Chapter 2278: 2201 Intraoperative Tracheal Rupture

"Come help!" the anesthesiologist opened the Shujian door and shouted loudly.

Zheng Ren didn't hesitate, turned and ran a quick trot straight to Shou.

"Yi Ren, keep an eye on Lin Yuan." He, in a hurry, only managed to leave a sentence.

Su Yun also didn't have time to attack the fallen dog, and ran with Zheng Ren all the way over.

Lao He was halfway pulling the cart when he saw Zheng Lao Ban and Yun Ge'er running off, realizing something had happened, he immediately let go of the cart and ran after them.

Fang Lin had just pulled the patient out when he heard the chaotic alarm sounds from various instruments inside Shou, and he also wanted to take a look.

"Take the patient and hurry!" Su Yun glared at Fang Lin, then ran with Zheng Ren into Shou.

The patient was under local anesthesia, and after the operation they were planning to walk back. If they saw this intraoperative accident, the unpredictable risks would be too great.

Zheng Ren strode in and lifted his eyes to observe the ECG Monitor.

The ECG Monitor showed ventricular fibrillation; after less than three seconds, the heart rate dropped from 50 beats per minute to 35 beats per minute.

"Lay the person flat." Zheng Ren said in a low voice.

The anesthesiologist gripped the endotracheal tube, and several people worked together to lay the patient flat. At this moment, the heart had already stopped.

Su Yun immediately began external chest compressions.

"Epinephrine 1 mg, atropine 0.5 mg intravenous injection." Zheng Ren narrowed his eyes at the patient and issued the medical order.

He didn't care at all who the person standing on the operating table was at this moment.

Professor Zhu was also stunned by the situation before him—an esophageal cancer surgery, intraoperative patient respiration and circulation suddenly stopped—what was going on?

Zheng Ren pulled down the sterile sheet, and subcutaneous emphysema was clearly visible on the patient's neck.

Comparing with the System Panel, Zheng Ren had a clear idea in his mind.

"Cefuroxime 40 mg, intravenous injection!" Zheng Ren continued to give the medical order.

During emergency rescue, as long as one person confidently directs the rescue, under normal circumstances others won't question it.

"Ice cap."

"Epinephrine!"

"Dopamine 8 mg·kg/min pumped in."

"First push a dose of dopamine."

"Lao He, check the ventilator's tubing."

"Atropine 0.5 mg."

Medical orders were issued one after another; the operating room was no longer chaotic or busy, and everyone began to act.

The operator Professor Zhu and his assistant held their hands up flat in front of their chest, looking dumbfounded. This rescue was also too skilled.

The patient had subcutaneous emphysema; it was possibly due to a problem with the ventilator tubing, or more likely the trachea got torn during the dissection of the surgery.

Torn the trachea, yet not noticed……

"Anesthesiologist, manual control." Zheng Ren continued to say.

Three minutes later, the patient's respiration and circulation were stable, but SpO2 continued to fluctuate between 74% and 82%, the PETCO2 waveform appeared intermittently, and manual ventilation detected a leak.

"Zheng Lao Ban, the tubing is fine." Lao He reported after checking the tubing as quickly as possible.

"Operator, inject 1000 ml of saline into the patient's pleural cavity!" Zheng Ren didn't know Professor Zhu, who was performing the surgery today, so he directly addressed him as "operator".

The circulating nurse immediately opened the saline bottle, and Professor Zhu stared blankly for a moment.

The person who rushed in was Zheng Lao Ban; Professor Zhu didn't dare say another word. He knew clearly that he only had seniority and age over Zheng Lao Ban; speaking of surgery, let alone now that he's old, even at his peak when he was younger he couldn't match him.

Professor Zhu felt a mix of emotions he couldn't put into words.

Nevertheless, he logically judged, knowing what Zheng Lao Ban intended to do, he still took the syringe and injected saline into the pleural cavity along the puncture site.

