Sleepless Doctor

Professor Fei Dao looks at the patient before the operation. This is a rule to prevent the surgeon from being ignorant of the patient's situation. To a certain extent, it has played a positive role in avoiding medical accidents as much as possible.

But many professors don't have time to look at patients at all. Anyway, they are skilled trades, and they can do it when they go up, and they can tell by watching the pictures before the operation.

Professor Tang and Ren Haitao of the Second Hospital of Su Xing Medical College did not forget to see the patients, and Wu Mian saved a lot of tongue.

Professor Tang looked a bit simpler, mainly for physical examinations and watching movies, Ren Haitao was very careful, starting with the test sheet.

There was no obvious abnormality in the results of chest X-ray and ECG examination before operation. Laboratory test results: white blood cells 9.17×109g/L, neutrophil percentage 50.1% (normal value 50.0%~70.0%).

This time, Ren Haitao exhausted all his abilities. Looking at the patient's meticulousness, even Professor Tang felt a bit overwhelmed. He also did few operations such as airway assessment, and even the most professional electronic airway scope he took to Bajingzi without too much trouble.

Professor Tang shook his head as he watched. No one is doing surgery at home with such details. Basically, the anesthesiologist who performed anesthesia before going on stage just glanced at it. And what Ren Haitao did was like demonstrating basic operations, just like taking students.

No, this is for Teacher Wu, Ren Haitao is really motivated.

The operation is estimated to be over in more than an hour, but it is a pity that Teacher Wu said that something was going on early in the morning and refused to sit and eat together after the operation.

At 8:15, the patient was sent to the stage, and Ren Haitao had been escorting him, even more rigorously than the formal requirements.

It is not impossible to do it usually, but each anesthesiologist is responsible for at least 5 surgical patients a day, and some are connected to the table. If the upper part is not down, the lower patient will have to go up, otherwise the operation will not be completed.

How can an anesthesiologist have time to do this.

However, these problems do not exist today. There is only one patient, and Ren Haitao exhausted all his best to show what an anesthesiologist can do.

Coming to the operating room, preparing for the operation, Ren Haitao looked at the various values ​​of the ventilator, monitor, and micropump, while looking at the dilapidated airtight door.

"Teacher Ren, the patient is really lucky if you can come for the anesthesia yourself." Wang Chengfa said in a conversation.

Ren Haitao snorted absently, without replying at all, all his thoughts were not here.

"When we are at home, how much can we numb in a day?" Wang Chengfa continued to chat.

Although he could see that Ren Haitao didn't want to talk to him, he was a superior doctor in a superior hospital after all, and he had this arrogant capital. Wang Chengfa didn't want to understand why, it certainly wouldn't be because of the head of Wu.

Although they were angry, they knelt and licked Wu Mian, but they couldn't show it. After all, they were all from the medical circle... The most important thing was that Wang Chengfa couldn't figure out why.

He said ten sentences, and Ren Haitao could answer one or two sentences. While doing pre-operative preparations and checking various anesthesia and rescue drugs, Ren Haitao waited for Wu Mian's arrival.

Soon, Wu Mian, Dean Zhou and others came in talking and laughing.

"Mr. Wu!" Ren Haitao had been preparing for a long time, and greeted him for the first time.

"Yeah." Wu Mian nodded, "Is it difficult to see the patient before the operation?"

"No difficulty." Ren Haitao said with confidence, "Preoperative visits assessed the patient's clinical cardiac function level I, airway assessment level I, mouth opening greater than 3 fingers, cervical spine receding degree, chin distance, and thoracic chin distance were not seen Abnormal indications. The patient complained of mild upper respiratory tract infection 7 days ago, occasional cough and sputum, normal body temperature, 36.7 degrees Celsius."

"The white blood cells are 9.17×109g/L, the percentage of neutrophils is 50.1%, and the percentage of eosinophils is 6.2%."

Hearing this, Wu Mian's figure seemed to pause for a while, then turned his head, absently turning his head and saying something to Chu Zhixi.

