Li Zhong pursed his lips, he couldn't do anything about Ren Haitao.

When he was in the second hospital of the Medical University, Ren Haitao was a notoriously idiot. It seems that the only thing that can attract his attention is work, so no matter how good his skills are, almost all the directors of surgery are willing to ask Ren Haitao for anesthesia, but his level still can't be raised.

Just like today's situation, in the opinion of Director Li Zhongli, there is no problem, everything is very stable. Lao Ren was fine when he did the echocardiogram just now, why is he hysterical now?

I didn't hear that he was mentally ill again, Li Zhong frowned and looked at Ren Haitao.

The patient, a 34-year-old female weighing 55kg, was admitted to the hospital for "a mass in the right lung for 6 days in physical examination", and was diagnosed with a space-occupying lesion in the lower lobe of the right lung, and was scheduled to undergo thoracoscopic right lower lobectomy under general anesthesia. ”

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

"The patient had a history of hypertension for 6 years, and was usually treated with oral amlodipine, enalapril, and spironolactone, and there were no abnormalities in the preoperative examination. ”

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

This is Pengcheng People's Hospital, how can you stand here like a big director doing rounds and listen to someone report on his medical history? Li Zhong felt that he was embarrassed to have a cancer attack, and it was directly advanced, so he couldn't help but reprimand directly.

"I'll listen to it, Director Li. Ren Haitao didn't feel anything, his brain had already started to run at high speed following the anesthesiologist's words, and his eyes were aiming at the patient, the monitor, the ventilator, and the micropump.

"Preoperative PaO2 91.3mmHg, SaO2 96.4%, SpO2 99%. After admission, the patient underwent routine ECG monitoring, BP135/80mmHg, HR80 times/min, SpO2 99%. The mask is pre-oxygenated, FiO2 100%, oxygen flow 6L. Vital signs were stable and no definite abnormalities were observed. ”

"Intravenous injection of 0.5 mg of pentethylquine hydrochloride, 100 mg of propofol, 10 mg of cis-atracurium, and 15 μg of sufentanil, 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 person", knew that the doctors and nurses of Pengcheng People's Hospital would definitely not scold Ren Haitao, and only he would come forward to be a villain.

Lao Ren is usually honest, how can he change when he goes out? Could it be that he has been suppressed for too long, and he feels like being a director when he goes out?

No, Mr. Wu in the Sword Association Hospital asked Ren Haitao to manage the anesthesiology department, although he has not yet announced that he is the director of the anesthesiology department, but everyone knows that he has actually become the head of the anesthesiology department.

"After 3 minutes of mask ventilation, the left 35-gauge double-lumen bronchus was inserted under the video laryngoscope, the process was smooth, the depth was 29 cm, the breath sounds of both lungs were clear on auscultation, the alignment was good, and the fiber bronchoscope positioning determined the depth. Mechanical ventilation was performed by connecting to an anesthesia machine, and respiratory parameters were FiO2 100%, and oxygen flow was 2L/min. ”

"Intravenous continuous pumping of propofol 3.5 mg·kg-1·h-1, remifentanil 8 μg·kg-1·h-1, 1.5% sevoflurane compound maintenance anesthesia. This was followed by left radial artery puncture and catheter manometry, which went smoothly, and left single-lung ventilation was performed. ”

The anesthesiologist of Pengcheng People's Hospital reported in detail, did not show the slightest impatience, and performed quite well.

But the more this is the case, the more embarrassed Li Zhong feels.

"After the patient was moved to the left lateral decubitus position, the airway pressure increased to a maximum of 40 cm H2O, and the breath sounds of the left lung were diminished on auscultation.

Ventilation of both lungs was changed, the airway pressure decreased, and the left bronchial tube was too deep and more sputum was seen on flexible bronchoscopy, and the double-lumen tube was retreated to 28 cm under the microscope, sputum was suctioned, the lungs were expanded, and the breath sounds of both lungs were cleared by auscultation. ”

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

The anesthesiologist looked at Ren Haitao in a daze, and then glanced at the monitor.

The monitor shows that the blood oxygen saturation is 100%, there is no problem, did Mr. Ren think about what happened?

"Teacher Ren, it doesn't seem to be a problem with tracheal intubation. "The SpO2 was always 100 percent. ”

Ren Haitao was also a little puzzled, he did not obsessively listen to the patient's breathing sound, but looked at the blood oxygen saturation on the monitor, and gradually fell into deep thought.

The director of thoracic surgery came back with his hands, and when he saw that Ren Haitao was still there, he said a little unhappily, "Excuse me, I'm going to start the operation." ”

"Old Ren, it's almost there. Li Zhong said unhappily, "You haven't been drinking, what are you doing here?" ”

"Director Li, don't you think there's something wrong?"

"I don't think so. Li Zhong said with a gloomy face, "Let's go quickly, I'm afraid that Teacher Wu will have to wait for you no matter how late it is." ”

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

Because of the importance of surgery today, the mobile phone was turned off before the operation, and it has not been turned on until now.

"Lao Ren, you are ......" Li Zhong had a very bad thought in his heart.

"I'll ask Mr. Wu. ”

"You're crazy!" Li Zhong once again made sure that the patient's vital signs were stable and the thoracic surgery had begun, and he said helplessly, "Old Ren, Mr. Wu is communicating and lecturing with foreign experts. ”

"No, I don't think the patient in front of me is in the right situation. Ren Haitao said stubbornly, "I'm afraid that something big may happen later." ”

The doctors and nurses of Pengcheng People's Hospital all looked at Ren Haitao with stupid eyes, this person is not crazy.

Everything was quiet, and there was not even an alarm sound from the various instruments, and he said that something big was going to happen.

If it weren't for the anesthesiologist brought by Mr. Wu, or if it weren't for Ren Haitao's extremely high standard in the demonstration operation just now, I'm afraid that Director Liu would have impatiently kicked him out.

Do you talk like that, hoping that something will happen to the patient?

Doctors are sometimes superstitious and pay attention to auspicious words. In any case, there was a cargo station behind the front of the stage and said that something big must happen, which made everyone in the operating room feel bored.

"Teacher Wu. ”

Just when everyone looked at Ren Haitao with puzzlement, confusion, and disdain, he had already made a phone call by himself.

"I'm sorry, Mr. Wu, I have encountered something here, and I want to ask you. ”

"No, no, the patient in the operating room next door, I seem to feel something wrong when I pass by, but...... I can't say it. Now my vital signs are stable, and I stood here for seven or eight minutes, and I still didn't see what the problem was. ”

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

What he said was not as detailed as the anesthesiologist just said, but the main points were there.

"Okay, okay, I'll tell them. Ren Haitao hung up the phone, 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, how can Mr. Wu also go crazy.