Vol 3 Chapter 2969: Command from anesthesia

After entering the operating room, Lao He brought in the small stones, Zheng Ren and Su Yun went to change clothes.
"Boss, how many days and nights are you going to watch in icu?" Su Yun asked.
"Well." Zheng Ren said, "It's better for me to take care of you. Don't leave. Although our 912 is very serious, it is a 3d printed lung. After all, what happens is not necessarily, they are not at ease with me. . "
Su Suyun's lips moved, and she wanted to say a few words, but at last she went back.
Others entered the operating room early in the morning to prepare. The entire medical team attached great importance to this operation. Even Gao Shaojie offered to help and stop today's tips operation.
要求 This request was rejected by Zheng Ren. Gao Shaojie had to have surgery with Zhou Chunyong. Others arrived at the outer operation room a long time ago and started to prepare with the innermost hybrid operation room.
This operation was prepared for a week, but when it was time to go to power, Zheng Ren felt a sense of being homesick. After changing clothes silently, Zheng Ren and Su Yun walked into the operating room.
Director Xu stood at the door of the operating room and saw Zheng Ren come in. He said with a bitter smile, "Boss Zheng, where are you visiting the nurse?"
"Ah?" Zheng Ren thought that Director Xu was going to ask if there was anything he could help, but he didn't expect him to ask such a sentence.
"Foreign study nurses." Su Yun clever, answered directly.
"Not even let me in." Director Xu complained.
"Uh ..." Zheng Ren said silently. "I told her yesterday, as few people as possible, so as not to damage the sterile environment. Sorry, Director Xu."
"Boss Zheng, in the future, you will not travel around with the nurses to bring their own." Director Xu said with a joke.
"I don't know." Zheng Ren was also at a loss about this matter.
"Lin Chu said that this is a foreign friend and it is a big deal." Director Xu asked in a low voice.
"Well, it should be my patient."
During the conversation, the three came to the operating room. Marys is preparing all kinds of things for surgery. After a period of training and adaptation in recent days, she is as skilled as 912 nurses.
Today, Marys is wearing an isolation suit. After a period of treatment, the fat on her lower body is removed, and she regains her proud body; or more accurately, it becomes Kerry's custom-made look.
Zheng Ren's cosmetic and plastic surgery is very well done. At least, the back view thought that which supermodel was busy in the operating room. It was impossible to see that the lower body was like a mountain in the past, and the upper body was withered like a skull.
"Marys, this is the leader Xu, here." Zheng Ren came in and introduced Marys first.
Marys turned her head and asked, "Leader? Brother Yun, what's that?"
I heard her question, Su Yun frowned. The atmosphere was a little embarrassing, and Zheng Ren didn't seem to be as good as a professor with a big mouthful. At least the professor is a doctor. He understands the rules of the operating room and will never conflict with the people who manage the operating room.
"Can he come in?" Marys also felt the embarrassment of the atmosphere, and she asked later.
"Come in ..." Zheng Ren arrived, "Director Xu, do you have time to help me?"
"Yes." Director Xu's voice was a bit dry. This is the operating room of 912. I have to get permission to enter it. What a reason! If it wasn't for Boss Zheng's request, he would definitely be soaring.
"Trouble you," Zheng Rendao said.
"Zheng, is there anyone else?" Marys asked earnestly and stubbornly. "More people are not good for sterility, as the book says."
"Dr. Charles is coming soon, and the rest is gone." Zheng Ren said helplessly.
Zheng Zhengren and Xiao Shitou spoke a word, then looked at Lao He.
Laohe was already ready. He nodded and was ready for anesthesia.
"Wait a minute, I'll brush my hands first." Zheng Rendao, "This operation, I'll direct from the beginning."
Lao He didn't say anything to Boss Zheng's weird request. More than twenty pages of A4 paper were not enough. Boss Zheng still had to command from the beginning. It seemed to be a little too careful.
Sometimes Laohe feels that Boss Zheng treats this little patient in front of him differently from others.
Zheng Ren strode out to brush his hands, came back to put on his clothes, and the song of good luck had sounded, the voice was not loud, more as a background.
Dr. Charles stepped on the operation and began to come to the operating room. Linger accompanied him and explained to him the operating room of 912.
眯 Zheng Ren narrowed his eyes and smiled, but didn't talk to the doctor much.
"The radial artery is punctured, and a blood gas analysis is performed. Leave a sample first." Zheng Ren put on his clothes and stood in the corner.
Wu Laohe and his assistant Ma Li started the operation. Su Yun, Lin Yuan, Gu Xiaoran have begun to put up sterile sheets, ready to do ECMO tube placement.
"Imidazole diazepam 1mg, etomidate 0.15mg / kg. Sufentanil 0.15mg / kg, atracurium cis besylate 0.12mg / kg." Zheng Ren Shensheng said.
的 The dosage of these drugs is the result of a few days of discussion with Lao He, plus Zheng Ren's hundreds of attempts in the system operating room. However, Zheng Ren took the first command of the operation cautiously and did not even give up anesthesia.
Laohe started to administer the drug. After the muscle was loosened, an endotracheal tube was intubated, and the ventilator was connected for mechanical ventilation. The left tracheal catheter was a left-lumen bronchial catheter.
仁 Zheng Ren also explained the values ​​of various ventilator. Subsequently, he was intravenously infused with propofol 0.02nag / kg / min, vecuronium bromide 1ug / kg / min, and intermittently injected sufentanil.
Anesthesia works ~ EbookFREE.me ~ Su Yun took Lin Yuan to ECMO.
The right femoral arteriovenous cannula was intubated with a 15 Fr catheter to the level of the common iliac artery; the femoral vein was infused with a 19 Fr catheter at the level of the inferior vena cava. All heparin-coated membrane lungs and pipes, thermostats, centrifugal pump heads and oxygenators are selected.
转 After the insertion of the catheter is completed, the flow begins. The initial flow is 2.5 L · min-1 · m-2 of the intermittent cardiac output, and the flow is maintained at more than 30% during the flow.
Seeing that the vital signs of the small stones were stable and the blood oxygen saturation continued to rise, Zheng Ren began to put on a sterile sheet in preparation for surgery.
The operating room was quiet, only good luck songs were floating.
Prepared for the operation, Zheng Ren stood at the position of the surgeon, and condensed to recall the mature operation process. After preparing the electric burner and suction device, he reached out his hand.
的 Iodine gauze clamped by hemostatic forceps was slap in Zheng Ren's hand.
Disinfection, incision, anterior and lateral thorax incision + sternal transection. The incision passes through the 4th or 5th intercostal space on both sides, from the mid-axillary line to the sternum margin, and then transects the sternum.
This incision can provide sufficient exposure for the thoracic cavity on both sides from the pleura to the diaphragm and the posterior mediastinum, which makes it easy to free the two lungs and hilar structure. Although it has been suggested in recent years that it is not necessary to traverse the sternum, Zheng Ren chose the most "old" method after surgical experiments.
虽然 Although the damage of this method is a little larger, the surgical procedure is significantly shortened, which is more suitable for small stones.
"Boss, are you nervous?" Su Yun stood opposite Zheng Ren, feeling the atmosphere in the operating room a little dignified, he asked with a smile.
"It's okay." Zheng Ren narrowed his eyes and answered with a smile.