Back in 2002 as a doctor

But Liu Wei has obviously surpassed that level.

After brushing his hands and returning, Zhou Congwen found that the patient's heart rate had dropped to 55 beats per minute under the action of the drug.

Moreover, Liu Wei specially added a group of unimpeded fluids to the patient's upper limbs, and was infusing them rapidly.

Zhou Congwen took a deep look at Liu Wei.

Yes, Lao Liu is really good now.

Being able to do so meticulously, it seems that since the last time he went to "play mahjong" by himself, Liu Wei not only gave up mahjong, but also really worked hard to grow up.

Interesting.

"Why is the heart rate so low?" Director Liu asked with a frown.

"The low heart rate is not due to bleeding, but the result of drug control by the anesthesiologist." Zhou Congwen put on a sterile suit and took advantage of the opportunity to go on stage. Venous pressure, creating more time for us."

"..." Director Liu was stunned.

He seems to understand what Zhou Congwen said.

Urology does not really use central venous pressure, which is a term that is frequently mentioned when ICU treats critically ill patients.

"Central venous pressure can be increased in several ways: by reducing cardiac power; by increasing cardiac preload; by increasing cardiac afterload; by increasing venous system vascular volume; by changing body position."

"Changing the position is not suitable for the current situation, so the anesthetist lowers the patient's heart rate and rehydrates the upper extremity."

"Professor Zhou, why do you need upper limb rehydration?" The previous surgeon, the doctor led by Director Liu, was kicked off the stage and stood cautiously in the corner.When he heard Zhou Congwen start talking about various professional knowledge, he was curious and asked in a low voice.

"I'll tell you directly, I'm afraid you won't be impressed, so go back and read the book yourself." After Zhou Congwen finished speaking, he looked at Liu Wei and asked, "How long can it be?"

"..." The doctor was startled, almost choked by the words that he was not impressed.

"Fifteen...no, 10 minutes." Liu Wei said solemnly.

"Director Liu, we have 10 minutes."

In 10 minutes, it would not be difficult to remove the kidney under normal circumstances, and the operation was performed while talking and laughing.However, there was a vein tear inside, and it had to be done within a limited time. Director Liu felt that it was very difficult.

If it doesn't work, let's use a big knife, Director Liu thought to himself.

"50ml syringe, warm saline, large amount." Zhou Congwen said.

The roving nurse immediately began to prepare, and soon, the pneumoperitoneum was slowly re-established, and the operation began again.

Chapter 0987 lower the difficulty, isn't that what it should be

"Old Liu, time." Zhou Congwen said.

"it is good."

The pneumoperitoneum was re-established slowly, and the surgical field gradually appeared on the TV screen.

"2 minutes 23 seconds."

While Liu Wei was busy, he reported the time to establish the pneumoperitoneum.

In the surgical field, just as imagined, I saw dark red blood clots, just like blood tofu.

Director Liu of the Department of Urology complained in his heart that it would take 2 minutes to clean up the blood clot, or at least, this could only be done on the premise that the operation was extremely smooth.

Facing the time-limited operation... Director Liu's hands of the Department of Urology began to tremble unknowingly.

Under pressure, many simple operations will be deformed, not to mention the patient's current situation is not simple, and the operation is extremely difficult.

But in the next second, a water column appeared in the surgical field and began to wash away the blood clot.

Director Liu of the Department of Urology was startled. He turned his head and saw Zhou Congwen injecting warm saline with a 50ml syringe to rinse the operative field.

Warm saline pressure irrigation, on the one hand, helps to clear blood clots; on the other hand, it also helps to prevent gas from entering the ruptured blood vessel.

Zhou Congwen completed the preparations silently.

In a similar situation, Director Liu of the Department of Urology has no clinical experience, but Zhou Congwen has, and it is very rich.

"Professor Zhou..."

"Director Liu, concentrate, time is limited." Zhou Congwen said lightly.

