Professor Feidao looks at patients before operation, which is a regulation to avoid that the operator does not understand the situation of patients at all, which plays a positive role in avoiding medical accidents to some extent.
But many professors don''t have time to see patients at all. Anyway, they are skilled workers. They can do it when they go up. They can see eye films before operation.
Professor Tang and Ren Haitao from the second hospital of Suo Medical University didn''t forget to see the patients. Wu Mian saved a lot of words.
Professor Tang looked a little simpler, mainly physical examination and watching films. Ren Haitao was very careful and began to look at the test sheet.
No obvious abnormality was found in the results of chest X-ray and ECG before operation. Laboratory test results: leukocyte 9.17 × 109gl, neutrophil percentage 50.1% (normal value 50.0% ~ 70.0%).
This time, Ren Haitao has exhausted his skills. Even Professor Tang feels that he has gone too far by looking at the patient''s meticulous. A few operations such as airway evaluation were also done. Even the most professional electronic airway mirror, he didn''t bother to take it to bajingzi.
Professor Tang shook his head when he saw it. No one had such a detailed operation at home. It was basically the anesthesiologist who took a look before going on stage. What Ren Haitao did was like demonstrating basic operations, just like taking students.
No, this is for Mr. Wu. Ren Haitao is really energetic.
The operation is estimated to end in more than an hour. Unfortunately, Mr. Wu said something early in the morning and refused to sit together for dinner after the operation.
At 8:15, Ren Haitao escorted the patient to the stage, which was more rigorous than the formal requirements.
It''s not impossible at ordinary times, but every anesthesiologist is responsible for at least 5 surgical patients a day. Some are still connected. If the top doesn''t come down, the lower patients have to go up, otherwise they can''t finish the operation.
Anesthesiologists don''t have time to do that.
However, these problems do not exist today. There is only one patient. Ren Haitao tried his best to show what an anesthesiologist can do.
When he came to the operating room to prepare for surgery, Ren Haitao glanced at the dilapidated airtight door while looking at the various values of ventilator, monitor and micro pump.
"Mr. Ren, it''s really lucky for you to come to anesthesia in person," Wang Chengfa said.
Ren Haitao snorted absently, and didn''t answer at all. All his thoughts were not here.
"How much can we get numb in a day when we are at home?" Wang Chengfa continued to chat.
Although he saw that Ren Haitao didn''t want to take care of himself, he was, after all, a superior doctor in a superior hospital and had this proud capital. Wang Chengfa didn''t want to understand why. It must not be because of the head of township Wu.
Although angry, they kneel and lick Wu Mian, they can''t show it. After all, they are all people in the medical circle... The most important thing is that Wang Chengfa has been wondering why.
He said ten words, and it would be nice if Ren Haitao could answer one or two. While making preoperative preparations and checking various anesthetic and rescue drugs, Ren Haitao waited for Wu Mian''s arrival.
Soon, Wu Mian, President Zhou and others came in talking and laughing.
"Miss Wu!" Ren Haitao said hello for the first time after he had been ready for a long time.
"Well." Wu Mian nodded, "is it difficult to see the patient before operation?"
"It''s not difficult." Ren Haitao said confidently. "The preoperative visit assessed the patient''s clinical cardiac function as grade I, the airway assessment as grade I, the mouth opening degree was greater than 3 fingers, and there were no abnormal indications for cervical vertebra retroversion, nail chin distance and chest chin distance. The patient had mild upper respiratory tract infection, occasional cough and expectoration, and his body temperature was normal, 36.7 degrees Celsius."
"White blood cells" 9.17 × 109gl, 50.1% of neutrophils and 6.2% of eosinophils. "
Hearing this, Wu Mian seemed to have a slight meal, then turned his head, absently turned his head and said something to Chu Zhixi.
Chu Zhixi was stunned, nodded immediately, turned and left.
Ren Haitao was not unhappy because of Wu Mian''s "contempt". He continued to report his medical history, especially in detail. Whether Mr. Wu listens or doesn''t listen, he should speak clearly.
A very detailed report, although some have not been said, Wu Mian is not picky. What he didn''t say is not important. Ren Haitao does things very carefully.
Nodded, Wu Mian sat on the small round stool in the corner and watched the operation silently. Soon Chu Zhixi came back and sat beside Wu Mian, smiling and looking at a kind of people and horses busy.
Wang Chengfa listened to Haitao''s report, his eyebrows stood up and his old face turned red. People grow old and become fine. Although the operation is ordinary, they can still see the height of their eyebrows and eyes.
He rushed to flatter Wu Mian to such an extent. The chief physician of the Department of anesthesiology in the top three hospitals in the province turned into a subordinate doctor.
As for you!
Still want a face!
Wang Chengfa, director Wang, was in his heart.
Wu Mian completely ignored the existence of Wang Chengfa. His happiness or unhappiness had nothing to do with himself.
After the operation, the most important thing is to go to laogua mountain with Chu Zhixi. I can live leisurely for two days and live a paradise like life. When I think of it, I yearn for it.
"Girl, what did you buy yesterday?"
"I bought some spicy goods and fresh cucumbers. I washed them early in the morning, cut them and put them in the box." Chu Zhixi said, "driving is boring. I''ll wait for you to feed them."
"Well, I''ll think about wearing some gloves later."
"I just bought it by the way. Don''t worry," Chu Zhixi said.
Looking at Ren Haitao''s anesthesia, Wen Zhenhan and Wang Chengfa have gone to brush their hands. The instrument nurse is counting the instruments with the itinerant nurse. Wu Mian stares at Ren Haitao.
The patient was sent to the operating room. Ren Haitao routinely opened the venous access, connected the monitoring, monitored the blood pressure of 100mmhg, 65mmhg, heart rate of 72 min, and spo297% without oxygen inhalation.
All values are normal. Ren Haitao just wants to reach his limit. Don''t let Mr. Wu look uncomfortable.
If he had mentioned Mr. Wu before, Ren Haitao might have a little doubt.
But after the last guidance on rescuing patients with anaphylactic shock, he had long admired his five bodies to the ground. Ren Haitao has written down the questions to be asked after the operation and recited them repeatedly for fear of omission.
It''s a pity that Miss Wu doesn''t have time. It seems that she has to wait.
After 5 minutes of oxygen pre inhalation through mask pure oxygen, midazolam 1mg, ondansetron 4mg, dexamethasone 5mg and fentanyl 100 were administered through intravenous jug μ g。
Intravenous injection of lidocaine 20mg, propofol 150mg and rocuronium 50mg, rapid anesthesia induction, smooth mask ventilation and good thoracic rise and fall.
Ren Haitao paid great attention to all operations and was absorbed. He even checked each ampoule one by one. He was afraid that bajingzi traditional Chinese medicine hospital was irregular and there were expired drugs in the medicine library.
When you go out for surgery, you can''t be too cautious in front of Mr. Wu.
After intravenous injection of rocuronium for 3 minutes, No. 7.0 ordinary endotracheal tube was selected for endotracheal intubation. The intubation process was smooth, and the insertion depth of the fixed tube was 22cm from the incisor.
Everything goes well. Next, just inflate the lungs and connect the ventilator. Ren Haitao also knows the value of ventilator, and everything is under control.
However, the change takes place in an instant. No matter how careful and serious it is, it can''t avoid accidents.
During manual ventilation, Ren Haitao suddenly felt great resistance, showing an "iron lung" feel.
His heart suddenly cooled. What''s the special... What''s the situation!