Did you succeed? Dudley couldn''t believe it and approached the operating table again.
Wu Mian and Chu Zhixi are repeating the previous steps. They take another piece of free pericardial adventitia and repair the other end of the vascular bridge.
Daideli had no intention to see Wu Mian and Chu Zhixi''s exquisite operation. Without a microscope, Chu Zhixi''s continuous mattress suture technique could not be seen at all.
And Dudley knows that this is the most basic suture method, and there can be no improvement on it. The difficulty of manipulation lies in microsurgery. You must be able to do microsurgery to complete this operation.
It''s not that no one has tried, but the blood vessel anastomosis is very difficult. At first, the heart beating anastomosis was performed with an 8x microscope. But like Chu Zhixi''s "patching" practice, dedley has never seen it, or even heard of it.
"Jason, test the act." Wu Mian said to the anesthesiologist while assisting Chu Zhixi in "patching".
The anesthesiologist named Jason looked silly. Wu Mian said the second time, he was stunned to take blood for test.
Surgery can do that! It''s really amazing. It''s worthy of Wu!
Soon, Jason said, "Wu, act return: 328s."
Wu Mian didn''t speak and continued the operation.
After the second patch, Wu Mian and Chu Zhixi stopped and began to observe the earliest patch.
As blood seeps from the arteries, the pericardial tension at the patch begins to increase. Wu Mian watched quietly. A few minutes later, he asked Jason to measure an act.
Return: 286s, significantly lower than the value measured more than ten minutes ago.
Wu Mian''s shoulder dropped slightly, and then he and Chu Zhixi began to repair the second vascular bridge.
The operating room was still quiet, and only various instruments made noises from time to time.
More than ten minutes later, the return of act value measured for the third time was 224s.
Daideli knew that the act value decreased significantly after repeated measurement, indicating that during the patching process of Wu Mian, the heparin in the patient was metabolized by itself, and the heparinization level gradually weakened.
Heparinization of the whole body is reduced by the patient''s own metabolism rather than drug antagonism. Dedley is a little confused. Wu has too much courage! If it were him, he wouldn''t do anything.
At the end of the "patching" of the anastomotic part of the second blood vessel, Dudley shook his head slightly, with 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.
Dudley saw the urine bag from the corner of his eye, and the urine volume was 1900mL. It was principal TOPT who caused serious damage to red blood cells because of two downtime, and even the color of urine turned red.
Dr. Dudley knew that all these facts implicitly explained a problem - if he continued to do it according to his own ideas, principal TOPT would die.
The idea was true, but the more he knew it was true, the more angry Dudley was. The operation was done by himself, but he was "kicked out" by that damn Wu on the way!
Is there anything more humiliating than this?!
No, Absolutely not!
There is nothing more humiliating than this for an operator.
Daideli''s heart has completely ignored his mistakes in operation, treatment and medication, and blamed all the mistakes on Wu Mian''s "robbing" his own operation.
"Jason, measure a blood gas." Wu Mian said softly after tying the knot of the vascular patch.
"Wu, are you ready to close your chest?" the anesthesiologist is a balance to evaluate the level of the operator. He looked clearly and asked with joy in his tone.
"Yes, if the blood gas value is ideal," Wu Mian said as he began to rinse his chest with warm saline.
Chu Zhixi stitched continuously and was highly nervous. At this time, Wu Mian seemed a little tired. He didn''t comfort him, but deliberately undertook more finishing work.
Rinse with warm saline, observe whether there is active bleeding under the microscope, suck saline and prepare to close the chest.
"Wu, arterial blood gas display: pH 7.380, paco222mmhg, pao2238mmhg, spo299%, K + 3.4mmol, Na + 151mmoll, Ca2 + 0.82mmoll, hb12.8gd." Jason reported the results of blood gas analysis.
"Close your chest!" Wu Mian said in a deep voice.
After hearing this word, even the sound of ventilator, monitor and monotonous instrument seemed much happier and became happier.
Mrs. TOPT stood behind Wu Mian and heard the word "close your chest" coming out of Wu Mian''s mouth. Her legs were a little soft, her brain was buzzing, her body shook slightly, and she almost didn''t fall.
She silently turned around and found a stool to sit down. Her tears couldn''t help flowing down.
Before, Stephen TOPT was in a particularly bad situation. It can be said that one foot had entered the gate of heaven. She was too nervous to have other emotions.
But now that the operation was finally finished, Mrs. TOPT was relieved. The whole person seemed to have been taken away.
No, Mrs. TOPT had only one idea in her mind. Why did you choose Stephen Dudley, a cardiac surgeon at the Mayo Clinic? Clearly know that Wu is the best choice.
The shadowless light in the operating room was very bright and dazzling. Mrs. TOPT''s brain had lost the ability to think.
"Calcium gluconate, 1g." Wu Mian closed his chest and continued to give the doctor''s order.
The split sternum was fixed with steel wire and the skin was sutured. Because the skin layer on the sternum is relatively simple and there is not much adipose tissue, there are few steps.
Close the chest and suture the skin. Wu Mian looks at various values on the monitor from time to time.
Like Wu Mian, daideli has been staring at the monitor.
When Dudley was just standing in the operator''s position, principal TOPT''s heart would have problems every time he stopped cardiopulmonary bypass.
Now, he especially hopes that principal TOPT''s heart will stop beating and stop beating forever.
I really want to see what kind of expression was on the damn Wu''s face at that time!
But daidley was only disappointed. Principal TOPT''s heart beat strongly and showed no sign of stopping.
After chest closure, principal TOPT''s heart rate was 92 beats per minute, blood pressure was 11075mmhg, blood oxygen was 100%, and central venous pressure was 5mmhg.
Everything is in good condition.
"Dopamine 8 μ GKg · min, nitroglycerin 3 μ GKg · min, adrenaline 2 μ Continue pumping GKg · min, "said Wu Mian and anesthesiologist," observe for 10 minutes, and then return to ICU. "
"By the way, Jason, are you familiar with the nurses and severe doctors coming this time?" said Wu Mian, turning to step down.
I saw half a ferocious face in front of me.
"Dr. Dudley, you didn''t go?" asked Wu Mian in surprise. "God, what did I see! If I were you, I wouldn''t stay in the operating room for a second!"
With that, Wu Mian raised his right hand and raised his middle finger to daideli.
The sterile gloves were stained with blood and looked like a bayonet before Dudley''s eyes.