Just as Lin Hao and others were about to enter the operating room, Lin Di finally rushed from Xiangjiang to Mingzhu District People's Hospital.
Lin Hao didn't even say anything to him. He motioned for him to hand over his luggage to Lin Peiru, and then asked him to follow him for the surgery.
After passing through the isolation door outside the operating room, Lin Hao asked a nurse to take Xu Wencong and Zheng Ke to change into observation clothes and guide them to the observation area. He took Ren Junqi and Lin Di to wash their hands.
After everything was ready, several people entered the operating room!
The shadowless light in the operating room has been turned on, shining on Lin Defa who is lying on his side on the operating table, making the entire surgical field bright.
After Lin Hao entered, he did not check on Lin Defa immediately. Instead, he checked the required surgical instruments and equipment. He asked Ren Junqi to prepare the operating room, and all the facilities were in accordance with his request, but when he saw
After a lap, I couldn't help but frown. The equipment and equipment were so backward that they couldn't even compare with the obsolete products in the castle!
However, he also knew that this was only a second-level hospital and could not be compared with a special medical research institution like the castle. It was remarkable that he could prepare all the things he needed in a hurry, and although the conditions were simple, they were doable.
I can barely use it!
Lin Hao couldn't help but smile bitterly when he thought like this. After returning to China, the configuration for his surgery seemed to have been improvised and never met the standards!
But this time, the staffing of the surgical staff was quite decent.
The standard staffing configuration for an operation is as follows: chief surgeon, first assistant, and second assistant, but it is not fixed. Depending on the size of the operation, the number of chief surgeons and assistants will also be different. Major surgeries will naturally have more people.
There are fewer people for minor surgeries. There are also anesthesiologists, anesthesia nurses, instrument nurses and circulating nurses!
In Lin Hao's surgery, in addition to himself being the chief surgeon, Ren Junqi was the first assistant and Lin Di was the second assistant.
The anesthesiologist was originally not needed because Lin Hao could do both. But when the operation started, there would inevitably be various unforeseen emergencies. Once this happened, he would inevitably lose sight of the other. Just in case, Lin Hao
Hao still invited Director Ma Yongde of the Department of Anesthesiology to check.
In addition, there is Peng Xiaojie as the equipment nurse, and another circulating nurse who cannot be named.
There were no problems with the personnel and equipment. Lin Hao stepped forward to check Lin Defa and found that his basic condition was good and his vital signs were stable. There should be no problem supporting the operation, so he gave the nurse instructions: "Inject pethidine intramuscularly.
1mg/kg, atropine 0.5mg."
The nurse quickly went to execute the procedure and injected the drug into Lin Defa's body.
After waiting for a while, Lin Hao was sure that the drug had taken effect in his body, so he gave him acupuncture anesthesia and put him into a state of general anesthesia.
Anesthesia is an important part of every operation, and there must be no mistakes or omissions!
Ma Yongde confirmed that Lin Defa had entered general anesthesia and nodded to Lin Hao.
At this point in the preoperative preparations, it was considered to be completely done. Lin Hao looked at the time and announced: "At 10:30 in the morning, the operation begins!"
When Ren Junqi, Brother Lin, and equipment nurse Peng Xiaojie heard this, they immediately roused themselves to prepare for the attack!
Lin Hao picked up a double-lumen bronchial tube of the same shape and slowly inserted it into Lin Defa's mouth.
Tracheal intubation is a crucial step in lung lavage, because it will determine whether the lavage can be successfully performed. Therefore, Lin Hao does not pursue speed in this step, but takes as slow as possible and strives for accuracy.
Lin Di is responsible for monitoring important indicators such as ECG, blood oxygen saturation, blood pressure, and airway pressure.
Before starting this operation, Peng Dahai had already explained that the entire operation would be videotaped and would be used as a scientific and educational film for the medical staff in the hospital to learn from. Lin Hao must explain every step of the operation in detail.
Lin Hao didn't have any special opinions, and he didn't think there was any secret in this lung lavage technique, so he explained it to Brother Lin and the others in detail while doing the intubation.
"This double-lumen bronchial tube inserted into the lungs is mainly used to separate water and air! After a while, the right lung is ventilated with pure oxygen by an anesthesia ventilator to supply oxygen to maintain normal gas exchange in the human body.
!The left lung is connected to the lavage pipe for lung lavage.”
Ren Junqi, who was responsible for cooperating with him, saw this and said: "If it's just intubation, I can do it too!"
Brother Lin said not to be outdone by others: "I can do it too!"
"No!" Lin Hao shook his head, "You are not good enough!"
The two of them looked at him almost at the same time, with dissatisfaction in their eyes. It looked like it was just a simple endotracheal intubation!
Lin Hao did not look at them, but concentrated on continuing the intubation. At the same time, he said: "This job seems to be very simple for you. It is no different from ordinary tracheal intubation, but its requirements are very precise, just a tiny bit different."
