After pressing to stop the bleeding, blood pressure fluctuations still exist, which proves that it has nothing to do with active bleeding in the lower limbs or has little to do with it. Then Lu Chengda can think that there is no active bleeding in the lower limbs, or that active bleeding will not affect the patient's vital signs.

That is equivalent to just oozing blood. From a basic principle, he has already dealt with it. He only needs to deal with the open wound. And put a tourniquet to ensure that the amount of bleeding in the lower limbs is limited to a certain range. In other departments, you can

You should deal with your own problems first, and our orthopedics department can completely delay the process.

Lu Cheng pressed for a while, then relaxed, and then called the anesthesiologist to continue taking a blood pressure measurement. The final result was not much different from before the compression.

Lu Chengcheng smiled. It seemed that the patient was quite lucky this time. There was no active bleeding, only oozing of blood.

The student who followed the anesthesiologist immediately said: "Teacher, the patient's blood pressure is almost gone. Now the high pressure is only 60. The heart rate is only 70+."

Anesthesiologist Jiang Yuan threw away the cell phone he was about to pick up:

"1 mg of epinephrine, intravenously!"

"The demethylation pump infusion speed jumps to 40, and the oxygen flow rate is adjusted to 430."

"Shout two more bags of blood!"

Seeing Jiang Yuan's calm and busy figure, Lu Cheng became calm and respectful in his heart.

In the operating room, many people actually have misunderstandings, thinking that the surgeon is the soul stone.

But this is not the case,

Although it is a bit exaggerated to say that 70% of anesthesia and 30% of surgery are surgery in a life-threatening situation, the level of anesthesiologists definitely takes up 80% of the initiative in terms of patient safety.

With a good anesthesiologist in charge, the surgeon will feel extra calm and assured.

Because in addition to the responsibilities of anesthesia, anesthesiologists also have the responsibility of correcting changes in the patient's various vital signs during the operation and monitoring changes in the patient's condition during the operation.

Anyone who understands knows that the chance of a patient dying directly due to surgery is almost zero.

Complications are more likely to cause death.

Including myocardial infarction, pulmonary infarction and cerebral infarction caused by embolism;

Respiratory function depression secondary to cerebral infarction;

Shock caused by hemorrhage, cerebral infarction caused by insufficient circulating blood volume;

Arrhythmias caused by electrolyte imbalance;

Even for aortic dissection, which has a mortality rate of nearly 50%, most deaths are due to insufficient blood perfusion secondary to dissection rupture and bleeding, which then leads to brain death and myocardial infarction.

Surgeons are not afraid of how complex and difficult the operation is, they are just afraid of the complications.

The person who prevents and monitors these complications is the anesthesiologist.

This is why many people basically call anesthesiologists anesthesia teachers. Having a good anesthesiologist to protect you is a guarantee for surgeons to improve their skills in surgery, and it is also a guarantee for new doctors to have enough time to accumulate their clinical experience.

Professor Jiang Yuan has no idea how many patients he has anesthetized and how many operations he has participated in in his life.

Compared with his ability and decisiveness in rescuing patients during surgery, Lu Cheng felt that even if he had external help, he would have to have at least five years of experience in anesthesia.

So now, he only needs to wait quietly for the hand-washing nurse to prepare the surgical instruments. After debridement, exploration and VAC coverage, the orthopedic surgery can be declared over.

Under Jiang Yuan's calm command, the patient's vital signs stabilized at high pressure 70, low pressure 40, and heart rate 65.

Although the blood oxygen saturation is not high, it is still at 88.

Although long-term low oxygen saturation can lead to irreversible complications, at such a critical moment, a short-term drop in blood oxygen saturation will at least not cause cerebral ischemia, which is a complete guarantee.

While Lu Cheng was rapidly debriding, the bleeding point had been found through thoracotomy. After performing a lobectomy on a part of the completely necrotic lung tissue, a closed chest drainage tube was placed. At the same time, Huang from the neurosurgery department

Youzhi also completed the fenestration and drainage of cranial subdural hematoma.

