"Look for someone to do echocardiac heartbeat!" Director Miao continued.

Su Yun had already picked up his cell phone and called Lao He's cell phone. Lao He was already preparing to get off work, humming a small song and sitting in the duty room smoking a cigarette.

After receiving a call from Su Yun, Lao He didn't ask what was wrong. He only knew that it was a urology surgery and he had to undergo a transesophageal echocardiac immediately.

Lao He has a very high B-ultrasound level and is one of the few doctors who can use ultrasound to judge pneumothorax. This technique is one of the few techniques that can be blown in front of Boss Zheng. He did not expect that he would think of himself when he was saving the platform.

Pushing the machine that was thrilling at the head of the bed, Lao He trotted into the operating room.

There was a busy crowd in the operating room. What was strange was that Lao He didn't see Boss Zheng and Brother Yun. Director Liu of the Urology Department was holding a mobile phone in his hand, and the angles were constantly changing, and the sound of Director Miao commanding the rescue came from the phone.

I'll go... Old He was stunned for a moment, then his heart was bright and he immediately realized what was going on.

This is Director Liu’s confusion!

The habit that I have formed over the years has not been able to solve after encountering problems, so I will ask the chief director as soon as possible.

At the moment of life and death crisis, Director Liu forgot that Director Miao had retired and changed from a clinical front-line director to an elderly person who dances square dances every day and cares for his old age leisurely.

Director Miao's voice from the phone was still calm, full of domineering aura and unquestionable aura.

Where is Boss Zheng and Brother Yun? Lao He pushed the echocardiac machine on the head of the bed to the patient's head and took the opportunity to look around.

No one!

Let’s not worry about it for now, Brother Yun said that he would do the echocardiac movements of the esophagus.

Lao He quickly sent the transesophageal ultrasound probe into the patient's mouth, avoiding the tracheal intubation, overcoming the interference of always undergoing external chest heart compression, and sending the probe into the esophagus.

"Mr. Yu, stop for 20 seconds!" Old He roared loudly.

"Little Yu, stop for 20 seconds, the anesthesiologist will have an echocardiac." Director Miao's voice came, and the memory contained in the body of General Manager Yu stopped the movement of heart compression outside the chest as soon as possible.

"Gas found in the right heart! Gas found in the left heart!" Lao He quickly swept, saw the gas in his heart, reported it to Director Miao in the mobile video, and left the image, and took out the probe.

"Put a small sponge pad on the right side!" Director Miao's voice came, "Continue to press, interrupt CPR. Central venous catheter..."

"Director Miao, I'll do this." Boss Zheng's voice came out in the video.

Old He was very happy, but he did not think too much about why Boss Zheng was at Director Miao's house, but quickly pushed the echocardiac machine on the head of the bedside to the side, found the central venous puncture kit in the cabinet, and quickly came to the patient.

The patient's head had already squeezed a lot, and Lao He didn't explain, and forced himself to break the world. At this time, the phone rang, and he took out the phone before the puncture, turned on the hands-free, and put it aside.

"Old He, do a central vein puncture." Boss Zheng's thick and steady voice came.

Old He felt calm and said, "Now, 22 seconds!"

He used the modified subclavian central venous puncture method, and found the best puncture point at the intersection of the vertical line of the right clavicle center and the horizontal line of the sternoclavian joint, and the needle tip pointed to the lower edge of the thyroid cartilage for puncture.

After entering, the central venous catheter extends downward and enters the right heart. Lao He is quite confident in his technique, 22 seconds, and it is not bad at all.

"There is an air lock effect. You can feel the pressure after going in." Boss Zheng's voice came from his phone.

Although Lao He knew what he said, he felt a little more at ease for no reason.

"It has entered the right atrium." Old He said, "is pumping gas."

Continuously test, because of the air lock effect, the syringe does not twitch smoothly.

The gas lock effect, also known as the gas lock phenomenon, is a blockage phenomenon caused by different pressures in the liquid in the flowing liquid. This phenomenon usually occurs at the high point between the pipelines, which is the reason why the liquid cannot be drawn by a general centrifugal pump.

Lao He tried little by little, and suddenly the syringe in his hand moved slightly and moved a short distance, about 5ml.

"Boss Zheng, extract 5ml of gas." Lao He quickly pulled out the blood and gas, reporting to Zheng Ren.

"Continue, I just saw an echocardiac movement, and there was still gas in the ventricular cavity."

Zheng Ren said with his cell phone.

"Boss, it's normal for atrial to be angry. I haven't figured out why there is gas in the ventricle." Su Yun asked while standing aside.

Although I was not in the operating room, I could still feel the smell of adrenaline and dopamine.

Zheng Ren shook his head and said, "There are too few cases, and I don't know much about it. The existing cases show that most of them are double-cavity gas accumulation, and there are no congenital diseases that are right to left diversion."

Is abnormal air embolism absorbing gas that enters the venous system and finally enters the arterial system?

It usually occurs in patients with right-to-left shunt of the heart. Gas accumulated in the right atrium or right ventricle enters the left heart system through the right-to-left channel, causing coronary or cerebral artery embolism?

This is a question. Now in the emergency room, both of them have a tacit understanding and have not continued to discuss this issue.

Lao He passed the operation and even overflowed a lot. Soon the gas from the left heart was also drawn out, causing the problem of cardiac arrest to be solved.

After about 20 minutes of continuous chest compression and intermittent defibrillation, does the patient's hemodynamics and respiratory function tend to stabilize?

Director Miao breathed a sigh of relief, put his phone aside, and leaned his back on the back of the sofa. Zheng Ren looked at his expression, without fatigue, only nervousness, excitement of soothing and pleasure after emergency rescue.

"Director Miao, are you tired?"

"Not tired." Director Miao smiled, "This is the first time I have met an old man, who is the old man."

"The sword never grows old!" Su Yun stretched out his thumb and praised.

"I encountered gas embolism caused by laparoscopy once. I was confused at the time and thought about it while rescuing it. However, I made an operation error that time, and I could easily think of carbon dioxide entering the blood vessels. After symptomatic treatment, the patient had no complications after the operation and was discharged from the hospital in a few days."

"How many years ago?" Su Yun asked.

"It was the end of the last century." Director Miao said.

"At that time, you had just had laparoscopic surgery, and you encountered gas embolism? Why didn't you write a case report?" Su Yun asked curiously.

"Case report... has been written." Director Miao said, "I thought this case should be rare. I didn't even invest in journals with Chinese characters, so I just looked for the Lancet. Unfortunately, I'm average in English and don't know much about the format, so I ended up in the end."

So that's the case, Zheng Ren smiled.
Chapter completed!