Chapter 818 Cerela, help me, I can’t stand it alone
Gretel was in a hurry.
The animal experiments were done well before and nothing happened. Why did the blood oxygen saturation suddenly drop when it was time to do it on humans?!
Take a closer look and you will see that the alarm is not the arterial blood oxygen, but something else. The arterial blood oxygen is still good, and the screen is bright red, showing that the blood oxygen saturation should be over 99%, if not 100%.
However, another magic attached to the child's eyebrow arch, a brain oxygen saturation monitor similar to the blood oxygen magic, screamed loudly. Looking at the color, it was obviously darker than the bright red arterial blood oxygen next to it. It was estimated to be only 70
% is a bit more.
Is this because the blood oxygen has not dropped and the brain oxygen has started to drop?
Insufficient cerebral blood perfusion?
Why is it insufficient?
What is the difference between the human anatomy and the anatomical structure of a dog? Why does the brain oxygen saturation in dogs not drop, but the brain oxygen saturation in children does?
While Grete was thinking quickly, he directed Cerela to prepare a treatment technique, and when the cerebral oxygen saturation dropped a little further, he could throw it out to support the brain cells at any time;
While instructing Carlos to turn on the oxygen concentrator, Annevia activated the vines and inserted them into the child's nostrils:
"Adjust the inspired oxygen concentration to 70%! Tidal volume...don't worry about tidal volume, just let the child breathe on his own!"
Anyway, what is being done now is not general anesthesia in the medical sense. Under the palliative surgery, the patient can still breathe on his own, allowing him to breathe oxygen on his own, which is much less damaging than having a ventilator forcefully blow it in.
After a series of actions, the color of the brain oxygen saturation light screen slowly rose a little, then stopped. So it’s not a problem with blood oxygen? It’s not blood oxygen, so what is it? Blood flow?
Grete kept his hands and operated carefully. There are several reasons for low blood perfusion in the brain. One is heavy bleeding during the operation, which affects the hemodynamics.
He glanced at the clean surgical field. The white light of the treatment was flashing, closing every bleeding point. So far, the intraoperative bleeding was less than 10 ml.
The cause of bleeding has been ruled out for the time being, but there is another reason, which is body position. Generally speaking, prone positioning will put pressure on the chest and abdomen, affecting the child's respiratory and circulatory system functions.
The simplest point is that the chest is compressed and cannot bulge so easily, and the lungs cannot expand to their maximum. The next step is a decrease in cardiac output. The heart cannot eject so much blood, and the blood supply to the brain will naturally decrease.
Human brain function is much stronger than that of dogs, and the brain's oxygen demand is high; children's metabolism is faster, and their brain oxygen uptake rate is higher than that of adults. When these two factors are superimposed, the decrease in cerebral oxygen saturation that did not occur in animal experiments occurs in children.
Appeared on the body.
Then, increase his cardiac output and let the heart supply more blood. Increase his blood pressure and speed up his heart rate.
【Inspiration Technique】!
A faint ray of light shot out from Grete's fingertips. It lightly brushed over the child's body from head to toe. Immediately, the heart rate on the electrocardiogram light screen rushed from 93 beats/min to 115 beats/min.
The blood pressure increased correspondingly, and the cerebral oxygen saturation light screen rippled slightly, and immediately began to rise steadily. Gretel breathed a sigh of relief, his idea was right!
However, increased blood pressure means an increased risk of intraoperative bleeding. Grete took a deep breath and became more careful with his hands:
Back scar removal!
Spinal scoliosis correction can reverse the vertebral body and promote the growth of bone tissue!
Stretch your mental power, pay attention to protecting the spinal cord and spinal nerves, twist when necessary, and cut osteotomy when necessary!
Produce defects and contractures of the trapezius, rhomboids, erector spinae and other muscles, as well as the latissimus dorsi, iliocostalis, quadratus lumborum, etc., and promote the development of thoraco-dorsal fascia, lumbar dorsal fascia, inter-transverse process ligament...
Sweat rolled down Gretel's forehead. To regenerate bones, muscles, fascia, ligaments, and related defective nerves in such a large area, the overall treatment volume is roughly equivalent to one [Regeneration Surgery]
That is to say, it is a spell that allows the recipient to regenerate severed limbs. Replace arms and legs, or make broken arms and legs grow back. A 7-level spell can only be completed by a high priest of level 13 or above without any hindrance.
"Gretel, are you okay?"
Cerela stood opposite and asked nervously. Grete shook his head slightly and said hoarsely under the mask:
"Wipe the sweat."
A cleaning technique flew over and wiped away the sweat on his forehead. By the way, he also cleaned up the drop that had flowed under his eyebrows and was about to flow into his eyes. Grete smiled at her, lowered his gaze silently, and continued to observe.
Muscles of the child’s back:
Okay, this time it’s not the hand of the mage, it’s the cleansing technique...
Ah, the beautiful nurse lady he longed for would hold gauze in her delicate hands to wipe away the sweat from his forehead; or simply bury her head on the nurse's shoulder and wipe the sweat off his forehead. When would that scene come true?
Probably... I'm going to find some opportunity next time... to give Cerela a hint?
However, there is one thing to say. To achieve this result, Cerela may need to stand beside him instead of on the opposite side of the operating table. So, I have to think of a way... um...
"The power consumption is too great. Cerela, help me."
His voice was soft. Cerela's eyes immediately lit up:
"Okay! How can I help you?"
