Chapter 2763

Zheng Ren sat in the operation cabin and practiced day and night.

When the part of the mission [Distance Produces Beauty] related to him was completed, it still didn't stop, and the 500 energy points provided durability. For Zheng Ren, this is just a starting point, definitely not the end.

And less than 3 hours after he completed the task, the completion of the continuous task has become 5/100.

Su Yun's talent is beyond words, and Zheng Ren is also very convinced about it.

He is cheating, Su Yun... If talent is considered cheating, he should also be cheating a lot.

There was a genius chasing after him, and Zheng Ren felt that he was running a little faster.

Doing surgery, training surgery every day, and chatting with Xiao Shitou, life is very stable.

Xiao Shitou's condition is still stable. He takes medicine on time every day. Zheng Ren visits him three times a day. His body is gradually recovering.

Although his blood oxygen saturation is not perfect yet, Zheng Ren felt that Bota's response was top-notch in the world after an abnormal situation occurred and targeted treatment was given, and he had no reason to ask for more.

Two days later, preparations for gallbladder cancer surgery in the Department of Hepatobiliary Surgery were completed. This was a live-broadcast surgery, and Zheng Ren specially practiced until 8:00 the first night before taking Su Yun home.

Laparoscopic gallbladder cancer surgery is not difficult, but simple is definitely not easy. Zheng Ren wants to maintain abundant energy and physical strength to face it.

Unlike the 3D-printed simulators, I was facing real people in the live broadcast of the surgery, and there was no room for carelessness.

The operation was still scheduled to start at 1:30 in the afternoon.

The operation went very smoothly. Zheng Ren did everything in an orderly manner, including disinfection, laying of sterile drapes, establishment of pneumoperitoneum, and laparoscopic forceps to peel off the tumor tissue little by little. Su Yun's level of holding the mirror was at its peak. There was a silent operation where the two did not communicate, and only the singing of good luck wafted in the operating room.

"Old He!"

Halfway through the operation, the door of the operating room opened, and an anesthetist shouted hastily.

"Huh?" Lao He was a little unhappy. This is a live broadcast of the operation, and he called himself so loudly. What if Boss Zheng was taken aback and made a mistake in the operation!

But after taking a look, Boss Zheng was still like a rock, unmoved by the sky falling, and concentrated on the operation.

"Second hand, there is a problem with the intubation, Director Xu asked you to take a look." The anesthesiologist said hastily.

Director Xu is here, why do you want to do it yourself... Lao He had no choice but to stand up and run over in a hurry.

There are still assistants, and my own assistants are taking care of me during the operation, so I should be fine. But it didn't seem good to be away for too long, Lao He struggled and trotted to the second hand.

A group of people were busy chattering inside, and the operating room was filled with a chilling atmosphere.

What's wrong with this, Lao He immediately glanced at it. The laryngoscope device was put aside. Obviously the laryngoscope had been used, but the tube still couldn't go in. ,

Lao He's heart tightened, and he was a little nervous.

The patient was given oxygen through a mask, and Director Xu stood aside with a face as heavy as water.

"Light stick equipment!" Lao He didn't need anyone to tell him, he knew what Director Xu was looking for him for.

Under the guidance of the light stick, my level of endotracheal intubation is the highest in the entire anesthesia department, which is due to... my luck is really bad. In order to avoid accidents, anesthesia accidents, and the death of the patient on the operating table, Lao He specially learned this technique and practiced it for a long time.

Although the light stick-guided intubation technique is not very difficult, but the subtleties show that even Director Xu can't compare with himself.

Lao He stood next to the patient's head, and an anesthesiologist handed over the light stick guide device.

A small pad is placed on the neck of the patient, so that the head is slightly tilted back, which is convenient for the patient to open the mouth and makes intubation easier.

However, the anesthetic had already been used, and the patient's breathing became weaker and weaker, Lao He felt a little panicked.

He lightly lifted the patient's lower jaw forward and upward to increase the distance between the upper and lower incisors. When he was about to guide the light stick down, he suddenly said in a deep voice, "Call Boss Zheng! 6 hands!"

When such an "accident" occurs, it is necessary to find the most powerful people to hold the line. Director Xu tried a laryngoscope, but it proved to be ineffective. That's why Lao He came to perform tracheal intubation under the guidance of a light stick.

Without Boss Zheng by his side, Lao He felt he had no idea.

It doesn't matter even if the live broadcast of surgery is being performed on that side, in the face of an emergency, those are trivial matters.

After Lao He shouted, he immediately held the handle of the light stick with a pen, and gently inserted the light stick with the endotracheal tube into the deep throat along the natural arc of the throat.

At the same time, rotate the light rod 15-20 degrees clockwise. The goal is to make the bright spot at the tip of the light rod appear at a level deeper than the thyroid cartilage, at the gap between the trachea and the muscle.

Then Lao He gently rotated counterclockwise and at the same time withdrew the light stick.

This series of actions was done quite proficiently, and it took less than 5 seconds before and after. If it were someone else, I'm afraid they are still wandering in the steps of trying to insert the light stick into the patient's throat at this time.

Lao He concentrated on the operation, because this is the most critical step.

When the resistance to counterclockwise rotation disappears, the light can usually illuminate the trachea for an instant. At this time, keep the position of the tip of the light rod and rotate slightly back and forth clockwise and counterclockwise to find the best position for illuminating the trachea.

Lao He has done more than 10 similar emergency cases, and every time he performs an operation, he will see the beam of light illuminating the trachea.

But Lao He was disappointed after 0.2 seconds.

He didn't dare to blink his eyes for fear of missing the best position. But even so, the illuminated trachea was still not seen.

The trachea cannot be seen, so naturally there is no series of gently sending the light rod forward 2-3cm across the vocal cords, fixing the position of the light rod with the right hand, releasing the lower jaw with the left hand, holding the catheter and sending the light rod forward into the trachea step.

Endotracheal intubation under light stick guidance also failed.

"Director Xu, I can't see it, I can't see it at all." Lao He said hastily while raising his head.

What the hell!

Lao He wanted to try again, but saw Boss Zheng strode in.

"what's the situation?"

"After induction of anesthesia, tracheal intubation failed. I tried laryngoscopy and light stick guidance, but it didn't work." Director Xu said hastily.

Zheng Ren was still wearing a surgical live broadcast device, but he didn't realize it.

Combining Director Xu's narration and the system panel, Zheng Ren knew the basic situation in the shortest time.

The patient's airway resistance increased sharply, the peak airway pressure was 38-45mmHg, SpO2 dropped sharply to about 70%, HR112 times/min, BP150/76mmHg, and bronchospasm was considered to be complicated by general anesthesia induction and intubation period.

"Mask-breathing bag pressurized and assisted ventilation!" Zheng Ren said in a deep voice, "Prepare the tracheotomy kit."