Vol 3 Chapter 2201: Intratracheal rupture

Come, help! "The anesthesiologist opened the door of the operation room and roared loudly.
Zheng Ren did not hesitate to turn around and trot straight to 9 hands.
"Iren, optimistic about Lin Yuan." He was in a hurry, leaving only a word.
Su Yun did not care about hitting the water dog and ran all the way with Zheng Ren.
Lao He pulled the flat car halfway and saw Boss Zheng and Yuner running away. Knowing that something was wrong, he immediately released the flat car and ran over.
Fang Lin had just pulled the patient out and heard the alarm of various panic instruments from 9 hands. He also wanted to take a look.
"Take the patient away!" Su Yun glared at Fang Lin and ran into nine hands with Zheng Ren.
The patient had local anesthesia, and Zhang Luo was going to go back after surgery. There is too much unpredictable risk if you see an accident during the operation.
Zheng Ren strode in and raised his eyes to observe the ECG monitoring.
The heart rate displayed on the ECG monitor was ventricular fibrillation, and after watching it for less than 3 seconds, the heart rate had dropped from 50 beats / min to 35 beats / min.
"Placing people flat," Zheng Renshen said.
The anesthesiologist intubated the trachea, and several people worked together to level the patient. At this point, the heart has suddenly stopped.
Su Yun directly started the chest heart compression.
"Epinephrine 1mg, atropine 0.5mg intravenously." Zheng Ren squinted at the patient, with a doctor's order in his mouth.
He didn't care who was standing on the operating table at this time.
Professor Zhu was also stunned by the situation in front of him. During esophageal cancer surgery, the patient's respiratory cycle stopped during the operation. What is going on?
Zheng Ren pulled the sterile sheet down, and the patient's neck clearly showed subcutaneous emphysema.
Contrast with the system panel, Zheng Ren knows.
"Ankylosaurus, 40mg, intravenous injection!" Zheng Ren continued to order.
In the emergency department, as long as one person directs the rescue with confidence, generally, no one will question it.
"Ice cap."
"Adrenaline!"
"Dopamine is pumped at 8 μg · kg / min."
"Push a dopamine first."
"Lao He, check the ventilator pipes."
"Atropine 0.5mg."
Doctors' orders were issued, and there was no panic and busyness in the entire operating room, and everyone started to move.
The surgeon wished that Professor and his assistant held their hands flat on their chests and looked dumbfounded. This rescue is too skilled.
The patient has subcutaneous emphysema, which may be due to a problem with the ventilator tube, and it is more likely that the trachea was broken during surgical dissection.
Broken the trachea and haven't noticed ...
"Anesthetist, hand control operation," Zheng Ren continued.
After 3 minutes, the patient's breathing cycle was stable, but SpO2 continued to fluctuate from 74% to 82%, and the waveform appeared intermittently. Manually breathing was found to be leaking.
"Boss Zheng, there is no problem with the pipeline." Lao He reported after checking the pipeline as fast as possible.
"Surgeon, inject 1000ml of normal saline into the patient's chest!" Zheng Ren did not know Professor Zhu, who is undergoing surgery today, and he used the name of the surgeon directly.
The itinerant nurse immediately opened the bottle of normal saline, and Professor Zhu froze.
The person who broke in was Boss Zheng, and Professor Zhu dare not say a word. He knew clearly that he had only seniority and age than Boss Zheng. He really said that the surgery, not to mention that he was old now, even when he was young at the peak, he could not catch up with him.
Professor Zhu's heart was mixed with emotions, and he could not tell the taste.
However, he made a logical judgement and knew what Boss Zheng was going to do. He took the syringe and poke the card along the chest to hit saline.
The patient changed from the lateral position to the supine position, and the water was definitely not too much. Professor Zhu estimated that the amount of physiological saline was put into the chest cavity, and felt that it would come out.
"Holding the trachea for intubation, the body is a bit taller." Professor Zhu was thinking wildly, Zheng Ren's voice had come.
"Boss, the heart rate has stabilized for a while." Su Yundao, "Hurry up, the ventilation volume cannot be so low for a long time."
"Swipe your hands."
Zheng Ren went to brush his hands, and the speed was fast, and he could see that he was anxious.
After Professor Zhu put in 1000ml of normal saline, Zheng Ren and Su Yun returned by brushing their hands.
"Boss, you get dressed. I'll do it again."
Uh ... this is ... Professor Zhu froze for a moment.
This is to grab the position of your main knife! He was ashamed and very angry.
But anger alone is useless. The surgery has been leaked. Boss Zheng is here to rescue the fire, not to humiliate himself.
I wish this point clear to the professor.
The medicine, no matter how bitter, has to be swallowed. Who asked the surgery to make the problem?
Zheng Ren changed his clothes and stood directly next to Professor Zhu. He took the endoscopic equipment and said, "Hand-controlled breathing, come now."
The anesthesiologist carefully pinched the ball and controlled his breathing.
The endoscope lens found the location of the trachea in the water, and Zheng Ren looked at the screen. A rupture of about 0.5 cm soon appeared about 4 cm above the tracheal bulge.
As the anesthesiologist pinched the ball, there were bubbles popping up at the rupture.
"Lao He, tracheal intubation is deeper." Zheng Ren said.
Lao He nodded. He cooperated with the anesthesiologist and controlled the breathing, while intubating the trachea downward.
Beyond the ruptured position, fix the tracheal intubation again.
"sewing."
Su Yun stood next to Zheng Ren, crowding out Professor Zhu and his assistants.
Professor Zhu was so depressed.
But I can't always argue on the operating table. No, the patient's heart stopped just now.
Professor Zhu stood behind Zheng Ren and looked at ~ EbookFREE.me ~ It took only ten seconds to find out that Boss Zheng had done a good job.
The trachea rupture was sutured quickly, Zheng Ren glanced at the ECG monitoring-blood pressure 125 / 94mmHg, heart rate 67 beats / min, and blood oxygen saturation 98% ~ 100%.
"That's it, that's it." Zheng Ren glanced carefully at the tumor and knew in his heart what the problem was with Professor Zhu's surgery.
There should be no problem, Zheng Ren turned to step down.
Su Yun paused slightly, sighed, and turned down.
"Boss Zheng, are you all right?" Lao He asked.
"Well." Zheng Ren suddenly realized that Su Yun seemed to sigh.
Chest surgery ...
"Let's find a chance for chest surgery," Zheng Ren whispered.
"It's okay." Su Yun was a little lost, and said, "A thoracic and abdominal laparoscopic esophageal cancer operation has nothing to do."
Su Yun also knows that the boss is worried about Lin Yuan and has no intention of performing an ordinary esophageal cancer operation.
They talked as they walked out of the operation room.
"Zheng ... Boss Zheng, thank you," Professor Zhu said.
"Oh, you're welcome." Zheng Ren smiled and turned away.
"Well? What about Lin Yuan?" Su Yun looked at the end of the corridor and Lin Yuan had disappeared, and asked in amazement.
"Should be slowed down," Zheng Ren said.
"What happened to her just now?" Lao He asked aside.
"Hydrogen sulfide poisoning," Zheng Ren said, "prolonged stimulation by hydrogen sulfide may not be so sensitive to the olfactory system, so this situation will occur."
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