256 No Contrast, No Harm (Part II)

The two walked out of the door of the intensive care unit, and in a spacious small conference room next to it, Dean Sun was talking to Zheng Qingmu. The door was ajar, and Dean Sun seemed to be persuading something.

Chen Houkun was worried, knocked on the door casually, and walked in quickly.

"You two are here, please be seated. Dean Sun glanced at Chen Houkun deeply.

"How's Lin Kai's condition?" asked Zheng Qingmu.

"Zheng Gongzi had laryngeal edema and tried tracheal intubation twice, but in the end it was unsuccessful. Wang Ziliang said truthfully.

"Mr. Zheng, if it doesn't work, let's do a tracheotomy. After all, there are still means, and I believe that after doing tracheostomy, Lin Kai will be able to get better soon. Dean Sun said.

"Tracheotomy?" Zheng Qingmu's face seemed to be covered with a layer of rain clouds, and even his expression couldn't be seen clearly.

"Yes, Mr. Zheng, there's nothing particularly good to do right now. "Because it is an atlantological spine surgery, there may be many situations after surgery. The existing medicine cannot explain everything, and I also regret Lin Kai's situation, but we must always face it positively. ”

"Existing medicine?" Zheng Qingmu did not lose his temper, but said in a deep voice, "How is that poor boy?"

"......" When Sun Ximing heard this, he felt as if he had been kicked in the stomach again, which was particularly uncomfortable.

Before Lin Kai went on the operation, he only had one breath! What about now? He said that he would be able to be transferred out of the intensive care unit early tomorrow morning. You want to tell me about the existing medicine now?" Zheng Qingmu said coldly, "Don't worry about it, maintain Lin Kai's current state, I have already contacted Yongzhi to find that doctor to take a look." ”

There's not much to say this time.

If it were an ordinary person, the Sanatorium & Hospital could still bully customers, put one, two, three, four, five, or even threaten to be discharged if they didn't want to be treated.

But in the face of a large real estate developer like the Zheng family, Dean Sun really didn't dare to say anything. People are the owners of money, and they can bully poor boys who have no money, but the Zheng family is an uncle, just don't bully yourself.

Watching Zheng Qingmu walk out of the small conference room, Dean Sun asked, "You two, do we have any other way?"

"Dean, I can try cricothyroid puncture, retrograde ......"

"Hurry up and give it a try. Dean Sun said a little anxiously.

Settle the matter before Wu Mian comes, and deal with him as little as possible, Dean Sun has already made up his mind.

It's really a bad star, what kind of surgery did he do in the Sanatorium & Hospital, and he couldn't get off the stage by himself. Originally, Zheng Linkai's situation was just an ordinary postoperative complication, but it was a severe traumatic injury to the atlas vertebrae, and laryngeal edema should not be.

However, there is a comparison of Wu Mian's patients, and the judgment is high.

Dean Sun was a little confused, he, Wang Ziliang and Chen Houkun came to the intensive care unit again, Wang Ziliang prepared things, and wanted to personally do cricothyroid membrane puncture for Zheng Linkai, and the wire retrograde guide tracheal intubation.

Because the patient is agitated, propofol 80 mg is given before the puncture. Local disinfection, 2 ml of lidocaine was given, cricothyroid puncture was performed with an epidural puncture needle, and a guide wire with central venous catheterization was inserted into the tip end.

Laryngeal edema is generally more severe near the head, and the wire may not be able to be sent into it from top to bottom.

And the retrograde tightrope is much more likely to succeed.

But Wang Ziliang tried, no matter where the wire goes, there is a dead end in front of it. The resistance was particularly strong, and he did not dare to operate violently, for fear that local bleeding would enter the respiratory tract and cause the patient to die.

Another doctor in the head was looking at him with a video laryngoscope, and he remained silent, and the wire did not appear in his field of vision at all.

True...... Hell, why can't you do it! Wang Ziliang was a little anxious.

But the more urgent this kind of meticulous work is, the more it can't work, and the more anxious it is, the more the tightrope will not obey the call.

The steel wire is not the finger-thick steel wire that you usually see, and the diameter of the steel wire for retrograde puncture is only a few millimeters. Strong is strong, but the toughness is there, but the hardness is not enough. With a little force, the wire is bent and discounted.

Everything can only rely on the feeling of blind exercise, and the difficulty is so great that you can imagine.

After nearly 10 minutes of trying, the patient's oxygen saturation has been decreasing. Wang Ziliang has been paying attention to the values, and every percentage point drop, he feels that the things on his shoulders are heavier.

I took a deep breath, and through the surgical mask, all I inhaled was hot turbidity. Wang Ziliang let his mind relax as much as possible, and tried to perceive the toughness of the steel wire in his hand.

It was an emergency first aid conference 5 years ago, and Mr. Wu Mian Wu, as the main doctor, showed a "small method", that is, the cricothyroid membrane puncture in front of him, and the wire was led retrograde to the tracheal intubation.

At that time, it was not difficult to see Wu Mian do it, and the principle was very easy to understand, Wang Ziliang remembered this matter, but he didn't think it was such an anti-heaven operation.

Now that I operate it myself, I feel completely different.

How can this be retrograde and successful, deceiving people! It's all deceiving!

"Hold your hand a little steady, with the middle finger of your right hand on the pad, and gently twist your thumb and forefinger. A voice came from behind.

Wang Ziliang was stunned for a moment, he turned around and saw Wu Mian standing behind him, wearing a sterile mask and a dark blue sterile gown.

It should be Mr. Wu Mian, who doesn't wear sunglasses, so he really can't recognize him. I didn't expect the face under the sunglasses to be like a top stream, could it be that he wore sunglasses for this reason?

Wang Ziliang thought in a moment's distraction.

"Operation, the patient's oxygen saturation is not high, buy time. Wu Mian said.

"Uh...... Wu...... Teacher, why don't you come?" Wang Ziliang directly coaxed.

"Okay, you can take a good look. Wu Mian nodded and picked up a pair of sterile gloves from the operating table, "At a meeting in New York five years ago, I used a simulator to demonstrate this technology. The actual operation is relatively rare, and it should be unskilled. ”

Wu Mian put on gloves and took the steel wire in Wang Ziliang's hand.

Stabilize the middle finger of your right hand underneath and gently twist the wire with your thumb and forefinger. Wang Ziliang looked at Wu Mian's movements carefully, they were very ordinary, and there were no magical operations that made people scream.

Is this okay? Wang Ziliang was a little puzzled, he had just tried for a long time, but he didn't succeed.

"Mr. Wu, you see the tightrope!" said the doctor who was looking at the mouth with a video laryngoscope excitedly.

"In the intensive care unit, there was a little noise. Wu Mian's eyes narrowed and said softly.

As if everything was logical, everything was very simple, he didn't look at it, the wire went retrograde from the site of laryngeal edema, from the mouth into the nasal cavity, and was not even guided by a doctor who observed it with a laryngoscope.

The wire came out 10cm in the patient's nasal cavity, and Wu Mian stopped the operation.

He stood up, saw that no one was moving, and asked a little strangely, "Aren't you going to be intubated?"