Chapter 2761: with translation of chapter title
Little Qin, say a few less words; for such a big Shou Bing, aren't you a bit Tension? Why are you talking so much? Director Qiu said.
Director Qiu, definitely Tension, this Shou Bing doesn't necessarily require standing that long. I'm feeling a bit upset stomach today; I haven't dared to eat since morning. Around 10 o'clock give me 500ml of 10% sugar, hoping my stomach won't act up. Doctor Qin muttered.
Can you hold on?
If you can't hold on, you still have to; what do we do if we don't do it? Assistant Doctor Qin said.
The surgeon didn't say much; he was like Zheng Ren, standing before the film viewer, first checking the films once over, then beginning the final viewing.
Pre-operative film checking and viewing, this kind of thing is both important and not important, but every detail involving the Shou Bing must be taken seriously and carefully.
Like the films from the previous Shou Bing weren't taken down and still hung on the film viewer, the doctor for the next Shou Bing comes up and treats them as his own patient's films; examples of ending up operating on the wrong site are not few.
Everyone makes mistakes sometimes, but the cost of mistakes in the medical profession is too high to bear. So most doctors tend to have a bit of obsessive-compulsive disorder, mild or severe.
Zheng Ren noticed the surgeon's detailed movements, and his favorability increased by one.
Director Qiu, intraoperatively we maintain anesthesia with inhaled 1%~1.5% sevoflurane, propofol, and sufentanil infusion, intermittent intravenous cisatracurium besylate to maintain muscle relaxation. Intraoperative heart rate is kept at the preoperative compensatory level, about 60~70 times per Minute. What do you think?
Su Yun finished adjusting the equipment and asked respectfully.
"Yes, yes." Director Qiu nodded repeatedly.
"Little comrade, this attitude is correct; Director Qiu's Thoracic anesthesia level is top-notch. Study well, you'll definitely be able to use it later." Assistant Doctor Qin said while going to scrub hands after positioning the patient.
Director Qiu cautiously glanced at Zheng Lao Ban, seeing no change in his expression. He then glanced at Su Yun, who was wearing three layers of masks……Why does he wear so many masks? This question again arose in Director Qiu's mind.
It's just a question, but Director Qiu didn't dare to ask.
"Director, I've disinfected." Assistant Doctor Qin said to Director Xu after returning from scrubbing hands.
Director Xu merely nodded; after entering the room he hardly spoke. It's unclear whether it's due to Tension causing few words, or because he himself is unwilling to speak.
Disinfecting, laying sterile drapes, preparing connections for electrocautery, ultrasonic knife, etc., Doctor Qin sutured on the sterile drape, tied a double 7# surgeon's knot, tidying up the messy lines.
Director Xu scrubbed hands, disinfected, wore sterile gown, stood in the surgeon's position. An extremely difficult Shou Bing, three people opened the table.
Looking at the number of people, it's average; some smaller hospitals are willing to find four people to fill the operating table. But here, after all, it's a Hospital with domestic Rank in the top ten, so there's no need for face-saving projects.
The sternum saw split the sternum, the buzzing sound made Zheng Ren feel somewhat familiar. But he himself wasn't holding the sternum saw, standing in the surgeon's position performing the Shou Bing, this feeling was quite special.
Zheng Ren stood behind the surgeon watching the Shou Bing, occasionally adjusting the focus of the Shadowless Lamp. A top-tier surgeon as an assistant can be quite comfortable. Standing below assisting at the table, that's a super high configuration; various details let Director Xu's Shou Bing proceed a bit more smoothly.
Director Xu's Shou Bing was average, opening skin, opening sternum, initiating extracorporeal circulation, no major problems. Zheng Ren, even if standing on the operating table holding Hemostatic Forceps, was useless, couldn't tap Director Xu's radial styloid.
"Heart rate decreasing, intravenous atropine 1mg, observe a few Minute, if not effective, continue giving epinephrine 2mg." Zheng Ren said solemnly while watching the Shou Bing.
Su Yun sat in Lao He's assistant position, already accustomed to the comfort of the small round stool, looking around, also proficiently writing the anesthesia record.
He was just like a standard anesthesiologist; Director Qiu expected this Shou Bing to be busy, but it was actually idle enough to be annoying, and he had already gone off to supervise extracorporeal circulation.
"Boss, you're too wordy." Su Yun said while tapping a row of syringes in front of him.
"You're too wasteful." Doctor Qin muttered, "Today the Head Nurse isn't here; if the Head Nurse came and saw you opening so many emergency drugs, they'd definitely have you strung up and beaten."
"It's fine, I'll cover it with the list; she can't see." Su Yun smiled, the temperature in the Operating Room seemed to have Rise by 1°C, warm like spring.
"By the way, this anesthesiologist, why are you opening so many emergency drugs?" Doctor Qin asked.
"I'm used to it; where we are, there's a strict Boss; every time during an Emergency Rescue, he says what drug to use, and if it hasn't been pushed into the three-way stopcock within three seconds, the Hemostatic Forceps smash onto the anesthesiologist's head." Su Yun said with a grin, then gestured with his hand, "Such a big bundle."
"Damn! Director, look at the status of the other surgeons' chief surgeon!" Doctor Qin exclaimed.
"Do the Shou Bing well." Director Xu finally spoke his first words upon stepping up.
Zheng Ren felt helpless inside; this guy, whenever he has nothing to do, just retorts me twice, really? Besides, hitting people with Hemostatic Forceps—apparently only Su Yun has done it twice, I've never done it once.
"Boss, systolic pressure below 100, should we give fluids?" Su Yun, seeing Director Qiu not nearby, directly asked Zheng Ren for instructions.
"Only speak if below 90." Zheng Ren said, "Massive left atrium, pulmonary congestion severe, fluid volume must be controlled."
"How much urine output?" Su Yun asked.
"450ml."
Zheng Ren didn't even look, just said directly.
Su Yun began recording and monitoring the patient's vital signs. Director Qiu made rounds, hearing the conversation between Zheng Lao Ban and Su Yun, already had some understanding of their anesthesia levels.
The strong remain strong; indeed it is so.
With this anesthesia standard, anyway I can't find any fault; I myself am not capable, domestically probably no one is stronger. With this anesthesia level, they actually say his dedicated anesthesiologist level is higher! Who could it be? Director Qiu racked his brains but couldn't recall which unknown master anesthesiologist in room 912 he didn't know.
After 20 Minute, when blood pressure drops below 90 mmHg, fluid resuscitation is given for symptomatic treatment, but Zheng Ren observed for 10 Minute, blood pressure continued to slowly drop.
"Ephedrine, 5mg intravenous."
As soon as the words fell, the syringe was already connected to the three-way stopcock.
"Little brother, your hand speed is fast enough!" Doctor Qin, the type who sees all directions, saw Su Yun's operation and praised.
"I'm an esports professional player; formerly, I only became an anesthesiologist after retiring. I'm older now, my hand speed can't compare to when I was young." Su Yun blurted out nonsense.
Obviously this topic interested Doctor Qin more; although Su Yun was spouting nonsense, his related knowledge was rock solid. After chatting for a few Minute, just having said the top lane operation put Doctor Qin, this bronze, into a state of bewilderment.
End of Chapter
