Back to 1999: From operating surgeons to becoming a top doctor

Chapter 5

"What's going on?"

Wang Jingang's expression turned cold and he immediately frowned.

As a surgeon who has been the lead surgeon for many years, the most fearful thing is that the monitor will sound an alarm during the operation.

This indicates that there is a problem with the patient.

At this time, the monitor under the pendant at the head of the patient's bed was flashing red, as if it wanted to devour the patient like a wild beast.

"The patient's heart rate is 45 beats/minute, and the blood pressure is 65/45mmHg."

The circulating nurse who was hiding in the corner and was a little sleepy woke up instantly when she heard the alarm. She stood up like a rabbit and reported the patient's vital signs to everyone present.

After hearing this, Wang Jingang narrowed his eyes.

The normal heart rate of an adult is generally 60-100 beats/minute, the systolic blood pressure is 90-139mmHg, and the diastolic blood pressure is 60-90mmHg.

But now the patient's heart rate is only 45 beats/minute and the blood pressure is 65/45.

Even for patients who receive general anesthesia, their vital signs will not be as low as they are now.

Could it be that during the operation, the internal organs were accidentally pulled, causing the vagus nerve to be excited, which caused a transient drop in heart rate and blood pressure?

But on second thought, that was not right.

The patient's peritoneum was not even opened, so how could the internal organs be pulled?

Just when Wang Jingang was puzzled, Xiao Chenguang suddenly turned his head and aimed his eyes at the anesthesiologist standing at the head of the bed.

"When I opened the abdomen just now, I seemed to see you adjust the dose of anesthetics."

Faced with the inquiry, the anesthesiologist was a little flustered, and beads of sweat on his forehead kept dripping down the brim of his hat.

"I was afraid that the patient would wake up, so I increased the dose a little."

At this time, he was still hoping for luck, but Xiao Chenguang's next words made the anesthesiologist stand there in a daze.

"Just a little?"

Xiao Chenguang glanced at the anesthetic drugs on the operating table and said in a calm voice.

"According to the patient's anesthesia maintenance dose, the sedative medetomidine needs to be at 0.2-0.4ug/kg/h, and propofol needs to be at 4-12mg/kg."

"But how much did you adjust it to?"

"You even forced the analgesic sufentanil to 8ug/kg, which is the anesthesia dosage for complex surgical operations, but our operation is just a simple laparotomy."

"Why? Do you feel that this operation is too big and Director Wang can't do it, or do you think something unexpected will happen, so you give the drug in advance and want the patient to continue lying on the operating table and not wake up?"

Xiao Chenguang's words were plain, but every word was piercing and every sentence was heart-wrenching.

The anesthesiologist's face flushed instantly and he almost couldn't get off the stage.

He wanted to cry but had no tears in his heart. Who would have thought that Xiao Chenguang's laparotomy was done so quickly.

And not only was it fast, but it was also fast and good, with very little bleeding, which was completely different from the bloody surgical scene he expected.

This was obviously beyond the anesthesiologist's expectations, so he rashly increased the amount of anesthetics, causing the patient to have low blood pressure and low heart rate.

"I'm sorry, I'll adjust the dose right away."

The anesthesiologist quickly adjusted the infusion switch, and sure enough, the patient's heart rate and blood pressure were steadily rising.

At this moment, the anesthesiologist dared not neglect it anymore, and regarded Xiao Chenguang as a professor-level surgeon, and was very alert.

After all, his teacher once said that an excellent anesthesia can adjust the dose of anesthetics for patients during surgery according to the difficulty of the operation.

To achieve the highest level that the patient can wake up and remove the tube just after the surgeon has sutured the subcutaneous table.

Originally, he wanted to do this, but he almost fell into a big fall.

This is thanks to Xiao Chenguang's reminder, otherwise he would have made a mistake.

If the patient can't get off the operating table because of his own reasons, then the problem will be big.

Thinking of this, the anesthesiologist trembled all over, and a layer of cold sweat broke out on his body.

He felt even more ashamed.

Just now I was so arrogant that I questioned Xiao Chenguang's lack of experience, but I didn't expect that I would be the clown in the end.

But then I thought, isn't Xiao Chenguang a new surgeon? How come he is so good at anesthesia-related professional knowledge?

This is unscientific!

Seeing the anesthesiologist fall into self-doubt, Xiao Chenguang said: "Have you heard of involution?"

"Involution?"

The anesthesiologist was confused and obviously didn't know what he was talking about.

Seeing this, Xiao Chenguang shook his head helplessly. This term that people hate in the 21st century has obviously not appeared in this era.

How lucky.

When Xiao Chenguang thought about how he would be able to enter the top tertiary hospitals in his later life.

Not only did he roll up his academic qualifications, roll up his scientific research, roll up his technology, he was obviously a surgeon, but he was proficient in everything, including internal medicine, surgery, gynecology and pediatrics, and emergency and critical care anesthesia was indispensable.

Even in the months before he crossed over, medicineThe world has begun to vigorously promote the concept of combining Chinese and Western medicine for treatment.

Pain-relieving and anti-diarrhea patches, calming and sleep-inducing patches, acupuncture, and massage have become the daily work of hospitals.

If you don't know some theories of Chinese medicine when you go out for consultation, you will be disliked if you tell others.

Of course, there are also advantages to being tolerant.

At least in this era, I can completely achieve a comprehensive dimensionality reduction attack in terms of technology.

Think about it, it seems pretty good.

At this time, with the readjustment of anesthetics, the patient's vital signs have returned to normal levels and the operation can continue.

But Xiao Chenguang did not pick up the scalpel again, but took a step back and walked down from the operating table.

"???" The anesthesiologist who was on high alert was dumbfounded.

"???" Wang Jingang, who couldn't wait, was dumbfounded.

"???" Zhao Quanshun, who was hungry and thirsty, was also dumbfounded.

What's going on? !

The operation is not going to be performed?