Chapter 1635 Call the Experts Directly! (Third Change)

Although the head nurse frowned, she decisively began to adjust the indoor temperature!

Gong Daizhen thought about it for a while, her eyes lit up immediately, and she glanced at Chen Cang, her heart was touched, and she felt a little emotional!

Professor Chen is Professor Chen!

The understanding of medicine is really beyond the average person too much!

What is Medicine for Everyone?

That is, any risk of any situation affecting the patient can be avoided!

It's really too strong!

This kind of consciousness, this kind of medical thinking, this kind of ability, is really... too powerful!

The surrounding directors also slowly reacted!

Looking at Chen Cang in shock, his eyes are full of admiration!

Often a detail can tell a doctor's ability!

Why?

Generally speaking, the temperature in the operating room is usually set between 22-25 degrees Celsius.

but!

When large-scale escharectomy is performed, because the patient is in shock, the body temperature itself is low, so it is necessary to keep warm at this time!

In addition, almost the whole body of the patient is exposed at this time, which accelerates the heat dissipation.

The key point is that when a large area of ​​scab is removed, there will definitely be bleeding, a large amount of heat will flow with the fluid, and the temperature of the blood and fluid injected during the operation is not high.

Therefore, accidents are prone to occur if the temperature is too low!

At this time, if the room temperature is adjusted to 32 degrees Celsius, the patient's body temperature is more appropriate at this time!

The success rate of the operation will also increase a lot!

As soon as the operation started, everyone was shocked by Chen Cang.

A boss is a boss!

Those who came to participate in the operation were all at the director level, and they knew everything, and there was no need to explain too much!

But when everyone at the venue heard it, they were dumbfounded!

They whispered in low voices!

"What's the matter?"

"32 degrees Celsius, this... Can this be tolerated? And this is a room temperature of 32 degrees Celsius. During the operation, standing and operating for a long time, high-intensity operations must be done seriously. Can this temperature be tolerated?"

"Yeah, a lot of sweating, shouldn't you be dehydrated?"

"Yes! Why?"

I heard these young people chatting quietly.

A director on the side couldn't help explaining: "This is because Professor Chen considered that the patient was in shock and his body temperature was too low, and he was worried that the patient's body temperature would be too low and his immunity would be weakened due to fluid replacement, bleeding, exposure, heat dissipation, etc. during the operation. , maybe... the infection period will come earlier!"

"It's even detrimental to the healing of the surgery!"

"Professor Chen is really comprehensive, he is worthy of... he is worthy of being an academician tutor!"

As soon as these words came out, everyone immediately became emotional!

but!

What the hell is this academician tutor?

How can there be such a title!

Academician or student? Still need a tutor?

What the hell "academician tutor"!

Chen Cang's opening made everyone realize how powerful he is!

so amazing!

There is only one thought in everyone's heart, start today!

I am "Cang Blow"!

...

...

However, what they don't know is that this is just the beginning!

When everyone at the venue saw the table for accessing surgical instruments, they were immediately stunned!

Three... three tables!

Dense surgical instruments, various dressings and medicines, various knives and abrasives...

Let everyone see it and not know it!

Not to mention them, even Qin Xiang and Yang Tao are a little bit powerless, feeling a lot of pressure!

Because the precision and difficulty of this operation are far higher than that of ordinary burn surgery, so in terms of item preparation, it must be sufficient in quantity, complete in variety, good in performance of instruments and instruments, and the fixed position of rescue instruments is very important!

These are the basis for ensuring the successful completion of this group of operations!

Surgical scab removal is the most important part of scab removal and skin grafting.

Chen Cang was holding a scalpel with a meticulous expression on his face. Before the operation started, everyone felt that their backs were already sweating!

Chen Cang forced himself to calm down!

Then start excision of the eschar.

The patient's skin is covered with eschar and scab all over the body, like dry and cracked bark, exposing blood and flesh!

In fact, in such a situation, there is no need for anesthesia at all!

Because after the third-degree burn, eschar forms, and there is no nerve sensation. To put it bluntly... the nerves have been necrotic.

Escharotomy can be performed directly!

What is surgical escharectomy may not be understood by many people.

What is skin?

It is the largest organ in our body!

He is elastic, an organ with the ability to regulate and defend!

However, when the skin is damaged by heat, the skin loses its elasticity and becomes a hard eschar!

Moreover, these eschars are simply necrotic skin, which no longer has the possibility of expansion, cannot regulate edema, cannot defend the body, and even cause damage to the body!

Because after the burn, the tissue degenerates and edemas, and is isolated under the eschar skin formed by the burn, and the tissue pressure increases, causing blood vessel compression damage!

At this time, Chen Cang slowly put his hand on the skin, pressed it gently, and immediately felt a kind of elastic feedback!

Chen Cang took a deep breath, this is the so-called interstitial tissue pressure!

The most important thing about this operation is nothing else, but a good perception of the body!

Perceive how the scab is cut, how deep...

After Chen Cang touched it with both hands, the information came back immediately!

"The pressure on the organization is a bit high, this operation...is imperative!"

Hearing Chen Cang's words, Qin Xiang was going to use Doppler to check the remote pulse or directly measure the tissue pressure.

And Chen Cang pressed slightly, and said: "The interstitial tissue pressure has reached 40mmHg!"

As soon as Chen Cang finished speaking, Qin Xiang was dumbfounded!

Because his test data is exactly 42!

At this moment, Qin Xiang was stunned!

Even Gong Daizhen raised his head and glanced at Chen Cang, his pupils shrank slightly, feeling a little scary!

I haven't seen you for a while, Professor Chen is strong again!

This cannot be perceived without a wealth of clinical experience.

Do not underestimate this skill!

If the interstitial tissue pressure reaches 40mmHg, neurovascular damage will begin.

It must be dealt with as soon as possible.

Such a pressure is not only not conducive to the transportation of blood, but when burns around the chest, this pressure will increase the work of breathing and cause difficulty in breathing!

After the preparations were completed, Chen Cang said directly: "Treat the neck ring eschar first!"

Everyone nodded!

This is an important breathing and blood supply channel for the human body, and it makes no difference to deal with it first.

At this moment, the patient's neck is tightly adhered, and the originally loose skin is now attached to the muscles like after a barbecue!

The scalp of the person watching it is numb!

To be honest, only the doctor can enjoy this horrible scene as a video, and the others... are so handsome that they will vomit in three seconds!

Especially at this time or high-definition camera!

Everyone at the venue called out experts!