"Oh oh oh." Director Liu of the Department of Urology said repeatedly, and began to search for the kidney pedicle and the torn vein along the operative field cleaned up by Zhou Congwen.

The operation was counting down, and Director Liu of the Department of Urology felt like he was dismantling a time bomb.

If it hadn't been for Zhou Congwen's insistence, he would definitely not have used this method.

With strong support by his side, Director Liu felt that there seemed to be a slight possibility of successfully completing the operation.

"3 minutes 42 seconds."

The blood clots were cleared up all over the place, and the suction device arrived as scheduled, and began to suck the blood from the torn vein, trying to keep the operation area as clean as possible.

Director Liu of the Department of Urology began to free the surrounding fat, and his heart gradually calmed down.

The operation went smoother than he had imagined, and it seemed that there was still time, and his restless heart was a little more at ease.

Director Liu grasped the capsule of the kidney with long forceps and pulled it slightly, while the other long forceps began to look for the bleeding point.

However, due to insufficient pressure, the operative field is still limited, and the bleeding point does not directly appear in the operative field.

At this moment, another long pliers appeared, and pulled the point opposite to the urology director Liu's pliers, maintaining the same strength as him, and successfully opened the vesicle.

After opening the capsule, before Director Liu of the Department of Urology could move, the suction device in Zhou Congwen's hand went up immediately.

"Here." Zhou Congwen said softly.

"Oh oh oh." Director Liu of the Department of Urology couldn't say anything other than oh.

Laparoscopic surgery itself is very difficult, but with Zhou Congwen's cooperation, everything becomes easier.

Before that, Director Liu also heard about Zhou Congwen having a general practice certificate in his hand. He laughed at the wine table at the time, saying that nowadays young people have big thoughts, and Mr. Huang doesn't care, but he is used to it. With this closed disciple.

But as soon as Zhou Congwen stretched out his hand on stage, he knew whether his surgical skills were high or low.

Time-limited surgery, if it doesn't work, you have to switch from laparoscopy to laparotomy. It seems that you can hear the countdown ticking in your ears every second.

This will undoubtedly have a considerable impact on the operation.

But Zhou Congwen didn't change at all, he did the surgery as he should, and he paid attention to all kinds of small details.

Step by step, as if you don't know the time limit at all.

The blood clot was flushed with high pressure, and the surgical field was exposed smoothly; the first time I cooperated with myself, I made a perfect prediction, and the cooperation was almost perfect.

The tearing point of the vena cava is right in front of the eyes, and the venous blood is sucked away by the suction device as soon as it emerges. The operative field is very clean, which is completely different from the imagination.

As expected of the world's number one surgical level, Director Liu of the Department of Urology has become more and more stable and stable, and his level has changed from making frequent mistakes to returning to normal levels, and then to super-level performance.

"6 minutes 11 seconds."

The large forceps clamped the vena cava to stop the bleeding, and Liu Wei reported the time.

There is still a long time before 10 minutes, and the imaginary picture of solving the problem at the last second did not appear.

Surprisingly, the operation was completed.

"Director Liu, put more pressure on him, it hurts my brain to underestimate him." Zhou Congwen said.

Director Liu of the Department of Urology solved the problem without switching to laparotomy, and he was in a good mood. He laughed, "Professor Zhou, you are so young, you don't have presbyopia."

"Hehe." Zhou Congwen smiled without explaining.

The operator who just made a mistake in the operation was stunned. He thought that Zhou Congwen would use this kind of operation to assist Director Liu to complete the operation.

But I didn't expect Zhou Congwen to say such words as brain pain.

If you change yourself, you must use difficult operations that can reflect your technical level to solve the problem.

However, Professor Zhou Congwenzhou admitted that he was not used to Xiaoshuye...

"Why?" The doctor said to himself in doubt.

Xiao Kai felt happy when he heard it.

"Isn't it good to lower the difficulty?" Xiao Kai whispered in the doctor's ear.

"Huh?" The doctor was taken aback.

