Chapter 2119: Cardiac resuscitation

With the vascular anastomosis magnetic ring, after Zheng Ren adapts, the time of the liverless period is quickly shortened to an incredible degree.
The former "world record" is like a piece of paper, and it will be broken at a glance. The experimental body's sudden cardiac arrest and seemingly insurmountable obstacles were also successfully surpassed by Zheng Ren.
Dozens of surgical training, the shortest time without liver surgery, 8 minutes and 12 seconds.
This is undoubtedly a huge breakthrough, but it is only the beginning.
Zheng Ren Ning Shen surgery, installed a vascular anastomosis magnetic ring, open the portal vein blood flow. Here, it is the most difficult step in Zheng Ren’s mind.
Suddenly returning to the blood supply, the patient already has the heart of heart failure can hold, this is a problem.
Sure enough, within 3 seconds of restoring the blood supply to the portal, the experimental body beat suddenly.
After nearly 30 hours of surgical training, Zheng Ren came to a conclusion that surgery must be completed as soon as possible with cardiac compression.
However, heart compression, severe vibrations affect surgery. The heart is pressed under the open chest and the trauma is too great. Even if Zheng Ren barely completes the operation, the degree of completion of the operation is not high.
This means that it is difficult for patients to survive the perioperative period after surgery.
Zheng Renlian's operating room door did not dare to come out, Su Yun that goods can stare at themselves to see it.
Open door blood flow does cause sudden changes in blood pressure, and there is no way for Zheng Ren to solve this problem.
It’s not like a magician. A
replacement
skill is used, and the liver changes position.
The vascular anastomosis magnetic ring can solve the problem of excessive time in the liverless period, and it also helps the patients in front of the eyes, but there is no way to solve all the problems.
Zheng Ren tried ten operations, and finally the mountain was exhausted, but he left the system operating room.
It seems that there are still a few gold treasure chests that have not been opened before.
Zheng Ren, who has always had no love for things like luck, got the box and left behind.
In fact, most of these boxes are also experience points.
He glanced at the skill tree of the general surgery, and there was a section from the peak, which was a long time.
Even if a few boxes have a large amount of experience, they can't make their general surgery skills reach the peak level, and there is a qualitative change.
Zheng Ren has a system space.
This time it was a very tangled operation. After repeated tossing, Zheng Ren did not get a satisfactory solution.
"Boss, do you think that you can't do it for 15 minutes without liver? Want to go to heaven?" Su Yun said: "A surgery, the standard time is 3-4 hours, I believe you can finish it within 2 hours. But the time of the liverless period is at least 30 minutes before, are you really prepared to shorten it to 10 minutes?"
"The key is not here." Zheng Ren's nephew was a bit dumb, and he snorted: "Is the patient's recent echocardiogram?"
"Look, the state is very bad."
"Well, I think after the opening of the portal blood flow, the pressure change will lead to cardiac arrest." Zheng Ren entered the state of the dog jumped into the wall, what flaws, what loopholes are all gone, all the attention is used to make the patient safe End the surgery.
"Stop jumping... Do you want to open your chest?" Su Yun asked after a few seconds of grinding.
"Direct heart and lung resuscitation is the last step. Liver transplantation, many problems after surgery, can not open the chest, resulting in greater trauma is the best." Zheng Ren firmly said, "vascular anastomosis, the hospital has What?"
"I will contact you." Su Yundao, "The cardiac arrest...the chest...not right, let's open the abdominal cavity."
Zheng Ren stunned and said immediately, "Your Majesty!"
The method of cardiac resuscitation under the diaphragm is rarely seen in clinical practice and belongs to a non-conventional operation in a special case.
After all, there is not enough experience. Under the reminder of Su Yun, Zheng Ren has worked hard to piece together the possibility of success.
dry!
Zheng Ren finally found a complete road this time, and the rest is practice.
He immediately came to the system space, purchased the system operation time, and entered the operating room.
This time, he practiced a cardiac resuscitation through the diaphragm. It is very difficult, especially if it does not affect the operation. However, Zheng Ren still did it, and the final successful way of pressing was with Fan Tianshui.
Going out to eat, the patient who encountered spontaneous pneumothorax, Fan Tianshui poked into the waiter's chest with a straw. The hard way is to gather power at one point and then break out.
