Chapter 331 Chapter 5 Extreme Anesthesia
In the operating room, with the last needle of Yan Lao, the operation officially began.
Looking at the swallow that had fallen into a coma on the operating table, Ren Xianzhi, who was holding the scalpel, did not fall for a long time.
Traditional Chinese medicine anesthesia has always existed only in historical documents, and it is not clear how effective the anesthesia is and whether it can meet the requirements of the operation, and the medical staff in the operating room are uncertain.
As the developer of the new type of Ma Boiling San, Yan Lao, although he had a warm and confident smile on his face, his thin hands were already clenched, and his palms were already soaked with sweat, "How can you be the director, do you not believe in the old man, or are you not confident in your medical skills?" ”
"Old Yan, what you said, how could I not believe you." Ren Xianzhi, who was the chief surgeon, shook his head and gestured to the side next to him, "Prepare for surgery!" ”
With the order of the surgeon, the operation officially began.
The moment the high-frequency electric knife fell and touched the superficial skin, Ren Xianzhi, Yan Lao, and the medical staff in the supporting station, including everyone in the monitoring room, stared at Yanzi's face without blinking, and a star was even mentioned in the throat.
I am afraid that the swallow will wake up from a coma because of the pain.
Before the start of the operation, they had already made an emergency plan to prevent the patient from waking up during the operation, but once it was activated, it proved that the failure of the operation meant that the effect of TCM anesthesia was not good, and it was not as good as traditional Western medicine anesthesia.
There was no superfluous expression on his face, and he didn't wake up.
As the chief surgeon, Ren Xianzhi breathed a sigh of relief, and the movements of his hands did not stop until the abdominal cavity was completely opened.
Didn't wake up!
"Bang!"
Monitor the room
The sound of tapping on the monitoring station echoed in the already quiet monitoring room.
No one blames, and no one casts a superfluous look.
Everyone here has a sense of relief, and their faces are no longer as solemn as they were just now.
Zhan Youcheng looked at the experts and professors of the Chinese Medical Hall who were still excited, clapped his hands and said, "Everyone, the operation is not over yet, it remains to be seen how the final effect of traditional Chinese medicine anesthesia will be and how long it will last!" ”
The expert professor, who was still excited, couldn't help but glance at the picture of the operating room on the monitor, and the smiles on his faces also converged.
Fang Haoran watched the atmosphere in the operating room solemn again, and the corners of his mouth raised slightly, "Everyone, the patient has not woken up yet, and the effect will only be concluded when the operation is over." ”
"Fang Guoshou is right, the patient hasn't woken up yet, and everything is developing in a good direction, isn't it?" Qi Waitian walked out of the crowd and said with a smile.
Wang Zhenhua glanced at Qi and the other party's thoughts, and secretly came to Tang Yi's side and whispered, "You are the only one here who understands Chinese and Western medicine, do you think this operation can be successful?" ”
Tang Yi, who had been standing next to the monitoring table, had a solemn expression, from the beginning of the operation to the present, his eyes were not like others staring at the operating table from the beginning of the operation to the present, but the instruments next to him.
EEG monitors, ECG monitors, and blood pressure monitors are constantly beating numbers.
These cold numbers, each of which beats more than a certain value, or below a certain value, directly reflect the patient's life-threatening situation.
Seeing that Tang Yi didn't say anything for a long time, Wang Zhenhua followed his gaze, and his expression was also a little more dignified.
Wang Zhenhua is not like waiting for leisure, he only learns management, and he doesn't know anything about medical treatment. On the contrary, while managing the hospital, he is still learning and improving, and although the medical level is not as good as that of the national hand, he can also squeeze into the ranks of the Insurance Regulatory Commission.
"Dean, please prepare an emergency plan to stop the operation at any time!" Wang Zhenhua looked at the blood oxygen content on the EEG monitor and the electrical dual-frequency index indicating that it was fluctuating back and forth between 58 and 60, and hurriedly spoke.
"Vice President Wang, what do you mean by that?" Fang Haoran suddenly turned his head and his eyebrows jumped, looking like the other party couldn't give a reasonable explanation, so he would tear the other party apart.
Stared at by several pairs of angry eyes, Wang Zhenhua pointed to the ECG monitor on the monitor, "Please pay attention to the monitor next to the operating table!" ”
Following the direction pointed by Wang Zhenhua, a group of people turned their heads to look.
Everyone present is top in terms of medical treatment, even these old Chinese medicine doctors in the National Medical Hall, although they are not as good as Western medicine for modern equipment, but some basic instructions are also beyond the reach of ordinary people.
At a glance, they all understood why Wang Zhenhua said that.
Zhan Youcheng glanced at Fang Haoran, Yan Zhidao and other experts from the Chinese Medical Hall beside him, "Everyone, you have also seen that the patient's heart rate, blood pressure, and EEG spectrum, each data is taken out separately, all indicating that the patient is about to wake up." ”
Looking back at the monitoring again, Zhan Youcheng took a deep breath, "Once the patient wakes up during the operation, what are the consequences, I don't need to say more, right?" ”
Fang Haoran sighed and waved his hand, looking impatient, "Notify the operating room and end the operation!" ”
As the vice president of the Chinese Medical Hall, Yan Zhidao looked at the emaciated but resolute old man in the operating room, he wanted to say that the patient had not woken up yet, and the operation could continue, but he had to be responsible for the patient, and he had an explanation to the affiliated hospital, and the most important thing was to take care of Yan Lao's reputation, although he no longer cared about the old man, and couldn't find any reason, so he could only squeeze out three words from between his teeth, "It's trouble!" ”
The simple three words contain how much sadness and helplessness there are.