Not even a little bit."
"Sister..." Brother Lin opened his mouth, but before the word "husband" came out, he realized something was wrong and changed his words: "Doctor Lin, I really think this is nothing!"
Lin Hao saw that he was very unconvinced, so he let go and said: "If you think there are no technical difficulties, you can try it yourself!"
Lin Di was young and energetic, and almost reached out to take over the double-lumen bronchial tube, but when he saw the familiar face lying on the operating table, he was scared. Who would he dare to test on?
He was using his biological father as an experiment, so he quickly shook his head at Lin Hao, "Doctor Lin, no, brother, my biological brother, this is my father, please stop making trouble, okay?"
Lin Hao said with a dark face: "Knowing that this is your dad, then you should listen carefully, watch carefully, and learn carefully. His lung lavage cannot be done just once. I will do it for him this time.
, it will be your turn next time!”
Lin Di was stunned for a moment, and then he didn't dare to say anything. He corrected his attitude and studied with an open mind.
Lin Hao started again, and said very carefully: "The difficulty of this endotracheal intubation is that the depth must be completely appropriate. If it is too deep, it will affect the ventilation of the side of the lung used for breathing. If it is too shallow, it will not isolate the two sides."
To ensure that, during lavage, the fluid will flow to the ventilated lung, causing accidents."
Ren Junqi then asked: "Then how to control this depth?"
Lin Hao said: "The average doctor relies on these two mirrors!"
The two slaves both leaned over to look at the surgical field, and found that there was an ultra-thin fiber bronchoscope inserted into the double-lumen bronchial tube. Through this special mirror, the tissue in the mirror can be seen on the display screen, and the depth of the mirror can be measured.
The support is clearly visible.
Lin Hao added: "But in foreign countries, in the hands of some experts, these two mirrors are not used!"
Ren Junqi said in surprise: "Then how do they judge the depth?"
Lin Hao said: "Rely on the feel!"
Several people were shocked when they heard this.
As Lin Hao spoke, he kept adjusting his position to find the best position!
It was only at this time that Lin Di and Ren Junqi discovered that although Lin Hao had been adjusting his position, he never looked at the monitor from the beginning to the end!
This is... the legendary feeling?
Oh melon seller!
This guy actually found the best position based on the feeling in his hands!
My brother-in-law is amazing! Brother Lin sincerely praised it secretly.
After the catheter is inserted, lung lavage officially begins.
Lin Hao hung a irrigation bottle about 80 centimeters above Lin Defa's head, and a drainage bottle on the ground about 60 centimeters below the operating table. Next to the operating table was a 37C incubator, which contained a special cleaning agent that Lin Hao had just made in the morning.
.
"Brother Lin!" Lin Hao ordered: "I'm going to start lavage. Please keep an eye on my vital signs, oxygenation status, blood pressure, and central venous pressure, and report them at any time!"
Brother Lin quickly agreed: "Got it!"
Lin Hao then began to infuse a special cleaning agent into Lin Defa's lungs. At the same time, he explained: "For the first infusion, the amount of liquid is about 500 ml to 1500 ml. The specific amount depends on the patient's tolerance.
, which varies from person to person.”
What he said varies from person to person, but it's actually easy to understand. Some people have big hearts, some have small hearts, and the same goes for lungs.
After pouring about 1000 ml of special cleaning agent, Lin Defa's physical signs began to show some fluctuations. Lin Hao knew that he had almost reached the limit of what he could bear, so he hurriedly recovered it.
Lin Defa's pneumoconiosis has progressed to the second stage. The disease has lasted for more than 20 years. The inhaled dust has been completely wrapped in the lung tissue. No matter how much irrigation is done, nothing can be washed out. However, what is surprising is that the first drainage
The lung cleansing water that came out turned out to be turbid and black, and it was a thick slurry liquid with some flocculent objects suspended above the liquid.
After standing for a while, the upper part of the black slurry liquid gradually became clear, and the lower part became darker, and there were also some gravel-like sediments.
Looking at the things washed out, Ren Junqi and Lin Di couldn't help but look at each other, because this was obviously washing out all the things accumulated in the lungs. Such a situation is simply impossible to happen in second-stage pneumoconiosis!
After a while, Brother Lin murmured: "It's really, really washed out?"
Ren Junqi said with great certainty: "It's the effect of his cleaning agent, otherwise it would be impossible to wash it out!"
Lin Di asked: "What kind of cleaning agent is this? Where did you get it from?"
Lin Hao said flatly: "I did it myself."
As soon as this statement came out, everyone in the audience was shocked and looked at him in disbelief.
Lin Di said a little incoherently: "Brother-in-law, Doctor Lin, brother, how did you make this? What are the ingredients in it? Can you teach me?"
