But the next moment, Xu Qiu's calm voice came.

He asked calmly: "On-lase surgery?"

The director of urology was stunned and replied: "You must have an open surgery.

Minimally invasive, the patient's pheochromocytoma is too large in diameter.

Besides, a combined surgery for cesarean section is required, and the tumor is cut off at the opening of the abdomen."

Xu Qiu nodded: "Then I can do it."

"Can? What are you doing?" The director of urology was a little disbelief.

The resection of pheochromocytoma is full of dangers!

Once a mistake is made, no matter how capable the master is, he will not be able to save it.

You can only rely on anesthesiologist to stabilize your blood pressure!

It can even be said that the main surgery is secondary, and the anesthesiologist is the real protagonist.

unless--

The main surgery can perfectly peel off the tumor, so that the catecholamine does not leak a trace!

But that difficulty...even the director of urology can't do it!

"Xu Qiu, why don't you start with circumcision?" The director of urology found a reason to refuse.

Xu Qiu glanced at the mission.

General mission: Carving three scar dragons.

Difficult task: A perfect operation (no accidents, critical situations, etc.)

He thought about it, but still chose a difficult task.

In the face of master-level pheochromocytoma resection, he is the candidate who is most confident in ensuring that Li Qianqian and the fetus survive from the stage.

"No, let's start with the removal of pheochromocytoma." Xu Qiu's voice was calm and confident.

...

Xu Qiu is too famous.

So much so that when he took the initiative to ask for surgery, although the director of urology disagreed, Director Hu, Director of Anesthesiology and others chose to believe Xu Qiu!

Finally, the surgical plan was finally agreed.

Since pheochromocytoma takes a long time,

Therefore, perform a cesarean section first.

After the fetus is removed, Xu Qiu and the urology team will remove the pheochromocytoma.

The operation time is set at 4:30 pm.

There is still some time before the operation begins.

Xu Qiu stayed in the conference room and began to confirm further surgical details with the anesthesiology department, nursing team, urology team, etc.

The expression of the director of the urology department also ranged from the initial doubt to the later shock.

He didn't expect that Xu Qiu was so professional!

The control of many surgical details is even more stringent than the director!

This doesn't look like an amateur...

"Xu Qiu, did you take a raw urology expert?" The director of urology could not help but ask.

...

at the same time.

Li Qianqian is also preparing for emergency surgery.

Routine preoperative examinations, such as electrocardiogram, three routines, liver and kidney function, electrolytes, four coagulation, seven blood transfusions, etc.

Targeted terazosin reduces blood pressure and expands capacity...

However, the pressure reduction effect is not good.

In the end, it was barely controlled at around 155/100, but finally it reached the surgical standard.

In addition, due to this general anesthesia surgery, the signature of the close relatives must be required.

Although Li Qianqian was unwilling to do so, she still called her parents.

Her parents rushed over at around 3:00 in the afternoon.

They haven't figured out why their daughter suddenly became pregnant and waiting for childbirth.

He hurriedly finished the preoperative conversation and signed the operation informed consent form with panic.

...

It was 4:30 p.m.

The operation begins on time!

Xu Qiu, director of urology, entered the operating room one after another.

The patient's preoperative blood pressure: 150/95mmhg, hr109 times/min, spo2100% during oxygen inhalation.

Afterwards, two peripheral veins were opened and midazolam 1 mg and sufentanyl 5 μg were given.

After local anesthesia is completed,

Combined with B-ultrasound guidance, connect the flotrac sensor at the left radial artery puncture cannula and connect the pressure sensor at the right internal jugular venous cannula.

"The first aid drugs are fully prepared, and the pressure-upping and antihypertensive drugs are divided into two channels to connect the deep vein pathways." The director of anesthesia coordinated the overall situation and said.

Xu Qiu nodded.

"Start anesthesia induction."

The other two anesthesiologists were focused and immediately used midazolam 2mg, sufentanil 25μg, etomidate 20mg, and rocuronium 50mg for induction!

“Transtracheal intubation is completed!”

After the speech, the drug was replaced again for propofol, remifentanil, cis atracuronium and dexmedetomidine combined with sevoflurane!

...

With the completion of anesthesia, the operation officially begins!

Director Hu of the Obstetrics and Gynecology Department came to the stage and had a cesarean section in person.

despite this,

During the process of removing the fetus, she inevitably squeezed into her abdominal cavity.

Bang!

At this moment, the patient's blood pressure was called crazily, and immediately soared to around 190/110, and his heart rate reached 120!

The anesthesiologist 1 stared at his blood pressure, and at this moment he immediately shouted: "Prevent blood pressure!"

Anesthesiologist 2 immediately injected phentolamine 2.5 mg.

In an instant, the blood pressure dropped and slowly stabilized to about 133/74.

The director of anesthesia said: "Continue, intravenous pump nitroglycerin injected, 1.5 units per minute!"

During the operation,

Several more blood pressure surged.

The anesthesiologists were so shocked that their backs were wet.

at the same time,

The entire surgical team became nervous.

Even cesarean section has caused the patient to wander on the verge of critical illness several times.

How dangerous it would be to remove pheochromocytoma in the next five hours!!

...

finally,

Under the huge pressure of surgery, a baby girl successfully cut off her in the 20th minute.

The loud cry resounded in the quiet operating room.

Everyone's face unconsciously smiled.

After review:

Fetal apgar score 9 points.

This means that the child is more normal and can basically survive as long as there is no accident in nursing.
To be continued...