"Boss, does Lao He feel that something has passed away?" Su Yun stood in the operating room and asked with a smile while preparing the instrument.

"Yeah, I'm used to it." Zheng Ren nodded and said.

But it’s not common sense that you can’t take all the medical teams with you every time you travel.

"You blew Lao He in Yangcheng. I heard him say there will be an anesthesia academic meeting this weekend. Director Qiu from Yangcheng will definitely come to meet Lao He." Su Yun said.

"If you don't brag, Lao He's level must be very high." Zheng Ren said, "Otherwise, the separation surgery for heart conjoined babies would not be possible."

"You're scolded me yet."

"When did I scold Lao He?"

"Art exaggerated, don't be so serious, okay?" Su Yun asked when debugging the operating table: "The angle of the semi-reclining position can only be at this level now. Do you think it's OK?"

Zheng Ren nodded, "As long as the patient can accept it."

Generally speaking, the surgery requires a flat position, but the patient in front of him is blocked due to the airway and the amount of oxygen inhaled, so he cannot lie flat position if he has problems with his heart and lung function.

This is also a common feature of many patients with advanced lung cancer, also known as sitting and breathing.

It is impossible to lie down and perform surgery, so the surgeon can only barely deal with it, change the surgical position, and choose a semi-recumbent position.

Soon the patient was sent, and was carried to the operating table, and was half-lying and masked to inhale oxygen, with 10 liters of oxygen per minute.

Seeing that the patient's blood oxygen saturation was good, Zheng Ren underwent an operation and prepared for the operation with Su Yun.

The right femoral vein was percutaneously punctured with 28f venous cannula drainage, and the left femoral artery was percutaneously punctured with 20f femoral cannula perfusion.

Then I waited quietly for 30 minutes to start va-ecmo.

After ecmo was started, Zheng Ren made a gesture.

But he immediately realized that this was not in the country, and Lao He was not following him.

Su Yun noticed, laughed, and said, "Boss, you forgot just after you finished speaking."

"Well, I'm really used to it." After Zheng Ren said that, he began to communicate with Bota's anesthesiologist.

Propofol was given basal anesthesia and sedation intravenously, and then the patient's position was changed to a flat position. The patient who could not lie flat originally entered a flat position under the action of ecmo and did not have any abnormal reactions.

The blood oxygen saturation is good, the vital signs are stable, and everything goes well.

It was not until this time that Su Yun breathed a sigh of relief, and Dr. Nico, who was standing in the operating room, felt lost.

This idea is very simple, why didn’t I expect it? An idea emerged in the minds of both of them at the same time.

"Su Yun, you stare at ecmo, Fuguier and I have surgery." Zheng Ren said.

"Yeah, boss." Professor Rudolf Wagner responded happily.

Su Yun didn't say anything, but kept staring at the machine. The circulation system was pre-charged - 100ml of fresh plasma, 400ml of Linger liquid, 2mg/kg of heparin, monitor map during the transfer, sao2. The blood flow velocity was 2.5l/min, keeping sao2 at more than 90%.

Everything was perfect, he made a gesture, indicating that Zheng Ren could start the operation.

The data displayed on the electrocardiogram monitoring were also very satisfying to Zheng Ren, and the patient inserted a fiber bronchoscopy through the nose.

Zheng Ren saw through the screen that the external pressure stenosis of the mid-section of the trachea was accompanied by new organisms in the cavity, and the lumen was basically blocked. He began to choose a guidewire and slowly sent it into the patient's airway.

As predicted before, the airway is different from the esophagus. As long as the patient is still alive, it is impossible for the main airway to be completely blocked.

Although the airway pathway was twisted, Zheng Ren easily pulled the guide wire into it.

"Boss, do you need a bronchoscope?" Su Yun asked.

"Stealing the line." Zheng Ren chose the safest way.

It is also possible to simply use a bronchoscope to observe the stent, but it is not as intuitive as the DSA robot.

The 18mmx40mm nickel-ferroalloy tracheal support was sent to the position, and then the stent was released and the stent implanter was pulled out. Zheng Ren began to attract bloody secretions and adjusted the position of the stent with biopsy forceps. It was seen under the DSA machine that the tracheal support had been opened and the airway was restored to unobstructed.

"You can stop ecmo." Zheng Ren said.

Su Yun then began to communicate with the anesthesiologist on this side, neutralized it with protamine, and stopped the operation of ecmo.

The actual running time of ecmo is only 12'26 seconds, and the operation is simply completed.

A surgery that was determined by Bota was unable to perform was done so calmly.

Zheng Ren was not in a hurry to take the patient back. He observed in the operating room for a full 30 minutes, and the observation time was even longer than the formal operation.

Su Yun was convinced that he was so cautious.

"Doctor Zheng, your thinking is really great." Dr. Nico walked into the operating room and communicated with Zheng Ren. This surgery could not be seen with Dr. Zheng's surgical skills, mainly an alternative way to use ecmo, which opened up Nico's thinking.

"Well, the operation process is still a bit slow, and there is some problem with cooperation." Zheng Ren's eyes kept observing back and forth between the ECG monitoring and the patient.

"The cooperation is already very good!" Dr. Nico said in surprise. Is Dr. Zheng telling the truth? The longest time of the entire operation was delayed during his postoperative observation of the patient.

"Ecmo's turnaround, if my anesthesiologist comes, it can be controlled within about 6 minutes." Zheng Ren didn't even see Dr. Nico, but just chatted casually.

6 minutes...

This number surprised Dr. Nico.

Only a well-trained medical team can control the startup time of ecmo to within 15 minutes, while the startup time before Dr. Zheng’s surgery was 30 minutes.

This time is not long, it is just normal.

But 6 minutes, is this really good?

"My God..." Dr. Nico was surprised by the operation and ideas with Dr. Zheng, but he didn't expect that he was talking to himself about the startup time of ecmo.

Is this Dr. Zheng telling himself that his medical team surpasses him in all aspects and Bota Private Hospital?

Su Yun glanced at his boss and smiled and said, "Boss, will he be proud of your swearing about Lao He?"

"Tell the truth." Zheng Ren said, "I recovered well, so I'll be sent back to the ward."

In the system operating room, the assistant who cooperated with the surgery should have used Lao He as the template. It did take only 6 minutes during the ecmo preheating stage. Zheng Ren was just to be honest and did not have any exaggerated elements.

"Doctor Zheng, are there anything to pay attention to after the operation?" Dr. Nico asked.

"After one day, check the CT to see if the tracheal lumen is unobstructed and how the stent is located. After 2 days, check the bronchoscope to see if the tracheal stent in the middle section of the tracheal has been completely restored." Zheng Ren said, "There is nothing else. The patient's dyspnea has been solved. The rest is to rest for a few days, and the body can recover and do the next step of treatment."
Chapter completed!