2342 High-temperature work
“The pregnant woman is about to give birth.” The chief resident of the obstetrics department reminded her softly as he prepared the food.
“I can still hold on for 52 minutes. Hurry up and prepare!” Zheng Ren’s voice was cold and low.
The chief resident of the obstetrics department was stunned for a moment. She did not know how boss Zheng had evaluated the time limit of 52 minutes.
Were they so advanced now? Why didn’t he know?
Zheng Ren did not notice that he had let the cat out of the bag and continued to direct the rescue.
“Inform the operating theater. Once everything is ready, disinfect immediately. Give them thirty minutes.” Zheng Ren continued.
“Alright,” he said. Lin Ge had just arrived and didn’t know what had happened, but he had to carry out boss Zheng’s instructions without hesitation.
The gears in the emergency room started to turn, and a strange clicking sound came from the space. The huge machine immediately started to turn, and countless doctors and nurses were busy.
“Anesthetist, can our hospital administer anesthesia for a newborn?” Zheng Ren looked at the pregnant woman and emphasized this point again.
“I’ll call the Women’s and Children’s Hospital. “
“Hold on tight!”
Five minutes later, the patient’s family agreed to the live broadcast of the surgery.
Twelve minutes later, the insulated quilt was brought to the operating room.
After 14 minutes, two forcefully inflated insulation blankets were sent to the operating theater.
Nineteen minutes later, the sterile infrared radiation table was moved to the operating theater.
The operating theater was disinfected for the last time.
Twenty-three minutes later, the legal department of Xinglin garden arrived at the obstetrics department and signed legal documents with the lawyer of the medical Affairs Department.
Thirty-four minutes later, director Wang, an anesthetist, and a professional newborn nurse from the Women’s and Children’s Hospital arrived at 912 in an ambulance.
Forty-five minutes later, the pregnant woman was sent to the operating room, and the preoperative preparation was completed.
At the 47th minute, old he began to perform general anesthesia on the pregnant woman with a serious face. The anesthetist from the Women’s and Children’s Hospital was busy preparing all the equipment he needed to anesthetize the fetus.
“The temperature in the operating theater has increased to 26 … 28 degrees Celsius.” Zheng Ren said.
“Alright,” he said. The circulating nurse responded to the melodious song of good luck.
The temperature in the operating theater was usually adjusted according to the surgeon’s habits, but most surgeons required a temperature of around 24-25 degrees Celsius in the operating theater.
This was the best temperature to feel. It was neither too hot nor too cold. The surgery would only go smoothly if the surgeon was in a good state.
And 28 degrees Celsius was too high for the medical staff in the operating theater.
However, the circulating nurse did not ask boss Zheng why he wanted to increase the temperature. There were all kinds of thermal insulation items beside him, and it explained everything without saying anything.
The temperature in the operating theater had to be higher.
Compared to conventional obstetrician surgeries, the risk of low body temperature in the mother and the newborn during prenatal fetal surgery was higher. Prolonged anesthesia and surgery time, increased fluid transfusion during the operation, and a large amount of heat taken away from the mother after the birth of the fetus would cause the body temperature of the pregnant woman to drop.
The surgery also needed to be carried out on the fetus with the placenta. If the abdominal cavity was opened, the surgery process would be extended, which would further increase the risk of the pregnant woman’s body temperature dropping.
Not only the pregnant woman, but the fetus also needed a higher temperature.
The fetal or newborn’s body temperature regulation Center is not well-developed, and the ability to maintain body temperature is low. The low body temperature will lead to respiratory complications such as respiratory inhibition and delayed postoperative awakening.
Therefore, during the operation, the vital signs of the pregnant woman and the newborn should be closely observed, and effective heat preservation measures should be taken to take care of the pregnant woman and the newborn.
This was just a detail, and every detail was a component of that huge machine. Only when all the parts were perfect could Zheng Ren achieve the result he wanted.
“Start the heating up of the radiation heater.” Zheng Ren continued to command.
