Chapter 347

"It's not hard, not hard at all."

Wang Jia responded quickly, but never took his eyes away from Xiao Chenguang.

So much so that the patient didn't react until she was pushed in front of her.

He quickly turned on the monitor, connected the patient with ECG monitoring, and put a blood oxygen saturation probe on his finger.

Move skillfully and gently.

With the sound of the cuff inflating, the patient's vital signs appeared in front of everyone.

The heart rate was 76 beats/min, the blood pressure was 102/45mmHg, the respiratory rate was 12 beats/min, and the blood oxygen saturation was 95%.

Vital signs are fairly stable.

"Xiao Xiao, the patient's condition is really good. I'll take the temperature again later and save the blood for emergency post-operative testing. As long as I can survive the infection for the past two days, this difficulty will be over."

Xu Guoqiang, who was standing next to the monitor, saw the patient's condition and felt more and more that Xiao Xiao's operation was simply great.

"It's okay." Xiao Chenguang said lightly.

He instinctively walked to the patient's bedside and began to manually check the condition of the incision and drainage tube as a habit.

Although Wang Jia has been busy with patients, out of the corner of his eye he has always paid attention to Xiao Chenguang's movements.

He has sent many seriously ill patients, and Wang Jia has long known this habit of his. Well... he is familiar with it in the traditional sense.

A chair with cushions was moved behind Xiao Chenguang.

After completing the examination, Xiao Chenguang sat down naturally and stayed by the patient's bedside.

"This... the services in the intensive care unit of Victory Hospital are so good?"

Xu Guoqiang was surprised, knowing that no custodial unit in the provincial capital had such treatment.

But he waited around and found that only Xiao Chenguang had a chair to sit on.

Not to mention providing chairs, he didn't even have a small bench.

Xiao Xiao’s exclusive benefit?

Xu Guoqiang turned sideways and looked to both sides. The other surgeons who had followed him were also standing neatly. Facing the chair where only Xiao Chenguang was seated, their expressions were as expected.

"Good guy...it's really his exclusive treatment."

Xu Guoqiang knew some of the big shots in the imperial capital. No matter where he went for consultation, there would be someone who would lead the way, open the door, deliver handbags and chairs.

This is not a sign of admiration, but respect from the bottom of my heart.

That is a symbol of medical skills.

Unexpectedly, I seemed to see such treatment in Shengli Hospital.

Xiao Xiao’s status is really high.

Xu Guoqiang praised in his heart.

"The patient's fluid volume is still insufficient. I'm going to give him a thousand fluids. I'll check his blood pressure and urine output. I'll give him medical advice later."

Xiao Chenguang sat by the bed, staring at the patient's urine bag, not even 20ml of urine per hour, feeling that renal perfusion was seriously insufficient.

This is also the biggest concern after a crush injury.

Hypovolemic shock accompanied by severe infection, prerenal renal failure, and acute renal insufficiency are all serious complications that restrict patient recovery.

"Xiao Xiao, do you think his kidney is broken?"

"It's not that far yet."

As the liquid was hung up, Xiao Chenguang kept staring at the patient's urine tube.

"Wait until the amount of fluid replacement is increased, and then diuretic. If you can urinate, it will be fine."

"If you don't urinate all the time, you're in trouble."

Xiao Chenguang's words silenced the small custodial unit for a while.

As mentioned before, pre-stage rescue, on-stage surgery and off-stage treatment are the most critical parts of the perioperative period.

None of them can be missing.

Now that the patient has successfully completed the operation, all indicators are developing in a positive direction. It would be a pity if the success fell short due to renal perfusion problems.

As two large bottles of liquid were poured into the patient's body, Wang Jia asked: "Director Xiao, should we use furosemide or torsemide as a diuretic?"

"Frusemide."

Xiao Chenguang answered decisively.

As for why torsemide is not used, it is mainly because in patients with crush injuries, potassium ions released by muscle tears enter the blood, which can cause severe hyperkalemia.

Torsemide, as a potassium-sparing diuretic, will continue to retain potassium ions in the blood, making the problem of hyperkalemia more and more serious, and may even cause cardiac arrest.

Not to mention that some foreign movies show a tube of milk (propofol) being injected intravenously in advance during the euthanasia of a condemned prisoner, and then another tube of white and transparent liquid is injected after the prisoner is completely comatose.

That liquid contains high concentrations of potassium ions, which can cause cardiac arrest within one minute.

"Teacher Xu, I have to stay in the small intensive care unit tonight."

Because there is no full-time doctor in the small intensive care unit, Xiao Chenguang is worried about the patient's condition and plans to stay by the bedside himself.

"Then I'll accompany you."

Xu Guoqiang chose to stay without even thinking about it.

"No, Teacher Xu, I can do it here. You have to rush to the provincial capital tomorrow, and you can't do it if you don't get enough rest."

Xu Guoqiang, at such an old age, still had to stay with Xiao Chenguang all night, which moved him deeply.

But after Xu Guoqiang returned to the provincial capital, he still had to help the emergency department contact the medical alliance and select personnel for support. The burden was heavy, and Xiao Chenguang didn't want to delay this matter by staying up all night.

"It's already midnight, and the sun has only been out for a few hours. It would be troublesome for me to check in at the hotel."

Seeing that Xu Guoqiang didn't want to leave, Xiao Chenguang thought for a while and said, "How about you come to my place tonight to work together for the night. The key is with Qin Yong. I'll call him later and talk to him."

"It's so late and he's not asleep yet?" Xu Guoqiang's eyes lit up when he heard this suggestion.

It seemed that he could touch the grinding equipment that he had been thinking about again. Especially when he saw this operation, Xiao Chenguang's steady operation made him more eager to consume.

"Let me ask." Xiao Chenguang picked up the phone and called Qin Yong.

As soon as the phone rang, Qin Yong's voice came from the receiver.

"Director Xiao."

"Xiao Qin, where are you?"

"I'm outside the ICU now."

After learning that everyone went to the emergency room, Qin Yong took the initiative to stay and clean up the house.

Seeing the few eggs left in the refrigerator, he knew that Xiao Chenguang was practicing grinding, so he took advantage of the store outside to go out and refill the eggs in the refrigerator.

Finally, he carried a large bag of egg shells and carefully locked the door.

After taking out the garbage, he ran to the best hotel in the east of Yingcheng and opened a room with his ID card. Then he hurried back to the hospital to see if there was anything else he could help with.

"Okay, I know, you've worked hard. I'll take Director Xu back to rest later."

Xiao Chenguang saw all that Qin Yong did silently. He didn't say anything encouraging, but simply said thank you for your hard work.

Even so, Qin Yong still felt warm in his heart.

"Okay, Director Xiao, the key to the house is with me. I'll take Director Xu back later."

Qin Yong felt a little disappointed when he learned that Xu Guoqiang didn't want to stay in the hotel. After all, the room was booked and the money couldn't be refunded.

But he thought about it again and became happy again.

If Director Xu didn't go, he could just go over to take a bath and rest for a while, and he also saved the money for going to the bathhouse, so it wasn't too wasteful.

"Teacher Xu, Qin Yong is outside the door, you go back with him, he has already replenished the eggs in the refrigerator, if you want to practice before going to bed, just take them."

"Really? Xiao Qin is really hardworking." Xu Guoqiang was so excited when he heard this that he seemed to be unable to sleep.

As everyone left, only Xiao Chenguang, Wang Jia, and the patient lying on the bed were left in the small ICU.