Chapter 850 Who Are You (Leader Cws6682 Plus 2)

Professor Yang Rui Yang from the Department of Hepatobiliary Surgery went out to the clinic today.

After he learned that the patient suffered a strange disease just after anesthesia on the stage, he left the outpatient and ran up directly.

At first he thought it was due to a problem with the endotracheal intubation after the drug was administered, and he could not be mechanically ventilated, which caused the patient to appear on the stage.

However, the general hospital report said that the endotracheal intubation had been completed and the ventilator maintained good ventilation.

Yang Rui couldn't figure it out now.

But no matter what, you have to take a look and participate in the rescue.

Leaving the outpatient clinic alone, he ran directly to the operating room as fast as he could. Because he was out of the clinic today, he only arranged for a simple operation to be performed by the inpatient.

Can this also go wrong? How unlucky!

He hurriedly changed his clothes, fastened his mask, and ran to the operating room.

In Professor Yang's imagination, the operating room should be a mess, with several people taking turns doing chest compressions, and someone next to him holding a defibrillator, defibrillating intermittently.

But when he came outside the door of the operating room, he saw a scene that he would never forget for the rest of his life.

Usually unsmiling, the majestic director of the Department of Anesthesiology squatted on the ground, looking at the urine bag. The doctors and nurses were busy and unhurried, changing the ice salt water for physical cooling and injecting drugs.

And the one who directed the rescue was—Boss Xiao Zheng!

What type of situation is this? Professor Yang was stunned.

With the director of the Anesthesiology University here, how could Boss Zheng take over and direct the rescue?

A doctor from the anesthesiology department rushed over and handed over the test sheet to Zheng Ren.

"Sodium bicarbonate, 3 vials, intravenous injection!" Zheng Ren glanced at it and said immediately.

As soon as this unconventional dose was mentioned, Professor Yang's heart trembled a few times.

This is fatal!

But the nurse present did not hesitate, and directly injected three glass ampoules of sodium bicarbonate into the syringe, and began to inject.

"Ventilator, more hyperventilation volume!"

"Why hasn't the creatine kinase return come yet? Hurry up and urge the laboratory department!" Zheng Ren was very calm, keeping his eyes on the patient's ECG monitor.

After the injection of drugs and physical cooling, the patient's vital signs were maintained.

The body temperature dropped from 41.2 degrees Celsius to 38.5 degrees Celsius.

However, all this is not over. Without dantrolene, all that is done now is to maintain vital signs, and this maintenance is time-limited.

Once the patient's physical condition collapses, the chain reaction will lead to immediate death, the kind that has no chance of rescue.

Professor Yang's mouth was dry, because of nervousness, the glands could no longer secrete saliva.

He came to Zheng Ren's side and asked in a low voice, "Boss Zheng, why are you here?"

"Brother Yang, you're here." Zheng Ren said, "Help me see how much ice and salt water is left. Also, borrow another ice blanket."

"..." Professor Yang was stunned, but he didn't refuse. He didn't even understand the situation, so he just continued with the task. When life and death are at stake, even the director of the anesthesiology department is squatting there to observe the urine output, so what do you have? !

But he was puzzled and didn't know what happened.

"Boss Zheng, what's wrong?" Professor Yang asked in a low voice.

"Vicious hyperthermia." Zheng Ren said in a deep voice, "Change the ice blanket! How many ice cubes are there?"

"!!!" Yang Rui's heart trembled.

He is clear about what these four words mean. Although I haven't really encountered a similar patient, once malignant hyperthermia occurs, the patient's death is a high probability.

"Dantrolene has been taken, and the helicopter will arrive in ten minutes!" The director of the Department of Anesthesiology's phone rang, and after he connected, a voice shouted from the other side.

"hurry up."

"Notify the ICU and make relevant preparations." Zheng Ren also heard the news about Danqu Lorraine, and said directly.

Someone went to the ICU to ventilate and tell that side to get ready.

Ventilators and everything are still secondary, because these are standard equipment in the intensive care unit. The difference is that there must be a large amount of ice saline and related rescue drugs, and these must be notified in advance.

Things aren't getting better, but they aren't getting any worse either.

The P wave that disappeared on the patient's ECG monitoring also appeared, and the high end-tidal carbon dioxide content was also improved under the hyperventilation of the ventilator.

The body spasms, twitches, and the plank-like situation has not changed, but Zheng Ren is not demanding, and the vital signs are maintained first, and everything has to wait for dantrolene.

Ten minutes later, a doctor wearing a dark green emergency rescue suit and surgical gown rushed in barefoot. He didn't even have time to put on the shoe covers, he just took off his shoes and broke in.

He held Dantrolene in his hand, holding the hope of saving his life.

"Intravenous injection of 100mg dantrolene!" Zheng Ren said calmly, looking at the unfamiliar box, which was all in English.

A nurse took the box of dantrolene and began to prepare the intravenous injection.

"Is the dose enough?" Zheng Ren asked.

"enough!"

"After the intravenous injection, 10mg/KG/h, the micropump continuously pumps in." Zheng Ren's heart finally relaxed.

Zheng Ren was very happy.

The incident happened suddenly, but the director of the anesthesiology department called in time, and he didn't even find the 120 ambulance, but directly called the helicopter.

Helicopter rescue costs 30,000 to 50,000 per hour, and a box of Dantrolene is more than 20,000. The cost of this rescue is really high.

But in the face of life and emergency rescue, no one cares about the cost.

With Dantrolene, it is already a blessing. The validity period of this medicine is only one year, and it has to be imported. And within a year, with the amount of surgeries performed in the imperial capital, there was even less than one patient with the possibility of malignant hyperthermia.

If it weren't for similar research conducted by the Union Anesthesiology Department, the patient would have died.

Even, if the journey is a bit farther, the arrival time of dantrolene is delayed to more than 12 hours, and the patient will not be able to reach the site of action due to circulatory failure and insufficient blood perfusion of the skeletal muscle to fully exert the muscle. loose effect.

In that case, although it is still possible to be saved, the hope of the patient's survival will drop from 90% to about 50%, and there will be countless changes.

After a few minutes of intravenous injection of dantrolene, the patient's muscle stiffness was significantly relieved.

"ICU notification, that side is ready!" A nurse ran over and said loudly.

"Push the bed, the anesthetist will follow, pay attention to the volume of air bag ventilation must be large!" Zheng Ren said.

The director of the anesthesiology department has been squatting by the side to observe the urine output, and when he sees a flat car pushing over, he wants to get out of the way.

But his legs were already numb, he didn't stand up, and sat down on the ground.

Zheng Ren quickly pulled him up and slowly walked aside.

There are enough people, and Zheng Ren is not needed to help carry the patient. The patient on that side was lifted onto the flat car, and the anesthesiologist sat beside the patient, curled up... Zheng Ren suddenly thought of Chu Yanran.

I miss Haicheng so much.

"Are you..." the director of the anesthesiology department asked, breaking Zheng Ren's memory.