"You are here to induce a muscle... Look clearly at the image I drew with [Silent Phantom]. The red ones are the muscles, and the white ones are the ligaments and fascia. The muscles are in bundles, and each bundle is wrapped by the muscle membrane.
, the outside of the muscle is wrapped by the epimysium...don't be anxious, take your time..."
Take your time, don't rush. As long as you supply energy, the body will have memory, and the muscles will naturally grow into what they should be. You are responsible for the muscles, and I will be responsible for the blood vessels and nerves. This can save a lot of effort.
"Touch SS, use the [Silent Phantom] to project the muscles on your back." He called on his loyal tower spirit, his omnipotent assistant, his unlimited data storage library, and his self-evolving AI:
Thank God, part of the information stored and calculated by touching SS can be copied to the hospital mage tower, which made his work a lot more convenient. And Gretel was lazy and still called the same name in the hospital.
.
"Oh, forget it, you should only project the deep muscles." Seeing the muscles stacking up and intertwining with each other, Cerela opposite had an obviously confused look, Gretel quickly changed his words:
"Project onto the patient, pay attention to the starting and ending points. Forget it, let's do it piece by piece. The first is the lumbar interspinous muscle, from the spinous process of the first lumbar vertebra to the spinous process of the second lumbar vertebra."
Touch SS, or rather, touch SS No. 2 in the hospital mage tower, and diligently project the image according to the starting and ending points pointed out by Gretel. Cerela followed the instructions and movements, followed by the production of muscles, fascia, and ligaments.
And all Gretel needs to do is to produce blood vessels and nerves, which are subtle and complicated parts that require precise control and don't consume too much.
The bones are completed, the muscles are completed, the fascia is completed, and the skin is completed. Gretel greeted Taling 2, re-photographed, recorded the patient's image, and waved to release the tranquility technique:
"Let me feel how your body is doing? Don't get up in a hurry!"
The young man named Anduo got up quickly. Well, the combination of tranquility and healing is good in this way. It can relieve immediately, wake up immediately, and recover immediately.
In the previous life, after waking up from anesthesia, the patient would probably have to lie down in a daze for a long time. As for getting up, after such a major operation, do you want to get up?
Come on, let's go to the ICU.
Anduo looked down at himself, looked at the mirror on the wall, turned around again, and tried his best to look at his back. Finally, he raised his hands and jumped twice hard.
When he lowered his arms, he was already filled with tears, and he knelt down to Gretel with a plop.
"Hey! Stop it!"
Gretel quickly flew out of the mage's hands and picked him up. Anduo struggled hard twice, but he couldn't get away from the hands of four high-ranking mages. He was almost lifted up in the air, so he had to stand still and let Gretel stand.
command:
"Stand up straight!"
"Turn around so your side is facing the wall!"
"Stand with your back to the wall! Well, can you stick it?"
"Put your feet together, straighten your knees, bend forward and go down! Go down! Go down!"
"Stretch back! Bend to the left! Bend to the right! Rotate to the left! Rotate to the right!"
"Take a few steps..."
After a series of inspections, Gretel was finally satisfied. He smiled and patted the boy's shoulder and put some clothes on him:
"Congratulations, the operation was successful. But don't do strenuous exercise first, start with gentle activities..."
The door to the operating room opened. Immediately, Gretel saw a group of children and adults, sitting there with their bodies hunched and leaning on their backs. Seeing Anduo coming out, every pair of eyes burst out with sparkles.
Light:
"Anduo, you're fine!"
"Anduo, have you been cured?"
"Your shoulders are no longer crooked! You no longer have a limp when you walk! I remember that you were still limping when you walked last night!"
This group of patients were collected by the necromancers from their respective circuses, purchased, intimidated, forced, and taken away without any explanation. A group of people were trembling, not knowing what the future would be like, and they could only huddle on the carriage to inquire about each other, and intimidate each other.
:
Is there a noble person who wants to create a circus of dwarfs to entertain them?
Or does the necromancer have some kind of project, where he wants to kill these crooked-looking people and piece their bones together into strange things?
Or, is there something strange about the place that only people like them can enter, and they should be captured to explore the way and look for things?
11 patients, old and young, male and female, were gathered together and sent to Oak Grove Hospital. The magician in charge told them that he wanted to cure their hunchback...
However, seven or eight days, ten days passed, and Master Master did not take action. He only left them in the dormitory behind the hospital, living and eating for free, and uneasy. Several adults were whispering:
"I once saw a master treat a person's hunchback by sandwiching the person between two door panels and placing stones on the door panels. After the person was pressed straight, the hunchback was cured..."
"But that means you won't be crushed to death?"
"No, the priest will throw healing spells at the side. Of course, sometimes, one or two will be crushed to death..."
We have been living and eating together for more than half a month. Today, Anduo was called over and told that treatment was about to begin. Who wouldn’t be worried? Who would have thought that as soon as the door of the operating room opened, he walked out on his own, with a relaxed expression and no emotion at all.
It’s painless, and it’s really cured!
"Anduo, you are so lucky!"
"You will be a good person from now on! Anduo, what do you want to do in the future?"
The young man was surrounded by everyone. At first he would nod, smile, and respond to questions, but gradually he was just in a daze. When asked what he wanted to do in the future, he was stunned for a long time, and suddenly burst into tears:
"I'm fine! I'm fine! I can be a soldier, a shop assistant, farm, anything in the future! If I had been cured earlier, maybe I wouldn't have been sold."
****
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Suddenly I realized that I wrote 7,000 words yesterday!
Can you just write 5,000 words today and treat it as completed with another update?