The shock brought by Wu Xiangdong's words was no less than a magnitude 10 earthquake.

You must know that cephalosporin antibiotics belong to the beta-lactam class together with penicillin. Since penicillin requires a skin test, cephalosporin drugs should also undergo a skin test.

This mindset formed over many years, just like the sky is blue, the sea is deep, and the clouds are white in the traditional sense, is engraved in the bones of medical personnel.

But now, Wu Xiangdong actually said that cephalosporin does not require a skin test. How is this possible?!

Seeing the bewildered expressions on everyone's face, Wu Xiangdong knew that they did not accept this conclusion.

After all, after decades of discussion and verification, the National Health Commission finally issued the "2021 Edition of Guidelines for Skin Testing of Beta-Lactam Antimicrobials" on April 13, 2021, which clearly stipulates the use of cephalosporin antibiotics.

No skin test is required before.

In fact, as early as 2015, the "Instructions for Clinical Medication (2015 Edition)" compiled by the relevant National Pharmacopoeia Committee and the "Guidelines for the Clinical Application of Antimicrobial Drugs (2015 Edition)" issued by the Ministry of Health did not require cephalosporins.

Bacterial antibiotics require a skin test.

All these provide a basis for the clinical use of antibiotics, and are also the guarantee that Wu Xiangdong dares to directly administer medicine to the boy.

At this time, the nurses were still in shock. Wu Xiangdong sighed secretly. It seemed that this conclusion had a great impact on their inherent thoughts.

"Hurry up and take the medicine, time waits for no one." Wan Zhihua, who had already started to have a deep venous catheter in place, raised his head and glanced at Wu Xiangdong, who was confident, and then said: "I believe in Wu Xiangdong's point of view. If you have any questions or concerns, go to

When the time comes, you can give me the medicine and I will give it to the patient."

As soon as this statement came out, it caused quite a stir.

The nurses in the anesthesia department stared at Wan Zhihua in disbelief.

You must know that the latter is the veteran of the Department of Anesthesiology and Surgery, and is also their magic needle. At this time, even he chooses to believe in Wu Xiangdong. What qualifications can a soldier like himself have to question?

The nurses who reacted quickly began to give medicine to the patient.

At the same time, Wan Zhihua also learned what he was doing, and based on the positioning method taught by Wu Xiangdong, he quickly placed an internal jugular deep vein catheter in the boy.

He looked a little excited when he saw the catheter with good blood return and smooth drip.

"Xiangdong, your method is so comfortable to apply in clinical catheterization."

Wan Zhihua had worked all his life and had never thought that there was such a way to position the catheter. He took away the scarf that was placed on the boy's neck and looked at the length of the catheter. He couldn't help but be filled with emotion.

If Wu Xiangdong promotes this method, he can guarantee that there will definitely be a wave of people rushing to learn it in hospitals.

Thanks to Wan Zhihua's successful catheterization, the boy's blood pressure gradually rose to the normal range with the assistance of vasoactive drugs.

"Then prepare for anesthesia and lay out the treatment towel." Wu Xiangdong watched the antibiotics being rapidly dripped into the patient's body and signaled Wan Zhihua at the bedside to start anesthesia.

"good."

As Wan Zhihua pushed the anesthetic into the boy's body, the boy gradually fell asleep.

Then a 30 to 40 centimeter long endotracheal tube was inserted from the boy's mouth through the glottis into his main bronchus and fixed.

"Tracheal intubation is completed, the ventilator is operating normally, mode volume control assists breathing, inspiratory tidal volume is 400ml, and minute ventilation is 5.85l."

Wan Zhihua quickly reported on the patient's anesthesia condition and ventilator usage.

Immediately afterwards, the circulating nurse's voice also sounded in the operating room.

"The patient's current vital signs are stable, with a heart rate of 98 beats/min, blood pressure of 112/60mmhg, and blood oxygen saturation of 100%."

"Okay." Wu Xiangdong nodded in response, and he glanced at the time embedded in the wall.

"It is now 1:30 in the afternoon. The patient is a young male, 18 years old. He has been diagnosed with intestinal volvulus and is in septic shock. The surgery is planned to be performed by exploratory laparotomy, partial small bowel resection and intestinal adhesiolysis."

"Pay attention to the patient's blood pressure, drainage and bleeding conditions during the operation. If necessary, notify the blood transfusion department and keep 2 units of whitened suspended red blood cells and 600ml of plasma as backup."

Speaking of this, Wu Xiangdong looked around and looked at every staff member present: "Now, the operation begins."

Following Wu Xiangdong's order, everyone in the operating room looked at him, just like ancient soldiers looking at generals, with firm eyes.

"receive!"

As the timer on the wall cleared instantly, everyone took action.

Wan Zhihua was responsible for monitoring the patient's breathing and medication. The circulating nurse began to pack surgical instrument bags, sterile cloth bags, sterile surgical clothing bags, disinfectants, etc. on the operating table.

At the same time, Wu Xiangdong positioned the patient and began to disinfect the surgical area.

The purpose is to achieve sterility requirements during surgery.

He took gauze and soaked it in a treatment bowl containing iodophor, and then wiped the skin with a large surgical field in accordance with the requirements of abdominal surgery.

"Prepare draping of the surgical area."

After Wu Xiangdong said that, the roving nurse on the side took the treatment towel, large towel, and hole towel in order and started to spread the towel on the patient.

The purpose of this is to not only expose the minimum skin area necessary for the surgical incision, but also to cover other parts of the surgical patient.

Make the environment around the surgery a larger sterile area to avoid and minimize contamination during surgery.

As layers of sterile cloths, large and small, were covered, the entire operating table was covered tightly except for the skin at the surgical site where Wu Xiangdong needed to be exposed.

If the monitor next to him hadn't been on and the sound of the ventilator running could be heard in his ears, at first glance, he wouldn't have felt that anyone was lying on it.

"Isolation gown, medical surgical gloves."

After doing all this, Wu Xiangdong began to put on sterile surgical gown. As soon as he put on the milky white rubber gloves, Wu Xiangdong stood at the position of the surgeon, and his whole demeanor changed instantly.

The strong aura gave people a feeling of going forward, and this confidence in the inevitable success of the surgery inspired everyone present.

The instrument nurse on the operating table seemed to feel this momentum. She quickly opened the laparotomy bag and counted the dazzling array of metal instruments inside.

"2 knife handles, 1 toothed forceps, 4 toothless forceps, 2 thyroid retractors, 1 abdominal wall retractor, 3 S retractors..."

The instrument nurse was checking with the circulating nurse holding the surgical supplies inventory record sheet.

"Intestinal pressure plate, oval forceps, right angle forceps, bile curved forceps, intestinal forceps, buckle forceps, Ellis, vascular forceps..."

All kinds of surgical forceps sparkle under the shadowless lamp, and the wide variety of instruments is even more dazzling.
Chapter completed!