Lin Hao did not answer him and just continued the operation. However, he did not immediately perform the second lavage. Instead, he brought a simple ventilator to ventilate the lung on the side being lavaged, and then explained: "Give this
Ventilating one lung can improve the efficacy of continued lavage, prevent hypoxemia, and expel more dust and dust cells."
This is undoubtedly another secret, and everyone quickly takes it to heart.
After Lin Hao ventilated this side of the lung twice, he started lavage for the second time. The liquid that came out this time was still turbid and black, but the color was lighter than the previous one, and the sediment was also smaller.
Some are missing.
About 500 ml was injected, and Lin Hao suddenly said: "Ren Junqi, please continue to infuse!"
Ren Junqi was a little confused, I'm here to teach you, what are you going to do?
However, Lin Hao was the chief surgeon in this operation and she was the assistant. She could only obey orders and take over his work to continue the perfusion.
Lin Haokong took out his hand, but he was not idle. He immediately slapped Lin Defa's chest, but there was no rhythm at all, slapping here and there!
Everyone looked confused, what are you playing at?
Just when they were puzzled, Lin Hao explained in time, "In this way, the materials accumulated in the tracheal wall and alveolar wall can be shed, allowing the cleaning agent to penetrate into the first part, and perform thorough lavage to achieve better results.
Great results!”
Everyone suddenly realized it and quickly remembered this technique again!
After repeated lavage for about seven or eight times, the drained lavage fluid became clearer and clearer. By the twelfth time, the water recovered by the catheter had become completely clear and had the same color as the one poured in.
The lavage of the lateral lungs is completed.
Immediately afterwards, Lin Hao did not immediately lavage the other lung, but gave both lungs breathing to improve oxygenation, allowing Lin Defa's various values to return to normal, and then continued the lavage...
The operation lasted from 10:30 in the morning to around 3 in the afternoon, and finally came to an end.
When Lin Hao and others came out of the operating room, Lin Peiru, who had been waiting outside, quickly stepped forward and asked: "Lin Hao, how was the operation?"
Lin Hao did not answer, but looked at Brother Lin behind him, obviously gesturing for him to answer.
"Sister!" Lin Di immediately came up and said excitedly: "The effect of the operation is much better than I thought before. At first, I thought that pulmonary lavage had no effect on our father's second-stage pneumoconiosis, but my brother-in-law
The special cleaning agent made is really powerful. A lot of dirt was cleaned out of my father's body. These are dust deposits accumulated over time and wrapped in lung tissue. Normally, they cannot be washed out at all, but my brother-in-law's
It's amazing that the cleaning agent can completely separate them..."
Lin Peiru saw that one brother-in-law opened his mouth and the other brother-in-law shut up, and his face turned red. However, Brother Lin was not done yet. She couldn't help it anymore, so she opened her mouth and interrupted him: "What are you talking about?"
Brother Lin said: "I'm not talking nonsense. My brother-in-law is really good. He is even more experienced than a veteran driver. The surgery was done smoothly and neatly. Our dad didn't suffer much at all. Everything is going very well now. Brother-in-law...
…”
Lin Peiru blushed extremely and said: "You are still talking nonsense!"
Lin Di finally stopped and asked: "Where am I talking nonsense?"
Lin Peiru: "..."
Lin Hao looked at the two of them amusedly, until they came to an end, and then asked: "Can I interrupt?"
Lin Di subconsciously covered his mouth and said, "Don't fuck me!"
Lin Peiru: "..."
Lin Hao was a little convinced by Brother Lin's offer of thirteen points plus two hundred and fifty, and explained: "Brother Lin, you can go to the ward to guard him in a while. A few patients will develop pulmonary edema after pulmonary lavage. At the same time, you must pay attention to breathing and oxygen.
Physical signs, acid-base conditions and electrolyte changes! If you have any questions, please contact me immediately!”
Brother Lin hurriedly responded: "Okay!"
Not long after, Lin Defa was pushed out of the operating room. However, the anesthesia had not passed and the person was not awake yet. He had to be sent to the intensive care unit for observation. Lin Peiru was not allowed to enter such a ward. Although Lin Di was also a doctor,
He was not from this hospital, and Lin Hao had to ask him to take care of him. Therefore, Lin Peiru could only follow Lin Hao, Xu Wencong and others to the doctor's lounge.
In the doctor's lounge, Xu Wencong, who was still bruised and swollen, was whispering to Zheng Ke, obviously discussing the situation of the surgery just now. After that, he said to Lin Hao: "Lin Hao, please give me a price!"
Lin Hao asked doubtfully: "What's the price?"
Xu Wencong said: "This is the formula of the cleaning agent!"
Lin Hao said: "Sell it to you at once?"
Xu Wencong said: "Yes!"
Lin Hao said: "It's still the same as before, just give me 180 million!"