Because he was in the system operating room, Zheng Ren was not particularly impatient. This was an unparalleled advantage that others had, and Zheng Ren had become accustomed to it. He silently watched the experimental subject deteriorate and began to measure various values.

The experimental data showed that the experiment subjects had symptoms of metabolic acidosis and acute renal failure.

There may be gas embolism during the use of ecmo, which Zheng Ren knew. It is estimated that the gas embolism tied the renal artery and the operation failed before it was completed.

Just discover it, Zheng Ren is in a stable mood. The significance of the system operating room is here. Discover the problem in advance and study how to avoid this situation as much as possible.

After confirming that there was a kidney problem, Zheng Ren ended the lung transplant operation, but did not leave the system operating room, but did a nephrogram for the experiment.

The final conclusion proves Zheng Ren’s judgment - gas embolization.

After ecmo is placed, liver and kidney function should be improved because ecmo can improve perfusion of peripheral organs.

When looking for similar information in journals, there is very little related information. Zheng Ren can only make a judgment based on limited information and his own imagination.

The deterioration of kidney function may be a sign of ecmo failure, or it may suggest that the patient has kidney disease before. Zheng Ren tried several methods and discussed it with Lao He for a while, and finally decided to use continuous renal replacement therapy as a pipeline independent of the ecmo system to avoid gas thrombosis.

The causes of persistent metabolic acidosis may be insufficient perfusion of any organ, tissue necrosis, or distal limb infarction. Oxygenator failure can be manifested as a large amount of hemolysis. Differences between hematuria, diffuse intravascular coagulation, and hemolysis require emergency diagnosis and examination, continuous measurement of values ​​during the operation, and timely treatment is very important.

One problem after another was solved, and Zheng Ren pulled Lao He to study it tirelessly.

Every time the problem is confirmed and solved, Zheng Ren found that in addition to failure caused by renal gas embolization, there is a 15% chance of acute liver failure when using ecmo.

Because Xiao Shitou had just completed two interventional embolization of liver cancer, the liver function was relatively poor. Liver failure is also a top priority for surgery. Zheng Ren did not want to show his hand skills and completed the liver transplantation surgery at the same time as the lung transplant.

If you transplant an organ, you are afraid that small stones will not be able to hold it back, let alone more organs.

Finally, I decided to measure liver function every 10 minutes during the operation. If Xiaoshita still progresses to a continuous increase in bilirubin or acute increase in liver enzymes when the flow and blood pressure of ecmo are appropriate, hepatic dialysis must be performed using a molecular adsorbent recirculation system.

"Lao He, do we have liver dialysis during the operation?" Zheng Ren asked.

"No, only the Emperor's capital has liver and gallbladder." Lao He said, "The amount of liver surgery we have is not as good as theirs. In addition, this situation is not common, so the equipment has not been in the process for the time being."

Zheng Ren didn't hesitate and called Zhou Chunyong with a call.

It is easy to borrow a device and repay it. President Bao Longtao, the chief dean of the imperial capital, will never make things difficult for him because of this.

Old He was particularly helpless. In his opinion, even if there was a liver function problem, it would be too late to go on. But Boss Zheng was posing as if he had to make the surgery perfect, so he didn't say much.

After nearly 10 hours of discussion and brainstorming, Lao He has been completely exhausted by Boss Zheng.

Seeing Boss Zheng going to the operating table to do surgical training in high spirits, Lao He held 12 A4 paper records in his hand and slowly closed his eyes.

There are so many details to pay attention to when it comes to anesthesia, ecmo and external circulation alone. What about surgery? I guess there are more points to pay attention to.

"Old He, do you need to drink some Red Bull?" Linger's voice came.

"Ah? Lin Chu, why are you here?" Old He was stunned for a moment. It was already time. Why did Lin Ge... still need to ask? Lin Chu is also planning to stay in the community hospital for a while and do a good job in logistics.

The Science and Education Department was almost transparent to the clinical practice in Director Mao’s era. It basically did not do any serious things except for taking the tuition to the advanced doctor. It was filled with a sense of staleness. When it comes to science and education, clinicians frowned.

Director Lin is working under his jurisdiction, but Lao He is still a little uncomfortable.

He wanted to say hello to Linger, but his eyelids seemed to be standing together, and it took a lot of effort to open it.

"If you don't work, go back and have a sleep." Linge advised, "I think you're too mentally exhausted, so I guess you'll be useless tonight. It's useless to stay here, but the efficiency is low. It's not a day's business. I think Boss Zheng means, this is a marathon."

"Oh, Boss Zheng is still young, in good health and energetic." Old He glanced at Zheng Ren who was standing under the shadowless lamp and was in silence, sighed and said, "My old arms and legs are really not good."

"What were you discussing just now?"

"Boss Zheng took me to do the anesthesia work for the surgery from beginning to end," said Lao He. "The model of intubation, the depth of intubation, the frequency of the ventilator, the volume of tidal volume, the end-expiratory pressure... and then there are various things to pay attention to when ecmo, as well as the preparation of dialysis for the kidneys and liver."

"usually……"

"Director Lin, how high does Boss Zheng have to ask for it." Lao He said, "I have applied for the liver and gallbladder several times. I want to enter the liver dialysis equipment during the operation, but I haven't come in yet. Boss Zheng manages the liver and gallbladder equipment to ensure that everything is foolproof."

"I heard it, and I was about to ask you, is it meaningful to borrow this thing?" Linger asked in a low voice.

"Of course it makes sense. Once the bilirubin increases during the operation, healing is immediately dialysis, which is much better than symptomatic treatment after the operation." Lao He said, "But the meaning... it's just that. If someone else is replaced, I guess I'll deal with it like this. The operation will not be delayed for a long time. It's better to go back and do it than to do dialysis during the operation. And there are not many people who know that kidney dialysis during the operation, which is a very cutting-edge treatment."

"Look at what you said." Linger smiled.

"Chief Lin, it's not a joke." Lao He said seriously, "If you don't believe me, ask the clinician. Once you say dialysis, it's the kidneys. There are really not many people who know that liver dialysis is during the operation."

Linger nodded, and he raised the level of the incident again.

I have to care about what Boss Zheng cares about, and there is nothing to say. For a possible problem, I went to the imperial capital to borrow equipment without hesitation. How much effort did Boss Zheng spend on it?

If it weren't for the age difference between Boss Zheng and the young patient, Lin Ge even thought that the young patient was Boss Zheng's illegitimate son. If it weren't for his son, who would have to do such a hard time and have to scan his face to prepare for surgery and treatment.

Treating the sick as a relative, Dean Yan would say it every week of the hospital meeting. However, there are really not many doctors who treat the sick as a relative.
Chapter completed!