Professor Yang Ruiyang from the Department of Hepatobiliary Surgery is out for outpatient service today.
After he learned that the patient suddenly fell into a strange illness just after being anesthetized on the stage, he left the patients in the outpatient clinic and ran directly up.
At first, he thought that there was a problem with the tracheal intubation after the administration of the drug, making it impossible to ventilate mechanically, causing the patient to appear on the stage.
However, the hospitalization report stated that tracheal intubation had been completed and the ventilator was maintaining good ventilation.
Yang Rui couldn't understand now.
But no matter what, you have to come and take a look and participate in the rescue.
Leaving the outpatient clinic alone, he ran directly to the operating room as quickly as possible. Because he was out of the clinic today, only simple surgeries were arranged for the inpatient to perform.
Could this also be a problem? What a bad luck!
I hurriedly changed my clothes, put on my mask, and ran to the surgery room.
In Professor Yang's imagination, the operating room should be a mess, with several people taking turns performing chest heart compressions, and someone holding a defibrillator nearby for intermittent defibrillation.
But when he came outside the operating room, he saw a scene that he would never forget.
The usually serious and dignified director of the Department of Anesthesiology squatted on the ground and looked at the urine bag. Doctors and nurses were busy replacing iced salt water, performing physical cooling, and injecting drugs.
The person directing the rescue was Boss Xiao Zheng!
What type of situation is this? Professor Yang was stunned for a moment.
With the director of the University of Anesthesiology here, how could Boss Zheng take over and direct the rescue
A doctor from the anesthesiology department rushed over and handed the test sheet to Zheng Ren.
"Sodium bicarbonate, 3 tubes, intravenous injection!" Zheng Ren glanced at it and said immediately.
As soon as this unconventional dosage was mentioned, Professor Yang's heart trembled several times.
This is fatal!
However, the nurse present did not hesitate and directly injected three glass ampoules of sodium bicarbonate into the syringe and began to inject.
"Ventilator, increase the amount of hyperventilation!"
"Why haven't the rewards from creatine kinase come yet? Hurry up and hurry up and urge the laboratory!" Zheng Ren was very calm and kept his eyes on the patient's ECG monitoring.
After injecting drugs and physical cooling, the patient's vital signs were maintained.
The body temperature also dropped from 41.2 degrees Celsius to 38.5 degrees Celsius.
However, this is not over yet. Without dantrolene, all that is being done now is maintaining vital signs, and that maintenance is time-limited.
Once the patient's physical condition collapses, the chain reaction will lead to direct death without any chance of rescue.
Professor Yang's mouth was dry because his glands were unable to secrete saliva due to nervousness.
He came to Zheng Ren 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 salt water there is. Also, borrow an ice blanket with ice."
"..." Professor Yang was stunned, but he did not refuse. He didn't even understand the situation, so he just continued with the task. When life and death were at stake, even the director of the Department of Anesthesiology was squatting there to observe the urine output. What did he have more of? !
But he was confused and didn't know what was going on.
"Boss Zheng, what's wrong with you?" Professor Yang asked in a low voice.
"Malignant hyperthermia." Zheng Ren said in a deep voice: "Change the ice blanket! How many ice cubes are left?"
"!!!" Yang Rui's heart trembled.
He knew what these four words meant. Although I have never encountered a similar patient, once malignant hyperthermia occurs, the patient's death is highly likely.
"Dantrolene has been obtained. The helicopter will arrive in ten minutes!" The director of the Department of Anesthesiology's phone rang. After he answered the call, a voice on the other side shouted.
"hurry up."
"Notify the ICU and make relevant preparations." Zheng Ren also heard the news about Danqu Luolin and said directly.
Someone went to ventilate the ICU and tell them to get ready.
Ventilators and other things are still secondary, because these are standard equipment in the intensive care unit. The difference is that there is a large amount of ice saline and related rescue drugs, which must be notified in advance.
Although the situation is not getting better, it is not 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 under ventilator hyperventilation was also improved.
His body was spasming and twitching, and his board-like condition had not changed. However, Zheng Ren was not too demanding. He maintained his vital signs first, and everything had to wait for Dantrolene.
Ten minutes later, a doctor wearing a dark green emergency rescue suit rushed in barefoot and covered with a surgical gown. He didn't even have time to put on shoe covers, he just took off his shoes and barged in.
He held Dantrolene in his hand and the hope of saving his life.
"Intravenous injection of 100 mg dantrolene!" Zheng Ren looked at the unfamiliar box, which was all in English, and said calmly.
A nurse took the box of dantrolene and began to prepare the intravenous injection.
"Is the medicine enough?" Zheng Ren asked.
"enough!"
"After intravenous injection, 10mg/kg/h, the micropump continued to pump in." Zheng Ren finally felt relieved.
Zheng Ren was very happy.
The incident happened suddenly, but the director of the anesthesiology department made the call in time. He did not even call the 120 ambulance, but directly called the helicopter.
A helicopter rescue costs 30,000 to 50,000 yuan an hour, and a box of dantrolene costs more than 20,000 yuan. The cost of this rescue is really high.
But in the face of life and emergency rescue, no one cares about cost.
I am lucky enough to have Dantrolene. This medicine is only valid for one year and has to be imported. Within a year, based on the volume of surgeries in Imperial City, there were less than one patient with the possibility of malignant hyperthermia.
If the Department of Anesthesiology of Union Medical College had not conducted similar research, the patient would have died.
Even if the journey is longer and the arrival time of dantrolene is delayed to more than 12 hours, the patient will be unable to reach the site of action due to insufficient blood perfusion in the skeletal muscles due to circulatory failure. Loosening effect.
In that case, although it is still possible to save the patient, the patient's hope of survival drops from 90% to about 50%, and countless changes will occur.
After intravenous injection of dantrolene, the patient's muscle stiffness was significantly relieved within a few minutes.
"ICU notice, that side is ready!" A nurse ran over and said loudly.
"Turning the bed, the anesthesiologist will follow, and the amount of air bag ventilation must be large!" Zheng Ren said.
The director of the anesthesiology department had been squatting nearby to observe the urine output. When he saw a flat cart pushing towards him, he wanted to get out of the way.
But his legs were already numb, and he sat down on the ground instead of standing up.
Zheng Ren quickly pulled him up and slowly walked aside.
There are enough manpower, so Zheng Ren doesn't need help to carry the patient. The patient was carried onto the flat car, and the anesthesiologist sat next to 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.