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Back to 1999: From operating surgeons to becoming a top doctor - Chapter 182

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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 182
Anesthesia took the stethoscope and placed it on the patient's chest area for more than ten seconds.

He auscultated the tricuspid valve, mitral valve, aorta, pulmonary artery, and various parts of the auscultation area in turn.

During this time, everyone was looking at him, waiting for his auscultation results.

"Director Xiao, there is no bubbling sound at all, and the whole heart sound is very smooth."

Putting down the stethoscope, Anesthesia seemed very excited.

This is air embolism.

The most lethal disease.

But as the blood foam was drawn out of Xiao Chenguang's tube, the patient's heart recovered as before.

"Have you seen the patient's pupils?"

"Immediately."

After being reminded, Anesthesia took out the flashlight again, turned on the strong light, opened the patient's tightly closed eyelids, and shook the light.

"The pupil diameter is 2mm, and there is no phenomenon of dilation and fixation."

Anesthesia knew very well why Xiao Chenguang asked to check the pupil.

He was afraid that the patient would fall into a coma due to cerebral edema due to long-term lack of oxygen.

That's why Xiao Chenguang asked the circulating nurse to drip a bottle of mannitol to relieve the symptoms of cerebral edema.

"Okay, give him another dose of dexamethasone."

Faced with the answer of the anesthesia, Xiao Chenguang also felt that the rescue was quite successful.

In the operating room, the harsh alarm of the monitor disappeared without a trace since I don't know when.

The patient's heart rate, blood pressure, and blood oxygen saturation gradually stabilized.

"Director Xiao, do you want to draw an arterial blood gas for the patient?"

The anesthesia regarded Xiao Chenguang as the leader of this operation and asked for his opinion on everything.

As for Sun Chengwu, who was still a little dazed, he had been ignored by him.

There was nothing he could do about it.

Not everyone has the ability to rescue patients with air embolism.

Even for the sake of the patient in front of him, the anesthesia had to ask Xiao Chenguang for his opinion.

"Draw one."

As a doctor who rushed to the stage for emergency consultation, Xiao Chenguang certainly had a say.

He glanced at the silent Sun Chengwu, who seemed to be still in the emergency just now and had not come out.

"Okay, then I'll draw it out, please Director Xiao take another look."

Hearing the order, Anesthesia immediately took out the syringe with heparin solution and punctured the patient's radial artery to draw blood.

Very quickly.

Anesthesia took the test results and ran over in a hurry.

Seeing this scene, the hearts of others were instantly lifted again, thinking that there was something wrong again.

After all, the situation just now was too critical, and no one could be 100% calm.

But Xiao Chenguang was very calm at this moment.

Even if Anesthesia rushed over, he didn't think there would be any problems with the patient.

The arterial blood gas analysis was presented to everyone.

【PH 7.38, CO2 37mmHg, O2 123mmHg, Lac 1.2mmol/L, Hct 20%, HCO3 22mmol/L, BE -2.5mmol/L】

All indicators are normal, and there are no abnormal values.

Seeing this, everyone finally breathed a sigh of relief.

"When you ran over, I was almost scared to death. If I didn't know, I would have thought that the patient had some problems again."

Xunxuan patted his bulging chest, with a little blame in his tone.

Anesthesia looked a little straight, but he didn't stop talking.

"I also want Director Xiao to see the test results as soon as possible."

As the patient got better, the atmosphere in the operating room also regained some relaxation.

"Okay, I'll go back first if I'm fine. As for the rescue medical record, remember to let me take a look when you finish writing it."

Xiao Chenguang saw that the patient was in good condition, and the rest was to adjust the body position and close the abdomen.

But just when Xiao Chenguang was about to leave, Sun Chengwu called him down.

"Director Sun, is there anything else?"

Xiao Chenguang looked at Sun Chengwu with some doubts, not knowing what he wanted to do.

"Well, I want to ask you to help me. Can you wait until the patient gets off the stage smoothly before leaving?"

Although Sun Chengwu is the director, he has never experienced the rescue of air embolism.

The patient on the stage now looks quite stable, but what if there is a problem when closing the incision?

Sun Chengwu is really scared. He can encounter such a probability event.

His luck is also unmatched.

Now that Xiao Chenguang is here, he feels at ease.

No doctor wants to encounter an accident on the stage. Now he asks Xiao Chenguang to stay. Even if it is a bit embarrassing, it is better than the patient having problems.

"You..."

Xiao Chenguang was speechless for a while. When did Sun Chengwu become so timid?

"Help me, you don't have to go on stage, just guide the work below, if the closure surgery goes well, he will be able to leave the stage soon. "

In front of so many people in the operating room, Sun Chengwu lowered his attitude.

There is no way, his skills are not as good as others.

Even if he is laughed at by others for the safety of the patient, he has to do it.

In fact, everyone in the operating room hopes that Xiao Chenguang will stay.

After all, as long as Xiao Chenguang stands there, the sense of steadiness in his heart makes people feel at ease.

"Okay, I'll watch, you guys hurry up and get on the stage. "

After these words, Sun Chengwu felt relieved and grateful, and the others were also relieved.

It seems that the patient on the stage is really important to him because he can force Sun Chengwu, who is always elegant and face-saving, to this extent.

Xiao Chenguang pondered in his heart and came to a corner of the operating room. Before he sat down, the patrolman on the side immediately brought the round stool and placed it behind Xiao Chenguang in a proper manner.

This treatment seemed to treat him as an expert guided by his superiors.

Xiao Chenguang didn't say much and sat down directly.

The operation on the stage continued as usual.

With the lesson just now, Sun Chengwu on the stage replaced hydrogen peroxide with iodine when suturing and disinfecting.

The operation was over and the patient left the stage safely without any accidents.

Until then, Sun Chengwu was completely relieved.

While the patient was waking up, he expressed his gratitude to Xiao Chenguang again.

"Director Sun, I remember whether Gong Liang is still on duty in the emergency department? "

During the conversation, Xiao Chenguang took the initiative to mention Gong Liang.

"Yes, he will be on duty in the emergency department for another month. Why, Director Xiao, has he offended you again during this period?"

Sun Chengwu was stunned by the sudden mention of Gong Liang.

He thought that Gong Liang had offended Xiao Chenguang again because of the previous incident of shirking the responsibility of the patient.

"No, this guy is a bit slippery, but he is a good person."

The reason why Xiao Chenguang stayed to watch the operation was certainly not just out of kindness.

He didn't have the time and energy.

The main reason was that if the general surgery department wanted to carry out laparoscopic business on a regular basis, he needed more helpers.

Although Gong Liang's skills were a bit poor, he was very suitable for patient education and preoperative conversation in terms of communication and exchange.

Everyone has their own characteristics and strengths, and what Xiao Chenguang needs to do is to make full use of this.

"Oh, Director Xiao is right, that guy is indeed slippery, and as his leader, I really can't control him. "

"How about this, Director Xiao, I beg you to transfer this kid to the general surgery department and give him a good training. This will help me solve a problem that is bothering me."

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

Back to 1999: From operating surgeons to becoming a top doctor - Chapter 182

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