Li Zhong tilted his lips. He couldn''t help taking Ren Haitao.
When he was in the second hospital of Medical University, Ren Haitao was a famous fool. It seems that only work can attract his attention, so even if his technology is no matter how good, almost all surgical directors are willing to find Ren Haitao for anesthesia, but his level still can''t be raised.
Like today''s situation, director Li Zhong and director Li think there is no problem. Everything is very stable. Lao Ren was fine when he did echocardiography just now. Why is he hysterical now?
I haven''t heard that he has mental illness again. Li Zhong frowns and looks at Ren Haitao.
"The patient, female, 34 years old, weighing 55kg, was admitted to the hospital because" the physical examination found that the right lung occupied space for 6 days ". She was diagnosed as a space occupying lesion in the lower lobe of the right lung. She plans to undergo thoracoscopic resection of the lower lobe of the right lung under general anesthesia."
The anesthesiologist of Pengcheng people''s Hospital cheered up and began to report the medical history.
"The patient had a history of hypertension for 6 years and was usually treated with amlodipine, enalapril and spironolactone. No abnormality was found in preoperative examination."
"Lao Ren, it''s too much!" Li Zhong scolded in a deep voice.
This is Pengcheng people''s hospital. How can you stand here and listen to the medical history report like the chief director''s ward round?! Li Zhong felt embarrassed that he had a cancer attack and was in the late stage. He couldn''t help but scold him directly.
"I''ll listen, director Li." Ren Haitao doesn''t feel anything. His brain has started to run at high speed with the words of the anesthesiologist, and his eyes are aiming at the patient, the monitor, the ventilator and the micro pump.
"Preoperatively Pao 291.3 mmHg, Sao 296.4%, spo 299%. After entering the room, the patient underwent routine ECG monitoring, bp13580 mmHg, hr80 times, spo 299%. The mask was pre oxygenated, FIO 2100%, oxygen flow 6L. The vital signs were stable without definite abnormalities."
"Intravenous penehyclidine hydrochloride 0.5mg, propofol 100mg, CIS atracurium 10mg, sufentanil 15" μ g. The induction process is smooth, and SpO2 is always maintained at 100%. "
"It''s all normal. What are you doing!" Li Zhong, as "his own person", knows that the doctors and nurses of Pengcheng people''s hospital will not scold Ren Haitao, but only himself.
Lao Ren is usually honest. How can he change when he goes out? Can I say that I have been depressed for too long and feel the feeling of being a director when I go out?
No, Mr. Wu in jianxie hospital asked Ren Haitao to manage the anesthesiology department. Although he has not been announced as the director of the anesthesiology department, everyone knows that he has actually become the head of the anesthesiology department.
"Three minutes after the mask ventilation, insert the left 35 double lumen bronchus under the visual laryngoscope. The process is smooth, the depth is 29cm, the auscultation of both lungs is clear, the alignment is good, and the depth is determined by the positioning of the fiberoptic bronchoscope. Connect the anesthesia machine for mechanical ventilation. Respiratory parameters: fio2100%, oxygen flow 2L minutes."
"Continuous intravenous infusion of propofol 3.5mg · kg-1 · H-1 and remifentanil 8 μ G · kg-1 · H-1 and 1.5% sevoflurane were combined to maintain anesthesia. Then the left radial artery was punctured and catheterized for pressure measurement. The process was smooth and the left one lung ventilation was performed. "
The anesthesiologist of Pengcheng people''s hospital reported everything in detail without showing any impatience, and showed considerable quality.
But the more so, the more embarrassed Li Zhong felt.
"After the patient changed to the left lying position, the airway pressure increased, up to 40cmh2o, and the respiratory sound of the left lung decreased by auscultation.
Double lung ventilation was changed and the airway pressure decreased. Fiberoptic bronchoscopy showed that the position of the left bronchial catheter was too deep and more sputum was seen. Under the microscope, the double lumen tube was retreated to 28cm to suck sputum and expand the lung. The breathing sound of both lungs was clear through auscultation. "
"Wait a minute, give me the stethoscope." Ren Haitao stretched out his hand.
The anesthesiologist looked at Ren Haitao in a daze, and then looked at the monitor.
The monitor shows that the blood oxygen saturation is 100%. There is no problem. Has teacher Ren considered anything?
"Teacher Ren, it doesn''t seem to be the problem of endotracheal intubation," said the anesthesiologist. "SpO2 is always 100% in the whole process."
Ren Haitao also had some doubts. Instead of listening to the patient''s breathing sound, he looked at the blood oxygen saturation on the monitor and gradually fell into meditation.
When the director of thoracic surgery brushed his hands back, he saw that Ren Haitao was still there. He was a little unhappy and said, "excuse me, I''m going to start the operation."
"Lao Ren, almost got it." Li Zhong said unhappily, "you haven''t drunk. What are you playing here? This is."
"Director Li, don''t you think there''s a problem?"
"I don''t think so." Li Zhong said with a gloomy face, "hurry up. I''m afraid teacher Wu will have to wait for you no matter how late it is."
"..." Ren Haitao was suddenly a little happy, and the expression between his hat and mask was much more vivid. He took out his cell phone and turned on the switch.
Because today''s operation is important, the mobile phone was turned off before operation and has not been turned on until now.
"Lao Ren, you are..." Li Zhong had a very bad idea in his mind.
"I''ll ask Mr. Wu."
"You''re crazy!" Li Zhong once again confirmed that the patient''s vital signs were stable and the thoracic surgery had started. He said helplessly, "Lao Ren, Mr. Wu is communicating and lecturing with foreign experts."
"No, I don''t think the patient''s situation is right," Ren Haitao said stubbornly. "I''m afraid something big may happen later."
The doctors and nurses of Pengcheng people''s Hospital looked at Ren Haitao with silly eyes. I''m afraid he''s not crazy.
Everything was quiet. All kinds of instruments didn''t even sound an alarm. He said something big was going to happen.
If it hadn''t been for the anesthesiologist brought by Mr. Wu, or if Ren Haitao showed a very high standard in the demonstration operation, I''m afraid director Liu would have kicked him out impatiently.
Does anyone say that, looking forward to the patient''s accident? What a bad luck.
Doctors are sometimes superstitious and pay attention to a lucky word. Anyway, there was a cargo station behind us before the opening, saying that something big was going to happen, which bored everyone in the operating room.
"Miss Wu."
When everyone looked at Ren Haitao in confusion, doubt and contempt, he had already got through the phone.
"I''m sorry, Miss Wu. I''ve met something here. I want to ask you."
"No, no, the patient in the operation room next door seems to feel something wrong when I pass by, but... I can''t say. Now my vital signs are stable. I stood here and observed for seven or eight minutes, but I still didn''t see the problem."
"OK." Ren Haitao got Wu Mian''s consent and began to report the situation.
What he said is not as detailed as what the anesthesiologist just said, but the main points are.
"OK, OK, I''ll talk to them now." Ren Haitao hung up the phone, looked at director Liu and said, "director Liu, teacher Wu said to check a blood gas analysis and consider that the patient may have problems."
“……”
Everyone felt that the Three Outlooks were broken.
In front of this little old hair crazy, how can teacher Wu follow crazy.