Mrs. Topter suppressed the surprise in her heart, thinking that Wu Mian must have gotten the information from Provost David in advance. Otherwise, there would be no way to explain the contents of the document in hand.

After 1′22", the anesthesiologist felt that induction anesthesia was not ideal, and began to give another dose of medicine.

Fentanyl, 011g, exactly as it was written in the document.

Mrs. Topter frowned at the paper in her hand, which had not been opened and turned to the current time-stamped page, but she seemed to see the words written on it.

"Wu, how do you know that the anesthesia induction is not ideal, and you need to administer the drug again?" asked Mrs. Topter.

"All the anaesthesiologists in Cambridge and London tend to be conservative, especially Mr. Winter, who I think was there at the time of the consultation. ”

Mrs. Topter nodded.

"Dr. Winter must have feared that Headmaster Topt would have a sudden allergic reaction, so the final plan must have been conservative. "And Principal Stephen Topt was a football player when he was young, and he was quite physically good. How is it possible to achieve the desired degree of induction anesthesia at this dose. ”

"Did you guess all this?" asked Mrs. Topter.

"Madam, this is a basic judgment based on the patient's basic physical condition and my knowledge of other anesthesiologists. Wu Mian said, "It's not magical at all, it's not cool, in fact, there is a faint sadness in my heart." ”

Mrs. Topter knew what Wu Mian was going to say, and she didn't continue with Wu Mian's words, but stared at the screen to watch the operation.

After a repeat bolus of fentanyl, anesthesia is well induced, but there is a transient drop in blood pressure. Because it was mentioned in the document, Mrs. Topter was not particularly surprised.

What surprised her was how Wu Mian predicted it.

Mrs. Topter didn't fully understand what Wu Mian had just explained. It's amazing, like a Danish fairy tale, and only a child would believe it.

After a brief panic in the operating room, as the numbers on the monitor stabilized, the mood of all the doctors and nurses also stabilized. I did symptomatic treatment, waited for a few minutes, and the vital signs did not change significantly, and then continued to the next step.

Anesthesia maintenance: propofol 42gkg·h, remifentanil 045gh, cis-atracurium 1025gh continuous pumping.

It's still the same as what Wu Mian wrote in the document.

The anesthesia is satisfied, and the operation officially begins.

Mayo Clinic cardiac surgeon Stephen Dudley stood in front of the operating table after brushing his hands to disinfect his hands, and he seemed to know that Wu Mian was watching him from behind the surveillance. Instead of direct surgery, Dudley stared at surveillance cameras.

Stephen Dudley looked at it as if he was looking at Wu Mian from afar. After a full 10 seconds, he raised his hand to his chest and raised his middle finger.

When Mrs. Topt saw this, her expression froze slightly.

The dispute and disagreement between Wu and Dudley were so serious, if the operation went according to Wu's imagination, what would he do then?

Just when Mrs. Topt was restless, Stephen Dudley made a gesture to his assistant, and the operation began.

During the skin incision, the anesthesiologist continued to give fentanyl 02g, and Dr. Dudley opened the skin to stop the bleeding locally and blunt separation to the sternum.

The technique is clean and beautiful, and the speed is fast. Mrs. Topter glanced at the time, and she vaguely remembered that the documents given by Wu Mian seemed to start marking the time since the opening of the stage.

It's just that she can't remember those small moments at all.

Opening the file and turning to the page of the operation, Mrs. Topter saw 12′03" after the opening of the stage, ready to split the sternum. Before splitting the sternum, 02g of fentanyl and 5g of cis-atracurium were given again.

She looked up, and just over 12 minutes into the upper left corner of the screen, Dudley took the sternal saw from the instrument nurse and began to split the sternum.

In the picture, the figure of the anesthesiologist only showed one corner, and the words appeared on the right screen - fentanyl 02g and cis atracurium 5g were given again before splitting the sternum.

Mrs. Topter was stunned, she suspected that she had read it wrong, how could Wu's prediction be so accurate!

If Wu's prediction continues, the operation will be successful, but Stephen can't get out of cardiopulmonary bypass at all. As soon as we are weaned, the heart will have a weak heartbeat until the heart stops beating.

No way!, Mrs. Topter comforted herself.

This is all Wu's guess, the situation was relatively simple at the beginning, and he could guess the next step based on the available information. And as the surgery goes on further, every small detail has the potential to disrupt Wu's guess.

This is the most reasonable judgment, so Mrs. Topter thinks.

From splitting the sternum to seeing the heart, Stephen Topter's blood pressure remained basically stable during the whole process, fluctuating between 85~10058~65hg.

After splitting the sternum, Dr. Dudley waited 1′22" to see that Stephen Topter was in a stable state and began the next step.

The cardiopulmonary bypass group was immediately administered 150 g of heparin sodium for heparinization.

To begin cardiopulmonary bypass and lower body temperature, Dr. Dudley elevates the sternum on the free side with a modified favaloro retractor and tilts the operating table to the opposite side of the operator.

Using a low-powered electrosurgical unit, the posterior sternal pleural fold is first gently dissected between the intrathoracic fascia and pleural parietal layer to expose the internal mammary artery.

Dade clamped it with a titanium clip and cut it off with an electric knife to stop the bleeding. After the loose tissue of the pleural retroflex was swam away, he started to free the internal mammary artery at a 45° angle with the electric knife head, and the free space proceeded from the middle to the lower segment.

Three incisions were made in the intrathoracic fascia of the artery and venous, and Dade used fine forceps to clamp the edge of the intrathoracic fascia to expose the internal mammary artery.

Then, the internal mammary artery and the internal mammary vein are gently removed along the inferior part of the chest wall along with the internal mammary vein, fascia, lymph, and a little adipose tissue with the tip of an electric knife.

The surgery was done with great care, using the elasticity of the subcutaneous tissue to pull up the internal mammary artery, and the forceps never touched the artery.

This is a surgical detail, an extremely important surgical detail.

Because Principal Stephen Topter's veins are full of arterial plaque, tweezers may crush the plaque, which is likely to cause a cerebral infarction.

For those who can understand surgery, Dr. Dudley's surgery is extremely delicate, and it is already the world's highest surgical level.

Mrs. Toppt, however, was in no mood to appreciate Dr. Dudley's surgical skill, no matter how perfect it was.

Mrs. Topt's eyes were back and forth between the screen and the front of her, and every step of Dr. Dudley's surgery was clearly written in Wu Mian's documents, and even the time spent on the operation was recorded.

The operation went well, but Mrs. Topter, who was supposed to be in a relaxed mood, felt no sense of ease, and she clutched the papers desperately, and her heart was filled with a sense of absurdity.

All of this is under Wu's control, even if he doesn't have surgery.