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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 171

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Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 171
"Xiao Xiao, you're awesome!"

Xia Tao was the first to speak.

As the director of the Department of Cardiothoracic Surgery, he knew how difficult it was to remove the tracheal ring.

Especially for the trachea located at the aortic arch, if there is no strong anatomical experience, most doctors would not dare to do it.

Xiao Chenguang directly removed the ruptured trachea, and the length reached an unprecedented eight centimeters.

Just this one cut was enough to make people sigh in despair.

"The patient's tidal volume is normal now, and there is no problem of air leakage. Director Xiao, you cut it really steadily."

The director of the Department of Anesthesiology was concentrating on Xiao Chenguang's operation during the operation.

If Xia Tao's focus was on the aortic arch outside the trachea.

Then what he paid attention to was the catheter in the trachea.

Although he did not assist on the stage, as the director of anesthesia, he had a lot to consider.

Just like now, the trachea at both ends was removed, and only the tracheal catheter he left was left as a bridge to connect the ventilator with the patient's ventilation.

If Xiao Chenguang's technique was unstable just now and he accidentally cut the catheter, resulting in insufficient oxygen supply, Dr. Li's blood oxygen saturation would quickly fall to a low point.

It would be too late to replace the catheter at that time.

"Boss, give it to me!"

Lin Gaoyang, who was in the position of the third assistant, did not quite understand the directors' considerations.

But he was quick-witted and had already taken the treatment bowl.

At this time, Xiao Chenguang happened to use pliers to clamp out the cut trachea and put it into the treatment bowl.

Xunxing took it, and with the saline rinse, he cleaned the blood stains on the trachea, and a deep knife mark came into view.

"How cruel!"

Seeing this, everyone was indignant.

It was obvious that the perpetrator's knife was aimed at his life.

If Xiao Chenguang had not been there at the time, God knows how many more knife marks like this would appear on Dr. Li's body.

"Fortunately, the esophagus was not injured. Otherwise, gastric reflux, lung infection, abdominal and thoracic infection, Dr. Li probably wouldn't even have a chance to go on stage."

The people present were all directors of various departments. When it comes to infection, they are really terrified.

Faced with what they said, Xiao Chenguang was somewhat silent.

Because in the future, such a thing did happen.

Until now, he still remembers clearly that it was a female doctor in the emergency department of a tertiary hospital.

In the middle of the night, an elderly man born in the 1990s was admitted. His condition was very serious. He had been bedridden for a long time, had severe infection, poor appetite, diarrhea, and almost had one foot in the grave.

At that time, a critical illness notice was issued. If he wanted to be treated, he needed to be hospitalized immediately.

But the family members disagreed and only asked for injections and infusions. They signed a rejection of all other rescue measures.

The female doctor persuaded him for a long time, but the family members were hard-hearted and refused to accept it.

Helplessly, they could only prescribe medicine and injections according to the wishes of the family members, and infuse the patient in the emergency room.

One day later, the old man's condition was very bad, and the female doctor stayed by the old man's bed, extremely anxious.

After communicating with the family members who were playing with their mobile phones with their heads down many times, the response they got was still refusing to be hospitalized.

The female doctor had no choice but to report the situation to the hospital truthfully and put it on record.

However, what happened next was beyond everyone's expectations.

The old man had been infused for three days, but he still didn't get better. The family members thought that there was something wrong with the female doctor's treatment, and they made a scene in the emergency room, demanding free hospitalization.

Faced with the unreasonable troubles of the family members, the female doctor had no choice but to report the matter to the hospital.

But that night, while the female doctor was writing the medical records with her head down, the old man's family members came behind her quietly.

Like a demon, he took out the long knife in his arms, covered the female doctor's face, and put the knife on his neck.

One knife, two knives, three knives...

A harsh sound rang out.

The female doctor's mouth was covered, unable to call for help, and time passed by minute by minute.

Until the trachea was broken, the esophagus was broken, the neck muscles were broken, the jugular vein and artery were broken.

I don't know how long it took.

Even the hardest cervical vertebra was worn down to a short section, as if the whole body was only connected by a little flesh and blood.

What did the female doctor do wrong to cause such a cruel revenge.

Xiao Chenguang thought about it for a long time, but he still didn't know until now.

Pulling back his thoughts, with the tracheal ring removed, this operation only had the last step.

End-to-end anastomosis of the trachea.

At this moment, the staff of the blood transfusion department have been working hard to bring the first batch of processed blood products.

The blood is warm, just like the citizens who donate blood for free, very warm.

With the infusion of red blood cells, Dr. Li's blood pressure is already in the normal range.

This is something to be proud of.

"Needle and thread suturing, Gao Yang, use a wider range of retractors. ”

“Okay.”

“Director Xia, help me suture the end-to-end incisions.”

“No problem.”

“Director Song, anesthetize, suture is complete, readjust the length of the tracheal tube, and check the tightness of the suture.”

“Got it.” "

Everyone on the stage was also working hard. Even for their own sake, they had to save Dr. Li.

The black silk thread flew again in the operating room. Xiao Chenguang was more cautious this time.

Almost every stitch had to be pressed and knotted.

Even for safety, double fixation was performed within the original needle distance.

You should know that the trachea is relatively hard. If it is pulled too long, it is easy to cause the suture to break and the operation to fail.

Xiao Chenguang did not dare to be careless.

He was so focused that he could not even feel the sound from the outside world.

The only thing in his entire field of vision was the trachea being sutured in front of him.

After one side was sutured, he did not stop, turned the needle tip angle, and sutured the other side again.

The whole process was very slow for Xiao Chenguang.

But in the eyes of the assistants, it was still amazingly fast.

Soon, as the trachea was anastomosed end to end, Xiao Chenguang paused and looked up at the director of anesthesia.

"Prepare to adjust the length of the tracheal tube."

"Okay. ”

Director Song, who had been ready for a long time, was waiting for Xiao Chenguang to say this.

“Adjust the pressure, PC to 5mmHg, and the platform pressure should not exceed 10.”

The anesthesia on duty immediately adjusted the ventilator parameters.

“Disconnect the inhalation end and adjust the intubation position.”

As the ventilator interface was disconnected, the anesthesia director immediately bent over and leaned forward, and quickly adjusted the intubation length at the head of the bed without contaminating the surgical surface.

Due to the disconnection of the ventilator, Dr. Li’s oxygen saturation was rapidly decreasing.

“What is the blood oxygen saturation?”

“Director, 78%”

Pan Xun reported quickly.

“It will be ready soon.”

At this time, the intubation in the surgical field was changing positions.

“Director, 72%.”

Pan Xun’s voice was slightly trembling.

“Okay, connect the ventilator! "

Director Song still lowered his head, but the voice had come, and the anesthesia next to him immediately reconnected the disconnected ventilator.

Beep... Beep...

As the ventilator began to deliver air steadily, everyone's eyes were focused on the trachea that was anastomosed end to end.

Back to 1999: From operating surgeons to becoming a top doctor

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 171

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