Zhan Youcheng watched Yan Zhidao turn around, ready to leave, also sighed, walked to the microphone, and was about to open his mouth.
"No, the operation continues!"
Who?
In this case, how else can surgery be performed?
Doesn't this guy know how to heal? Speak nonsense, play the piano randomly!
The experts in the intestinal department glared at Tang Yi angrily, and they didn't wait for them to speak.
Qi Waitian on the side took the lead in speaking, "Tang Yi, what are you talking nonsense?" Do you know what happens if this situation doesn't stop the surgery? ”
Glancing at the other party, Tang Yi turned his head and continued to look at the surveillance, "What will be the consequences?" If the patient is in a coma, there are no consequences. ”
"Heh, the patient won't wake up?" Qi Waitian laughed angrily, if he didn't know that the other party had a great relationship with these experts in the National Medical Hall, he would have to open his mouth to drive the other party out, "So many experts and professors agree to terminate the operation, why do you say that the operation can be continued, who are you?" ”
Fang Haoran frowned, "Tang Yi, tell me your opinion!" ”
Yan Zhidao, who was about to leave, stopped his hand about to open the door, turned his head suddenly, and looked at Tang Yi with a pair of eyes full of hope, hoping that he could give a reasonable explanation. In other words, I can talk about myself, everyone present, and the reason for continuing the operation.
"Since the beginning of the operation, the EEG spectrum of the swallow has been hovering between 58 and 59, and it has fluctuated up and down by 2. At first, I thought it was because the effect of the medicine was not fully effective, but as the surgery progressed, it turned out that it was not what I imagined! Tang Yi glanced at the swallow's sleepy little face through the monitoring, "If the anesthesia definition of the electrical dual-frequency index is between thirty and sixty, and the depth is more than thirty, it will cause irreversible damage to the human brain, and below sixty, the anesthesia will not be enough, and the patient will feel pain during the operation, which is not absolute." Some people have a strong ability to feel pain because of their body's strong ability to resist blows. Even sixty-one, sixty-two, will not wake up in the operation. ”
"Anesthetic drugs act on the brain, temporarily suppress the central nervous system, a way of general pain and loss of consciousness, and after general anesthesia, it will affect the body's memory and reflexes. In other words, we can understand that as long as anesthesia is used, it will affect the brain, but this effect varies greatly from person to person and does not apply to everyone. ”
As he spoke, Tang Yi's voice began to tremble a little, "However, theoretically speaking, as long as the anesthetic effect can be achieved, and the closer it is to the critical point of 60, the less harm it will do to the human body." ”
As soon as the words fell, the eyes of Fang Haoran, Yan Zhidao and other experts and professors of the Chinese Medical Hall lit up at this moment, like a bright light in the dark night, shining dazzlingly.
"Swallow's bispectral index, including blood pressure, heart rate, is hovering at the critical value of waking up. To determine whether anesthesia is successful, it is necessary to pay attention not only to these things, but also to pay attention to muscle relaxation. Tang Yi pointed his finger at the screen, "Yanzi's expression has not changed from beginning to end, which is enough to prove that the anesthesia was successful, so the operation can continue." ”
"Tang Yi, what you said is true?" Yan Zhidao could no longer suppress the excitement in his heart, and walked quickly to Tang Yi and grabbed his hand.
Tang Yi also couldn't suppress the excitement on his face, "Yes, the operation can continue." Yan Lao's anesthesia was very successful and could be called perfect. ”
"Is it perfect? It was impeccable, and as far as I know, no anesthesiologist in the country could do it to this extent! Zhan Youcheng shook his head and smiled bitterly, "It's just that this kind of perfection has a feeling of walking a tightrope." ”
Hearing this, Tang Yi also smiled, "Don't talk about the whole country, even if it's the whole world, even if there are anesthesiologists who can do this, they don't dare to take such a risk with their careers!" ”
yes, who dares! Even the best anesthesiologist can accurately grasp the depth of anesthesia. But isn't he worried that the anesthetic will lose its effect under the combined action of the human immune system and metabolism?
Fang Haoran looked at Yan Nanbei, who was standing next to the operating table under the surveillance, "This old guy is a complete madman. ”
"Perhaps, Yan Lao didn't do it on purpose!" Tang Yi hugged his arms and carefully recalled the details of Yan Lao's dispensing.
"What? Not deliberately? ”
"How is this possible?"
"How can Chinese medicine anesthesia reach such a level?"
"Impossible, impossible, it must be that Yan Lao deliberately controlled the dosage!"
In the incredulous rebuttal of everyone, Tang Yi was shocked, "Have you forgotten that Yan Lao added a medicine to the decoction?" ”
"You're talking about bars?" Fang Haoran smiled, "Drinking alcohol is easy to paralyze the nerves, and with the help of traditional Chinese medicine, under the effect of two layers, there is really no need to deliberately control the dosage." ”