Although debridement and suturing is only a type of surgery at the surgical level, its complexity varies depending on the injury. Its operation time is not shorter than that of craniotomy decompression and thoracotomy exploration.

And because craniotomy decompression and thoracotomy are life-saving operations, there are extremely standardized operating procedures and experiences that can be learned.

The time for debridement and suturing is longer than both.

The seemingly most dangerous craniectomy and decompression was actually completed first. After reading the film again, we saw that the hematoma in the brain was completely removed.

Huang Youzhi said: "I've finished here. I only have to clean up the hematoma. I just saw that the hematoma here is in good condition."

"You may have to look for the chest injury as the cause."

The two processes of craniotomy are decompressive craniectomy and hematoma evacuation, which are life-saving operations. Generally, as long as the decompression is completed, the remaining hematoma evacuation does not have much risk.

Unless it is complicated by cerebral hemorrhage or subarachnoid hemorrhage, it is extremely life-threatening and affects vital signs.

After Huang Youzhi finished this step, he breathed a long sigh of relief. He didn't need to be in a hurry for the subsequent removal of the hematoma and took his time.

However, he did not see obvious cerebral hemorrhage or subarachnoid hemorrhage in the patient's preoperative CT scan.

As a result, Chu Lin, who had never ruled out the risk to his own life in the relevant departments, suddenly became extremely stressed.

Although he has opened his chest and seen a hemopneumothorax, the situation is still not optimistic for the time being. Some of his lungs are still bruised and some of his lung lobes are completely crushed.

At this time, surgery to remove part of the lung must be performed.

Chu Lin said nothing. After seeing the bleeding clearly through the open chest again, he immediately started to stop the bleeding.

It doesn't matter if the surgery is done faster or slower, the most important thing is the effect of the surgery.

On this basis, pursuing the speed of surgery is the right thing to do.

However, just when Chu Lin began to evaluate the damage to the lung lobes and lung segments.

Chu Lin glanced at Lu Cheng and immediately said: "Damn it, you're done too?"

Was Lu Cheng tearing the nerves and muscles directly with his hands to pull them out, instead of using instruments?

After hearing Chu Lin's words, Huang Youzhi also looked at Lu Cheng.

With a confused look on his face, is this the debridement and exploration that started the surgery later than us?

Why was it finished so quickly?

Could it be that the trauma was such a coincidence that when part of the dead muscle was peeled off, there were blood vessels and nerves lying underneath? And there happened to be no damage at all?

You must know that during debridement and exploration, the anatomy must be very clearly exposed before the next step of separation can be carried out.

Otherwise, if there is partial damage to blood vessels, blunt dissection will cause the corresponding structure to break.

Lu Cheng simply doesn't know how to be a human being, and he shouldn't be a human being!

How can anyone be so fast and play like this?

Lu Chengcheng smiled and said: "I still have an emergency patient here who needs to be reset. So it was done a little faster, and the debridement here is also simple."

As Lu Cheng said this, he closed the joint capsule without completely sealing it, covered it with the VAC dressing, sutured it to the skin again, and sealed it with the film.

After receiving negative pressure suction, he got off the stage, and then said to the nurse who was washing her hands: "The patient has no fractures under direct X-ray, but the ligaments are damaged. When the time comes, tell the ward in charge of it and remember to contact the knee brace when you return."

fixed."

"Okay." Lu Cheng completed the debridement and suturing in such a short time. He was like a relative of all the surgical nurses and anesthetists on emergency duty. Not only did he send messages, he even invited him to dinner.

After all, they may encounter some trouble in the future and have to set up a stage with Lu Cheng. Such speed and proficiency can give them an extra day off.

After the operation here, Lu Cheng stepped down and walked to other operating rooms. Of course he said hello to Chu Lin and the others before leaving.

Lu Cheng still had emergency surgery, so they didn't say a word and continued to do their work.

After all, Lu Cheng has completed the surgery in his own department, even if he has avoided his own risks. And now they have to be careful for the patient, so how can they have extra thoughts to keep Lu Cheng?
Chapter completed!