"Working hard is more important than flattery." Huang Lao said without joy or anger.

Zhou Congwen shrugged.

"Hehe, you're just flattering." Director Zou said with a smile.

"I'm telling the truth. The boss is always worried about some rare complications." Zhou Congwen said, "But the boss is right, be careful and walk on thin ice. You can't take it lightly just because you are proficient in one surgery. You have to use a lion to fight a rabbit for every surgery..."

Director Zou's mouth was a little bitter.

Zhou Congwen has a very strong technical level and is the strongest young man he has ever seen. Even the legend of 912 Shen Tianci seems to be slightly worse than him.

Although he has little dealing with Zhou Congwen, the scene of this young man bowing to himself before the surgery before undergoing the surgery was deeply imprinted in Director Zou's heart.

In addition, there have been recent rumors about Director Miao, and seeing that an operation can make the old waist flash, Director Zou is extremely interested in Zhou Congwen.

But!

Zhou Congwen's strength is not only in surgery, but also in clinical diagnosis and treatment.

His various flattery towards Mr. Huang actually made Director Zou a little dazed. A lot of numb words were said from Zhou Congwen's mouth, as if it came from the heart.

This young man is really not simple, he can reach this level at a young age!

You should know that flattering words that are shameless and unintentional, can still say things like words from your heart. This level will not be beaten by society for thirty years.

Even if the society is pressed on the ground, most people still can't do it. Even what can be done sounds fake, not as thoughtful as Zhou Congwen.

Director Zou glanced at Zhou Congwen and had a different understanding of him in his heart.

When I changed my clothes and entered the surgery room, the surgeon, assistant and nurse were having fun chatting.

They were not worried that the surgery would not be done. With Huang Lao, it just took a little time, and it was no big deal.

"Please show me the operation record sheet." Zhou Congwen quickly walked to the anesthesiologist and said gently.

The anesthesiologist was stunned, looked at Mr. Huang behind Zhou Congwen, and then looked at his director.

Director Zou nodded invisibly.

The anesthesiologist understood and held the anesthesia record sheet in both hands and handed it to Zhou Congwen.

"It's strange. It's all good during anesthesia, and the blood oxygen in a single lung drops down. I've seen the machine, and there's no problem with the connection." The anesthesiologist explained.

"Have you seen the glottis?" Zhou Congwen asked while flipping through the anesthesia record.

"Uh?" The anesthesiologist was stunned.

"Usually, there will be air leakage in the glottis when there is a single lung in megatratracheal bronchial disease, which is determined by abnormal physiology and anatomy."

“…”

“…”

“…”

Director Zou, the anesthesiologist and Deng Ming were both stunned.

Especially Director Zou and Deng Ming, they both thought that Zhou Congwen saw that his boss had a wrong expression, so he changed the topic.

But unexpectedly, Zhou Congwen came when he opened his mouth and the patient's blood oxygen drop was directly blurted out.

Is that true?

The two of them looked at Huang Lao at the same time.

Old Huang looked at Zhou Congwen with an expressionless face, and there was no sign of anything strange on his face.

"Start again, patients with megatratracheal bronchitis cannot be intubated like routine." Zhou Congwen said after reading the record sheet and quickly reviewing the medical records.

The anesthesiologist was surprised. At this speed of reading, he was filled with phantoms in front of him. What could Zhou Congwen see?

"Boss, there is no problem with anesthesia. After entering the room, I was given midazolam 2 mg, sufentanil 30 g, etomidate 16 mg, and cis atracurium 15 mg."

Old Huang nodded slightly.

"I am going to use a fiber branoscope to guide it, and insert a reinforced tracheal catheter with an inner diameter of 8.0mm into the right main bronchus for single-pulmonary ventilation."

"What should I pay attention to before going down?" Mr. Huang asked with his hands behind his back.

"In order to prevent the front end of the catheter from blocking the opening of the bronchial tube of the right upper pulmonary pulmonary, I want to cut off the front end of the catheter. Before this, I will look at the right main bronchus and build it according to the patient's physiological and anatomical shape."

Huang Lao's eyes narrowed.

Director Zou was stunned.

Is this a customized cannula?

Similar situations are rare, very rare, and rarely happen.

Because tracheal intubation used in anesthesia departments are standard, although there are many models, the anesthesiologist must make a judgment based on the patient's condition and then choose the model of tracheal intubation, but there is basically no preoperative construction method.

What is Zhou Congwen talking about?

He was a little suspicious and looked at Old Huang.

"I also take a look when I look at the right main bronchus with a fiber clamp." Huang Laodao.

"Okay!" Zhou Congwen immediately called the anesthesiologist to prepare a fiber support mirror.

The fiber bronchoscope seemed to have been given a soul in Zhou Congwen's hand, and he came back alive. He went down without seeing any special movements.

"The maximum diameter of the trachea is 40.2mm, the maximum diameter of the right main bronchus is 30.5mm, and the maximum diameter of the left main bronchus is 28.7mm." Zhou Congwen raised his head and reported to his boss after using a fiber bronchoscope to measure.

Huang Lao did not comment, and gently tapped the back of his left hand with his right hand behind him, and leaned over to take a look.

"The tracheal lumen dilates the left and right main bronchus, and all lobes and sections of the bronchus are expanded to form a diverticulum, with purulent secretions in the lower left lung bronchus, and a bulge at the opening of the upper right lung bronchus, which is blue-purple, considering the possibility of hemangioma."

After listening to Zhou Congwen's report, Mr. Huang nodded after confirming it again.

Zhou Congwen took the 8.0mm tracheal intubation from the anesthesiologist and asked for a scissor to start building the front section of the tracheal intubation.

He cut it off about 2.3m, built it, and then handed it to Mr. Huang.

"Boss, take a look."

"Okay, go and go." Mr. Huang was extremely satisfied with Zhou Congwen's operation.

Director Zou paid attention to Zhou Congwen's every move. He seemed to understand the meaning of cutting off the 2.3m tracheal intubation, just as Zhou Congwen and Huang Lao reported, in order to prevent the front end of the catheter from blocking the opening of the bronchial tube of the right upper lung.

Zhou Congwen inserted the tracheal tube and sent it in 29l of air, he asked for iodine-like yarn strips to fill the glottis.

After everything was done, Zhou Congwen said, "Propofol 0.06～0.1mg·kg－1·Minn-1, remifentanil 0.15～0.25g·kg－1·Minn-1, cis-Aquerculum 1.5～2g·kg－1·Minn-1, maintaining the s50－60."

After saying that, he glanced at Mr. Huang and started to operate.

With single lung ventilation, the patient's blood oxygen saturation did not decrease this time, and it seemed that he had achieved it.

"Okay, do it." Huang Lao said lightly.

After Zhou Congwen made all preparations, he said to the anesthesiologist, "Use the stool."

After saying that, he carried a stool in the corner with his waist, "Boss, you can rest."

Director Zou couldn't say a word he saw.

No matter how giant tracheal bronchosis or fine anesthesia is, it is not as good as Zhou Congwen's skill in flattering.

After the anesthesia, Zhou Congwen did not waste any extra movements. The first thing he did was to bring a stool for Mr. Huang.
Chapter completed!