"The small surgical field is a special case. The surgical field can naturally be larger. Isn't this normal? Every bit bigger, it will reduce the possibility of many mistakes. The operation is successful, and it is very good to step down quietly." Xiao Kai said with a smile.

His voice was very low, and he didn't want to embarrass the surgeon who had just done it.

They all came from confusion, everyone has that time, Xiao Kai is very kind.

The key is that it's not my own doctor anyway, so why offend others.

"But……"

"That's not important. The most important thing is that the patient can step down smoothly. There is only one goal, and it can be achieved in any way."

"Uh..." The doctor looked blank.

He understood what Xiao Kai said, but he inadvertently put himself in Zhou Congwen's body.

Zhou Congwen didn't step down in a hurry. He came up to see Liu Wei. Anyway, he had to wait for the operation to end. Instead of standing below and watching them perform the operation, he might as well assist Director Liu to complete the operation quickly.

With Zhou Congwen's cooperation, Director Liu is even more powerful.

He is very proficient in simple kidney removal, but he never thought that he would have a different feeling after changing an assistant by his side.

It was a kind of comfort, down to the core.

Zhou Congwen seems to be a roundworm in his stomach, he can easily know what he wants to do next, and make assisting actions in advance.

The point that was slightly difficult in the past didn't seem to exist at all, and the operation went extremely smoothly.

The kidney was taken out, washed, and the operation was over. Zhou Congwen turned around and stepped down.

"Professor Zhou, do you really know how to operate in our urology department?" Director Liu asked.

"A little bit."

Chapter 0988 exclusive device nurse?no such blessing

"Professor Zhou, you are really..." Director Liu didn't know how to describe it, he sighed as he spoke, "It's really comfortable to have surgery with you."

"Hehe, it's okay, mainly because I have a relatively high level of laparoscopy." Zhou Congwen said, "The principle of laparoscopic operation is similar, the difference is whether the local anatomy is familiar or not."

That being said, Director Liu of the Department of Urology has been reminiscing about the feeling of having surgery with Zhou Congwen just now.

That's how it is to know the taste from the marrow.

Director Liu only heard about whether Zhou Congwen's surgery was good, but he gave himself a stage, and Director Liu felt that the surgery in the first half of his life was for nothing.

Don't feel too comfortable.

But what he said is a little bit more understandable... Now that I read these words carefully, Director Liu always feels that there is something wrong.

"Professor Zhou, I heard that you have just won No.1 in the World Cardiothoracic Surgery Competition these days. Congratulations." Director Liu suppressed the doubts in his heart, and started talking to Zhou Congwen with a smile.

"It's our team." Zhou Congwen smiled, "Isn't this just coming back, so I hurried to see Lao Liu and report the results of the game to our anesthesiologist."

"..." Liu Wei was stunned for a moment.

When reporting the results, Zhou Congwen must be joking, and everyone knows this.

But to be able to say such things at this time, Liu Wei has the urge to die for his confidant.

It is difficult for people of Liu Wei's age to be impulsive and enthusiastic. These emotions are particularly secondary in his opinion, and will be described as secondary in the next few years.

But at this moment, blood surged in Liu Wei's chest.

Director Liu of the Department of Urology was stunned for a moment, sighed at Zhou Congwen's words.

If I had won the first place in the world and could still maintain my current mentality, and Pidianpidian came to the operating room to "report" the situation, the anesthesiologist's life would probably be his own.

"Professor Zhou, what is the competition like?" The doctor, who had made a mistake, relaxed a little at this time, and began to yearn for the world surgery competition.

How could anyone not care about such a thing.

Liu Wei moved his small round stool to the corner for Zhou Congwen. The operation was still to be finished, so he couldn't smoke a cigarette with Zhou Congwen and chat happily for the time being.

Sitting in the corner, Zhou Congwen briefly talked about the procedure of the cardiothoracic surgery competition.

As for the loss of the CD, Zhou Congwen didn't say anything, it didn't make sense at all.