Sleepless Doctor

Latest website: Li Zhong curled his lips, and he had no choice but to take Ren Haitao.

When he was in the Second Hospital of Medical University, Ren Haitao was notoriously idiot. It seems that only work can attract his attention, so no matter how good his technique is, almost all surgical directors are willing to find Ren Haitao for anesthesia, but his level is still not up.

It's just like today's situation. In Director Li Zhongli's opinion, there is no problem, everything is smooth. Lao Ren was fine when he had the echocardiography just now, so why is he suffering from hysteria now?

Never heard of his mental illness, Li Zhong frowned and looked at Ren Haitao.

"Patient, female, 34 years old, weighing 55kg, was admitted to the hospital for "physical examination found that the right lung occupies 6 days" and was diagnosed with a space-occupying lesion in the lower lobe of the right lung and planned to undergo thoracoscopic right lower lobectomy under general anesthesia."

The anesthesiologist at Pengcheng People's Hospital cheered up and began to report the medical history.

"The patient had a history of hypertension for 6 years, and was usually treated with amlodipine, enalapril, and spironolactone. The preoperative examination showed no abnormalities."

"Old Ren, it's too much!" Li Zhong scolded in a deep voice.

This is Pengcheng People's Hospital. How can you stand here like the chief of the ward round and listen to people reporting your medical history? ! Li Zhong felt that he was embarrassed by the onset of cancer, and it was directly at an advanced stage, so he couldn't help but scold him directly.

"I listened to it, Director Li." Ren Haitao didn't think anything. His brain had already followed the anesthesiologist's words at high speed, and his eyes were on the patient, monitor, ventilator, and micro pump.

"Preoperative PaO291.3mmHg, SaO296.4%, SpO299%. After entering the room, the patient underwent routine ECG monitoring, BP135/80mmHg, HR80 beats/min, SpO299%. Mask pre-oxygenation, 100%, oxygen flow 6L. Life The signs are stable and there are no clear abnormalities."

"Intravenous injection of penehyclidine hydrochloride 0.5 mg, propofol 100 mg, cis-atracurium 10 mg, and sufentanil 15 μg, the induction process was smooth, and SpO2 was always maintained at 100%."

"It's all normal, what are you doing!" Li Zhong, as his own, knew that the doctors and nurses of Pengcheng People's Hospital would definitely not scold Ren Haitao, only to be the villain.

Lao Ren was always honest, but how did he change when he went out? Could it be said that you are usually depressed for too long, and you can experience the feeling of being a director when you go out?

No, Mr. Wu in Jianxie Hospital asked Ren Haitao to manage the anesthesiology department. Although he has not been announced as the director of the anesthesiology department, everyone knows that he has actually become the head of the anesthesiology department.

"After 3 minutes of mask ventilation, insert the No. 35 double-lumen bronchus on the left under the visual laryngoscope. The process is smooth, the depth is 29cm, the breath sounds of both lungs are clear, the alignment is good, and the fiberoptic bronchoscope is positioned to determine the depth. Connect the anesthesia machine for mechanical ventilation, Respiration parameters: 100%, oxygen flow rate 2L/min."

"Continuous intravenous pumping of propofol 3.5mg·kg-1·h-1, remifentanil 8μg·kg-1·h-1, 1.5% sevoflurane combined to maintain anesthesia. Then the left radial artery puncture was performed The pressure was measured through the tube, the process went smoothly, and the left side single-lung ventilation was performed in parallel."

The anesthesiologist at Pengcheng People's Hospital gave a detailed report, did not show any impatience, and performed quite well.

But the more so, the more embarrassed Li Zhong.

"After the patient changed to the left decubitus position, the airway pressure increased to a maximum of 40cmH2O, and the left lung breath sounds weakened on auscultation.

Changed both lung ventilation, airway pressure decreased, fiberoptic bronchoscopy showed that the left bronchial tube was too deep, and more sputum was seen. Under the microscope, the double-lumen tube was retracted to 28cm, sputum suction, lung expansion, auscultation Clear breath sounds in both lungs. "

"Wait a minute, give me a stethoscope." Ren Haitao stretched out his hand.

The anesthesiologist looked at Ren Haitao blankly, then glanced at the monitor.

The monitor shows that the blood oxygen saturation is 100%. There is no problem. Did Mr. Ren think about something?

"Teacher Ren, it doesn't seem to be a problem with tracheal intubation," the anesthetist said, "SpO2 is always 100% during the whole process."

Ren Haitao also had some doubts. He did not obsessively listen to the patient's breathing, but looked at the blood oxygen saturation on the monitor, and gradually fell into contemplation.

When the director of thoracic surgery came back, seeing Ren Haitao was still there, he said a little unhappy, "Thank you for a moment, I'm going to start the operation."

"Old Ren, it's almost done." Li Zhong said unhappily, "You haven't drunk, so what are you doing here?"

"Director Li, don't you think there is a problem?"

"I don't think so." Li Zhong said with a sullen face, "Let's go quickly, I'm afraid Teacher Wu will have to wait for you in the future."

"..." Ren Haitao was a little happy suddenly, the expression between the hat and the mask became much more vivid. He took out his phone and turned on the switch.

Because the operation is important today, the mobile phone was turned off before the operation and has not been turned on until now.

"Old Ren, what are you..." A very bad idea appeared in Li Zhong's heart.

"Let me ask Teacher Wu."

"You are crazy!" Li Zhong once again confirmed that the patient's vital signs were stable and that the thoracic surgery had been opened. He said helplessly, "Old Ren, Teacher Wu is communicating and giving lectures with foreign experts."

"No, I don't think the patient's situation is right." Ren Haitao said stubbornly, "I'm afraid that something big might happen later."

The doctors and nurses of Pengcheng People's Hospital looked at Ren Haitao with foolish eyes. I'm afraid this person is not a lunatic.

Everything was quiet, and there was no alarm sound from all kinds of instruments, and he just said that something big was going to happen.

If it weren't for the anesthesiologist Wu brought, or if Ren Haitao showed a very high level in the demonstration operation just now, I am afraid that Director Liu has already impatiently sent him out.

Is there anyone who talks like this, hoping that something will happen to the patient? Really unlucky.

Doctors are sometimes very superstitious and pay attention to auspicious words. In any case, there was a cargo stand behind before opening the stage and said that something big was going to happen, which made everyone in the operating room bored.

"Professor Wu."

Just when everyone looked at Ren Haitao in perplexity, doubt, and contempt~www.wuxiaspot.com~, he had already made the call on his own.

"Sorry, Mr. Wu, I have encountered something here, and I want to ask you."

"No, no, the patient in the next surgery room seemed to feel something wrong when I was passing by, but... I can't say that. Now the vital signs are stable. I stood here and observed for seven or eight minutes, but it still didn't show up. problem lies in."

"Good." Ren Haitao obtained Wu Mian's consent and began to report on the situation.

What he said is not as detailed as the anesthesiologist just said, but the main points are.

"Okay, okay, I'll tell them now." Ren Haitao hung up the phone and looked at Director Liu and said, "Director Liu, Teacher Wu said to check a blood gas analysis and consider that the patient may have a problem."

"..."

Everyone felt that the Three Views had collapsed.

The little old man in front of him is crazy, why is Teacher Wu going crazy with him.