Chapter 2341 High Temperature Work

"The pregnant woman is about to give birth." The obstetric hospital always reminded in a low voice when preparing things.

"It's still 52 minutes, hurry up and prepare things!" Zheng Ren's voice was a little cold and deep.

The obstetric hospital was always taken aback, and she didn't know how Boss Zheng evaluated the 52 minutes.

Are they all that advanced now? Why don't I know.

And Zheng Ren didn't notice that he had slipped his tongue, and continued to direct the rescue.

"Notify the operating room that after everything is ready, take the time to disinfect and give them 30 minutes." Zheng Ren continued.

"Okay." Linge had just arrived and didn't know what happened, but Boss Zheng's instructions must be carried out without hesitation.

As the gears for rescuing patients rotated, there was a clicking sound in the inexplicable space. Immediately, the huge machine turned, and many doctors and nurses were busy working on it.

"Anaesthetist, can our hospital anesthetize newborns?" Zheng Ren looked at the pregnant woman and emphasized this point again.

"I'll call the Women's and Children's Hospital."

"pay close attention!"

In 5 minutes, the patient's family members agreed to the live broadcast of the surgery.

After 12 minutes, the warm quilt was taken to the operating room.

In 14 minutes, two forced inflatable insulation blankets were sent to the operating room.

In 19 minutes, the sterile infrared radiation table was moved to the operating room.

The operating room began to be disinfected, and the last aseptic treatment was performed.

In 23 minutes, people from the legal department of Xinglinyuan came to the obstetrics department, and together with the lawyers from the medical department, they signed legal documents with the patient's family.

In 34 minutes, Director Wang, an anesthetist, and professional neonatal nurses from the Women's and Children's Hospital came to 912 in an ambulance.

In 45 minutes, the pregnant woman was sent to the operating room, and the preoperative preparations were completed.

At 47 minutes, Lao He began to give general anesthesia to the pregnant woman with a serious face. The anesthesiologists at the Women and Children's Hospital were busy preparing various equipment they needed to anesthetize the fetus.

"The temperature in the operating room has increased, 26...28 degrees Celsius." Zheng Ren said.

"Okay." In the melodious singing of good luck, the itinerant nurse responded.

The temperature of the operating room is generally adjusted according to the operator's habits, but most operators require a temperature of about 24-25 degrees Celsius in the operating room.

This temperature feels the best, neither hot nor cold, and the operation will go smoothly only when the surgeon is in good condition.

And 28 degrees Celsius, this temperature is too high for the medical staff in the operating room.

But the roving nurse didn't ask Boss Zheng why he wanted to increase the temperature, and there were various heat preservation items beside him, explaining everything silently.

The temperature in the operating room must be higher.

The risk of maternal and neonatal hypothermia is greater during intrapartum fetal surgery compared with routine obstetric surgery. Factors such as prolonged anesthesia and operation time, increased intraoperative infusion volume, and a large amount of heat taken away from the mother after the fetus is delivered can easily lead to a drop in maternal body temperature.

The operation also needs to be performed on the fetus with the placenta, the abdominal cavity is opened, and the operation period is prolonged, which further increases the risk of hypothermia in pregnant women.

Not only pregnant women, the fetus also needs a higher temperature.

The thermoregulatory center of the fetus or newborn is not fully developed, and the ability to maintain body temperature is low. Hypothermia leads to respiratory depression, delayed postoperative recovery and other respiratory complications.

Therefore, during the operation, the vital signs of the mother and newborn should be closely observed, and effective heat preservation measures should be taken to care for the mother and newborn.

It's just a detail, and every detail is a part of that gigantic machine. Only when all parts are perfect, can Zheng Ren's desired result be achieved.

"The radiation heating device is starting to warm up." Zheng Ren continued to direct.

Xie Yi came to the operating room with a sterilized surgical box wrapped in it, brushed his hands on the stage, and tapped the instruments.

Whether it is the operator, the anesthetist, the equipment nurse, or the itinerant nurse, there are two sets of people.

Even so, the two itinerant nurses were so busy that they were about to fly, and the pediatric and obstetric doctors who were not on stage were busy helping.

The radiant warmer is pre-heated, the upper body of the parturient is covered with a quilt, and the outstretched arms are wrapped with surgical drapes.

Two sets of forced inflatable thermal insulation blankets are used to cover the lower body of the parturient at the same time. One set of exhaust faces upwards for heat preservation of the parturients, and the other set of exhaust faces downwards for heat preservation of newborns when the umbilical cord is not broken. The temperature is controlled at 45 degrees Celsius.

The liquid heating instruments have been turned on long ago, and the liquid at 37 degrees Celsius is placed in a row. Neat and solemn.

After the anesthesia was completed, Lao He stretched out his hand and gave Boss Zheng a thumbs up, indicating that the anesthesia was complete.

The airtight door is closed and the operation officially begins.

The obstetrician performed the operation first, and made a 12cm incision on the abdominal wall of the pregnant woman, and began the cesarean section.

The first and second fetuses were successfully removed.

In an environment of 28 degrees Celsius, wearing sterile surgical gowns for surgery, and facing a small child with congenital giant omphalocele, director Wang of the Women's and Children's Hospital who had a caesarean section under the influence of tension had a back pain. Drenched in sweat.

Zheng Ren finished brushing his hands, put on his clothes, and watched the whole operation process as motionless as a mountain.

He stood in front of the thermostat under the pregnant woman's legs, staring at the third child with a huge omphalocele.

The abdominal viscera of omphalocele is exposed outside the abdominal cavity through the open umbilical ring, but it is different from ordinary hernias. Although all the viscera are not covered by skin, they are wrapped together by a translucent, avascular membrane.

This membrane is formed by the convergence of the inner peritoneum and the outer amniotic membrane, with jelly-like connective tissue in the middle.

After taking out the two fetuses, Director Wang did not immediately deal with the third child in the womb, but wiped his head sideways.

A piece of sterile gauze is wrapped around the head, and the disposable sterile cap is soaked through.

In the operating room, except for the singing of Good Luck, no one spoke.

Until now, the operation has only officially begun, and the most critical surgical steps have been touched.

Director Wang looked up at Zheng Ren after wiping his sweat. Zheng Ren nodded slightly, indicating that he was ready.

"Body temperature." Zheng Ren asked.

"The body temperature of the pregnant woman was 36.7 degrees Celsius before the operation, and the current body temperature is 37.1 degrees Celsius." Lao He said solemnly.

Director Wang then carefully avoided the abdominal organs wrapped in a translucent membrane, and gently took out the child's left arm.

Zheng Ren stretched out his hand, and slapped a syringe that had been filled with medicine in his hand.

For triplets, the weight of the newborn is only 2.6kg, and the weight of the patient is the lightest, about 2.3kg by visual inspection.

The arms are so thin that the blood vessels are barely visible.

If you want to hit the nail on the head, the difficulty is not so high. In the face of neonatal surgery, Director Wang has done many cases, and this step is the most time-consuming.

Invisible blood vessels need to hit the nail on the head. Sometimes the operation will be delayed for 5-10 minutes at this step, until the child's arm has been pierced with more than 10 needles, and no veins can be found to insert the needle.

Looking at the internal organs wrapped in translucent membranes in the pregnant woman's womb, Director Wang sighed.

Strictly speaking, the child in front of me is no longer an omphalocele. To be precise, it should be - no belly.

This seriously affects the growth of the fetus.

The blood vessel condition is even worse, can Boss Zheng do it?