Chu Zhixi was taken aback, nodded immediately, turned and left.

Ren Haitao was not upset because of Wu Mian's "contempt". He continued to report his medical history, which was particularly detailed. Regardless of whether Mr. Wu listens or not, he must make it clear by himself.

Very detailed report, although some have not been said, Wu Mian is not critical. What is not said is not important, Ren Haitao does everything well.

Nodded, Wu Mian sat on the small round stool in the corner and silently watched the operation. Soon Chu Zhixi came back and sat next to Wu Mian, smiling and watching a kind of busy people.

Wang Chengfa listened to Ren Haitao's report, his eyebrows were erected, his old face flushed. People are old and fine, although the operation is average, but the height of the eyebrows can still be seen clearly.

I rushed to slap Wu Mian's flattery, and it reached this level. The chief physician of the anesthesiology department of the tertiary grade A hospital in the province turned around to become a lower-level doctor.

As for!

Do you need a face!

Wang Chengfa Director Wang slandered in his heart.

Wu Mian completely ignored Wang Chengfa's existence, and his happiness or unhappiness had nothing to do with him.

After the operation is over, the most important thing is to go to Laoyashan with Chu Zhixi. I can live leisurely for two days and live a life like a paradise. When I think of it, I am longing for it.

"Girl, what did you buy yesterday?"

"I bought some spicy food and fresh cucumbers. I washed them and put them in the box early in the morning." Chu Zhixi said, "It's boring to drive. Waiting for you to feed it."

"Well, I'm thinking of bringing a few pairs of gloves for a while."

"I just bought it by the way, don't worry." Chu Zhixi said.

Seeing Ren Haitao's anesthesia, Wen Zhenhan and Wang Chengfa had already gone to brush their hands. The equipment nurse was checking the equipment with the traveling nurse, and Wu Mian stared at Ren Haitao.

The patient was sent to the operating room. Ren Haitao routinely opened the venous access, connected to the monitoring, and monitored the blood pressure of 100mmHg/65mmHg, the heart rate of 72 beats/min, and SpO297% in the non-oxygen state.

All the values ​​are normal. Ren Haitao just wants to reach his limit, don't let Mr. Wu look uncomfortable.

If you talked about Teacher Wu in the past, Ren Haitao might still have some doubts.

But after the last time he was instructed to rescue patients with anaphylactic shock, he had already admired the five bodies in his heart. Ren Haitao has memorized the questions to ask after the operation, repeating it for fear of omissions.

It's a pity that Mr. Wu doesn't have time, so it seems that he has to wait for a while.

After pre-inhalation of pure oxygen with a mask for 5 minutes, midazolam 1 mg, ondansetron 4 mg, dexamethasone 5 mg, and fentanyl 100 μg were administered via a small intravenous pot.

Lidocaine 20mg, propofol 150mg, rocuronium 50mg were injected intravenously, and rapid induction of anesthesia was carried out~www.wuxiaspot.com~ The mask was ventilated smoothly, and the chest was well undulated.

Ren Haitao paid great attention to all operations, and even checked each ampoule one by one, fearing that the Bajingzi Hospital of Traditional Chinese Medicine was not formal and there were expired drugs in the drug store.

When you go out for surgery, you still need to be in front of Teacher Wu, so you can't be too cautious.

After 3 minutes of intravenous bolus injection of rocuronium bromide, a No. 7.0 common tracheal tube was used for endotracheal intubation. The intubation process was smooth, and the fixed tube was placed at a depth of 22 cm from the incisors.

Everything is going well, then as long as the lungs are inflated and connected to the ventilator. Ren Haitao knew the value of the ventilator, and everything was under control.

But the change happened in an instant, no matter how careful and serious it is, it is impossible to avoid accidents.

During manual ventilation, Ren Haitao suddenly felt great resistance, showing an "iron lung" feel.

His heart suddenly froze, what's the matter...what's the situation!

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