Chapter 2564 If You Change Someone, You Will Doubt Life

"Boss Zheng, amazing!" Director Qiu wasn't a rainbow fart this time, he was telling the truth.

The dissociated Kirschner wire was taken out yesterday, but the case is rather peculiar, and it is completely impossible to see whether the operation is good or not. Uh... Free-adhesive Kirschner wires are a good technique, but only good.

But today, Boss Zheng stopped him from closing his chest and almost made a fuss. Now Director Qiu calmed down and thought about what happened just now, the more he thought about it, the more he admired him.

No one will deny that there is a relationship between ECG oscillogram and radial artery pressure waveform. But there are not many people who can tell, even those who know a little bit are considered relatively good anesthesiologists.

None of this is important, the important thing is that Boss Zheng saw it a few minutes in advance, and he was confident and unswervingly stopped the operation from proceeding.

If there is no point in mind, dare to ask the surgeon to reopen the sternum that has been screwed on with steel wire?

Once the chest cavity of the patient is opened, if there is nothing wrong with it, this kind of thing will spread and affect Boss Zheng's academic status.

People must be sure, this is a gap in realm, Director Qiu feels emotionally. It really makes sense for Boss Zheng to be able to win the Nobel Prize at such a young age.

"Boss Zheng, how did the stuck flap happen?" Director Xu asked suspiciously, "I have noticed everything that should be paid attention to, but I didn't expect it to get stuck again."

"It's okay, there will definitely be various abnormalities in the operation. I also saw that you paid attention to some key points during the operation. For example, you were worried about the suture stuck flap. You read it twice and observed 3'12" , is really very cautious. "

Zheng Ren said with a smile.

Director Xu was grateful in his heart, but then a sense of awe-inspiring arose in the deepest part of his heart.

Did Boss Zheng even pay attention to observing 3′12″? He only remembered that he observed for two or three minutes, but if Director Xu told him how long he had watched, he would not know.

"Furthermore, the bioprosthetic valve itself or the tissues and foreign objects that affect the bioprosthetic valve can also cause flap jamming. I think you have also noticed that this is also excluded."

"As for the thrombus trap after extracorporeal circulation, I paid attention to the dosage of the medicine, so it's fine." Zheng Ren said casually while looking at the values ​​of each machine.

"Then..." Director Xu asked suspiciously.

"It's a problem with the patient's pathophysiology and anatomical structure itself, and there is no way to avoid it. If we say that our work is risky, we may not be able to avoid it. When I was on 912, the Department of Urology performed a prostate resection. Our director was very careful during the operation, but an explosion occurred during the operation, causing the bladder to rupture.”

Speaking of this, everyone was extremely emotional.

No matter how careful you are, you can only reduce the possibility of some secondary injuries, and it will never be 100% avoided. Human beings don't even have a thorough study of their own bodies, and wanting to avoid all complications is tantamount to nonsense.

Boss Zheng discovered and avoided problems, but he was not arrogant. He simply said various points, and even mentioned many details of Director Xu. This person is really not simple.

"Boss Zheng, Doctor Su, how did the two of you find out?" Director Qiu expressed his interest several times after feeling that Boss Zheng was not easy.

"Director Qiu, if you were on the operating table, how would you judge?" Su Yun asked back.

"Sudden paroxysmal or continuous ECG oscillograms are separated from the arterial monitoring pressure curve waveform, and there is only one pressure curve wave in several ECG cycles, and the pressure wave gradually tends to be flat, which is a reliable diagnosis for acute mechanical valve dysfunction. Basis." Director Qiu said.

"Yes, the initial fluctuations were not obvious, but if you look carefully, there will be 0.8 wave separations within one minute. It may be caused by machine interference or measurement errors, but you have to observe more." Su Yun laughed.

Once less than a minute, Director Qiu sighed, but he couldn't find this situation. Even if it is discovered, it is impossible for the director of surgery to return to work firmly.

After all, Boss Zheng is awesome!

"In the beginning, it was definitely impossible to judge that the flap was caused by the rupture of the mitral valve chordae. At this time, the anesthesiologist must make a quick judgment." Zheng Ren smiled.

"Exclude factors such as whether the radial artery pressure measurement tube is unobstructed, whether the patient has severe left ventricular dysfunction, whether the volume is insufficient, whether the dosage of vasodilators is appropriate, whether the anesthesia is too deep, and whether the patient is allergic to protamine."

"I took a look just now, and everything is fine. I can only wait or reopen the chest to see the situation." Zheng Ren said: "Because I am a surgeon, I am more radical. Instead of chatting on the operating table, it is better to open the chest and look directly at the patient." Look at the heart. This is the most powerful evidence, if there is a problem with direct vision, it is certain."

"What if there is no problem?" Director Qiu asked suspiciously.

"Close your chest, do you still have to turn it on to watch a movie?" Su Yun said.

"..."

Director Qiu was speechless, so simple? ! Indeed, after the second chest opening to see the situation, if there is nothing wrong, the chest must be closed. But at this time the anesthetist has to face the wrath of the surgeon!

Monstrous anger!

Interfering with the operation, but not being able to explain why, will be shameless in the future.

Seeing Director Qiu's exposed expression, Zheng Ren knew what he was thinking, so he said softly, "Director Qiu, we medical practitioners shouldn't take risks just because of face."

Director Qiu took a deep breath, and said to Boss Zheng...

"Boss, you dare to say that. It's not about face, it's about credibility. What will the surgeon think if he made a mistake in judgment this time? What if something happens again next time? The wolf is coming, the wolf is coming, shouting more times Who still believes in you." Su Yun directly confronted him.

These words reached Director Qiu's heart.

Don't say that you couldn't make such an oolong when you played for Mr. Bao in the past, even if you play for a surgical director with the same qualifications now, you can't make an oolong. Once there is no credibility, no one will listen to what you say in the future.

"Don't pay attention to him, Director Qiu." Su Yun continued, "He saved the entire universe in his previous life, and every time he made a correct judgment, there is nothing to say about good fate. There is no way to copy it. It would be great if it could be copied. Paste it directly, everyone is so lucky."

"It's a wealth of clinical experience." Zheng Ren emphasized while thinking about the system operating room.

"Fart's clinical experience, I just saw that the waveforms don't match. If you want to directly eliminate the interference of the machine power, I will be the first to express my dissatisfaction." Su Yun said.

Zheng Ren smiled, this guy is good enough, dare to question himself, no matter how many times he is hit, his persistence can't be extinguished.

For someone with a slightly worse level, you will directly doubt your life, just like Director Qiu.