Chapter 2123 The Expected Sudden Stop (Happy Birthday, Brother Yun Plus More×1)
According to the measurement results of liver injury biomarkers, the team found that the normal temperature mechanical perfusion method caused 50% less damage to the donor liver than the cryopreservation method, increased the average liver preservation period by 54%, and reduced the organ discard rate by 50%.
Not only do we have livers with the same blood type and matching type, but we also use the life support system to send the donor livers from thousands of miles away at room temperature.
Thinking of this, Director Li couldn't help feeling a little dazed. Could it be that the world is in harmony?
It is actually possible to do this - you must have a super high status in academia. At least the doctors in the world's top hospitals have to buy it, otherwise who would do it.
Looking at the liver taken out of the life support system, with the breath of life, the whole operating room was solemn.
When the Xie Yi people took over the donor liver, this side of the liver was just cut off, and the connection was seamless without any delay.
Director Li looked dumbfounded, this is the most ideal situation for liver transplantation.
The cut-off donor liver has no blood supply, and if there is no blood supply for one more minute, some changes will occur in the tissue.
Although everyone knows that seamless connection is the best way, the surgeon who can do it simply does not exist.
Director Li stood on the operating table and acted as an assistant. With rich experience, he felt many details that others could not.
Such details are filled in every corner of the operation, and Director Li is not even sure if he understands them all.
For the chief director of the 912 Hepatobiliary Surgery Department who has rich experience in liver transplantation, the hand speed may not be as fast as that of young people. But if you can't even understand the operation, it's too much.
The vascular anastomosis rings were installed one by one by Zheng Ren, and Director Li kept an eye on the time. The anhepatic period must be as short as possible, which no one can deny.
But is this the first time Boss Zheng has come into contact with the magnetic ring for vascular anastomosis? Why are you so proficient!
"Old He, the dopamine has started to be pumped in." Zheng Ren said while performing the operation.
"8ml per hour." Lao He said.
"Prepare to push dopamine statically, and prepare ten doses of adrenaline." Zheng Ren said.
"..." Director Li looked at the ECG monitoring in confusion, and the values on it were all stable.
What is Boss Zheng going to do?
Electrocardiogram showed sinus rhythm, 124 beats/min. The rapid heart rate is considered to be caused by acute liver failure and infectious shock. This is also the result of the efforts of 912's top intensive care team.
After one rescue, the patient's condition eased slightly, at least in Director Li's view, there is no problem for the time being.
It is said that the older you are, the less courageous you are.
Boss Zheng is just a young white horse. When he wields his sword, he is so cautious. It's really interesting to watch.
It's time for a liver transplant, Director Li knew it well, and turned his gaze from the ECG monitoring to the operation area.
But,
The moment he looked away,
He felt as if he was hallucinating.
The ECG waveform fluctuated violently, did I misread it? Director Li was taken aback.
"Dopamine, adrenaline." Boss Zheng said in a deep voice while looking at the surgery area.
3 seconds ago, he had already opened the door.
Immediately after opening the portal blood flow, the vital signs of the patient Chen Li began to change.
Uh... Director Li was stunned.
He immediately turned his head to look at the invasive arterial blood pressure monitoring, as if jumping off a building, the value whizzed down.
There was still 90 mmHg just now, but the moment I turned my head and turned back, it dropped to 62 mmHg.
"Crack." Director Li's hand trembled slightly, and Zheng Ren's hemostatic forceps hit Director Li's hemostatic forceps.
"Director Li, concentrate, we don't have much time." Zheng Ren said in a deep voice.
Director Li is awe-inspiring.
Obviously, Boss Zheng has his own plans and forecasts for the whole operation.
There's not much time... What he's talking about is not the common term of the normal temperature period of the organs, but the patient is really dying!
Now that Boss Zheng is confident, Director Li stopped thinking about other things and began to concentrate on cooperating with Boss Zheng's surgery.
The moment the door was opened, Su Yun no longer looked at Shu Ye, but stared closely at the ECG monitor.
Blood pressure fell off a cliff, arrhythmia, rapid atrial fibrillation.
There was not even time to administer the drug, and the blood pressure and heart rate returned to zero directly.
After restoring the venous blood supply to the heart, the patient's heart, which had already suffered from heart failure, could not bear such a large pressure and stopped beating directly!
The waveform of the electrocardiogram went from trembling crazily to weakly moving twice, and it was about to be pulled into a straight line.
The boss's judgment is really accurate! Su Yun was slightly surprised.
But the boss's judgment is accurate, isn't that what it should be? Su Yun didn't know when, he also had a fixed thinking in his heart.
It is an exaggeration to say that it returns to zero. Invasive arterial pressure monitoring showed a rapid drop in arterial pressure, with an average arterial pressure of 20mmHg.
"The pupils on both sides are dilated, with a diameter of 4 mm, and the light reflex disappears." Lao He has been preparing for it. From the moment the ECG monitoring machine started to alarm, he began to observe the patient's pupils.
Su Yun extended his right hand under the diaphragm from the surgical incision, placed 2-5 fingers together on the attachment surface of the diaphragm under the back of the heart, and placed his left palm on the previously reserved incision dressing. He knew that the patient was under there. The middle and lower 1/3 of the sternum.
Fix the palm of the left hand, and use the coordinated movement of the right elbow, wrist and shoulder joint to drive the 2-5 metacarpal fingers of the right hand to squeeze rhythmically and impactfully to the sternum, so that the diaphragm moves up 5.5cm, and then quickly relax to return the diaphragm to its original position.
The whole movement is standard, like a machine, without the slightest error.
Although Su Yun's movements were very forceful and impactful, the patient's body remained motionless.
Not to mention the whole body, even the nearby liver being transplanted was completely motionless.
Professor Zhang was dumbfounded.
Cardiac arrest occurs suddenly, as if the patient's heart rate is grafted onto his heart.
The steady heart rate of 80 beats/min instantly rose to over 150 beats/min. Finally, are you going to take the stage by yourself?
No excitement, only a hint of embarrassment.
Professor Zhang was dissatisfied with why Zhao Yunlong didn't move at all. Shouldn't he be brushing his hands at this time, ready to open his chest, and press directly on it?
He touched Zhao Yunlong with his arm.
"Xiao Zhao, brush your hands."
"Uh..." Zhao Yunlong watched Su Yun's movements without blinking, and just hummed out from his nasal cavity.
What kind of attitude is this? Professor Zhang hasn't noticed Su Yun's actions yet, and he is very dissatisfied with Zhao Yunlong's reaction.
But Zhao Yunlong didn't move, so why didn't Director Zhang Lin move!
After 1.2 seconds, Professor Zhang noticed that the ECG oscillogram that had been drawn into a straight line fluctuated again.
That kind of fluctuation means the continuation of life. However, the waveform is not the waveform of sinus heart rate, but the standard squeeze waveform.
CPR? Professor Zhang was stunned.
I didn't see anyone doing chest compressions, who did CPR!