Zheng Ren remembered that Su Yun had consulted with Fan Tianshui after that. He also tried to do a few things, like a decent.
The goods should really look at it, it should be no problem, Zheng Ren can only hope for Su Yun's body. Really not, then only Ged Woods can do the surgery and do the heart pressure himself.
Lin Yuan’s stupid eyes, what is going on?
He has been a liver transplant in Harvard, and the course of about 3 hours belongs to the advanced level of the world's surgical profession.
The period of no liver is different depending on the level of the surgeon. How can it take 30-40 minutes?
Su Yun said that the period of no liver was shortened to 15 minutes.
This is not the most critical, Zheng boss seems to be not satisfied with this time!
And when it is expected that the blood flow of the portal vein will open, there will be a sudden cardiac arrest...
Liver transplantation, open cardiac flow, sudden cardiac arrest, is not a rare complication, although Lin Yuan has not seen it with his own eyes, but it always exists.
Zheng Boss is considered to be an unknown prophet or a high level to a certain level, directly killing himself... I am not a matter of fact, directly killing a group of tutors and professors at Harvard Medical School.
The next step is to find a dummy and then try a trick? Lin Yuan is a little confused. At the beginning, I could barely say a word or two. By now, her thoughts have not been able to keep up.
"The patient's state, the compression frequency should be at least 100-120 beats / min." Su Yundao, "The key is when is the head."
Zheng Rendao, "The patient's condition should be relieved after the arterial vessels begin to anastomosis."
"Recovering the normal physiological anatomy is estimated to be 1-2 minutes under the action of the drug." Su Yun contemplating.
Zheng Ren looked up only as Su Yun.
"What do you think of me?"
"Remember how you and the old Fan learned how hard?" Zheng Ren asked.
"Of course." Su Yun looked at Zheng Ren with a puzzled look. "I want to be so special? I am going! Boss, I can barely do it, I can't hold it for too long!"
Zheng Ren listened to Su Yun and said that he was very pleased.
"Zheng boss, I can do it!" Lin Yuan said.
"Don't swear, your little arm and calf can do it." Su Yun habitually smashed the past.
"The cardiopulmonary resuscitation of the diaphragmatic muscle, what can't be done!" Lin Yuan said.
"You tell me what to do."
"The right hand extends from the surgical incision below the diaphragm. Place 2-5 fingers and place them on the lower back of the heart. The left palm is fixed in the lower third of the sternum. Coordinated movement of the right elbow and shoulder joints. Bring the right hand 2~5 palm finger to the sternum with a rhythmic impact, so that the diaphragm is moved up 4~5cm, then quickly relax and return the diaphragm to the original position." Lin Yuan said skillfully.
"Hey." Su Yun looked disdainful.
"How?" Lin Yuanyi headed ~ EbookFREE.me ~ Mawei stunned.
"The basic theory is very solid." Su Yundao, "This is not critical. It is not good. I can press it under the direct view. The problem is the frequency of 100-120 presses per minute. How long can you last?"
"..." Lin Yuan is speechless.
This is physical work, just like orthopedic surgery and thighs.
It sounds like it's not difficult. Ordinary people also have contact with chest compressions, and a few minutes of high-frequency compression can still be maintained.
But the right action is not necessarily the case.
But that's a regular chest compression, not a subcutaneous diaphragmatic cardiac resuscitation. This kind of unconventional compression, the right hand and the left hand should cooperate with each other, and the posture is odd and difficult.
Yes, this is not the most critical.
Because the patient is critically ill, the procedure must be shortened to restore normal physiological anatomy.
Cardiac compression is performed simultaneously with anastomosis.
The right hand is below the diaphragm, and the surgeon must also anastomize the blood vessels. It is both powerful and does not allow the patient to move the whole body.
The difficulty can be imagined.
With Su Yun, Zheng Ren felt that this operation should be able to take it down. Think carefully, it seems that there is no deviation.
"I will be as soon as possible." Zheng Ren said very solemnly.
"Nothing." Su Yun said with a smile. "The chest-opening device must be prepared. I call Zhao Yunlong together. Once I have this... you have a long operation time, maybe you have to open your chest."
"Yeah." Zheng Ren nodded.
Being prepared, this is something that must be considered.
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