Chapter 1808: with translation of chapter title

What are you doing?

Sun Chao didn't understand; he glanced at the operative field, then glanced at the ECG monitor, looking utterly bewildered.

Zheng Ren finished speaking, he reached out, two gauze strips fell into his hand. He carefully threaded one gauze strip through the artery and handed it to the first assistant, Su Yun. The other gauze strip was threaded through the superior vena cava and handed to the second assistant, Zhao Yunlong.

Pulling the artery to the left and the superior vena cava to the right, preparing to dissect the pulmonary artery free from the superior vena cava.

"Wait a moment." Zheng Ren narrowed his eyes at the micro pump's dosage; after 15.5″, Zheng Ren said, "Increase the propofol pump to 10 ml, Su Yun and Lao Zhao start pulling."

Su Yun and Zhao Yunlong exerted slight force, exposing the operative field, and the ECG monitor began to howl like crazy.

The beeping alarm sounded like a sudden storm, ringing all around. The operating room instantly became busy and chaotic.

At this moment, the song Good Luck Come became barely audible.

Zheng Ren ignored the alarms from the ventilator and monitor; with one hand holding a hemostat and the other holding blunt scissors, he began to dissect the artery and the superior vena cava.

His hand hardly moved; only his fingers, the hemostat, and the blunt scissors were moving. Sun Chao stared dumbfounded—this speed was incredibly fast!

Shou Bing is truly damn awesome!

But the patient's heart rate dropped instantly, and the heartbeat grew weaker and weaker—can we still make it in time?

"Epinephrine 1 mg, saline 5 mg, intravenous injection!" Zheng Ren said while performing Shou Bing.

Immediately, Lao He pushed the pre-drawn epinephrine in at high speed. From the moment Zheng Ren started speaking to the completion of the push, it took less than five seconds.

"Increase the propofol pump to 30 ml per hour!" Zheng Ren said, "Push another dose of epinephrine."

Lao He did not question whether such a large dosage was acceptable; he clicked a few times, raising the rate to 30 ml/H, then pushed another dose of epinephrine.

Afterwards, Lao He called the circulating nurse to continue preparing epinephrine vials.

Five vials… it seemed not enough; while Zheng Lao Ban was busy dissecting, Lao He prepared a few more vials of epinephrine and placed them in front for standby.

This stuff isn't expensive either; wasting it is better than being frantic later and delaying Zheng Lao Ban's rescue.

A few cents' worth of medicine compared to a life— the choice is obvious.

Lao He had epinephrine at hand like bullets, a row of pre-drawn doses ready to be injected at any moment.

In the operating room, only one voice appeared.

Zheng Ren's voice mingled with the monitor and ventilator alarms, like a reef in the waves, unmoving.

Only with continuous epinephrine injections did the heart rate barely stabilize.

Zheng Ren dissected the right pulmonary artery about 3.5 cm at the fastest speed, then began to dissect the posterior wall of the proximal right pulmonary artery.

Sun Chao's eyes widened; the surgery seemed to be soaring.

At this moment he imagined himself in that scenario; if they had performed the thrombectomy as previously thought, just touching the clot and aspirating for one second would likely stop the patient's heartbeat.

Then they would begin emergency rescue.

Time trickled away during the emergency rescue.

A 12-cm clot cannot be fully aspirated in three to five hours. The key issue is whether this patient can hold out that long.

Definitely not possible.

In the next second, the heart could stop directly and cause death.

Is the young Zheng Lao Ban right again?

Sun Chao felt somewhat dazed; he had originally prepared a heap of reproaches to regain the face lost by the Medical University Affiliated Hospital in 912.

Although the surgery definitely doesn't need him, even for thrombectomy, the Department of Circulation's Director Zhang Lin and the Vascular Surgery's Director Mao Chi are present, so his level is no different from Mao Chi's.

But he never expected that in 912 they wouldn't even need Mao Chi.

A foreign professor performing iliac vein thrombectomy and recanalization was scolded by Zheng Lao Ban like a dog, and was finally chased off the stage simply because there were too many people on the operating table.

Young and overbearing!

In Sun Chao's mind, his impression of Zheng Lao Ban had these two labels constantly deepening, over and over.

The key is…… when he was below, he was truly furious, condemning Zheng Lao Ban for playing with lives!

How angry he was then—now thinking about it, just how embarrassing it is.

They, are correct.

"Zheng Lao Ban, has extracorporeal circulation been established?" Lao He finally asked.

He had already prepared the full set of extracorporeal circulation equipment, making all preparations. Even just preparing the extracorporeal circulation equipment for the emergency rescue had exhausted Lao He.

"Ready, but not needed for now." Zheng Ren said while dissecting.

"The heart isn't stopping?" Lao He finally confirmed.

Although he thought the likelihood was low, whatever Zheng Lao Ban said, he just needed to carry it out.

"Mm, it's not stopping." Zheng Ren affirmed.

The proximal occlusion band, distal suture with a 0.6 cm purse-string; Zheng Ren reached out and the willow leaf blade landed in his hand.

He carefully incised the segment of the right pulmonary artery; no blood flowed out, and what appeared in the operative field was a purplish-black clot.

Everyone behind the operating table surged forward half a step, as if hearing a charge's bugle.

"Epinephrine, push." Zheng Ren's words were brief and to the point.

Lao He immediately picked up another epinephrine and pushed it in.

This is the benefit of a familiar anesthetist—no need to say much. In a routine surgery, everyone would gossip on the operating table to kill time.

At such times, they feared the operating table would be too quiet.

But as doctors and nurses, what they fear most is this: nobody speaking, everyone sensibly closing their mouths, just shy of having their lips sewn shut with a 7-0 suture.

This kind of emergency rescue relies entirely on unspoken understanding.

Sun Chao felt a bit moved, thinking that Zheng Lao Ban's surgery…… should be fine, thoracic surgery is so rare nowadays that he himself cannot judge the surgical skill.

But without commenting on how the surgery went, just seeing the row of epinephrine vials lined up before the anesthetist is enough to inspire a sense of awe. (Note 1)

Professional, professional to the core.

Next, should we alternately use the negative pressure suction device and the bile duct stone forceps to perform thrombectomy? Sun Chao cheered up and moved forward another 10 cm.

Because he stood behind Su Yun, he couldn't see the surgical area at all.

Director Sun Chao even Doubt that the assistant ahead of him was performing blind manipulation.

MB! Blind manipulation combined with performing pulmonary artery thrombectomy Shou Bing, why are the guts of the 912 people so big?

Who is it? Su Yun felt someone lightly touch him from behind, instantly becoming unhappy. Without looking, he flung his hand backward, smashing a Hemostatic Forceps onto Sun Chao's shoulder, then leapt high and landed on the external device of the negative pressure suction on the wall behind him.

A crisp 'pa' sound.

We're about to do the thrombectomy, what are you crowding for! Su Yun didn't bother to see who it was, throwing instruments at people, extremely skilled.

…… The air in the Operating Room stagnated, and everyone, including Vice President Yuan, felt breathing slightly difficult.

Get out of the way. Su Yun shouted lowly.

……

……

Note 1: I recalled a previous chapter——the last dose of adrenaline.