead turned his head to wipe his sweat.

A sterile gauze 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 has officially begun and the most critical surgical steps have been exposed.

After Director Wang wiped his sweat, he looked up at Zheng Ren. Zheng Ren nodded slightly and signaled that he was ready.

"Body temperature." Zheng Ren asked.

"The body temperature of pregnant women before the operation is 36.7 degrees Celsius, and the temperature is 37.1 degrees Celsius." Lao He said in a deep voice.

Director Wang then carefully avoided the abdominal internal organs wrapped in translucent membranes and gently took out the left arm of the child.

Zheng Ren reached out and slapped a syringe after taking the medicine into his hand.

For triplets, the weight of the newborn is only 2.6kg, and the weight of the child is the lightest, and the visual measurement is only about 2.3kg.

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

It is very difficult to hit the nail on the head. Director Wang has done many examples in the face of neonatal surgery, and this step is the most time-consuming.

Invisible blood vessels have to be cut into incision. Sometimes the operation takes 5-10 minutes to delay this step until the child’s arm has more than 10 injections, and no venous blood vessels can be found that can be inserted into the needle.

Director Wang sighed as he looked at the internal organs wrapped in translucent membranes in the pregnant woman's uterus.

Strictly speaking, the child in front of him is no longer considered umbilical ectopic. To be precise, it should be - no belly.

This seriously affects the growth of the fetus.
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