2125 Unexpected Sudden Stop (Happy Birthday to Brother Yun 1)
Based on the measurement results of biomarkers of liver damage, the team found that the mechanical perfusion method in the room temperature caused 50% less damage to the donor liver than the frozen storage method, the average liver shelf life increased by 54%, and the organ disposal rate decreased by 50%.
Not only does it have the same blood type and the same matching type of liver source, but it also uses the life support system to travel thousands of miles to send the donor liver at room temperature.
When Director Li thought of this, he couldn't help but feel a little dazed. Could it be that the world is in harmony?
It is actually possible to do this - you must have a very high status in the academic world. At least doctors from the world's top hospitals must buy it, otherwise who would be willing to do this.
Looking at the liver taken out of the life support system, with the breath of life, the entire operating room was filled with solemnity.
When Xie Yiren took the donor liver, the liver was cut off and seamlessly connected without delaying any time.
Director Li was stunned. This was the most ideal situation for liver transplant surgery.
The cut donor liver has no blood supply and no blood supply for less than a minute, which will cause some changes in the tissue.
Although everyone knows that seamless connection is the best way, the surgeons that may be able to do not exist at all.
Director Li stood on the operating table and acted as a helper. He was experienced and felt many details that others could not feel.
This kind of details fills every corner of the operation, and Director Li is not even sure if he understands it.
For the director of the 912 Hepatobiliary Surgery University who has rich experience in liver transplantation, the hand speed may not be as fast as that of young people. But if you can't even understand the surgery, it would be too much.
The vascular anastomosis magnetic ring was installed one by one by Zheng Ren, and Director Li kept paying attention to the time. The shorter the liver-free period, the better, and no one can deny this.
But it was the first time that Boss Zheng was exposed to the vascular anastomosis magnetic ring? Why is it so skillful!
"Lao He, dopamine starts to be pumped in with a micro pump." Zheng Ren said while undergoing the operation.
"8ml per hour." Lao He said.
"Prepare to statically push dopamine and prepare ten adrenaline." Zheng Ren said.
"..." Director Li looked at the ECG monitoring in confusion, and everything on it was stable.
What is Boss Zheng doing?
The electrocardiogram oscillation is sinus rhythm, 124 beats/minute. The heart rate is fast. Considering it is caused by acute liver failure and toxic shock infectiousness. This is the result of the efforts of the top 912 intensive care team.
After one rescue, the patient's condition was slightly relieved, at least in Director Li's opinion, there was no problem for the time being.
It is said that the older the world, the less courageous it is.
Boss Zheng is the young white horse. He is so cautious when he is hiding his sword in the world. It is really interesting to watch.
It's time to transplant the liver, Director Li knew it, and his eyes turned from ECG monitoring to the surgery area.
But,
Just the moment his eyes moved,
He felt as if he had hallucinations.
Did you see the violent fluctuations in the electrocardiogram? Director Li was stunned for a moment.
"Dopamine, adrenaline." Boss Zheng said in a deep voice when he looked at the surgical area.
Three seconds ago, he had opened the portal vein.
Just after the blood flow of the portal vein was opened, the vital signs of the patient Chen Li immediately began to change.
Uh... Director Li was stunned.
He immediately turned his head and looked at the blood pressure monitoring of the invasive artery was like jumping off a building, and the value was whizzingly falling.
I just had 90 mmhg, but the moment I turned my head and turned back, it dropped to 62 mmhg.
"Bang." Director Li's hand shook slightly, and Zheng Ren's hemostatic forceps hit Director Li's hemostatic forceps.
"Director Li, be more attentive and don't give us much time." Zheng Ren said in a deep voice.
Director Li was stern.
It is obvious that Boss Zheng has his own plans and predictions for the entire operation.
There is not much time... He is not talking about ordinary terms like the normal temperature period of organs, but the patient is really not able to do it!
Since Boss Zheng was confident, Director Li no longer thought about other things and began to concentrate on cooperating with Boss Zheng's surgery.
The moment the door vein was opened, Su Yun no longer looked at Shuye, but stared at the ECG monitoring.
Blood pressure drops sharply, arrhythmia, rapid atrial fibrillation.
Even if the medication is not given, the blood pressure and heart rate will be directly zeroed.
After restoring the intravenous return of cardiovascular blood supply, the patient's heart, which had heart failure, could not bear such great pressure and stopped beating directly!
The waveform of the electrocardiogram trembled wildly, and soon it moved weakly, and was about to pull into a straight line.
The boss's judgment was so accurate! Su Yun was slightly surprised.
But the boss’s judgment is correct, isn’t that right? Su Yun didn’t know when he had a fixed mindset in his mind.
It is exaggerated to say that zeroing is a very high level. Invasive arterial pressure monitoring shows a rapid drop in arterial pressure, with an average arterial pressure of 20mmhg.
"The pupils on both sides are diffused, with a diameter of 4mm, and the reflection on light disappears." Lao He was always preparing. From the moment the ECG monitoring machine started to call the alarm, he began to observe the patient's pupils.
Su Yun stretched his right hand out from the surgical incision below the diaphragm, put his 2-5 fingers together and placed it on the diaphragm attachment surface behind the heart, and placed his left palm on the position of the incision dressing that was reserved before. He knew that the bottom was 1/3 of the middle and lower part of the patient's sternum.
Fix the palm of the left hand, coordinate the movement of the right elbow, wrist and shoulder joint to drive the 2-5 palms and fingers of the right hand to lift and squeeze toward the sternum in a rhythmic and impactful manner, so that the diaphragm is moved up by 5.5cm, and then quickly relax and return the diaphragm to its original position.
The entire action standard is like a machine, without any error.
Although Su Yun's movements were very strong and had a strong impact, the patient's body remained motionless.
Not to mention the whole body, even the liver that is undergoing transplants nearby does not move at all.
Professor Zhang was stunned on the side.
A sudden cardiac arrest occurred, as if the patient's heart rate was transplanted to his heart.
The heart rate of 80 times per minute instantly reached above 150 times per minute. Finally, are you going to go on stage by yourself?
There was no excitement, only a hint of embarrassment.
Why did Zhao Yunlong stay motionless? Professor Zhang was a little dissatisfied. Shouldn’t he brush his hands at this time, and was about to open his chest and look directly at him and press it!
He touched Zhao Yunlong with his arm.
"Xiao Zhao, brush your hands."
"Uh..." Zhao Yunlong looked at Su Yun's movements without blinking, and just hummed a sound from his nose.
What is his attitude? Professor Zhang hasn't noticed Su Yun's actions yet, and he is very dissatisfied with Zhao Yunlong's reaction.
But Zhao Yunlong didn't move, so why didn't Director Zhang Lin even move!
It was only after 1.2 seconds that Professor Zhang noticed that the electrocardiogram that had been pulled into a straight line had fluctuations again.
That kind of fluctuation means the continuation of life. But the waveform is not the waveform of sinus heart rate, but the standard squeeze-up waveform.
CPR? Professor Zhang was stunned.
Chapter completed!