298 A bayonet (League advocate Lin Min plus 1)
Could it be a success? Dedley approached the operating table again in disbelief.
Wu Mian and Chu Zhixi were repeating the previous steps, taking another piece of free pericardial adventitia and repairing the other end of the vascular bridge.
Dudley no longer had the heart to see Wu Mian and Chu Zhixi's extremely delicate surgery, and without a microscope, he couldn't see Chu Zhixi's continuous mattress suture technique at all.
And Dudley knew that this was the most basic way of suturing, and there could be no improvement on it. The difficulty of the technique lies in the microsurgery, which requires the ability to perform microsurgery.
It's not that no one has tried it, but the difficulty of vascular anastomosis is quite large, and at the beginning, 8x microscope was used to perform heart-pounding anastomosis surgery. But like Chu Zhixi's "patching" practice, Dai Deli has never seen it, and he has never even heard of it.
"Jason, test ACT. Wu Mian said to the anesthesiologist while assisting Chu Zhixi in "patching".
The anesthesiologist named Jason was dumbfounded, and Wu Mian said that he went to draw blood for a test in a daze when he said it was the second time.
Surgery can still do this! It's amazing, worthy of Wu!
Soon, Jason said, "Wu, ACT returns: 328S." ”
Wu Mian didn't speak and continued the operation.
After playing the second patch, Wu Mian and Chu Zhixi stopped their movements and began to observe the earliest patch.
As blood leaks out of the arteries, the epicardial tension at the patch site begins to increase. Wu Mian watched quietly, and a few minutes later, he asked Jason to take an ACT test.
Return: 286S, a significant drop from the value measured ten minutes ago.
Wu Mian's shoulders drooped slightly, and then he and Chu Zhixi began to repair the second vascular bridge.
The operating room was still quiet, except for the occasional sound of various instruments.
After another ten minutes, the third measurement of the ACT value returned to 224S.
Dudley knew that the repeated measurement of the ACT value showed that the drop was obvious, indicating that in the process of patching, the heparin in the patient's body was metabolized by itself, and the level of heparinization gradually weakened.
Systemic heparinization is reduced by the patient's own metabolism, not by drug antagonism, and Deliley is slightly at a loss in his heart, Wu's courage is simply too great! If it were him, he would not do anything.
The anastomosis of the second blood vessel was "patched", and Dudley shook his head slightly, he had some regret in his heart. Regret only accounts for one point, and there are three points of jealousy, three points of disappointment, and three points of confusion.
In the corner of his eye, he saw a urine bag with a urine volume of 1900ml. It was Principal Topter's red blood cell damage caused by two shutdowns, and even the color of his urine turned red.
Dr. Dudley knew that all of these facts were a subtle indication of the fact that if he continued on his own terms, Principal Topter would surely die.
The idea was true, but the more he knew it was, the angrier he became. The operation was done by himself, but he was "pushed" by that damn Wu halfway!
What could be more humiliating than that?!
Absolutely not!
There is nothing more humiliating for a surgeon.
In his heart, Dudley has completely ignored his mistakes in surgery, treatment, and medication, and blames all the mistakes on Wu Mian for "robbing" his own surgery.
"Jason, test a blood gas. Wu Mian finished tying the knot of the vascular patch and said softly.
"Wu, are you ready to close your chest?" the anesthesiologist was a scale to evaluate the level of the operator, he saw it clearly, and asked with joy in his tone.
"Yes, if the blood gas values are ideal. Wu Mian said as he began to rinse his ribcage with warm salt water.
Chu Zhixi sutured continuously, and his spirit was highly tense. At this time, he seemed to be a little tired, and Wu Mian didn't comfort him, but deliberately took on more finishing work.
Rinse with warm saline, observe under a microscope for active bleeding, aspirate saline, and prepare to close the chest.
"Wu, arterial blood gas showed that pH value was 7.380, PaCO2 22mmHg, PaO2 238mmHg, SpO2 99%, K+3.4mmol/L, Na+151mmol/L, Ca2+0.82mmol/L, Hb12.8g/d. Jason reports on the results of the blood gas analysis.
"Close your chest!" Wu Mian said in a deep voice.
After hearing this word, even the sound of the monotonous instruments of ventilators and monitors seemed much happier and became more joyful.
Mrs. Topter stood behind Wu Mian, and when she heard the words of her chest coming out of Wu Mian's mouth, her legs were a little weak, her brain buzzed, her body shook slightly, and she almost didn't fall.
She silently turned around, found a stool to sit down, and couldn't help but cry.
Stephen Topter was in a particularly bad situation before, and it could be said that one foot had entered the gate of heaven, and she was too nervous to have time to feel anything else.
But now that the operation was finally done, Mrs. Topter was relieved, and her whole body seemed to have been stripped of her bones.
No, Mrs. Topter had only one thought in her mind. Why did you choose Mayo Clinic cardiac surgeon Stephen Dudley?
The shadowless light in the operating room was bright, dazzling, and Mrs. Topter's eyes were white, and her brain had lost the ability to think.
"Calcium gluconate, 1 g. Wu Mian closed his chest while continuing to give medical advice.
The steel wire holds the split sternum in place and sutures the skin. Because the layers of skin on the sternum are relatively simple and there is not much fatty tissue, there are few steps.
Closing the chest cavity and stitching up the skin, Wu Mian's eyes looked at the various values on the monitor from time to time.
Dudley, like Wu Mian, has been staring at the monitor.
Just when Dudley was standing in the surgeon's position, every time the cardiopulmonary bypass was stopped, Principal Topt's heart would fail.
And now, he especially wants Principal Topter's heart to stop beating, forever.
I really want to see what kind of expression was on the face of the hateful, damned Wu at that time!
But Dudley reaped nothing but disappointment, and Principal Toppt's heart was beating so hard that it showed no signs of stopping.
At the end of chest closure, Principal Topter's heart rate was 92 beats/min, blood pressure was 110/75 mmHg, blood oxygen was 100%, and central venous pressure was 5 mmHg.
Everything is in good condition.
"Dopamine 8 μg/kg·min, nitroglycerin 3 μg/kg·min, and epinephrine 2 μg/kg·min continued to be pumped continuously. Wu Mian and the anesthesiologist said, "Observe for 10 minutes, and then send it back to the ICU." ”
"By the way, Jason, are you familiar with the nurses and critical care doctors who came this time?" Wu Mian said as he turned around and prepared to step down.
I saw half of my face with a hideous expression appear in front of me.
"Dr. Dudley, you're not leaving?" Wu Mian asked in some surprise, "Oh my God, what did I see! If I were you, I wouldn't be in the operating room for a second!"
As he spoke, Wu Mian raised his right hand and raised his middle finger at Dudley.
The sterile gloves were stained with blood, and the middle finger dangled in front of Dudley's eyes, like a bayonet.