Zheng Ren strode into the operating theater.
Song Moxu was fine a second ago, but in the next second, she was showing symptoms of anaphylactic shock.
Skin and mucous membranes were the earliest and most common signs of anaphylactic shock. Copper coin-shaped maculopapules appeared directly, quickly giving people a strange feeling.
However, this time, it was not a localized symptom, but the entire body was flushed.
Song Moxu's skin was flushed, followed by a widespread rash and vascular edema. In just a second, she even had symptoms of systemic edema.
Edema and spasm of the airway and larynx, coupled with catarrhal secretion caused edema and obstruction of the upper respiratory tract.
Song Moxu's airway pressure increased, and airway resistance increased.
At the same time, her lower respiratory tract was edema, and her lung secretion increased, resulting in insufficient gas exchange, insufficient oxygen supply, and decreased blood oxygen saturation.
Song Moxu even showed cyanosis in an instant.
Edema appeared in both the upper and lower respiratory tracts at the same time, and the condition rapidly worsened. If not for the ventilator to assist breathing, Song Moxu probably could not be saved.
Due to capillary infiltration, blood vessels dilated to absolute or relative insufficient blood volume, and reduced blood flow, Song Moxu's blood pressure plummeted to 80/50mmHg.
This was only the beginning. The pressure on her arteries was still dropping rapidly.
Her heart rate soared to more than 120 beats per minute, her pulse was rapid, and her limbs were cyanotic and cold.
All of this was within Zheng Ren's expectations.
He rushed into the operating theater and shouted, "Suck sputum, keep the airway clear!"
The anesthesiologist did not react. Just now, everything was calm and peaceful. Why did all the instruments start to scream in an instant?
Was it a machine malfunction?
Could it be that all the machines were malfunctioning at the same time? These were the most advanced instruments in the world, and they were well maintained.
"Suck sputum!" Zheng Ren kicked the anesthesiologist's thigh.
He did not use force, just violence to wake the anesthesiologist up.
"Oh." The anesthesiologist staggered and immediately realized what he should do.
After all, he was a top anesthesiologist and was well-trained.
In the shortest time possible, he picked up the suction tube and inserted it into the tracheal intubation.
There was a hissing sound, and a large amount of respiratory secretion was sucked out.
Seeing the anesthesiologist move, Zheng Ren ignored him and continued to shout, "Su Yun, raise your head by 15 degrees and lower limbs by 15 degrees."
Su Yun was shocked.
Although he was prepared, he did not expect the anaphylactic shock to come so quickly.
The elevation of the head and lower limbs was something that was easily overlooked during the resuscitation of anaphylactic shock.
Doing so would help the venous return of the brain and lower limbs to increase the pressure difference. It could also prevent the sudden increase of carotid sinus pressure and reflexively cause a drop in blood pressure.
This was a detail that few people paid attention to, but it was extremely important!
"Epinephrine 0.5mg intravenously!"
"Hydrocortisone 100-200 mg intravenously!"
"Epinephrine 0.5mg again, intravenously!"
The anesthesiologist looked at the ECG monitor and subconsciously reminded him, "Doctor Zheng, the ECG monitor has a sine wave pattern. Give him amiodarone. "
He spoke carefully, not daring to provoke Zheng Ren. Even if it was a major emergency rescue, he wanted to respect Zheng Ren's opinion.
Doctor Huo was slammed against the wall and sat there in a daze with her hands on her head.
"It's not ventricular flutter," Zheng Ren said with certainty. "Do a limb electrocardiogram."
It was more advanced compared to the nursing home. The leads were all in the chest area.
The limb conduction electrocardiogram Zheng Ren was talking about was the electrocardiogram that was led by the limbs.
The anesthesiologist was startled.
Shouldn't ventricular fibrillation be treated as soon as possible during emergency resuscitation? Why would he think otherwise?
The continuous, regular, wide, and deformed QRS wave looked so 'ugly'.
It was one of the most dreaded waveforms for circulatory surgeons as it meant that the patient would be difficult to resuscitate.
