Back in 2002 as a doctor

The No.1 itinerant nurse finished adjusting the room temperature and came back to get busy.

These are all necessary for neonatal surgery, and the nurses in the operating room of 912 know everything well.

After Zhou Congwen explained, he picked up the 3M blower heating system and placed it on the ventral side of the child to keep the child warm.

He set its temperature to 40°C, adjusted the direction of the air outlet several times, and finally chose to point it directly at the child and wrap it with a clean towel to avoid burning the child's skin.

Zhou Congwen's movements were very gentle and meticulous, as if he was performing an operation.

Mr. Huang squinted his eyes to see Zhou Congwen's movements, and kept silent all the time without saying anything.Deng Ming stood quietly in the corner, feeling a strange feeling in his heart.

Only when you have been in contact with and understood, will you understand how important Zhou Congwen's approach is.

All the actions in the early stage are to keep warm.

Even if the operation is successful, a 1-2-day-old newborn is still very delicate, like a flower bud about to bloom.

If you are not careful, a gust of cold wind will wither before it blooms.

In particular, Zhou Congwen's method of adjusting the 3M blower heating system made Deng Ming stunned for a while.

This is definitely not a novice, definitely not!

Not to mention Jianghai City, even the provincial capital does not have a 3M blower heating system. There are only a handful of hospitals in the country that have this system.

But Zhou Congwen was not unfamiliar at all, and he poked at him as soon as he came up.

Deng Ming couldn't understand this young man more and more.

The chest surgery is done well, which can barely be described as extraordinary talent.But if you haven't seen the 3M blower heating system, who can play it so clearly?

If this is considered talent, Deng Ming thinks it is better to send Zhou Congwen to improve Dongfeng.

Strange thing, how can he know everything?Deng Ming was dumbfounded.

"Director Deng, please wipe your hands to disinfect after the disinfectant warms up." Zhou Congwen suddenly mentioned Deng Ming.

"Ah? Aren't you going to have an operation?" Deng Ming was in a daze, and the question blurted out.

"I'll take a look at the anesthesia. I can't ask the boss to disinfect it." Zhou Congwen said calmly without looking at Deng Ming.

"..."

Deng Ming burst into tears.

The majestic 912 chief thoracic surgery director turned out to be a tool for cleaning and disinfecting hands. Zhou Congwen was not soft at all when he used people.

No wonder this guy apologized in advance.

Deng Ming was a little helpless, but he was more interested in this little junior.

If there is a slight mistake, Zhou Congwen will not even think about stepping into the door of 912 in the future.

And he wants to watch the anesthesia...does he understand anesthesia?

With Director Zou personally anesthetizing, Deng Ming never considered that there would be problems.

Zhou Congwen stood behind Director Zou's body, "Come back to help the anesthetist nurse focus the bronchoscope."

"Prepare the attractor."

"Open the cotton swab and put it where Director Zou is convenient."

Soon, everything was ready. Director Zou first used a suction device to carefully suck up the secretions in the child's mouth, and then used a fiberoptic bronchoscope to guide the endotracheal intubation.

After the fiberoptic bronchoscope was inserted, Director Zou acted more cautiously.

The child's tracheal carina communicates with the distal end of the esophagus, and it's so easy, if it weren't for the fiberoptic bronchoscope, the endotracheal tube would definitely be inserted directly into the esophagus.

Director Zou carefully put the 3.0 double-lumen cannula in.

Chapter 0492

The airway of newborns is narrow and cramped, and there is a fiberoptic bronchoscope. Although it can play a guiding role, it also makes the airway narrower.

Director Zou carefully inserted the 3.0 double-lumen tube, trying to avoid the connection between the trachea and esophagus.

"Itinerant nurse, stand on the right side of the patient." Zhou Congwen continued to command.

Liu Wei devoted himself to helping Director Zou with anesthesia. He knew that he should have done it by himself, but he complained to Zhou Congwen along the way, saying that it would definitely not work, so he temporarily disbanded.

It's so majestic, Liu Wei is a little envious, but he knows in his heart that it will definitely not work to change himself.

There was a sense of coercion in Zhou Congwen's words, which made it difficult to breathe.

A itinerant nurse stood over without knowing why.

