"Is there really no way to avoid it?" director Tang thought of the patient''s situation at that time, and he was also a little afraid.


    To tell the truth, director Tang was stunned at that time, although it had nothing to do with him.


    It was a living human life. Although he had seen blood, excrement, Ascaris lumbricoides and loach in the patient''s stomach, he was well-informed. But it''s always hard to accept that patients die in front of themselves.


    "There are also ways, let me think about it." Ren Haitao said, "I saw the research on silent lung in a magazine paper, which said that perioperative anesthesia, surgical stimulation, medication and many other factors can induce the onset of asthma, and even develop into severe asthma silent lung."


    "There are many ways to avoid it, but I don''t think it''s useful."


    "It is mainly the stimulation of anesthesia. During the perioperative period, patients'' high tension and fear of anesthesia, intubation, sputum suction and extubation under shallow anesthesia, the depth of tracheal tube placement, secretion stimulation and high epidural can block the thoracic sympathetic nerve, the relative excitement of parasympathetic nerve, limb disinfectant and surgical stimulation, which can lead to asthma."


    "These things are written in textbooks to fool students. They really have no clinical effect. I think the research team has studied 9 cases of silent lung in Europe and America in 10 years. Alas, you say only 9 cases in 10 years, or all over Europe. How did I encounter them?"


    Ren Haitao sighed.


    "Be content, this is Mr. Wu." director Tang smiled. "You said Mr. Wu was so skilled in rescuing... Let''s say, it gave me the feeling that Mr. Wu didn''t know how many patients with silent lung he met in his life."


    "Miss Wu was so handsome at that time!" a little nurse said excitedly.


    It must be handsome. You should change to yourself and stand in the operating room with your hands on your back to command the rescue. It''s also very handsome! Ren Haitao thought to himself.


    It depends on the time, place and event.


    Saving one''s life, one hand flattened such a big thing, pressed down the huge waves, and brushed his clothes. It really has the style of a chivalrous man in ancient times.


    Listening to the people at the table talking about how awesome the boy was, Wang Chengfa was unhappy in his heart. He has experienced a lot of rescue in his life, but he has never encountered silent lung.


    It''s not easy to rescue, but no one can find problems. Wang Chengfa was not convinced, mainly because he was flustered. He said in a low voice, "Xiao Wu Bi has been abroad and seen the world."


    All the people at the table said it was Mr. Wu. Only Wang Chengfa called Xiao Wu. Several nurses were immediately unhappy. Several pretty faces were frosty and white.


    "But I''m still younger. I''m not sure at first. I have to connect the ventilator, which took at least one minute," Wang Chengfa said.


    The nurses looked a little worse.


    "Er..." Ren Haitao stared at Wang Chengfa.


    "Hmm? Xiao Ren, what do you think?" Wang Chengfa asked modestly, thinking that he had found the flaw and covered up his pride.


    His pretentious modesty seems false to others, especially those little nurses, whose white eyes have turned into sanitary balls.


    "Director Wang, eat, eat." Ren Haitao said repeatedly.


    "Well, eat." director Tang doesn''t know that the water depth of bajingzi traditional Chinese medicine hospital is shallow. The smaller the place, the more attention should be paid to. The so-called little demon in the temple is windy, the pool is shallow, and there are many wangba. This truth is right everywhere.


    "Xiao Wu is still young. We are all elders anyway. It''s right to boast and encourage young people. But it''s too high. If you fall down one day, you''ll never recover."


    Wang Chengfa felt that he was right and his words were measured. He was in the love of an old medical worker for young people. It was all a boxing heart, and no one could say anything.


    Ren Haitao''s face was a little ugly. He looked up at Wang Chengfa, looked at his expression carefully, and finally asked carefully, "director Wang, you..."


    He stopped talking and looked strange.


    "Hmm? Xiao Ren, do you have anything to say?"


    "Director Wang, at first, there was nothing wrong with Mr. Wu''s operation." Ren Haitao said, "after discovering the silent lung, we must first judge which drug caused the stimulation to the patient."


    "Assist or control breathing, inhale high flow pure oxygen ventilation, when the mask ventilation can not maintain blood oxygen, immediately perform endotracheal intubation, control breathing, and deepen anesthesia with propofol 1-2mg kg, ketamine 50mg, sevoflurane inhalation anesthesia, vecuronium 0.07-0.15mg kg."


    A series of data and solid operations are like a series of hard stones, which confused director Wang.


    "If you think Mr. Wu didn''t change the medication first, but it was a mistake to debug the ventilator... I don''t think that''s a problem," said Ren Haitao. He entered the state and began to focus on discussing the rescue treatment with a doctor of Wang Chengfa''s wild origin.


    "It is also very important to exclude the main bronchial intubation, blockage or bending of endotracheal tube, tracheal suction and other factors. Although Mr. Wu took a look with electronic fiber bronchoscope, some places are blind areas. I estimate that Mr. Wu can judge there is still time according to the patient''s hypoxic time and can be handled more carefully."


    "Wow!"


    "Can you estimate the time at that time? Mr. Wu is so powerful!"


    "People know, or they can stand on the podium and give a lecture? I''m all Mr. Wu''s students."


    The little nurses on the table understood and chirped.


    Wang Chengfa''s face was cold and he was a little confused. Wu Mian''s operation at that time seemed to him to delay the rescue. How could Ren Haitao''s analysis become his strong point?


    "I didn''t notice at that time. When I saw the patient in the ward, I recalled the rescue process several times. The time given at that time was simply too accurate. For example, inhalation β 2. For receptor agonists, you need to spray salbutamol many times, how much dose, when to give it, and the anticholinergic drug ipratropium bromide... "


    Ren Haitao said more and more, and his interest soared, with a faint light on his face.


    People who engage in technology are the same. As long as they study, they forget everything around them. What is the contradiction between director Wang and teacher Wu? He has forgotten how he walked on thin ice to avert danger.


    In Ren Haitao''s mind, only Wu Mian''s operation at that time.


    Teacher Wu and teacher Chu cooperate seamlessly. No wonder they are lovers. The first rescue, thanks to the two of them, when I think about it carefully, it''s really awesome!


    At that time, I didn''t feel it when I was a tool man. It was all what teacher Wu said and did.


    Now I sit down at the table and repeat the dishes. I realize that Mr. Wu''s operation is a stroke of genius. Every step is like a computer calculation, which has been accurate to seconds or even milliseconds!