The QRS wave had a long duration of more than 0.12s. The QRS wave had a sinusoidal upward and downward amplitude, making it difficult to distinguish from a T wave.
All of this proved that Song Shi had ventricular flutter!
Although the QRS wave frequency did not reach 180 beats per minute, the P-wave did not disappear either. However, the wide QRS wave told the anesthesiologist that it was ventricular flutter!
He had to resuscitate the patient.
He really wanted to give Song Shi an intravenous injection of amiodarone immediately, but Doctor Zheng's slap …
It was better to do a limb electrocardiogram.
Even if something bad happened to Song Shi, he had done his duty.
It was Song Shi's fault for not being able to read people properly. The arrogant Doctor Zheng had stubbornly refused his reminder, so whatever happened next had nothing to do with him.
The anesthesiologist quickly connected the limb electrocardiogram, but when the electrocardiogram appeared, he was stunned.
It was not ventricular flutter at all. P-QRS-T
It was clearly visible that the sinusoidal wave pattern was caused by mutual interference between the instruments.
This …
The anesthesiologist looked at the clear P-QRS-T wave and was extremely puzzled.
Under such circumstances, who gave him the courage to make the judgment that it was a machine interference?!
"Pay attention to phlegm aspiration!
"Ansema 100mg intravenous drip, pay attention to low speed.
"1000 mL of 5% glucose, m-hydroxylamine, dopamine …
"Mannitol 250ml rapid drip!
"100,000 units of ulinastatin injection, intravenous drip!"
Zheng Ren gave one medical order after another, one after another.
In the entire operating theater, everyone was whipped by the invisible force of the medical orders, moving frantically.
Zheng Ren stood not far away, his field of vision covering the entire rescue scene. No matter who made a mistake, they would be mercilessly reprimanded.
Su Yun was the only one in the operating theater who ran like the wind without making a single mistake.
Gradually, the sound of the alarm in the operating theater began to weaken.
One by one, the machines returned to normal. Song Moxu's vital signs began to stabilize, his blood pressure slowly rising, and his overall condition gradually improved.
After a full half hour, the operating theater completely quieted down.
Looking at the steady values on the ECG monitor and the various instruments, all the doctors and nurses in the hospital felt as if they had been in a dream.
A nightmare.
However, under the command of this young doctor from a public hospital, the ending was perfect.
Thinking back to the aggressive anaphylactic shock, the medical staff on the scene broke out in a cold sweat.
The obstetrician wanted to apologize, but when she saw Zheng Ren, her heart trembled.
Fortunately, she did not rush up to provoke Doctor Zheng. Otherwise … She believed that in the face of such a major rescue, especially when the patient was Song Shi, Doctor Zheng would not care that she was a woman.
She was afraid that she would also be slapped to the wall.
"Boss, you said to let me take command," Su Yun was very dissatisfied and muttered beside Zheng Ren.
"Some things are too complicated, I'm still a little worried," Zheng Ren said.
"Did you hold back?" Su Yun glanced at Dr. Huo, who was crying in the room next door.
His voice was neither loud nor soft, just like Dr. Huo's, so it was definitely heard.
"I did. If not, he's the one who should be rescued," Zheng Ren said calmly. "Remove the catheter and send the patient back to the ward."
After that, he turned around. "Let's go, Su Yun."
…
…
Yesterday, he had nagged at Boss Zheng. He did not expect everyone to give him so many tips. He was really embarrassed. It was just a small matter. It had been more than half a year, and there were bound to be emotional fluctuations. Tomorrow, he would return to Imperial Capital to continue the surgery and mourn the dying cardiothoracic surgery and cardiopulmonary bypass.
Now that he thought about it, it was very unfair to Su Yun, the rising star of the cardiothoracic surgery department. There was no tomorrow in the cardiothoracic surgery department …
Everything had to be minimally invasive. Thoracic surgery alone did not seem to be enough for an aortic arch replacement.
Bow …
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