Three hundred and thirtieth eight chapters ninety-nine death and life [seeking monthly ticket
Wu Shiyu, who had also changed into sterile clothes, stood in the corridor outside the operating room. Through the small window on the door, he could see what was going on inside.
There are three operating rooms in this corridor, and rescue teams are busy in two of them, performing ECMO on Gu Jun and Xue Ba.
In addition to the hand washing station, there is also a row of rest chairs in the corridor. Several screens are hung on the opposite wall, showing real-time images taken by several cameras above and next to the operating table. Some substitute medical staff and spell personnel are preparing for the battle.
status, you can walk into the operating room at any time.
Uncle Dan and Zhang Huohuo were also sitting on the chairs. Although they were still looking at the screen, they were already exhausted.
Not only had they experienced everything on the island, but it also took a lot of effort to perform chest compressions continuously. They and others had taken turns to perform compressions for more than two hours before. In fact, they had used up the last bit of strength very early.
It's impossible to sustain this period of time.
"Uncle Dan, Shigure! What's going on?" At this time, Lou Xiaoning ran quickly from the front hall, followed by Peacock and Mo Qing.
They only knew that ECMO was being performed here, and that Deng Ximei, who had spontaneous heartbeat and breathing, would undergo some imaging tests before being transferred to the intensive care unit.
"They are still doing the intravascular tube to open the access." Uncle Dan responded softly, staring at the image on the screen without blinking, "Ajun opened the mouth here and found the blood vessel... Good job, that's it.
This is awesome...the puncture and catheterization is completed!"
The doctors and nurses in the corridor were slightly excited, and the command center also cheered up. This step went smoothly and was a good start.
Lou Xiaoning walked next to Wu Shiyu and looked through the small window on the door with her left eye. She saw that the operating table was surrounded by medical staff.
Through the gaps in those blue clothes, we could vaguely see Gu Jun on the operating table. He was connected to blood bags, intravenous drips, etc., as well as a bunch of equipment such as ECG monitors and anesthesia machines. There were nurses doing chest compressions on him.
Doctors treated his limb injuries, and of course there were also doctors performing puncture and catheter placement.
In the operating room, Gu Jun is usually the one standing beside the operating table and working hard, not like now.
"Alas." Lou Xiaoning couldn't help but sigh. What a good person, but now he is like this, and so is Xue Ba...
At this time, the voice of Luo De, the chief surgeon of the ecmo team, came from the screen speaker: "The equipment is pre-flushed."
Some personnel in the operating room are specifically responsible for operating and adjusting the ecmo equipment. Its parameters are numerous and constantly changing. The interaction between the heart-lung-ecmo systems must be understood by those who have received corresponding training, and they must keep an eye on it and adjust it at any time.
, these are the difficulties of ecmo.
After the equipment was pre-flushed, the surgeon Luo De immediately connected the intravascular catheter and the connecting tube. Everyone inside and outside the operating room was nervous at this moment, and the ecmo started running!
There are two main diversion methods for ecmo. One is to draw blood out through a vein and pump it into another vein after oxygenation. This is v-v diversion, which is suitable for cases without risk of cardiac arrest; the other is transvenous bleeding.
, and finally sent back to the artery. This is VA diversion, which is suitable for cases with cardiopulmonary function problems and the risk of cardiac arrest.
However, if the patient's heart completely stops beating for more than three hours under ultrasound diagnosis, thrombosis and pulmonary edema will easily occur due to the retention of cardiopulmonary blood in VA mode, so the patient must immediately undergo thoracotomy and catheterization in the heart.
For a-a-a diversion mode.
What the rescue team did to Gu Junxian was the v-a mode.
Uncle Dan and the others saw dark red blood coming out of the catheter from the screen. That was the blood in Gu Jun's body...
Venous blood is originally dark red due to low oxygen content, but now his blood is too dark, almost black, as if it is about to become thick and solid...
Uncle Dan suddenly lost his excitement and breathed a sigh of relief. Looking at the blood, he knew what he was doing as a doctor.
It's not a narrow escape, Arjun is going to die ninety-nine times this time. Now it's not just cardiopulmonary resuscitation and intracranial problems, his various organ functions should have been severely damaged by ischemia and hypoxia, and various complications are just around the corner.
…
Many medical staff in the corridor were sighing secretly, but these sighs were stacked together and everyone could hear them.
At the same time, the venous blood was oxygenated by the equipment and returned to Gu Jun's body through the arterial catheter, completing the first cycle.
After the ecmo was successfully connected, the team stopped compressing Gu Jun's chest. Even if the patient can recover his heartbeat, it is uncertain how long it will take. Some people will start beating again as soon as they are connected to the ecmo, and some people will start beating again within a few hours.
, dozens of hours...
But now on the ECG monitor screen, Gu Jun's heart still showed no spontaneous movement. Once the chest compressions stopped, it became a straight line.
"There is still half an hour." Uncle Dan said, "If Jun can have a little heartbeat, there is no need to open his chest..."
The CT equipment had already been transported into the operating room. In this ECMO state, the rescue team performed a brain CT on Gu Jun, confirming the diagnosis of large-scale intracranial hemorrhage. Craniotomy must be performed immediately, because thoracotomy also seemed inevitable.
Okay, open reduction of those fractures comes next.
On the other hand, Xue Ba had no cerebral hemorrhage or fractures, and the ECMO was going smoothly, but his blood condition was worse than Gu Jun's, and the damage to various organs was more severe.
"Hey, I won't watch anymore." Uncle Dan stood up and called to Wu Shiyu and others, "We can't help here. Let's go out to the deck to get some air."
Uncle Dan was mainly afraid that Wu Shiyu wouldn't be able to bear it anymore. Even he himself couldn't bear to watch Ajun having his head opened and his chest opened like this. Ajun would have his hair shaved off, his scalp cut open, holes drilled into his skull, and then his skull would be removed.
saw……
"Uncle Dan, I'm okay." Wu Shiyu said, "I want to stay here. I feel like he can see it. This will give him more motivation to hold on."
"Okay, okay." Uncle Egg didn't force it. It felt uncomfortable to stay here, and it would also feel uncomfortable to leave. Just go with her wishes.
Lou Xiaoning, Peacock, and the others didn't leave. They all sat on chairs, watching the operation on the screen and talking at random.
But it was at this time, three hours before Gu Jun's heartbeat completely stopped.
A situation caused excitement in the operating room, excitement in the command center, and everyone in the corridor suddenly stood up.
"There is a heartbeat! The patient has an autonomous heartbeat reaction!"
The screen of the electrocardiogram monitor was no longer just a dead straight line, but had a slight ups and downs, and Gu Jun's heart started beating again.
"This guy really has a good heart!" Lou Xiaoning said excitedly, "I won't accept it even if I don't accept it."
"No need to open the chest, a good thing, a great thing." Uncle Dan was also saying repeatedly. Although cardiac resuscitation does not mean that Ajun will survive, it definitely means that he has this opportunity and avoids a thoracotomy and more.
Complications, "That's great... Captain Xue, Captain Xue, you should learn more..."
"Huh..." Wu Shiyu took a long breath and sat down on the chair, "I thought I could see what was on his mind later."
"What else can there be?" Tong Ye's voice came from the intercom, "Can there still be my old Tong?"
Everyone smiled a little in their suffering. It is true that this battle has not been won yet, and it will take a long time.