The Surgeon's Studio
2719 Inexplicable sudden drop in blood pressure
The surgery was easy, and the process went smoothly. Everyone was more relaxed.
"Little Yu, I'll introduce you to a girlfriend." Department Director Liu asked as he performed the freelance surgery.
"..." President Yu was really speechless. Ever since he became a chief resident, the number of people introducing girlfriends to him had increased dramatically, but he really didn't have any thoughts about it for the time being.
This was all fate, and Vice President Yu didn't think it was reliable to introduce him.
"Department Director, President Yu just said that he wants a clean and tidy one." The anesthetist said with a smile.
President Yu didn't explain. This was a kind joke, and everyone was just joking. As for the introduction of a partner mentioned by director Liu, it was probably a model example of "we'll talk about it after we have the date. "
General manager Yu gave a perfunctory reply while he focused on holding the light source with one hand to light up the surgical area. The work of a laparoscopy assistant was the same as a normal surgery. When the surgical field was exposed, the surgeon could do whatever he wanted to during the surgery.
President Yu did what he said he would do. He had followed them to perform hundreds of laparoscopic surgeries, and he could be considered to have passed the role of an assistant.
After exposing the arrivers and the kidney Pele, Department Director Liu methodically dissociated the structures within the tissues and figured out the normal physiological anatomy.
This was very important. There could not be any side injuries during the surgery, and it was not good to perform the surgery without seeing anything.
"Department Director Liu, did your freelance surgery last weekend go smoothly?" The circulating nurse had some free time at this time, so she sat by the side and chatted.
"It's alright. They're well prepared. " "I don't dare to perform surgeries casually these days," Department Director Liu said. Didn't someone just get a complaint a few days ago that the money for freelance surgeries was considered a red packet? I rejected all the surgeries this week. "
"Rejected? It's worth tens of thousands. "
"There's no other way. We can't just go up against the wind, can we?" Director Liu said,"however, we still have to maintain the relationship over there. I've reserved a bed for the patient. Let the patient come over and stay in the hospital. Arrange for a surgery."
"What's with this?" The circulating nurse said,"when they come from another place, they don't even need to pay for their hospitalization fees. A patient has at least two to three chaperones. These people don't need to spend much money in their hometown. However, if you come to the capital, you'll have to stay and eat. Even if you take the subway every day, you'll have to stay in the hospital for at least five days. The cost has doubled. "
"Then what should we do? don't be the first bird to stand out." Manager Liu said,"sooner or later, we will encounter such a thing. It's already too late now. I don't think they've dealt with it much. They'll probably be able to run away again after a while. "
"Department Director Liu, how's your body? are you tired from all the freelance surgeries?"
"It's tiring, but it's not earning money," Director Liu chuckled and said,"I'm not at the point where I can't leave the capital. How's boss Zheng doing? he's been running around for freelance surgery, isn't he?"
"Boss Zheng's money for freelance surgery isn't even enough to fill the gaps between his teeth. The community Hospital has a hundred beds, and now it's completely open." The circulating nurse said,"I passed by the community Hospital after work. It seemed very popular."
"That's true, but how can an ordinary doctor like me be compared to boss Zheng?" Director Liu said,"the in-service training doctor working for boss Zheng, professor Gao, is going to the capital for liver and gallbladder surgery."
As he spoke, Department Director Liu lowered his posture very much. To be able to make the Department Director of Room 912 say that he was a normal doctor ... President Yu was speechless in his heart.
"Ah? Didn't professor Gao say that he was a doctor from boss Zheng's hometown, the provincial city?"
"Going to boss Zheng's place is like gilding his own business. Half a year is enough, and he'll have to go everywhere to ask for it."
As he said that, an abnormally large blood vessel burst, and blood filled the screen.
Director Yu and director Liu did not panic. This kind of thing was very common. There was no reason for a surgery to not bleed, and no one could avoid such a small thing.
The lens was turned back to reveal the bleeding point. Chief Yu pressed on the small capillary vessel, and Department Director Liu quickly stopped the bleeding. The aspirator sucked out the remaining blood in the abdominal cavity and continued the surgery.
Department Director Liu quickly used the hemlock to clamp the kidney artery. He checked it and found that it was fine.
"Department Director Liu, since all of you can't go out for freelance surgeries, does that mean that there will be more surgeries on our side?" The circulating nurse asked.
"I won 't." Director Liu said,"tertiary Grade A hospitals don't allow extra beds. There are only so many beds, and no one can do anything about it. Let's slowly wait in line."
"After sister Guo retired, she opened a small hotel opposite the hospital. She has nothing to do every day, and her income is higher than her work. I chatted with sister Guo a few days ago and I was so envious of her. I want to own a restaurant too. "
"Don't talk nonsense, it's not enough to worry about. He only watched them eat meat, not watch them get beaten up. There are all kinds of people in the inn. With your temper, you'll get a heart attack in less than a week. "
"That's true. Sister Guo said that the work is indeed not easy ..."
It was 3:30 pm, and they were halfway through the surgery. It was estimated that it would not take long for them to get off work, so everyone was in a good mood.
Under the cheerful atmosphere, the surgery seemed to have become a little simpler.
However, the anesthetist stopped talking as they chatted.
The patient's blood pressure dropped rapidly within 20 seconds, and the monitor began to alert. Not only was there blood pressure, but his pulse had also dropped from 99% to 81%.
He quickly started to check if there was a problem with the connecting conducting wire. The surgery was successful, and there was no other side damage except for the small blood vessel. He did not consider that it was a surgical blow.
Blood pressure would not fluctuate so violently unless the renal artery or the inferior vena cava were severed.
The first thought that came to the anesthetist's mind was that there was something wrong with the monitor.
After a simple check, he was fine!
The end-breath carbon dioxide displayed on the ventilator had dropped from 38 mmHg to 14 mmHg.
Her electrocardiograph showed that she had ventricular fibrillation, 122 times per minute.
When Department Director Liu heard the beeping of the alarm, he first took a look at the operating area. It was clean. He then looked at the anesthetist.
"What's going on?"
"Director Liu, please wait a moment." The anesthetist immediately stood up and began to administer the medicine while quickly figuring out what the problem was.
Department Director Liu and Vice Director Yu did not stay idle on the operating table. Vice Director Yu moved the mirror in his hand and checked it once. He did not see any location where there was continuous bleeding. The abdominal cavity was clean. Department Director Liu's surgery was still at a first-class standard.
What was going on?
Not discovering a problem was scarier than discovering a problem!
President Yu was stunned. Cold sweat instantly broke out, wetting his sterile cap. Even his Isolation Suit was penetrated and stuck to his body, but President Yu did not notice it at all.
He tried his best to think about what had happened. How could a patient who was fine before the surgery suddenly be unable to make it?
There's no problem with the wires, it's not interference." The anesthetist's assistant quickly checked the conducting wire again, and when he found nothing wrong, he reported.
The anesthetist was also stunned. He watched as his heart rate rose further, and the sharp alarm sounded as if it was going to Pierce his eardrums.
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