Chapter 824 Cerela, Help Me, I Can’t Stand It Alone

Grete was in a hurry.

Animal experiments were done well before and there were no incidents. Why did the blood oxygen saturation suddenly drop when it was time to do it? !

If you look carefully, the thing that alarms you is not arterial blood oxygen, but something else. The arterial blood oxygen is still good, and the screen is bright red, showing that if the blood oxygen saturation is not 100%, it should be above 99%.

However, another magic affixed to the child's eyebrow arch, a cerebral oxygen saturation monitor similar to the blood oxygen magic, screamed shrilly one after another. Looking at the color, it is obviously dimmer than the bright red arterial blood oxygen next to it. It is estimated that it is only a little more than 70%.

Is this because blood oxygen has not dropped and brain oxygen has started to drop?

Insufficient cerebral blood perfusion?

Why is it insufficient?

What is the difference between human anatomy and dog anatomy? Why does the brain oxygen saturation of dogs not drop, but the brain oxygen saturation of children does?

While Grete was thinking quickly, he directed Cerela to prepare a treatment technique, and when the cerebral oxygen saturation dropped a little further, he could throw it out to support brain cells at any time;

While instructing Carlos to turn on the oxygen concentrator, Annevia activated the vines and inserted them into the child's nostrils:

"Adjust the inspired oxygen concentration to 70%! Tidal volume...don't worry about tidal volume, just let the child breathe on his own!"

Anyway, what is being done now is not general anesthesia in the medical sense. Under the palliative surgery, the patient can still breathe on his own, allowing him to breathe oxygen on his own, which is much less damaging than having a ventilator forcefully blow it in.

After a series of actions, the color of the brain oxygen saturation light screen slowly rose a little, then stopped again. So it's not a blood oxygen problem? If it’s not blood oxygen, what is that? Blood flow?

Grete kept his hands and operated carefully. There are several reasons for hypoperfusion of cerebral blood flow. One is massive bleeding during surgery, which affects hemodynamics——

He glanced at the clean surgical field. The white light of the therapeutic technique flashed continuously, closing every bleeding point. So far, the intraoperative bleeding has been less than 10 ml.

The cause of bleeding has been ruled out for the time being, and there is another reason, which is body posture. Generally speaking, prone positioning will put pressure on the chest and abdomen, affecting the child's respiratory and circulatory system functions.

The simplest point is that the chest is compressed and cannot bulge so easily, and the lungs cannot expand to the maximum. The next step is that the cardiac output is reduced. The heart cannot eject so much blood, and the blood supply to the brain will naturally decrease.

Human brain function is much stronger than that of dogs, and the brain's oxygen demand is high; children have a faster metabolism and a higher brain oxygen uptake rate than adults. Once the two factors are superimposed, the decrease in cerebral oxygen saturation that did not occur in animal experiments appears in the children.

Then, increase his cardiac output and let the heart supply more blood. Increase blood pressure, increase heart rate -

[Inspiration Technique]!

Grete's fingertips emitted a faint light. From head to toe, it lightly brushed the child's body. Immediately, the heart rate on the electrocardiogram light screen rushed from 93 beats/min to 115 beats/min.

The blood pressure increased accordingly, and the light screen of cerebral oxygen saturation rippled slightly, and immediately began to rise steadily. Gretel heaved a sigh of relief, he had the right idea!

However, increased blood pressure means an increased risk of intraoperative bleeding. Gretel took a deep breath and became more careful with his hands:

Back scar removal!

Scoliosis correction can reverse the vertebral body and promote the growth of bone tissue!

Stretch your mental power, pay attention to protecting the spinal cord and spinal nerves, twist when necessary, and cut osteotomy when necessary!

It induces defects and contractures of the trapezius, rhomboids, erector spinae and other muscles, as well as the latissimus dorsi, iliocostalis, quadratus lumborum, etc., and induces the development of thoraco-dorsal fascia, lumbar-dorsal fascia, inter-transverse process ligament...

Sweat rolled down Grete's forehead. To regenerate bones, muscles, fascia, ligaments, and related defective nerves in such a large area, the overall treatment volume is roughly equivalent to one [Regeneration Surgery]——

It is a spell that allows the recipient to regenerate his severed limbs. Replace an arm or leg, or re-grow a broken arm or leg. A 7th level spell can only be completed without any hindrance by a high priest of level 13 or above.

"Gretel, are you okay?"

Serira asked nervously standing opposite. Grete shook his head slightly and said hoarsely under the mask:

"Wipe the sweat."

A cleaning technique flew over and wiped away the sweat on his forehead. At the same time, it also cleaned up the drop that had flowed under his eyebrows and was about to flow into his eyes. Grete smiled at her, silently lowered his gaze, and continued to observe the muscles on the child's back:

Okay, this time it’s not the hand of the mage, it’s the cleansing technique...

Ah, the beautiful nurse lady he longed for would hold gauze in her delicate hands to wipe away the sweat from his forehead; or simply bury her head on the nurse's shoulder and wipe the sweat off his forehead. When would that scene come true?

Probably... should we find some opportunity next time... to hint to Serila?

However, there is one thing to say. To achieve this result, Cerela may need to stand next to him instead of Isuke on the opposite side of the operating table. So, I need to think of a way... um...

"The power consumption is too great. Cerela, help me."

His voice was soft. Cerela's eyes immediately lit up:

"Okay! How can I help you?"

