The patient's blood pressure was very low, and the central vein of the elbow became a white line.

Zhou Congwen twisted the trocar with one hand and three fingers and inserted it straight into it.

No slap, no pulse band, simple and to the point.

The nurse on the tour was about to turn around to get the pressure vein belt when she suddenly saw black and red venous blood appearing in the trocar.

Xiao Zhou's level is OK!

You should know that it is a big problem for patients with shock to have indwelling venous channels. During the emergency rescue period, the nurse stuck out her butt and couldn't even get into it. Some people even cried in a hurry.

Xiao Zhou's technique was so proficient that the nurse had a slight illusion, as if he hadn't even seen it, and he saw blood in one needle.

Insert the guide wire along the cannula and remove the trocar.

Zhou Congwen did not use a dilator to expand the skin and subcutaneous tissue, but directly took the corresponding catheter, and the catheter cavity was filled with heparin saline, and inserted it into the central vein along the guide wire.

After training, the tour nurse originally wanted to remind Zhou Congwen, but saw this scene.

Xiao Zhou is going to go to heaven!

When will he get a lower central vein puncture? And he is so skillful!

"Xiao Zhou, the guide wire is going to be taken out." said the tour nurse.

"I keep it useful, has the ice cap arrived?" Zhou Congwen asked with a frosty face.

The aura contained in the evil dragon that has been at the peak of medical care for many years is not pretended, but a simple sentence makes the nurse's heart beat wildly, as if she has made some unforgivable mistakes.

"I'll go now." The nurse of the tour went to see Zhou Congwen's operation and then turned to whom he ran.

Zhou Congwen operates the J guidewire and goes down the median vein to the suprachal clavicle vein and then to the superior vena cava.

Without B-ultrasound guidance, he could only rely on his memory of countless operations in his previous life.

Although it is difficult, it is not as difficult as Zhou Congwen cannot do it.

But Zhou Congwen also felt lucky. This kind of small operation is not very consuming, but mainly experience. In terms of experience, he does not think anyone has received more training than he has received in the system operating room.

The force transmitted back from each point touching the "J" guide wire, the length of the "J" guide wire entering the blood vessel, makes Zhou Congwen judge the corresponding anatomical structure.

After entering the top of the right atrium, Zhou Congwen pulled out the "J" guidewire.

The 20mL syringe was re-extracted, and about 10ML of black and red blood foam was sucked out.

Seeing the blood foam, Zhou Congwen breathed a sigh of relief and it was almost done.

"Xiao Zhou, is this the air for embolization?" the anesthesiologist asked in surprise.

"Yes." Zhou Congwen nodded, "Increase the amount of liquid and pay attention to the amount of urine."

"Oh." The anesthesiologist didn't dare to say anything, just nodded.

"By the way, Brother Sun, listen to the patient's sternum, can you still hear the noise of the wheel running over the wheel?"

Hearing the name of Brother Sun, the anesthesiologist burst into tears.

He knew that the rescue should have ended with the blood foam drawn from the deep vein channel. Zhou Congwen knew that calling him Brother Sun would definitely be fine.

Why didn’t I call Brother Sun when I was so fierce just now? Although I thought so, he understood that emergency rescue is still a critical condition such as air embolism. Who has time to smile and care about your emotions?

Everything is centered on bringing the patient back.

The anesthesiologist took the stethoscope and placed it on the left side of the patient's sternum. He paused carefully for 20 seconds before he said with certainty, "It's okay."

"pupil."

"Sensitive to light reflection, with a diameter of about 3mm."

"Cyanosis."

“There is some relief.”

After asking and answering each question, Zhou Congwen was also quite satisfied with this rescue.

The crazy alarm sounds of the monitor and ventilator disappeared. The blood pressure, heart rate, and blood oxygen saturation returned to normal. The electrocardiogram was slightly abnormal, but it was not in the way.

The nurse took the ice cap back and put it on for the patient.

"Dexamethasone comes with another 5 mg, and adrenaline is 10 mg."

"20% mannitol 250ml, full speed."

"Take a bloody energy and hurry up and send it to the test."

It was not until the blood and qi analysis that Zhou Congwen was completely relieved.

Blood gas analysis: pH 7.21, PCO235mmHg, PO2138mmHg, BE-12.9m l/L, HCO34.9m l/L, La1.5m l/L, SO299%, FiO240%.

It is more convenient to rescue in the operating room, and all kinds of equipment come at will. There are no patients' families, no idle people waiting, and they run faster.

Turning around and stepping down, Wang Qiang asked blankly, "Why are you doing?"

"The clothes are dirty, you can keep keeping your chest closed." Zhou Congwen said lightly.

“…”

"Director Wang, did I write the rescue record or did you write it? Or Wang Qiang came?" Zhou Congwen asked.

Wang Chengfa did not scold him in his heart, but was a little confused.

Just now, Zhou Congwen forced himself away and took over the rescue command as a big mistake in medical treatment.

This kind of command power for the rescue was originally his own, but Wang Chengfa asked himself. When he heard the four words "air embolization", he was so confused that he had no courage to scold Zhou Congwen now.

Air embolization,

Death is undoubtedly

These words are still hovering in Wang Chengfa's mind.

He didn't dare, and could not even believe that Zhou Congwen had pulled the air out of his right atrium.

Is this still an air embolization that changes its slightest sound?!

When did a little doctor I had been pressing on became a one-stop one?

Wang Chengfa couldn't understand.

"Director Wang, if your legs are weak and pee, I'll keep my chest closed?" Zhou Congwen took off his contaminated sterile surgical gown and asked indifferently as she looked at Wang Chengfa.

If this sentence alone could make Wang Chengfa go wild and use his old fists to Zhou Congwen.

However, after the halo possession of the air embolization rescue, Wang Cheng didn't even fart a single one, and he shivered and lowered his head for surgery.

The next thing was relatively simple. I used iodine to disinfect it, and 4 gentamicin were sprinkled into the chest cavity, and the chest was closed layer by layer.

Until the end of the operation, the numbers on ECG monitoring were still very stable and there was no huge fluctuation.

The anesthesiologist glanced at Zhou Congwen and then at Wang Chengfa.

Zhou Congwen is no longer as arrogant as when he was in charge of emergency rescue just now, but is standing in the corner with his head down, not knowing what he was thinking.

"Director Wang, should you remove the tube or take the tube back?" the anesthesiologist asked in a low voice.

Wang Chengfa hesitated for a moment, raised his slightly edema eyelids, looked at Zhou Congwen like a toad, and said in a muffled voice, "Take the tube back and blow the ventilator for a day."

"Okay." The anesthesiologist began to help pack things, lift the patient, and sat on the flat car with an airbag and took the patient to the small monitoring room of the thoracic surgery department.

The operating room was quiet, and Zhou Congwen did not follow the patient to see him off. He waited for Wang Chengfa and others to leave, and then turned around and walked out of the operating room.

"Xiao Zhou...Doctor!" The instrument nurse suddenly shouted.

Zhou Congwen turned around.

The instrument nurse squinted her eyes and raised her right thumb, "Awesome."

"It's okay." Zhou Congwen smiled faintly.
Chapter completed!