1791 Chapter 1791: differences in treatment
The operation on the patient with Mochizuki disease was successfully completed. However, the moment Zheng Ren was about to leave, he noticed that the electrocardiogram of the experimental body began to fluctuate violently. The heart rate instantly rose to 120 … 130 … 150 … 180 …
Before Zheng Ren could do anything, the experimental’s heart rate dropped like a broken cliff and dropped to zero.
He did not open up the chest. Instead, he performed chest compressions under direct observation, and the system prompted that the experimental body was dead.
Uh …
Zheng Ren looked at the experimentals speechlessly. He was not disappointed, but he was a little excited.
Although the experimental had died, the system space had used this method to tell him that he should first go up the epineurium and then push the epineurium device to the operating room for surgery. Or, they could push the patient to the operating theater for epineurium anastomosis.
Although it was troublesome, it was the only feasible method.
This also explained why the system gave a 50% surgery completion rate for the smoke disease.
As long as he could find the reason! He just needed to make some improvements during the subsequent surgery.
Zheng Ren immediately started the next surgery.
First, he began to feed the epineurium to the test subjects.
The epineurium and epineurium had two types of circulatory changes to adapt to different conditions.
V-V circulation. The venous blood was led out of the vein through the oathmaker to oxidize and remove carbon dioxide before being pumped into another vein.
This method was suitable for patients with lung failure. The V-V circulation method was a lung replacement method, which was often used for patients with decent heart function but lung failure.
The respiratory department was more commonly used. It could be used as external support for patients with acute respiratory distress syndrome, acute respiratory failure caused by acute lung injury, and other respiratory function failures. It was mainly used to provide sufficient oxygen to the patient with the membrane lung system of ECMO to buy time for the recovery of respiratory system function.
V-A circulation, the venous blood was led out of the vein through the oathmaker to oxidize and remove carbon dioxide before being pumped into the artery.
This method was a replacement for heart and lungs. It was commonly used for heart failure and heart failure.
If the patient may have heart pumping dysfunction for a long time, or if the heart stopped beating, the AA v passage could be used, which meant that two tubes could lead out from the left and right atrium respectively through the oader to pump the blood into the artery after the oxygen and carbon dioxide were removed.
This method could not only ensure sufficient blood flow, but it could also prevent the formation of thrombosis in the heart and lungs and prevent pulmonary edema.
If the patient was awake, skelaxin such as pancurodine or brocatin should be administered before the intubation. Morphine would be given through the vein, and lidocaine would be given locally.
However, in the operating theater of the system, the experimentals were under general anesthesia, so Zheng Ren could skip this step.
After giving him 100 u/kg of heparin, he performed a tracheal intubation for the carotid artery.
The tube that Zheng Ren chose was not very thick, and it would be fine as long as it could provide a flow of 2×3 L/min. He made an incision and looked straight at the intubation. The intubation was not deep, and it was tilted at a certain angle to prevent the vertical intubation from collapsing and spurting blood due to high pressure.
After the insertion was done, it had to be confirmed under the X – ray. After the intubation was sutured, the tube would be fixed.
After connecting the machine, Zheng Ren started the operation on the Mochizuki disease again.
The surgery went smoothly, and this was the 14th training session.
Zeith’s microscope was quite good, and Zheng Ren didn’t have any dizziness or other symptoms like he had during the last surgical training for suturing the intestine.
The surgery was completed at 98%!
Zheng Ren finally heaved a sigh of relief. It should be done!
However, he did not go back immediately. He had already spent so much time on surgery training, so why not perfect the surgery?
He performed another eight surgeries, and his surgery completion rate increased by 1%, reaching 99%. The surgery time was shortened by about 30%, and Zheng Ren was quite satisfied with this result.
The next step was to convince the patient’s family to proceed with the surgery.
If the patient’s family members had financial difficulties, they could choose to do a live broadcast of the surgery.
Zheng Ren made up his mind and left the system space calmly, returning to EICU’s ward.
“Boss Zheng, let’s have a full – Hospital consultation.” Zhao Yunlong suggested,”the neurosurgery department will take a look. If you feel that there is a problem, let them come up with a treatment plan.”
“Alright,” he said. Zheng Ren nodded.
It was normal to organize a hospital – wide consultation. This was not his family’s Hospital, so Zheng Ren could not do whatever he wanted like he did in the system operating theater.
In fact, he couldn’t say that he did whatever he wanted. He could be reasonable outside. However, big pig trotter never tried to reason with Zheng Ren. The missions were also random and not based on the severity of the illness.
Perhaps, according to the system’s judgment, the patient in front of him was extremely difficult to treat, and there was no need to issue a mission.
“Little Zhao.” As they were talking, professor Zhang walked in.
“Professor Zhang.” “Yes,” Zhao Yunlong replied respectfully.
“The patient’s family members refuse to take it …” Professor Zhang looked at the patient and was stunned when he saw that the IAPP had already been inserted.
How could he be so fast?
Since when did Zhao Yunlong get things done so quickly? Well, it was usually quite fast, but this time, the IAB was dropping too fast.
Professor Zhang then looked into the ward. When he saw Zheng Ren, he immediately understood what had happened.
“Refuse to be rescued?” Zheng Ren frowned.
“Yes.” Professor Zhang nodded and said,”I’ve talked to the patient’s family. There’s not much hope. The cost is also very high. The family can’t afford it, so they decided to give up.”
He had a good impression of Zheng Ren.
Even though professor Zhang had more or less embarrassed himself when he got a fish bone stuck in his throat and caused a longitudinal abscess, that was how the medical field worked. If someone was able to perform the surgery, that meant that they were capable.
Anyone who knew what was going on would have to admit this.
Professor Zhang had no objections to this.
The young man was indeed a young man. He was really hot – blooded when it came to rescue. Professor Zhang thought to himself as he looked at Zheng Ren, Su Yun, and Zhao Yunlong.
Wasn’t he the same when he was young? But now, it had changed. To him, this was just a job.
He wouldn’t fight with himself over a patient who couldn’t be saved.
Everyone in the ward fell silent at the same time.
Professor Zhang felt that the atmosphere was not right. If he had said that the patient’s family had agreed to give up on the rescue, shouldn’t everyone be relieved?
Why was the atmosphere so depressing?
“Professor Zhang, it’s like this.” “The patient’s condition is rather unique, but I think he can still be saved,” Zheng Ren said.
“Still able to?” Professor Zhang said in surprise.
The patient’s heart rate was still unstable even though the IAB was already up. The burden on the heart was still too great to sustain.
According to his experience, the patient would soon have heart failure.
With 912’s technical power, it could also do this if they kept resuscitating the patient while he was still breathing.
But was there any meaning to doing so?
Professor Zhang was a little angry.
‘Young man, in order to show off your skills, you’re using patients’ lives as a sacrifice. Is this how you do things?’
He glared at Zheng Ren and said coldly,””Boss Zheng, can you tell me about the patient’s condition?”