288 Surgical Records Through Time and Space (Alliance Leader SHYN307 Plus 1)

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

Opening the file, Principal Stephen Topter discovers that it is an operating record.

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

Wu Mian wrote all kinds of preoperative preparations in detail, and it took one page.

Principal Stephen Topter found this boring, no matter how detailed it was, it was the most common clinical process, and it did not prove Wu's ability to "foresee".

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

"I don't know, I only see boredom and boredom in this. If that's all there is to it, then this long-distance surgery will really disappoint me. Principal Stephen Topter said lightly.

Having said that, he still looked at the documents left by Wu Mian word by word.

Flipping to page 2 and looking at it a few times, Principal Stephen Topter was stunned.

Starting from general anesthesia intubation, the style changes abruptly!

Midazolam 4.4 mg, fentanyl 0.22 mg, cis-atracurium 15.4 mg, etomidate 14 mg were induced by anesthesia. During anesthesia induction, the effect was not satisfactory, and fentanyl 0.11 mg was given again.

The dosage and order of medication are calculated by doctors from Cambridge, Oxford, King's Hospital and other world-famous hospitals. Although it seems simple, each drug is subject to rigorous allergy testing, and many top anesthesiologists have tinkered with it based on clinical experience.

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

For a moment, President Stephen Topter even suspected that Provost David had revealed the information about the preoperative research to Wu Mian.

The two of them have a good relationship, and even the stray cats on campus know about it.

But the thought was fleeting, for he saw the words that shocked him.

After intravenous fentanyl 0.11 mg, the patient's invasive blood pressure decreased to 96/54 mmHg. The blood pressure dropped very quickly, and I thought it was the muscle relaxant medication that worked, not fentanyl allergy.

Principal Stephen Topter glanced at the number on the monitor next to him - blood pressure 132/77mmHg.

Generally speaking, blood pressure fluctuates after using anesthetic drugs, but the high pressure directly drops by nearly 40 mmHg, is it really okay?

And how did Wu arrive at such precise numbers?

He continued to look down.

[After 3 minutes and 12 seconds of observation, it was judged that the blood pressure fluctuated normally, the circulation was stable, the tracheal intubation and ventilator controlled breathing, the tidal volume was 480ml, and the frequency was 12 times/min. 】

[There was no significant fluctuation in the patient's circulation during intubation.] After the endotracheal tube was fixed, the right internal jugular vein was punctured, and the puncture and catheterization were successful. 】

[During the whole operation, the patient's circulation was relatively stable, the blood pressure decreased slightly, about 85/50mmHg, the heart rate was 70~80 beats/min, and the patient's blood pressure increased slightly after giving 0.2mg of m-hydroxylamine and remained between 90~105/55~65mmHg. 】

The more Principal Stephen Topt looked, the more surprised he became, he couldn't describe it in words. If it weren't for the data leak, then Wu's ability would be so powerful that it would be suffocating.

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

Even if the numbers fluctuated, it was enough to surprise Principal Stephen Topter. There is only one explanation that can convince Principal Topt - Wu can predict the future.

Sure he wasn't joking?Stephen Topt was in a trance, thinking back to Wu Mian's past, thinking back to Wu Mian's past as he knew, it seemed that the young man had never joked in medical terms.

He was as upright as a standard knight, and even resolutely left Mayo because of the huge cost of surgery and his refusal to go directly to the stage for rescue, and fought with him for 4 years.

[Anesthesia maintenance: propofol 4.1mg/kg/h, remifentanil 0.425mg/h, cis-atracurium 10.5mg/h continuous pumping.] 】

【......】

No matter how detailed it was, it was all pre-operative speculation, and Principal Stephen Topt began to look at the documents faster.

He hurriedly looked at the entire operation, including the anesthesia and all the operating records of Dr. Dudley.

Seeing the cessation of cardiopulmonary bypass, Principal Stephen Topter breathed a sigh of relief.

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

However, after seeing the words "Cardiopulmonary bypass" and weaning from the outside body, Principal Stephen Topter was still ecstatic.

But there were still five pages left in the document, and Principal Stephen Topter was a little puzzled. The surgery was successful, how can there be so many pages?

Could it be that Wu meant that there would be a problem after the operation? Probably not, because if there was a problem after the operation, it would not have much to do with the surgery.

Suspicious, Principal Stephen Topt turned the page.

The first thing that catches your eye is the words retraced with a red ballpoint pen - 5′23" after shutdown, and the patient's electrocardiogram changes.

The heart rate gradually decreased from 85 beats/min to 60 beats/min, and the blood pressure gradually decreased from (100~115)/(60~75) mmHg to (65~75)/(40~50) mmHg, and the patient's heartbeat was obviously weak.

Although he was not used to Wu using the word "patient" instead of his own name, Principal Stephen Topter had no time to think about it now.

He looked at the sentence that his heartbeat was obviously weak, and before he knew it, his hands had begun to tremble. The old man's palms 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 receives an adequate blood supply and beats vigorously after weaning from cardiopulmonary bypass.

But why is it a weak heartbeat?!

[The surgeon gives cardiac massage on the operating table.] A single bolus of epinephrine 0.2 mg intravenously increased to 90 beats/minute and blood pressure to 120/84 mmHg after 32 seconds. 】

"My dear, Wu is unreasonable!" Mrs. Topt also saw the red mark, and she said with some anger, "How is it possible that the problem suddenly appears after the cardiopulmonary bypass is weaned!"

Mrs. Topt was a veteran cardiologist, and everything described by Wu Mian seemed to her to be a kind of speculation. After countless correct nonsense, people let their guard down and suddenly say something with a purpose.