"When Director Zou pressurizes, you use your fingertips to press the child's stomach." Zhou Congwen said.

"Huh?" The itinerant nurse was taken aback.

"To prevent the gas from entering the stomach and increase the pressure of the stomach, causing gastric juice to flow back from the fistula to the lungs and causing pneumonia to worsen. I need to use it when I pressurize and give oxygen after the intubation fails." Director Zou explained in a muffled voice.

Zhou Congwen seemed to have expected that he would fail, and this unlucky statement made Director Zou a little unhappy.

If you are not happy, you are not happy. This is the perfect solution, because Director Zou knows the difficulty of intubation, and he is very lucky if he can succeed within 3 times.

Although it didn't take long, Director Zou could clearly perceive from Zhou Congwen's words that this closed disciple of Huang Lao wanted to take command of the operation, not for pretending to be coercive, but because he really understood.

Strange thing, could it be that he came back from studying abroad and has seen this kind of surgery on newborns overseas?

Hearing what Director Zou said, the itinerant nurse immediately pressed her finger on the child's abdomen.

When the finger touched the child, the skin was so soft that it would break if touched, and the itinerant nurse did not dare to move.

Although Zhou Congwen asked her to do something, Director Zou also explained, but she didn't know how to use force.

"Don't force yourself, wait for Director Zou's instructions." Zhou Congwen continued, "Press up a little bit, just follow Director Zou's instructions."

"Oh oh oh." The itinerant nurse said three times in a row.

Liu Wei stood on the right side of the child and helped Director Zou hold the fiberoptic bronchoscope. Although he didn't dare to be distracted, he could still feel the powerful aura emanating from Zhou Congwen.

Unfortunately, before this step was reached, the blood oxygen saturation on the child's ECG monitoring had already begun to drop.

The airway of the newborn is narrow, and two tubes are inserted, and the oxygen must not be enough.

Director Zou was slightly distracted, and the 3.0 single-lumen tube went in along the fistula without any accident.

His brow furrowed.

The difficulty of anesthesia is too high!

Come again!

But before Director Zou tried again, Zhou Congwen put on disposable gloves, "Director Zou, let me have a try?"

Although Zhou Congwen used interrogative sentences, to Director Zou's ears it was a resolute affirmative sentence.

Even Director Zou felt an undeniable taste.

Director Zou turned his head. Just as he was about to speak, Mr. Huang said flatly, "Xiao Zou, give him a try."

"..." Director Zou was stunned and speechless.

As the vice chairman of the National Anesthesiology Association and the chief director of the 912 Department of Anesthesiology, Director Zou is confident in his technology.

He refused to believe that a young doctor, even a thoracic surgeon, could surpass his level of anesthesia.

If so, why didn't Zhou Congwen go to heaven?

But after Mr. Huang spoke, Director Zou still handed over the bronchoscope and 3.0 tracheal intubation to Zhou Congwen.

Zhou Congwen was not in a hurry, "Inhale oxygen through the mask, first increase the blood oxygen saturation."

Zhou Congwen asked the nurse to press the child's stomach during the pressurized oxygen supply, and at this time Zhou Congwen did not forget to remind him that the administration tee should be placed under the hands of the itinerant nurse for easy administration.

After waiting a full 2′12″, the child’s blood oxygen saturation rose to 92%, and Zhou Congwen started tracheal intubation.

Director Zou watched from Zhou Congwen's position just now, he didn't believe that this little doctor could do better than himself.

The tube was inserted quickly, but Director Zou said very unhappy, "Doctor Zhou, the child needs a single-lumen tube, and you inserted a double-lumen tube!"

His voice was not loud, and he spoke declarative sentences, but his words were full of disdain and contempt for Zhou Congwen.

"Old Liu, help me." Zhou Congwen did not answer Director Zou's words, but greeted Liu Wei, the "anesthesia nurse".

Liu Wei was stunned, Zhou Congwen was stunned to insert the double-lumen tube, and he wanted to pull out the tube immediately, why should he help himself?

But after taking a look, Liu Wei vaguely understood Zhou Congwen's meaning after being taken aback for a moment.

He first inserted a double-lumen tube, crossed the fistula between the trachea and esophagus, and then pulled it back, and entered the left main bronchus with the help of a fiberoptic bronchoscope.

I go!