Xie Yiren carried a sterile surgical kit into the operating room, washed her hands, and gently tapped on the instruments.
Regardless of whether it was a surgeon, an anesthetist, a scrub nurse, or a circulating nurse, they were all two different groups of people.
Even so, the two circulating nurses were very busy, and the doctors from the gynaecology department and the obstetrics department who did not go to the operating table helped them with their work.
The radiation heater was heated in advance, the upper body of the pregnant woman was covered with a quilt, and her abived arm was wrapped in a surgical sheet.
Two sets of forcefully-inflated insulation blankets were used to cover the lower body of the pregnant woman at the same time. One set of exhaust blankets was used to keep the pregnant woman warm, while the other set of exhaust blankets was used to keep the baby warm when the umbilical cord was not ruptured. The temperature was controlled at 45 degrees Celsius.
The liquid heating equipment had been turned on, and the 37 degree Celsius liquid was placed in a row. They were neat and solemn.
After the anesthesia was completed, old he reached out his hand and gave boss Zheng a thumbs up, indicating that the anesthesia was over.
The airtight access door closed, and the surgery officially began.
The obstetrician started the surgery first. A 12-centimeter long incision was made on the abdominal wall of the pregnant woman, and the surgery began.
The first and second fetuses were successfully taken out.
The temperature was 28 degrees Celsius, and he was wearing a Sterile Surgical Gown for the surgery. In addition, he was facing a small child with a congenital large protruding umbilical cord. Under the influence of nervousness, director Wang from the Women’s and Children’s Hospital, who was going to perform a cesarean section in more than ten minutes, had his back drenched in sweat.
Zheng Ren finished brushing his hands, put on his clothes, and watched the entire operation without moving.
He stood in front of the temperature-regulating table below the pregnant woman’s legs and stared at the third child with a huge belly button.
The organs in the abdominal cavity that protruded out of the umbilical cord were exposed to the outside of the abdominal cavity through the open umbilical ring. It was just different from ordinary hernias. Although all the organs were not covered by skin, they were wrapped together by a layer of translucent, anemotionless membrane.
This membrane was formed by the nemesis peritoneum and the outer amniotic sac, with a jelly-like connective tissue in the middle.
After chief Wang took out the two fetuses, he did not immediately treat the third fetus in the womb. Instead, he turned his head sideways and wiped his sweat.
A sterile gauze was wrapped around his head, and the disposable Sterile cap was already drenched.
In the operating theater, no one spoke except for the lucky song.
Now, the surgery could be considered to have officially begun, and they were in contact with the most crucial steps of the surgery.
After director Wang wiped his sweat, he looked up at Zheng Ren. Zheng Ren nodded slightly, indicating that he was ready.
“Body temperature.” Zheng Ren asked.
“Pre-operation body temperature of pregnant woman: 36.7 degrees Celsius. Current body temperature: 37.1 degrees Celsius.” Old he said in a deep voice.
Chief Wang then carefully avoided the abdominal organs that were wrapped in a translucent membrane and gently took out the child’s left arm.
Zheng Ren reached out, and a syringe that had been filled with medicine was slapped into his hand.
Among the triplets, the heaviest one was 2.6 kg, while the youngest one was only 2.3 kg.
The arm was very thin, and the blood vessels were almost invisible.
To hit the nail on the head, the difficulty wasn’t just high. Chief Wang had performed many cases of newborn surgeries, and this step was the most time-consuming.
The invisible blood vessels still had to hit the nail on the head. Sometimes, the surgery would be delayed by five to ten minutes for this step. Even after more than ten needles had been inserted into the child’s arm, they still had not found a vein that they could insert the needle into.
Chief Wang sighed as he looked at the patient’s internal organs, which were wrapped in a translucent membrane.
Strictly speaking, the child in front of him was no longer considered to have a swollen navel. To be precise, it was because the Pixiu didn’t have a belly.
This severely affected the growth of the fetus.
The conditions of the blood vessels were even worse. Could boss Zheng do it?