Chapter 167

"Everything is ready. The equipment is connected, checked and can be used normally."

Expecting a thoracotomy, the head nurse of the anesthesia department had already brought all the equipment and devices she could think of in advance and turned them on and put them in standby mode.

Old nurses are better. After working for a long time, they can be half doctors.

Many times, there is no need to say anything. The things to be prepared and the equipment to be used are already in front of you and you can choose them at will.

"Okay, anesthesia, patient status."

"Full anesthesia, the patient is under vasoactive drugs, vital signs..."

One by one, the values ​​quickly popped out of the anesthesia director's mouth.

Although it is still at the lower limit, it is much better than when I first entered the operating room.

"Director?"

Xiao Chenguang looked at Wang Jingang to confirm the patient's vascular condition.

"Don't worry, although I am old, my hands don't shake. I can hold on for half an hour."

Wang Jingang's pressing requires a lot of energy, so Xiao Chenguang asked him.

Half an hour is enough.

Xiao Chenguang looked sideways at the medical electric saw that Xia Tao was assembling, and he was actually relieved.

Since thoracotomy involves the specialty of thoracic and cardiovascular surgery, Xiao Chenguang was not very familiar with their equipment at that time.

Although medical electric saws have been upgraded to countless versions in later generations, they were still a rare thing in the 1990s.

He was really afraid that he would have to open his chest soon, and the instrument nurse suddenly took out two bone chisels and handed them to him.

That thing, opening a chest, is no different from chopping wood and trees. It requires brute force, and the hammer head is constantly knocking on the bone chisel, splitting the sternum from the middle.

Not only is it time-consuming and labor-intensive, but most importantly, the amount of bleeding will be very large.

"Xiao Xiao, the electric saw will be installed soon, how is your side."

"It will be over soon."

In response to Xia Tao's inquiry, Xiao Chenguang was already preparing for thoracotomy.

Disinfection, from the Adam's apple to the navel, and from both sides to the midline of the armpits.

Wait until it is dry, stretch out your hand, and the instrument nurse will hand over the scalpel and make an incision point 20cm along the center of the chest.

The electric knife was turned on, and the blue electric light began to separate the subcutaneous fat along the midline incision.

The skin was crackling, and the electric knife brought a puff of smoke under the high temperature burning, and the smell of burnt feathers instantly drifted in the operating room.

The incision gradually went down, passing through the subcutaneous tissue, exposing the sternum periosteum, and then freeing the fascia until the xiphoid process.

The steps were very cumbersome, but under Xiao Chenguang's operation, the entire sternum was exposed to everyone at a speed visible to the naked eye.

During the whole process, the amount of bleeding was very small, and even for some tissues that were prone to bleeding, Xiao Chenguang would use the unique electrocoagulation mode of the high-frequency electric knife for secondary hemostasis.

Tap tap tap... tap tap...

The rhythmic sound of pedals was heard at the scene.

Looking at the pedals that were flying up, Xiao Chenguang was skillfully switching the electric knife mode, sometimes cutting, sometimes stopping bleeding, making the originally bloody sternum neat and clean.

"Xiao Xiao, your chest-opening operation is even more skillful than mine."

Xia Tao was stunned for a moment, holding the electric saw.

The preparation work, which was originally expected to take ten minutes, was over the moment he assembled the medical electric saw.

Xia Tao even found that Xiao Chenguang had intervened in advance to stop bleeding in the connective tissue and tiny blood vessels attached to the sternum.

"We don't have much blood now. I'm not afraid that the amount of bleeding will be too large when cutting the sternum, so we try to intervene in advance and try to make him bleed less."

After all, thoracotomy is a major operation with many traumas and heavy bleeding, so Xiao Chenguang thought about the principle of saving as much as possible to let Dr. Li suffer less.

Really stable.

Seeing Xiao Chenguang's operation, even Xia Tao himself didn't realize that his slightly nervous heart had been thrown out of the sky.

Buzz buzz buzz...

Xia Tao pressed the switch.

A long, serrated electric saw began to turn.

He began to separate the sternum bit by bit from bottom to top.

The white and hard sternum, when it came into contact with the electric saw, the bone fragments on the cutting surface flew out, and a cut in the middle gradually emerged.

Although the hand-held electric saw has a good cutting effect, after all, the sternum is the most important bone to protect the heart and is extremely tough.

The saw holder needs to have strong arm strength and grip strength to hold the handle of the electric saw tightly and keep its cutting surface in the middle position to avoid deviation.

As the director of the Department of Cardiothoracic Surgery, Xia Tao often performs operations, so his physique is naturally not bad.

But even so, when the electric saw was halfway through the cutting, he was obviously struggling, and even through the surgical gown, he could feel his arm muscles shaking.

"Director Xia?"

Xiao Chenguang immediately noticed his abnormality and asked.

"It's okay, there was an emergency last night, and I was late, and now I'm a little exhausted, just take a break."

Xia Tao didn't expect something like this to happen today.

In the operation last night, the people below opened the chest and found a mediastinal tumor inside, which was severely adhered and could not be separated at all.

The situation was urgent, and there was no other way, so he could only ask the director for help, and asked him to come from home to save the operation in the middle of the night.

The operation lasted until dawn, and the patient was out of danger. It was not until after 10 o'clock that Xia Tao finished his rounds and prepared to take a rest in the office.

Who knew that he was woken up by a phone call after less than three hours of sleep. When he heard that a doctor was injured, he woke up immediately, wiped his face with water, and hurried to the operating room.

"Director Xia, why don't you go down and take a rest."

Although Xia Tao did not say it explicitly, under the illumination of the shadowless lamp, his sunken eye sockets glowed black, and he could see that he was unusually tired.

No wonder Xia Tao looked a little dazed when discussing the thoracotomy just now.

It seems that he was really exhausted this time.

"I'm OK."

Xia Tao did not want to drag down the whole operation because of himself, but as soon as he finished speaking, he felt a little black in front of his eyes.

Even his body was a little shaky.

"Director Xia, go down and rest. We are here, it's okay."

Xiao Chenguang grasped the electric saw in Xia Tao's hand and kept it steady.

Although it sounded like he was discussing, his tone was very firm. He didn't dare to let Xia Tao continue the operation.

If he fell on the stage and the saw in his hand slipped, it would not only cut the sternum, but also the heart.

At this moment, the people on the stage also noticed Xia Tao's abnormality.

Immediately dissuaded him.

"Old Xia, you have been the director for so many years, but you still can't tell what is important and what is not. Go down. We can call someone else."

"Yes, Director Xia, it's not like there have been cases of people falling down on the stage due to excessive fatigue. You need to be responsible for yourself and the patients."

Faced with the concerned words of everyone, Xia Tao smiled bitterly.

If possible, who would be willing to work at a cost of life every day?

There is no way. There are many patients and the operation is difficult. If the department encounters problems, who will go up if he, the director, doesn't go up?

Others only see his bright and beautiful side, but who knows that when it's late at night and most families have fallen asleep early, he is still standing on the operating table, performing operations on emergency patients under the shadowless lamp and saving their lives.

"If I go down, who can go up?"

Xia Tao had no choice but to go down.

When he asked this question, a tall and mighty figure immediately emerged in Xiao Chenguang's mind.