This idea is awesome!

Liu Wei was a little excited. He is an anesthesiologist after all, and he has a deep understanding of various intubations. Besides, he is not stupid, so he can see the way at a glance.

After Zhou Congwen confirmed that the intubation of both lungs was successful, the left lung was ventilated under the guidance of fiberoptic bronchoscope.

During bronchoscopic guidance, Zhou Congwen asked the roving nurse to fix the catheter by hand to prevent the catheter from protruding.

Zhou Congwen stood calmly on the footrest, prepared the bronchoscope, and with the assistance of Liu Wei, inserted the bronchoscope into the endotracheal tube. During the process of entering the catheter, the roving nurse also followed Zhou Congwen's requirements, and kept using his hands. Secure catheter to prevent prolapse.

Although the cooperation of the three people is not tacit, it is enough.

Director Zou was dumbfounded.

In just 59", Zhou Congwen inserted the catheter into the left main bronchus under the guidance of the bronchoscope after the bronchofiberscope was successfully inserted into the catheter.

"Old Liu." Zhou Congwen called out, took out the fiberoptic bronchoscope and handed it to Liu Wei, then glanced at the itinerant nurse, "Auscultation with a stethoscope, yes."

"..." The itinerant nurse had never done this job before, so she could, but who knew what Zhou Congwen was going to do.

"I'll do it." Director Zou picked up the stethoscope to listen to the breath sounds of the child's lungs, and determined the position of the tracheal intubation.

"B-ultrasound machine." Zhou Congwen said softly.

An anesthetized, even three or four people go around, it is really no one.Deng Ming brushed his hands and came out to see this scene, thinking in his heart.

Moreover, this young junior who has just joined the boss's school is really stable. Even if Director Zou is sure that the endotracheal intubation was successful, he still has to make sure again.

Steady... Deng Ming smiled wryly, he was fighting with the boss, like a patient with obsessive-compulsive disorder.He vowed not to give up until he used all means.

Director Zou was startled, and wanted to say something, but the mask moved, but he didn't say anything.

Zhou Congwen did not have so many emotional changes. He seemed to be thinking about nothing, and began to squeeze the balloon, and asked the roving nurse to place the probe between the 2nd and 4th ribs on the bilateral anterior axillary line.

Ultrasound detected no lung sliding sign on the right side, but there was a lung sliding sign on the left side, indicating that the ventilation of the left lung was successful.

"Fixed." Zhou Congwen put down the B-ultrasound, turned his head and said to Huang Lao, "Boss, brush your hands?"

Chapter 0493 like a person

Mr. Huang went to brush his hands with Zhou Congwen with his hands behind his back. Director Zou stared blankly at Liu Wei fixing the single-lumen ventilation tube, and asked in a low voice, "Doctor Liu?"

"Director Zou, my name is Liu Wei. You can call me Xiao Liu." Liu Wei was very relaxed. After all, he was an anesthetist nurse for the first time, and there was no accident. He completed the task relatively smoothly, and his heart was relieved.

"Do you know which hospital Dr. Zhou studied in abroad?" Director Zou asked.

"He... doesn't seem to have been abroad." Liu Wei replied solemnly, "He graduated from a second medical school in our province. He was assigned to the Third Hospital of Jianghai City at the end of the year before last. I have never been there for further study.”

"..." Director Zou was taken aback.

Two books, so what the hell is it considered a medical school? !

The natural chain of contempt in the medical system, in Director Zou's mind, an ordinary second-year medical school graduate has to be remade, and it cannot be used directly at all.

As for the Third Hospital of Jianghai City, it sounds like a grassroots team, and it will not be in the eyes of 912 at all.

But what Zhou Congwen did, including Liu Wei, the doctor who was arrested as an anesthetist nurse, all showed one point - Zhou Congwen must have participated in similar operations, and there were more than one.

Not only him, but even this "anesthetist" is well-organized and proficient, and he is indeed a good helper.

Weird.

Director Zou couldn't understand the reason at all, which is not scientific at all.

"Old Zou, do you know why I can't go up?" Deng Ming said while preparing for disinfection.

"Why?" Director Zou could vaguely guess the answer, but he didn't believe it and asked anyway.

"Because Xiao Zhou's operation was better than mine." Deng Ming said frankly.