Sleepless Doctor

Wu Mian and Chu Zhixi left. Looking at the two leaving figures, Principal Stephen Topt and his wife were silent for a long time.

　　 Opening the file, Principal Stephen Topt found that it was an operation record.

　　 But it is not just a record of the operation in the ordinary sense, but a particularly detailed record, and in some places it is even detailed in seconds. He put on his glasses and began to read word by word according to Wu Mian's request.

　　 Various preparations before the operation, Wu Mian wrote very detailed, using a full page.

　　 Principal Stephen Topt found this very boring, even if it was written in detail, this is the most common procedure in clinical practice, and it does not prove Wu's "foresight" ability.

　　 "My dear, do you think Wu is serious?" Madam asked.

　　 "I don't know, I only see boring and boring on this. If that's the case, then this long-distance operation will really disappoint me." Principal Stephen Topt said lightly.

　　 said so, but he still looked at the documents Wu Mian left him word by word.

　　 Turning to page 2, after a few glances, Principal Stephen Topt was taken aback.

　　 From the beginning of general anesthesia intubation, the style changed suddenly!

"Midazolam 4.4mg, fentanyl 0.22mg, cis-atracurium, etomidate 14mg for induction of anesthesia." During the induction of anesthesia, the effect was unsatisfactory, and 0.11 mg of fentanyl was administered again.

　　The dosage and order of medication are calculated by doctors from world-renowned hospitals such as Cambridge, Oxford, and King’s Hospital. Although it seems very simple, each drug must undergo a rigorous allergy test to determine, and many top anesthesiologists have made repairs based on clinical experience.

　　 The number after the decimal point contains the hard work of countless top anesthesiologists.

　　 For a moment, President Stephen Topt even suspected that Dean David had disclosed the preoperative research information to Wu Mian.

　　 The two of them have a very good relationship. Even the stray cats on campus know this.

　　 But this thought was only a fleeting moment, because then he saw words that shocked him.

　　 After intravenous injection of 0.11 mg of fentanyl, the patient's invasive blood pressure dropped to Hg. The blood pressure drops quickly. I think it is because the muscle relaxant is working, not because of the fentanyl allergy.

　　 Principal Stephen Topt glanced at the number on the monitor next to him-blood pressure Hg.

　　 Generally speaking, blood pressure will fluctuate after using anesthetics, but the high pressure drops directly, is it really okay?

　　 And how did Wu arrive at such a precise number?

　　 He continued to look down.

　　 [After observing for 3 minutes and 12 seconds, it is judged to be normal blood pressure fluctuations, stable circulation, tracheal intubation and ventilator control breathing, tidal volume is 480ml, frequency is 480ml. 】

　　 [There was no obvious fluctuation in the patient's circulation during intubation. After the tracheal tube was fixed, the right internal jugular vein puncture was performed, and the catheterization was smooth. 】

　　 [The patient's circulation was relatively stable during the entire operation, the blood pressure dropped slightly, about Hg, and the heart rate. After the administration of 0.2 mg of metahydroxylamine, the patient's blood pressure rose slightly and remained between ~65mmHg. 】

　　 Principal Stephen Topt looked more and more surprised, he could no longer describe it in words. If it weren't for information leaks, Wu's abilities were so powerful that it was suffocating.

　　 Up to now, the anesthesia plan made by many top anesthesiologists is completely consistent, and even Wu Mian has not vaguely determined the specific numbers of blood pressure and heart rate in the document.

　　 Even if the numbers fluctuate, this is enough to surprise Headmaster Stephen Topt inexplicably. There is only one explanation that can persuade President Topt-Wu Neng to predict the future.

　　Are he sure he is not joking? Principal Stephen Topt was a little dazed, thinking carefully about Wu Mian's past, recalling what he knew about Wu Mian's past, it seemed that this young man had never made a joke in medical treatment.

　　 He was upright like a standard knight, and even because he charged a huge amount of surgery fees and refused to go directly to the stage for rescue, he resolutely left Mayo and fought with it for 4 years.

　　【Maintenance of anesthesia: propofol/h, remifentanil 0.425mg/h, cis-atracurium/h continuous pumping. 】

　　【……】

　　 No matter how detailed it is, it is also a preoperative guess. Principal Stephen Topt began to read the documents faster.

　　 He hurriedly watched the entire operation process, which included the anesthesia medication and all operation records of Dr. Dadley.

　　 Seeing the stopping of cardiopulmonary bypass all the time, Principal Stephen Topt let out a sigh of relief.

　　 Although he kept defamating Wu Mian's documents, he thought that he had produced such a detailed document that almost traveled through time and witnessed all the procedures of the operation in order to highlight his talent.

　　 But after seeing the successful operation and the words that the cardiopulmonary bypass was offline, Headmaster Stephen Topt was still ecstatic.

　　 But there are five full pages left in the document, and Headmaster Stephen Topt is a little confused. The surgery was successful, why are there so many pages?

　　 Does Wu mean that there will be problems after surgery? Probably not, because if there is a problem after the operation, it has little to do with the operation.

　　 Questions full of suspicion~www.wuxiaspot.com~Principal Stephen Topt turned a page.

　　 The first thing that catches the eye is the words redrawn with a red ball pen-5'23" after the shutdown, the patient's ECG changes.

　　 The heart rate gradually dropped to, and the blood pressure gradually dropped from the original ()/(between ()/(), and the patient's heartbeat was obviously weak.

　　Although Wu can't use the word patient instead of his own name, now Principal Stephen Topt has no time to care about all this.

　　 He stared blankly at the sentence whose heartbeat was obviously weak, and his hands started to tremble before he knew it. The old hands were full of sweat, damp and uncomfortable.

　　What does it mean to have a weak heartbeat? Not a sudden arrest, but severe heart failure!

　　 After bypass surgery, the heart gets a sufficient blood supply, and it should be beating vigorously after the cardiopulmonary bypass is taken off.

　　 But why is the heartbeat weak? !

　　【The surgeon gives heart massage on the operating table. After a single intravenous bolus of epinephrine, the patient’s heart rate increased rapidly and blood pressure rose to Hg. 】

　　 "My dear, Wu is simply unreasonable!" Mrs. Topte also saw the red mark, and she said angrily, "How could this be possible after the problem suddenly appeared after the cardiopulmonary bypass was taken offline!"

　　Mrs. Topte is a senior circulatory physician. In her opinion, everything Wu Mian described is a kind of nonsense. After countless correct nonsense, people relax their vigilance, and suddenly say a sentence with no purpose.