Surgical artist

Chapter 78 It's so simple, what a long way to go

The vital signs of the patient dropped rapidly!
"What's going on? What's wrong?"

Everyone quickly reviewed the situation during the operation, there was no major bleeding, and there were no other warnings...

This operation seemed to be fine, but the patient's vital signs dropped rapidly "for no reason"!

"Oops, my heart rate has also slowed down!"

"Blood pressure dropped!"

"There is a ventricular fibrillation reaction!"

One after another, bad news swept like a flood in a short period of time.

Everyone was stunned at once!
Obviously there was no bleeding during the operation, and there was no accident during the operation!

What's going on here?

"Hurry up and call Director Xu!"

The chief surgeon hurriedly gave the order, and the young doctor next to him ran out in a hurry!

In the hall, Zhao Peiru is giving a lecture.

I saw a young man in a white coat running in quickly, and then quickly whispered a few words in the ear of Xu Qingquan, the director of the Third Hospital.

When Xu Qingquan heard this, his face changed slightly.

He gestured with his eyes, and after apologizing, he quickly got up and left.

Came to the operating room to have a look.

Xu Qingquan's expression changed immediately!

At this moment, the patient's "exhaled carbon dioxide" has been lower than the dangerous point!

There are even signs of circulatory failure!

And the blood oxygen saturation dropped from 85 to 75 again in just a few minutes!

This falling speed is too fast!It's amazing!
"Hurry up and carry out rescue!"

Xu Qingquan looked serious, and quickly said: "Increase the oxygen supply and inhale pure oxygen."

"Have you found out why?"

Everyone shook their heads bitterly and anxiously!

In the past few minutes, they also checked various situations, but they still couldn't find the cause.

Xu Qingquan frowned suddenly, thinking of something.

Hurry up and check the hepatic vein inch by inch!

Soon, he found a breach in the vein about 20 centimeters from the root of the hepatic vein!
Xu Qingquan's face suddenly became serious.

"Break air, forming an air plug!"

"In your surgery just now, you must have stretched the liver too much. In this case, the inferior vena cava segment itself is narrow, the pressure difference between the two sides of the vein is large, and the blood flow speed is faster than usual, and a breach was formed in one fell swoop!"

The surgical plan for this patient was reviewed by him, Xu Qingquan.

Nature knows the patient's condition like the back of his hand.

There is no problem with the medical records, but I didn't expect that there would be such a big mistake in the actual operation level!
Everyone was also frightened and stupid, their faces were as golden as paper, knowing that they had caused trouble.

apprehensive!

"Director Xu, what should we do?"

Xu Qingquan frowned: "I've already drawn your attention! Now quickly press the wound with a wet cotton pad, and first reduce the entry of air!"

"Once there are more gas embolisms, it will be too dangerous!"

"It will cause circulatory failure and even endanger life!"

After saying these few words, everyone became even more nervous, this is causing trouble!
The chief surgeon was almost scared to death.

"Our third hospital has little experience in dealing with this kind of air embolism, and there may be more than one breach."

Because the wet cotton pad has been used, the patient's various values ​​are still dropping rapidly.

This shows that the breach is far from complete!

On Xu Qingquan's forehead, fine beads of sweat had already appeared, obviously he also started to get nervous.

"According to our previous handling methods, it is relatively rough, immature, and has great sequelae."

"Still using the previous treatment method, it is not easy to explain to the patient."

This kind of iatrogenic gas embolism usually does not happen after the operation is completed, so it has not attracted much attention before.

But as long as it happens once, it is likely to lead to a big accident!There was a similar situation in the third hospital before, which led to an accident, and the patient's family made a fuss for a long time.

Xu Qingquan made a quick decision: "Xiao Zhang, contact Director Yu of the Liver Disease Professional Committee and ask him to help us remotely contact provincial experts who are good at dealing with gas embolisms!"

"in addition……"

Xu Qingquan suddenly had a flash of inspiration in his mind.

The breach should be in the area of ​​the hepatic portal vein, and at this moment, an expert in the field of hepatic portal vein is giving a lecture upstairs!
"Hurry up and go upstairs and invite Director Zhao from the Fourth Hospital down. He is very good at the field of hepatic portal vein. Maybe he can find a way."

Here is Zhao Peiru.

The young man in a white coat came in a hurry and told Zhao Peiru about the matter.

Zhao Peiru nodded: "Okay, let's discuss it first, and I'll go over to see the situation."

Yu Hao, the deputy director of the Central Hospital who was sitting below, also stood up: "Director Zhao, let me go with you, maybe I can help."

In such an emergency, one more person is more wisdom, and no one wants to see the patient die.

Everyone rushed to the operating room downstairs.

Xu Qingquan, director of the Third Hospital, quickly explained the situation.

Zhao Peiru nodded slightly.

Recently, he was thinking about which operation would be lucky enough to meet him and become a "demonstration" operation.

It seems that this "surgery for dealing with air embolism" is destined for him.

Now that you have encountered it, let's make it a "demonstration surgery case".

In Zhao Peiru's mind, he used the "Surgical Skills Blank Card" and directly upgraded to the advanced level on "Prevention and Treatment of Meridian Air Embolism During Hepatectomy".

At this moment, a lot of experience about dealing with air embolism poured into his mind.

"Since it is going to be a demonstration operation..."

"Then do it better."

In Zhao Peiru's mind, he used the "Specialized Experience Card" again!
At this moment, a greater amount of experience, more high-end surgical methods, more subtle processing techniques, more sophisticated surgical skills, and more advanced planning ideas...

It appeared outside Zhao Peiru's mind.

However, Zhao Peiru also discovered that the experience card is really an experience card, and this kind of experience is more like "temporarily stored" outside his mind, which can be called at any time, but it is not really owned.

And the previous experience and knowledge were directly integrated into his mind, became a part of him, and would never disappear.

After this operation, these temporarily dissociated experience, skills, etc. will dissipate again.

During this process, how much Zhao Peiru can absorb and become his own and keep it forever depends on his learning ability.

"Temporary is not bad, enough for me to show off once."

soon.

Zhao Peiru chose the most suitable set from various methods of dealing with air embolism.

The whole process, like a revolving lantern, went through Zhao Peiru's mind quickly.

Change positions and look for air intakes!

Shut up urgently, cut off the source!

Aspirate the air embolus in the hepatic portal vein!

Give medicines, maintain circulation, and restore the patient's vital signs!
When the whole process is over in Zhao Peiru's mind...

His level of dealing with and preventing air embolisms has not only far surpassed everyone present, even the experts in this field in the Liver Disease Professional Committee are inferior to him!

At this time.

Director Xu Qingquan asked anxiously: "Director Zhao, do you have a way to deal with this kind of air embolism?"

"How about we contact Director Yu and contact the Provincial Hospital remotely?"

Zhao Peiru smiled.

Dealing with gas embolism, such a simple thing, how far is it.

(End of this chapter)