Chapter 1638 : Call the experts!
Although the head nurse frowned, she began to adjust the indoor temperature very decisively!
Gong Daizhen thought a little, and his eyes lit up immediately. He glanced at Chen Cang, feeling moved inside and felt a little moved!
Professor Chen is Professor Chen!
My understanding of medicine is really beyond the ordinary people!
What is a medical expert?
It means that any risks that affect the patient's situation can be avoided!
It's really too strong!
This kind of consciousness, this kind of medical thinking, this ability is really...so amazing!
The directors around him also slowly reacted!
He looked at Chen Cang with shock, his eyes full of admiration!
Often, a doctor's ability can be observed with just one detail!
Why?
Generally speaking, the operating room temperature will usually be set between 22-25 degrees Celsius.
but!
When performing scab cutting surgery on a large scale, because the patient is in shock, his body temperature itself is low, so he needs to keep warm at this time!
In addition, the patient's body was exposed at this time and the heat dissipation was further accelerated.
The key is that when a large area of scab is cut, there will definitely be bleeding, and a large amount of heat will pass with the liquid. In addition to the blood input during the operation, the liquid temperature is not high.
Therefore, it is easy to cause accidents if the temperature is too low!
At this time, if the room temperature is adjusted to 32 degrees Celsius, the patient's body temperature is more appropriate!
The success rate of the surgery will also be much higher!
At the beginning of the operation, everyone was shocked by Chen Cang.
The boss is the boss!
Those who come to participate in the operation are all at the director level, and they can understand at a glance, and there is no need to explain too much!
But when everyone in the venue heard this, they were confused!
They whispered in a low voice!
"What's going on?"
"32 degrees Celsius, this... can this be withstand it? And it is room temperature 32 degrees Celsius. It takes a long time to stand and operate during surgery. High-intensity surgery must be serious. Can such a temperature be sustained?"
"Yes, I sweat a lot, can't this be dehydrated?"
"Yes! Why?"
I heard the group of young people chatting in a low voice.
A director on the side couldn't help but explain: "This is because Professor Chen considers that the patient is in shock and has a low body temperature, and is worried that the patient's body temperature will be low and his immunity will decrease due to fluid replenishment, bleeding, exposure, heat dissipation and other conditions during the operation. Maybe... the infection period will come early!"
"It's even bad for the healing of the surgery!"
"Professor Chen is really comprehensive, worthy of... he is worthy of being an academician and student supervisor!"
As soon as these words were spoken, everyone suddenly felt emotion!
but!
What the hell is this academician and student supervisor?
How could this name be!
Academician or student? Still need a tutor?
What a god is the "academician student supervisor"!
Chen Cang started to realize his strength!
Too awesome!
Everyone has only one thought in their hearts, starting from today!
I am "Cang Chuang"!
...
...
But what they didn't know was that this was just the beginning!
When everyone in the venue saw the platform of visiting the surgical instruments, they were stunned!
Three...three platforms!
A dense array of surgical instruments, various dressings and medicines, various knives, abrasives...
Let everyone see it and feel unaware of it!
Not to mention them, even Qin Xiang and Yang Tao were a little overwhelmed and felt very stressed!
Because the precision and difficulty of this operation are far superior to ordinary burn surgery, the preparation of items must be sufficient, complete varieties, good performance of the instruments, and the fixed position of the rescue instruments is very important!
These are the basis for ensuring the smooth completion of the operation in this group!
Surgical scab cutting is the most important part of scab removal and skin grafting surgery.
Chen Cang held a scalpel in his hand and looked meticulous. Before the operation began, everyone felt that their backs had begun to sweat!
Chen Cang forced himself to calm down!
Then start to remove the eschar.
The patient's skin is covered with eschar and scabs, like dry and cracked bark, exposing flesh and blood!
In fact, in this case, there is no need for anesthesia!
Because after the third degree of burn, the eschar formed and there was no nerve feeling. To put it bluntly... the nerves have been necrotic.
Escharectomy can be performed directly!
Many people may not understand what surgical scab cutting is.
What is skin?
It is the largest organ in our human body!
He is an elastic organ with regulation and defense capabilities!
However, when the skin is destroyed by heat, the skin will lose its elasticity and become a hard eschar!
Moreover, these eschars are necrotic skin, which no longer has the possibility of expansion, cannot regulate edema, cannot defend against the body, and may even cause damage to the body!
Because after the burn, tissue degeneration and edema are isolated under the burn-forming eschar skin, and tissue pressure increases, causing blood vessel pressure damage!
At this time, Chen Cang slowly placed his hands on his skin, pressed gently, and suddenly felt a kind of elastic feedback coming!
Chen Cang took a deep breath, this is the so-called interstitial tissue pressure!
The most important thing about this operation is not anything else, but requires a good perception of the body!
Perceive how to cut scabs, how deep...
After Chen Cang touched his hands, the information immediately fed back!
"The tissue pressure is a little high, this surgery...is imperative!"
Hearing Chen Cang's words, Qin Xiang was preparing to use Doppler to check the distal pulse or directly measure tissue pressure.
Chen Cang pressed it a little and said, "The interstitial tissue pressure has reached 40mmHg!"
As soon as Chen Cang finished speaking, Qin Xiang was stunned!
Because his test data is exactly 42!
At this moment, Qin Xiang was stunned!
Even Gong Daizhen looked up at Chen Cang, her pupils shrank slightly, feeling a little scary!
Having not seen each other during this period, Professor Chen is stronger again!
This is simply impossible to perceive without rich clinical experience.
Never underestimate this skill!
If the interstitial tissue pressure reaches 40mmHg, the nerves and blood vessels will begin to be damaged.
It must be handled as soon as possible.
Such a pressure is not only not conducive to blood transportation, but when it is burned around the chest, this pressure will increase the breathing work and cause breathing difficulties!
After the preparations were completed, Chen Cang said directly: "First deal with the neck ring-mounted eschar!"
Everyone nodded!
This is an important breathing and blood circulation channel for the human body, and there is no difference in first processing.
At this moment, the patient's neck was closely attached, and the originally loose skin was now attached to the muscles as if it had been barbecued!
The scalp is numb!
To be honest, only doctors can enjoy this horrible scene as a video, and others... are so handsome that they will vomit in just three seconds!
Especially now it's still a high-definition camera!
Everyone in the venue called him an expert!
Chapter completed!