"You are spawning a muscle here... Look clearly at the image I sketched with [Silent Phantom]. The red ones are the muscles, and the white ones are the ligaments and fascia. The muscles are in bundles, and each bundle is wrapped by the muscle membrane. , the outside of the muscle is wrapped by the epimysium...don't be anxious, take your time..."

Take your time, don't rush. As long as energy is supplied, the body will have memory and the muscles will naturally grow into what they should be. You take care of the muscles, and I take care of the blood vessels and nerves. This can save a lot of effort——

"MOSS, use the [Silent Phantom] to project the muscles on your back." He called his loyal tower spirit, his omnipotent assistant, his unlimited data storage library, and his self-evolving AI:

Thankfully, part of the information stored and calculated by MOSS can be copied to the hospital mage tower, which makes his work a lot more convenient. And Gretel was lazy and still called the same name in the hospital.

"Oh, forget it, you should only project the deep muscles." Seeing the muscles stacking up and intertwining with each other, Cerela opposite had an obviously confused look, Gretel quickly changed his words:

"Project onto the patient, pay attention to the starting and ending points. Forget it, let's do it piece by piece - first the interspinous muscles of the lumbar spine, from the spinous process of the first lumbar vertebra to the spinous process of the second lumbar vertebra -"

MOSS, or rather, MOSS No. 2 in the mage tower of the hospital, diligently projected images according to the starting and ending points pointed out by Gretel. With each command and movement, Serila stimulated the growth of muscles, fascia, and ligaments.

All Gretel needs to do is to generate blood vessels and nerves, which are delicate and complicated parts that require precise control and are not too consuming.

Bones are done, muscles are done, fascia is done, skin is done. Grete called to Taling 2, re-photographed and recorded the patient's image, and waved to release the tranquility spell:

"Feel how your body is doing? Hey - don't get up in a hurry!"

The boy named Anduo climbed up quickly. Well, the combination of tranquility and healing is good in this way: immediate relief, immediate awakening, and immediate recovery.

In the previous life, after waking up from anesthesia, the patient would probably have to lie down in a daze for a long time. As for getting up, do you want to get up after such a major operation?

Come on, let's go to the ICU.

Anduo looked down at himself and in the mirror on the wall, then turned around and tried his best to look at his back. Finally, he raised his hands and jumped twice hard——

When he lowered his arms, he was already filled with tears, and he knelt down to Gretel with a plop.

"Hey! Stop it!"

Gretel quickly flew out of the mage's hand and picked him up. Anduo struggled hard for two times, but he couldn't get away from the four high-level mages' hands. He was almost lifted up in the air, so he had to stand still and let Gretel command:

"Stand up straight!"

"Turn around so your side is facing the wall!"

"Stand with your back to the wall! Well, can you stick it?"

"Put your feet together, straighten your knees, bend forward—and go down! Go down! Go down!"

"Stretch back! Bend to the left! Bend to the right! Rotate to the left! Rotate to the right!"

"Take a few steps..."

After a series of inspections, Gretel was finally satisfied. He smiled and patted the young man's shoulder and put some clothes on him:

"Congratulations, the operation was successful. But don't do strenuous exercise first, start with gentle activities..."

The operating room door opens. Immediately, Grete saw a group of children and adults, sitting there with their bodies hunched and leaning on their backs. Seeing Anduo come out, every pair of eyes burst out with bright light:

"Anduo, you're fine!"

"Anduo, have you been cured?"

"Your shoulders are no longer crooked! You no longer have a limp when you walk! I remember that you were still walking with a limp last night!"

This group of patients were collected by the necromancers from their respective circuses, purchased, intimidated, forced, and taken away without explanation. A group of people were trembling, not knowing what the future would be like. They could only huddle on the carriage to ask each other and threaten each other:

Is there a noble person who wants to create a circus of dwarfs to make fun of them?

Or does the Necromancer have some kind of project, to kill these crooked-looking people and piece their bones together into something strange?

Or, is there something strange about the place that only people like them can go in, and they should be captured to explore and find things?

The 11 patients are old and young, male and female. After they were gathered together, they were sent to Oak Grove Hospital. The magician in charge told them that he wanted to cure their hunchback...

However, seven, eight, or ten days have passed, and the mage has not taken action. They were left alone in the dormitory behind the hospital, living and eating for free, feeling uneasy. Several adults were whispering:

"I once saw a master treating a person's hunchback. He sandwiched the person between two door panels and pressed stones on the door panels. When the person was pressed straight, the hunchback was cured..."

"But that means you won't be crushed to death?"

"No, the priest will throw healing spells at the side. Of course, sometimes, one or two will be crushed to death..."

We have been living and eating together for more than half a month. Today, Anduo was called over and told that treatment was about to begin. No one was worried. Who knew that as soon as the operating room door opened, he walked out on his own, looking relaxed, without any pain, and he was really cured!

"Anduo, you are so lucky!"

"You will be a good person from now on! Anduo, what do you want to do in the future?"

The young man was surrounded by everyone. At first he would nod, smile, and respond to questions, but gradually he just felt dazed. When asked what I wanted to do in the future, I was stunned for a while and suddenly burst into tears:

"I'm fine! I'm fine! I can be a soldier, a shop assistant, farm, anything in the future! If I were cured earlier, maybe I wouldn't be sold - wow -"

****

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