Wu Mian and Chu Zhixi left. Looking at their leaving figure, principal Stephen TOPT and his wife were silent for a long time.
Opening the file, principal Stephen TOPT found that it was a surgical record.
But it is not just an ordinary surgical record, but a particularly detailed record. In some places, it is even calculated in seconds. He put on his glasses and began to read word by word according to Wu Mian''s requirements.
Wu Mian wrote all kinds of preparations before the operation in detail, which took a full page of paper.
Principal Stephen TOPT thought it was boring. No matter how detailed it was written, it was the most common process in clinic and could not prove Wu''s "predictive" ability.
"Honey, do you think Wu is serious?" asked the lady.
"I don''t know. I only see boredom and boredom here. If that''s the case, the long-distance operation will really disappoint me," principal Stephen TOPT said faintly.
That''s what he said, but he still looked at the documents left by Wu Mian word by word.
Turning to page 2, principal Stephen TOPT was stunned.
From the beginning of general anesthesia intubation, the style changed suddenly!
Midazolam 4.4mg, fentanyl 0.22mg, CIS atracurium 15.4mg and etomidate 14mg were used for anesthesia induction. During anesthesia induction, the effect was not ideal, and fentanyl 0.11mg was given again.
The dosage and order of medication are calculated by doctors in world-famous hospitals such as Cambridge, Oxford, King''s Hospital and so on. Although it seems very simple, each drug needs to be determined by rigorous allergy test, and many top anesthesiologists have repaired it according to clinical experience.
The number after the decimal point contains the painstaking efforts of countless top anesthesiologists.
For a moment, President Stephen TOPT even suspected that the dean of education had disclosed the data of preoperative research to Wu Mian.
The two of them have a good relationship, which even the stray cats on campus know.
But the idea just flashed away, because then he saw the shocking words.
After intravenous fentanyl 0.11 mg, the patient''s invasive blood pressure decreased to 9654 mmHg. Blood pressure drops rapidly. I think muscle relaxants work, not fentanyl allergy.
Principal Stephen TOPT glanced at the number on the monitor around him - blood pressure 13277mmhg.
Generally speaking, the blood pressure will fluctuate after using narcotic drugs, but the high pressure directly decreased by nearly 40 mmHg. Is it really all right?
And how did Wu get such an accurate figure?
He continued to look down.
[after 3 minutes and 12 seconds of observation, it was determined that the blood pressure fluctuated normally and the circulation was stable. Endotracheal intubation was performed and breathing was controlled by ventilator. The tidal volume was 480ml and the frequency was 12 times / min.]
[there was no obvious fluctuation in the patient''s circulation during intubation. After the endotracheal tube was fixed, the right internal jugular vein puncture was performed, and the puncture and catheterization were smooth.]
[during the whole operation period, the patient''s circulation was relatively stable, the blood pressure decreased slightly, about 8550mmhg, and the heart rate was 70 ~ 80 times min. after giving m-hydroxylamine 0.2mg, the patient''s blood pressure increased slightly and remained between 90 ~ 10555 ~ 65mmhg.]
Principal Stephen TOPT looked more and more surprised. He couldn''t describe it in words. If it weren''t for the data leakage, Wu''s ability would be suffocating.
So far, it is completely consistent with the anesthesia schemes made by many top anesthesiologists. Even Wu Mian has not vaguely determined the specific figures of blood pressure and heart rate in the document.
Even if the numbers fluctuated, it was enough to surprise principal Stephen TOPT. There is only one explanation that can convince principal TOPT, Wu, to predict the future.
Are you sure he''s not kidding? President Stephen TOPT was in a trance. He carefully recalled Wu Mian''s past and what he knew about Wu Mian''s past. It seemed that the young man had never joked in medical treatment.
He was just like a standard knight. He even left Mayo resolutely and fought with Mayo for four years because he charged a huge surgical fee and refused to go directly to the stage for rescue.
[anesthesia maintenance: Propofol 4.1mgkgh, remifentanil 0.425mgh, CIS atracurium 10.5mgh were pumped continuously.]
【……】
No matter how detailed it was, it was all preoperative speculation. Principal Stephen TOPT began to read documents faster.
He hurried through the whole operation, including anesthetic drugs and all operation records of Dr. Dudley.
Principal Stephen TOPT breathed a sigh of relief when he saw the cessation of cardiopulmonary bypass.
Although he kept ruminating about Wu Mian''s documents, he thought that he had made such a detailed document that he had witnessed the whole process of the operation almost through time in order to highlight his talent.
However, after seeing the words that the operation was successful and cardiopulmonary bypass was offline, principal Stephen TOPT was still ecstatic.
But the document still has five pages, and principal Stephen TOPT is a little confused. The operations were successful. Why are there so many pages?
Does Wu mean there will be problems after surgery? Should not, because if there is a problem after the operation, it has little to do with the operation.
Full of doubt, principal Stephen TOPT turned the page.
The first thing that came into view was the words redrawn with a red ball pen - 5 ′ 23 "after shutdown, and the patient''s ECG changed.
The heart rate gradually decreased from 85 min to 60 min, and the blood pressure gradually decreased from (100 ~ 115) (60 ~ 75) mmHg to (65 ~ 75) (40 ~ 50) mmHg. The patient''s heartbeat was obviously weak.
Although I don''t like Wu to use the word patient instead of his name, principal Stephen TOPT has no time to care about all this.
He stared at the sentence with his heart palpitating obviously. Unconsciously, his middle hand had begun to tremble. The palm of the old hand is full of sweat, and the tide is uncomfortable.
What does a weak heartbeat mean? Not sudden arrest, but severe heart failure!
After bypass surgery, the heart gets sufficient blood supply and should have a strong beat after cardiopulmonary bypass is taken off-line.
But why is the heartbeat weak?!
[the operator gave cardiac massage on the operating table. After a single intravenous injection of adrenaline of 0.2mg, 32 seconds, the patient''s heart rate increased to 90 minutes and the blood pressure increased to 12084mmhg.]
"Dear, Wu is unreasonable!" Mrs. TOPT also saw the red label. She said angrily, "how is it possible that there is a sudden problem after cardiopulmonary bypass is offline!"
Mrs. TOPT is a senior circulatory physician. In her opinion, everything described by Wu Mian is a kind of absurd speculation. After countless correct nonsense, people relax their vigilance and suddenly say something with a different purpose.