The patient changed from lateral decubitus to supine; the water definitely wouldn't be much. Professor Zhu estimated the amount of saline to inject into the pleural cavity, feeling it would spill out.

"Hold the endotracheal tube, raise the position a bit." Professor Zhu was lost in thought when Zheng Ren's voice came through.

"Boss, the heart rate is temporarily stable." Su Yun said, "Seize the time; the ventilation volume also cannot stay this low for long."

"Scrub hands."

Zheng Ren went to scrub his hands; he was quick, and it could be seen he was anxious inside.

After Professor Zhu injected all 1000 ml of saline, Zheng Ren and Su Yun had already finished scrubbing and returned.

"Boss, put on your clothes; I'll disinfect again."

"Um…… this is……" Professor Zhu stared blankly for a moment.

"This is an attempt to steal my position as lead surgeon!" He felt a mix of shame and guilt, especially angry.

But just being angry is useless; the surgery already had a leak, Zheng Lao Ban came to put out the fire, not to humiliate himself.

Professor Zhu understood this point.

"Medicine, no matter how bitter, must be swallowed. Who let the surgery become a problem of his own making!"

Zheng Ren changed his clothes, then stood beside Professor Zhu, took the endoscopic equipment, and said, "Manual ventilation, now."

The anesthesiologist carefully squeezed the bulb, performing manual ventilation.

The endoscopic lens found the trachea's position in the water; Zheng Ren watched the screen. Soon, about 0.5 cm rupture appeared about 4 cm above the tracheal carina.

As the anesthesiologist squeezed the bulb, bubbles gurgled out at the rupture site.

"Lao He, insert the endotracheal tube a bit deeper." Zheng Ren said.

Lao He nodded; he coordinated with this table's anesthesiologist, one hand doing manual ventilation while the other pushed the endotracheal tube downward.

Past the rupture site, he re-secured the endotracheal tube.

"Needle, thread."

Su Yun stood beside Zheng Ren, squeezing Professor Zhu and his assistant aside.

Professor Zhu felt this depression in his heart.

But we can't be arguing on the operating table, can we? Just now the patient's heartbeat stopped; if we start arguing again, it won't look good.

Professor Zhu stood behind Zheng Ren watching; after only a dozen seconds, he saw that Zheng Lao Ban's Shou Bing was really well done.

The tracheal rupture was quickly sutured; Zheng Ren glanced at the ECG Monitor—blood pressure 125/94 mmHg, heart rate 67/min, oxygen saturation 98%~100%.

"Alright, just like that." Zheng Ren took a close look at the tumor, and in his mind he understood where Professor Zhu's Shou Bing problem lay.

There shouldn't be any problem anymore; Zheng Ren turned and stepped down.

Su Yun paused slightly, sighed, and also stepped down.

"Zheng Lao Ban, are you alright?" Lao He asked.

"Hmm." Zheng Ren suddenly realized that Su Yun seemed to have sighed.

Thoracic Shou Bing…

"Let's find an opportunity to do thoracic Shou Bing." Zheng Ren said softly.

"It's fine." Su Yun, a bit low-spirited, said: "An esophageal cancer thoracoabdominal laparoscopic Shou Bing—there's nothing much to do."

Su Yun also knew the Boss was worried about Lin Yuan, and had no mind to perform an ordinary esophageal cancer Shou Bing.

The two talked as they walked out of the Shujian.

"Zheng... Zheng Lao Ban, thank you." Professor Zhu said.

"Oh, you're welcome." Zheng Ren turned back with a smile, then left.

"Huh? Where's Lin Yuan?" Su Yun saw that Lin Yuan had already disappeared at the end of the corridor, and asked in surprise.

"She probably just caught her breath." Zheng Ren said.

"What happened to her just now?" Lao He asked from the side.

"Hydrogen sulfide poisoning." Zheng Ren said, "Prolonged hydrogen sulfide irritation may dull the olfactory system, so this situation can occur."