Chapter 2198 Intraoperative Tracheal Rupture

"Come on, help!" The anesthetist opened the door of the operating room and shouted loudly.

Without hesitation, Zheng Ren turned around and trotted straight to the 9th hand.

"Yi Ren, keep an eye on Lin Yuan." He was in a hurry and only had time to leave a word.

Su Yun didn't care about beating the dog in the water, and ran over with Zheng Ren.

Lao He walked halfway with the flat cart, saw Boss Zheng and Brother Yun running away, knew that something had happened, immediately let go of the flat cart, and ran over.

Just as Fang Lin took the patient out, he also wanted to take a look when he heard the alarming sounds of various instruments in 9's hands.

"Take the patient and leave quickly!" Su Yun glared at Fang Lin, and ran into 9 hands with Zheng Ren.

The patient was under local anesthesia, and was struggling to walk back after the operation. If you see an accident during the operation, there are too many unpredictable risks.

Zheng Ren strode in, raised his eyes to observe the ECG monitoring.

The heart rate displayed on the ECG monitor was ventricular fibrillation. In less than 3 seconds, the heart rate dropped from 50 beats/min to 35 beats/min.

"Put people down." Zheng Ren said in a deep voice.

The anesthesiologist intubated the trachea, and several people worked together to put the patient flat. At this point, the heart has gone into cardiac arrest.

Su Yun immediately started chest compressions.

"Epinephrine 1 mg, atropine 0.5 mg intravenously." Zheng Ren squinted his eyes at the patient, spitting out doctor's orders.

He didn't care who the person standing on the operating table was at all.

Professor Zhu was also stunned by the situation in front of him. During the operation for esophageal cancer, the patient's breathing and circulation stopped suddenly. What's going on?

Zheng Ren pulled down the sterile sheet, and subcutaneous emphysema was clearly visible on the patient's neck.

Comparing it with the system panel, Zheng Ren knew it well.

"Methylprednisolone, 40mg, intravenous injection!" Zheng Ren continued to give the doctor's order.

In an emergency, as long as one person directs the rescue with confidence, under normal circumstances, no one else will question it.

"Ice cap."

"Adrenaline!"

"Dopamine was pumped in at 8 μg kg/min."

"Push a shot of dopamine first."

"Old He, check the pipeline of the ventilator."

"Atropine 0.5 mg."

After the doctor's orders were issued one after another, the panic and busyness in the entire operating room disappeared, and everyone started to move.

The surgeon, Professor Zhu, and his assistant held their hands flat in front of their chests, looking dumbfounded. This rescue is too skillful.

The patient has subcutaneous emphysema, which may be due to a problem with the ventilator tube, or more likely, the trachea was broken during the surgical stripping.

Broken trachea, haven't noticed yet...

"Anesthesiologist, manual operation." Zheng Ren continued.

Three minutes later, the patient's respiratory cycle was stable, but SpO2 continued to fluctuate at 74% to 82%, PETCO2 waveforms appeared intermittently, and air leakage was found in manual breathing.

"Boss Zheng, there is no problem with the pipeline." Lao He reported after checking the pipeline as quickly as possible.

"Operator, inject 1000ml of normal saline into the patient's chest!" Zheng Ren didn't know Professor Zhu who was performing surgery today, so he directly called him the operator.

The itinerant nurse immediately opened the bottle of normal saline, and Professor Zhu was taken aback.

The person who broke in was Boss Zheng, and Professor Zhu didn't dare to say a word. He knew in his heart that he only had qualifications and was older than Boss Zheng. When it came to surgery, let alone that he was old now, even if he was at the peak when he was young, he couldn't keep up with him.

Professor Zhu had mixed emotions in his heart, and he couldn't tell what it was like.

However, he judged logically, knowing what Boss Zheng was going to do, he still took the syringe and injected normal saline into the chest cavity along the poke card.

When the patient changes from the side lying position to the supine position, there must be not much water. Professor Zhu estimated the amount of normal saline injected into the chest cavity and felt that it was about to pop out.

"Hold the endotracheal intubation, and stand a little higher." Professor Zhu was thinking wildly, and Zheng Ren's voice had already come.

"Boss, the heart rate has stabilized temporarily." Su Yun said, "Hurry up, the ventilation volume cannot be so low for a long time."

"Swipe your hands."

Zheng Ren went to brush his hands very fast, it could be seen that he was anxious.

After Professor Zhu poured in 1000ml of normal saline, Zheng Ren and Su Yun had brushed their hands and came back.

"Boss, put on your clothes, I'll erase them again."

Uh... this is... Professor Zhu was taken aback for a moment.

This is to grab the position of the chief surgeon! He was ashamed and extremely angry.

But anger alone is useless, the operation has gone wrong, Boss Zheng is here to put out the fire, not to humiliate himself.

I wish the professor clear on this point.

No matter how bitter the medicine is, it must be swallowed. Who let the operation make the problem by itself!

Zheng Ren changed his clothes, stood directly beside Professor Zhu, took over the laparoscopic equipment, "Manual breathing, come now."

The anesthesiologist carefully held the ball and began to perform manual breathing.

The laparoscopic lens found the position of the trachea in the water, and Zheng Ren looked at the screen. Soon there was a rupture about 0.5 cm about 4 cm above the carina.

As the anesthesiologist squeezed the ball, bubbles popped out of the rupture.

"Old He, go deeper with the endotracheal tube," Zheng Ren said.

Lao He nodded, and he cooperated with the anesthetist on this station, controlling breathing by hand while sending the endotracheal tube down.

Over the ruptured site, secure the endotracheal tube again.

"sewing."

Su Yun stood beside Zheng Ren, pushing Professor Zhu and his assistants down.

Professor Zhu felt depressed.

But we can't argue on the operating table, the patient's heart stopped just now, and it would be ugly to make a fuss again.

Professor Zhu stood behind Zheng Ren and watched. After watching for a dozen seconds, he realized that Boss Zheng's operation was really good.

The ruptured trachea was quickly stitched up, and Zheng Ren took a look at the ECG monitor—blood pressure 125/94mmHg, heart rate 67 beats/min, blood oxygen saturation 98% to 100%.

"Okay, let's leave it at that." Zheng Ren took a closer look at the tumor, and understood in his heart where Professor Zhu's surgery went wrong.

There should be no problem, Zheng Ren turned around and stepped down.

Su Yun paused for a moment, sighed, and turned around.

"Boss Zheng, are you alright?" Lao He asked.

"En." Zheng Ren suddenly realized that Su Yun seemed to have sighed.

Chest surgery...

"Let's do chest surgery when we get a chance." Zheng Ren said in a low voice.

"It's okay." Su Yun was a little out of spirit, and said: "There is nothing to do in a thoracoabdominal combined laparoscopic surgery for esophageal cancer."

Su Yun also knew that the boss was worried about Lin Yuan, and he was not in the mood to perform an ordinary esophageal cancer operation.

The two walked out of the operating room while talking.

"Zheng...Boss Zheng, thank you." Professor Zhu said.

"Oh, you're welcome." Zheng Ren turned his head and smiled, then left.

"Huh? Where's Lin Yuan?" Su Yun saw that Lin Yuan had disappeared at the end of the corridor, and asked in surprise.

"It should have slowed down." Zheng Ren said.

"What happened to her just now?" Lao He asked from the side.

"Hydrogen sulfide poisoning." Zheng Ren said, "Hydrogen sulfide stimulation for a long time may make the olfactory system not so sharp, so this happens."