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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 172

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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 172
"What is the tidal volume?"

"254ml."

As the anesthesia reported the various parameters of the ventilator truthfully, Xiao Chenguang held a piece of sterile cotton ball and began to do the leakage experiment of tracheal reconstruction.

The principle is actually the same as the tire leakage inspection.

Apply an appropriate amount of soapy water on the tire. As long as there is gurgling, it means that the tire is leaking.

At this moment, Xiao Chenguang used hemostatic forceps to tear off one side of the cotton ball in his hand and placed it on the suture of the trachea.

The cotton wool did not flutter at all.

Everyone saw this scene.

I was excited.

But they did not disturb Xiao Chenguang because the leakage experiment was not completely over.

"Change the ventilator mode to volume control, and give tidal volume to 350ml."

Xiao Chenguang's words rang again.

"Okay."

The anesthesia director personally went on stage at this moment to adjust the parameters on the ventilator.

The mode was changed from P/AC to V/AC. The number began to change when the button was turned, and it was finally adjusted to 350ml.

At this time, he could no longer suppress his excitement.

He saw the leakage experiment clearly. From past experience, he knew that this tracheal reconstruction operation had been successfully completed.

"Director Song, increase the tidal volume to 500ml and adjust the positive end-expiratory pressure to 8mmHg."

Just as the director of anesthesia was thinking, Xiao Chenguang had completed the leakage experiment again.

"With a tidal volume of 500, the platform pressure is estimated to exceed 25mmHg. Will it affect the trachea?"

Hearing his request, Director Song was obviously stunned.

At this moment, the operation was already perfect. Why did Xiao Chenguang continue to increase the tidal volume?

"We can't verify the stability of the trachea in normal conditions. After all, some special situations must be taken into consideration."

Xiao Chenguang performed this operation not only to allow Dr. Li to step down safely.

He also wanted Dr. Li to live like a normal person.

"You really are..."

Others may not understand what Xiao Chenguang is doing, but as the director of the anesthesia department, he reacted immediately.

He wants Dr. Li to live a good life.

But is this possible?

After such a serious injury, the director of anesthesia doesn't know if he wants to return to the same state as before, but he still adjusts the ventilator parameters again according to Xiao Chenguang's requirements.

At this moment, the pressure of the ventilator seems to have exceeded the limit, and the screen flashes red.

Even the pipeline of the ventilator can feel obvious airflow fluctuations.

Huh, huff...

The airway pressure is releasing and rushing to the sutured trachea in an instant.

The milky white tracheal ring is expanding at a speed visible to the naked eye, and even the black silk sutures that fix the two ends are stretched tight.

No one dared to speak. This is the first time they have seen a leakage experiment under such extreme conditions.

In the past, emergency surgery was considered a success as long as the patient could survive.

But now, Xiao Chenguang's choice has given them new insights.

Perhaps surgery is not only to allow patients to be discharged from the hospital, but also to allow them to live better.

At this moment, the reconstructed trachea is expanding and shrinking in an orderly manner with the breathing rate.

With the blessing of high tidal volume, Dr. Li's blood oxygen saturation has risen from more than 70% to 95% for the first time.

This has never happened since he took office.

The cotton wool in Xiao Chenguang's hand fell on the trachea. After more than ten seconds, there was still no fluctuation.

Seeing this, Xiao Chenguang smiled and said.

"Okay, the tracheal reconstruction is complete, and the closed surgery can be performed."

With the success of the air leakage experiment.

Xiao Chenguang knew that Dr. Li survived.

Not only that, basic daily life will not be affected by the injury.

That's enough.

"Great! Director Xiao, you are so amazing."

With an excited heart and trembling hands, the patrol sister looked at Dr. Li who was safe and sound, and her inner joy was beyond words.

"Amazing, Xiao Xiao, you can do this operation, it seems that you will have no problem with other operations in the Department of Cardiothoracic Surgery."

Xia Tao was amazed.

For the tracheal reconstruction operation completed by Xiao Chenguang, it can be said that it is another milestone operation in Shengli Hospital.

"Director Xiao, are you always so stable when performing operations?"

This is the first time that the director of anesthesia has seen Xiao Chenguang perform an operation on the stage. Although he often hears others mention it, it seems that their previous praises were too conservative.

Xiao Chenguang is capable and his skills are unique. The director of anesthesia has been working for so long, but he has never seen someone who can perform an operation so steadily.

At this moment, Wang Jingang's heart is already blooming with joy. The more powerful Xiao Chenguang is, the happier he is.

And the same is true for Lin Gaoyang on the stage.

The boss's operation is done well.The better, the more he can learn.

Soon, the news spread to the crowd waiting outside.

"Is it true? The operation is over, and Dr. Li is fine?"

"That's great. I said that good people are blessed by heaven. Even the God of Hell is reluctant to take away a kind-hearted person like Dr. Li."

In the cheering crowd, Li Guoyong heard the news, and a heavy stone in his heart fell quietly.

"It's really reassuring to have Xiao Xiao here."

Li Guoyong murmured to himself, and the image of Xiao Chenguang saving lives and helping the wounded in the city TV propaganda film appeared in his mind.

"President Li, are you going to go in and take a look?"

The director of the hospital office, who had been following Li Guoyong, reminded him in a low voice.

For him, Dr. Li's successful rescue and smooth operation were all related to the command of the hospital leaders.

"No need this time."

Li Guoyong was silent for a moment and shook his head. There was nothing worth bragging about in this matter.

On the contrary, he was very angry.

Why did such a bad incident of hurting doctors happen in the hospital under his management?

"Go call the head of the security department to me. I have something to say."

Seeing Li Guoyong's ugly face, the director of the hospital office did not dare to speak anymore. He immediately disappeared in front of the dean, presumably to inform the head of the security department.

At this moment, the operation in the operating room has been going on for nearly four hours. Xiao Chenguang and Xia Tao are performing the final closure operation together.

Although they are two people, in fact, Xiao Chenguang is busy most of the time.

Xia Tao is standing aside, looking a little embarrassed.

It's not that he doesn't want to help, but Xiao Chenguang's operation is too fast. He just wants to start, and the next step is already being carried out.

In the end, Xia Tao, who has nothing to do, can only play the role of cutting the thread.

"Dr. Li's injured palm, what does the orthopedics say?"

Xiao Chenguang, who is operating at high speed, still cares about Dr. Li's hand injury.

"It is said that it can be handled, but functional training is definitely needed in the later stage."

Xia Tao said briefly, but Xiao Chenguang knew that the cycle of this functional training would be very long, and might even be calculated in years.

"Okay, the rest will be left to them in the orthopedics department."

Flush the blood, suction under negative pressure, close the sternum, and fix it with steel wire.

After Xiao Chenguang sutured the last stitch, a wound as shallow as a silk thread came into view.

If it were not for the open-chest surgery, the incision would be too obvious, and I am afraid that this thin suture line would be difficult for ordinary people to detect.

The orthopedics department came on stage and took over the operation.

The staff of the blood transfusion department brought the second batch of processed blood products at this moment.

As blood transfusion and fluid infusion continued, Dr. Li on the stage was getting better and better.

The bleeding from the carotid artery stopped, the trachea was reconstructed, the blood pressure was stabilized, and the oxygen saturation increased.

Everything was moving in the best direction.

"How is the perpetrator?"

After Xiao Chenguang got off the stage, he changed his clothes, sat in the rest area of ​​the operating room, and closed his eyes to rest.

"Fuck, boss, what happened to your head?" Lin Gaoyang, who was walking straight over with a glass of water, suddenly cried out in surprise.

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

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 172

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