Chapter 181

There is no need for positioning at all. Dark red blood is slowly flowing out of Xiao Chenguang's cannula needle.

The skin around the puncture is intact, and there is no subcutaneous emphysema.

Director Xiao is really amazing.

Anesthesia and inspection were stunned.

You should know that patients who have already gone into shock not only have poor blood vessel elasticity.

Sometimes, it is even difficult to distinguish whether the blood vessels on the skin are blood vessels or blue veins.

When encountering such patients, it is often difficult to get a needle. If there is edema, it is really possible that even if the waist is broken, there is no needle.

However, Xiao Chenguang just glanced at it lightly, and his technique was so skillful that they all felt that such an operation seemed not worth mentioning at all.

But is this really the case?

Anesthesia suddenly looked at the patient who was standing sideways with his head down and his feet high, and the surprise in his eyes increased instead of decreasing.

The patient's position was definitely not specially placed for puncture.

Even this special position changed the original direction of the blood vessels.

But even so, Xiao Chenguang still hit the nail on the head, and he continued to insert the guide wire into the needle cavity.

He pressed the wire with his left hand, pulled out the puncture needle with his right hand, took out the intravenous catheter in the kit, and continued to extend it along the wire.

During this period, he did not use any auxiliary tools, and his hand kept pushing the guide wire into the blood vessel.

Seeing this scene, everyone in the operating room did not dare to speak easily.

In particular, Xiao Chenguang's focused eyes were vaguely revealing a hint of frightening momentum.

This made Sun Chengwu, who was standing aside, suddenly have an illusion.

It seemed that the person on the stage was a respected surgical expert he had studied with in his early years.

That concentration and unquestionable posture were like being carved out of a mold.

At this moment, Xiao Chenguang's guide wire had reached the key bifurcation.

This is the only way from the clavicular vein to the superior vena cava. As long as the guide wire can pass smoothly, it can reach the final destination, the heart.

In fact, operations like this are performed in the catheter intervention room in the future, with professional imaging equipment, and there is no need to cross the river by feeling the stones.

Even if there is no intervention room, the artery and vein can be distinguished by the Doppler effect of B-ultrasound and orderly operations can be performed.

But at this time, because the situation is urgent and the hospital has no funds to build an intervention room, everything now depends on Xiao Chenguang's rich clinical experience.

Although it is a bit difficult, the operation experience of the previous life is deeply engraved in Xiao Chenguang's mind.

This is just like the family members who were treated for anaphylactic shock in the general surgery ward just now, and there is no need to think about it carefully.

Everything depends on the operation instinct and can be easily solved.

"Anesthesia, pay attention to the waveform changes of the ECG monitoring in the patient's ICU."

"Tell me immediately when the patient has ventricular tachycardia."

In the face of Xiao Chenguang's request, anesthesia responded immediately.

"Director Xiao, don't worry, I never took my eyes off the monitor."

Although he didn't know why Xiao Chenguang had such a request, as the anesthesiologist of this operation, he had the obligation and responsibility to report the patient's condition to the surgeon at any time.

"Okay."

With the help of anesthesia, Xiao Chenguang no longer paid attention to the values ​​on the monitor. At this moment, he concentrated on the hair-thin guidewire in his hand and began to concentrate on the operation.

The surrounding sounds were quiet, as if the whole world was left with only Xiao Chenguang and the operation in front of him.

The touch in his hand became more and more obvious.

Even in his mind, he had formed a movable map of the entire blood vessel direction.

He only needed to follow the guidance of the map to find anywhere he wanted to find.

The guidewire moved slightly in his hand, changing its angle. Every time it touched the blood vessel wall, the force transmitted gave him a clearer direction.

At this time, Xiao Chenguang's movement suddenly stopped.

The unique touch made Xiao Chenguang know that the guidewire had reached the most critical position.

Then he began to extend the deep vein catheter inside.

The anesthesiologist who had been watching his operation turned sideways and looked at the monitor.

The heart rhythm was still normal QRS wave, although the T wave was a little flat, but this was related to the patient's low blood pressure and insufficient return of blood to the heart.

No matter how you look at it, it doesn't look like the waveform of ventricular tachycardia that Xiao Chenguang just said.

But at this time, Xiao Chenguang had actually started to pull out the guide wire, as if the operation had been completed.

What was he doing?

The anesthesiologist was a little anxious. Could it be that because the operation was too difficult, Xiao Chenguang couldn't find the position and was ready to give up.

That's right.

Blind puncture is originally a matter of luck.

No matter how strong Xiao Chenguang's ability and operation are, it is impossible to accurately find the right atrium from an invisible blood vessel.

It seems that this time, everyone will fall in this operation.

The anesthesia showed a bitter smile.

In his mind, he was already thinking about whether his anesthesia record was written in accordance with the rules, whether the conversation with the family members was in place, and whether the angry family members would go to court because of some negligence.

"Director Xiao..."

Just as Anesthesia was about to ask what to do next, the originally calm heart rhythm on the monitor suddenly became like a seizure.

The regular QRS complex was instantly replaced by large wavy lines like tides.

"The patient...really has ventricular tachycardia!"

Anesthesia stared at everything in front of him in disbelief.

How did Xiao Chenguang do it?

It was actually predicted in advance that the patient would develop ventricular tachycardia.

Could it be that the reason he just made such a move was because he had already detected the right atrium?

Just when Anesthesia was confused, Xiao Chenguang, who had already pulled out the guide wire, immediately found a 30ml empty needle.

Pull out the needle, stick it at the end of the deep vein catheter, and pull it hard. Nearly 20ml of impurities mixed with black blood and foam are pulled out.

Everyone was stunned when they saw the blood foam in the tube in Xiao Chenguang's hand.

"Director Xiao, is this the embolized air?"

Although they already had a premonition in their hearts, they still couldn't help but ask.

"That's right."

Xiao Chenguang said lightly.

After receiving his affirmation, everyone's throats surged and their expressions were astonished.

The anesthesiologist at the bedside seemed to have thought of something, and his expression became more and more excited.

"Director Xiao, your skills are amazing. The ventricular tachycardia that the patient just developed was caused by your guidewire stimulating the right atrium."

After thinking through all this anesthesia, I finally understood why Xiao Chenguang asked him to pay attention to the heart rhythm waveform on the monitor in advance.

It turned out that Xiao Chenguang had expected all this.

No wonder when the patient developed air embolism and everyone was at a loss, only Xiao Chenguang remained calm and composed.

This kind of rescue, in the eyes of ordinary people, would be like terror, but to him, it was a piece of cake.

"You can check now to see if there is any sound of bursting blisters in the patient's precordial area."

Xiao Chenguang smiled and looked at An Anshi, who was still in shock. His warm voice was like a spring breeze, giving people a sense of solidity and warmth.

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