"Anesthesia, check the arterial blood gas urgently and send it to the laboratory to see if there is any acidosis and electrolyte disorder."

"Panoramic, call the blood transfusion department and ask for plasma, and then draw blood for coagulation to check the risk of DIC."

"Disinfect the instruments again and prepare the table, and lay the sheet for surgery."

Xiao Chenguang's medical instructions were like a tornado, blowing up a whirlwind in the operating room.

The others were shocked by the vigorous rescue of the three people on the stage and couldn't say a word.

In their view, cardiopulmonary embolism is a dead end. Not to mention the treatment plan, life and death are a matter of a moment.

Some patients with mild embolism symptoms, who are discovered in time, may have a miracle after being intubated and on a ventilator for a few days.

Most patients are in a state where one foot is in the coffin and the other foot is also stepping out.

But now, the patient has been rescued and even has vital signs. In their view, it is more magical than a miracle.

Acupuncture, blood drawing, and sending for examination, everyone has the experience of rescue just now, and this time Xiao Chenguang's medical instructions were quickly executed.

"Director Xiao, do you still need adrenaline?"

Seeing that the heart rate has returned, Anesthesia asked.

"No need to push, switch to metaraminol to increase blood pressure."

"Continue to use positive inotropic drugs, and adjust the speed according to blood pressure fluctuations."

The scene still echoed with Xiao Chenguang's calm and steady voice. In the eyes of others, this disease may be an emergency that will eat people without leaving bones.

But here, with his rich rescue experience and on-the-spot response ability, he has carved out a hope of life from a deadly situation.

The patient's vital signs are becoming more and more stable on the monitor.

The patient is saved?

Anesthesia is watching the messy glass ampoules on the operating table, feeling that everything is unreal.

Xunxun has not yet recovered from the rescue state of life and death.

The instrument nurse who witnessed the whole rescue process watched Gong Liang constantly patting and tapping the patient's chest.

He was curious and surprised.

Cardiopulmonary embolism, can it be rescued like this?

She had heard that a patient with air embolism was encountered on the stage. The patient was saved by extracting the air from the heart through deep veins.

She thought it was incredible at the time, but she didn't expect that cardiopulmonary embolism was also rescued in this way, and in the absence of deep veins. This was even more beyond her imagination.

"Director Xiao, the test report is out."

Soon, the staff of the laboratory department rushed to the operating room with the test results.

Arterial blood gas analysis showed that the patient's oxygen partial pressure and carbon dioxide partial pressure were normal.

Lactic acid was five points higher than normal, which was related to cardiac arrest. This would automatically decrease as the patient recovered.

As for blood routine and coagulation problems, they were no longer critical in the plasma and platelets urgently sent by the blood transfusion department.

"Observe for another half an hour to ensure that the patient's vital signs are stable."

Xiao Chenguang has experienced many rescues on the stage, most of which were emergency and critically ill patients.

Elective surgeries like this are generally rare, so they are more cautious.

The patient's heart rate on the monitor was beating in an orderly manner. Lin Gaoyang on the stage had stopped pressing, leaving only Gong Liang still tapping the chest precordial area.

"Liang, stop for a moment."

Gong Liang stopped tapping and shook his red and swollen palms after hearing this.

This tapping was very real. He followed Xiao Chenguang's instructions completely and did not dare to slack off.

Xiao Chenguang pulled the stethoscope off the anesthesia neck and placed it on the patient's heart and lung area.

The bubbling sound of water like boiling water disappeared, replaced by even breathing and a heartbeat without noise.

Not bad, the effect is really good.

Xiao Chenguang was very satisfied with his treatment just now.

"Boss, why did you keep asking Gong Liang to tap the precordial area during the rescue?"

Lin Gaoyang understood the special situation and non-standard chest compression.

But asking Gong Liang to keep tapping the precordial area was indeed puzzling.

Not only he was puzzled, but even the operator himself, Gong Liang, was curious.

It was clearly a lung-vibrating and expectoration technique that was used to promote the discharge of sputum by turning over and tapping the back, but how could it be used in the rescue of cardiopulmonary embolism this time?

"This patient is a typical embolism caused by the establishment of pneumoperitoneum."

The patient on the stage was in good condition, and Xiao Chenguang also explained a few words.

"Stop pneumoperitoneum and prevent further damage, which is the primary goal. This is the same principle as carbon monoxide poisoning, first getting the injured out of the danger zone."

"Change the body position to prevent embolism from further increasing the burden on the heart, lungs and brain, tap the precordial area, and use positive inotropic drugs to strengthen the heart, mainly to crush large bubbles, accelerate circulation, and expel gas from the body."

"Of course, the best and most effective way is to do deep vein puncture, insert the catheter into the patient's right atrium, and extract the air and thrombus, but such technology requires special materials."

With the pericardiumUnlike thoracic and abdominal puncture, deep veins can only be operated with special catheters due to their anatomical structure.

However, because the operating room lacked a set of equipment, it was very passive in this rescue.

"I will ask someone to make up for it immediately, and this situation will never happen again."

Just immersed in the ocean of learning new knowledge, anesthesia was suddenly called out, and felt ashamed, and hurriedly said that the supplier was on the way.

After this matter was over, he gave advice to the director of anesthesia, and in the future, patients undergoing surgery on the stage should at least have a set of deep vein puncture kits in case of emergency.

"In the future, when encountering such patients, you will also need..."

Xiao Chenguang spoke very quickly, and listed dozens of rescue measures in a variety of ways, which made everyone cry.

Otherwise, Xiao Chenguang could be the director of general surgery. Rescue in a split second may only take a few seconds to react.

Director Xiao can not only make accurate judgments, but also has so many countermeasures in his mind.

Even if the young man lay in the coffin, Xiao Chenguang could still pull him out.

Really... too awesome.

Just as everyone was recalling the thrilling rescue just now, a hoarse and low voice sounded in the operating room.

"Xiao Xiao... the patient is okay."

As soon as he opened his mouth, Wang Jingang found that his voice was hoarse and unpleasant with a little trembling, and his whole body was nervous and anxious, and even his tone had changed.

Although he did not participate in the rescue just now, he saw everything that happened on the stage.

The patient was rescued without any signs, just like the laparoscopy he had just started a year ago.

The patient came on stage, and before the operation began, his heart stopped, and there was no chance of rescue.

The incident was a big deal, with apologies, compensation, and suspension.

All the laparoscopic techniques that had just been developed were stopped, and even the general surgery department was facing dissolution because of this incident.

All the past events, like a tide, poured into Wang Jingang's mind again, like a knife cutting and burning, destroying his heart.

"Director, it's okay."

Seeing Wang Jingang like this, Xiao Chenguang seemed very silent.

He didn't know how to comfort the director at this moment.

He had heard about this before. After the incident, Wang Jingang was so guilty that he locked himself in the office for several days and nights, without eating or drinking, as if punishing himself.

In fact, Xiao Chenguang understood the director's mood very well.

The development of new medical technologies is to open up a road to overcome difficulties and seek hope for life for future generations.

There will definitely be countless things happening.

Xiao Chenguang can stand on the shoulders of giants, come back here to use experience and technology, avoid risks, develop business, and seek benefits for patients.

He can do it, but Wang Jingang can't.

Once something happens, the pressure he bears is enough to defeat the giant, not to mention Wang Jingang who was walking alone before.

"Xiao Xiao, this time thanks to you, otherwise, I really don't know what to do."

Wang Jingang's eyes were red. He had always been strong, but now he had to admit that he was indeed old in the face of new technology.