Professor Yang Rui from the Department of Hepatobiliary and Pancreatic Surgery went out to the clinic today.
When he got the news that the patient suddenly fell ill after the anesthesia, he left the patient in the outpatient clinic and ran straight up.
At first, he thought that after the medication was administered, there was a problem with the tracheal intubation, causing the patient to be unable to be mechanically ventilated, resulting in the patient's condition on the stage.
However, the chief resident reported that the tracheal intubation had been completed, and the ventilator was maintaining good ventilation.
Yang Lei couldn't understand.
But no matter what, he had to come and take a look and participate in the rescue.
He left the clinic and ran to the operating theater as fast as he could. Since he was out of the clinic today, only a simple surgery was arranged to be performed by the chief resident.
How could there be a problem with that? How f * cking unlucky!
He hurriedly changed his clothes and ran to the operating theater while putting on his mask.
In Professor Yang's imagination, the operating room should be a mess. A few people would take turns doing chest compressions, and there would be someone holding a defibrillator next to them, doing intermittent defibrillation.
However, when he arrived outside the operating room, he saw a scene that he would never forget for the rest of his life.
The department director of the Department of Anesthesiology, who was usually stern and stern, squatted on the ground and looked at the urine bag. The doctors and nurses were busy but not in a mess as they changed the iced saline to lower the temperature and injected the medicine.
And the person in charge of the rescue was — Little Zheng!
What was going on? Professor Yang was dumbfounded.
With the Chief of the Anesthesiology Department around, how could Boss Zheng take over and direct the resuscitation?
An anesthesiologist rushed over and handed him the test results.
"Sodium bicarbonate, three tubes, intravenous injection!" Zheng Ren took a look and said.
Professor Yang's heart trembled a few times when this extraordinary dosage was mentioned.
This was fatal!
However, the nurses present did not hesitate. They directly injected three glass bottles of sodium bicarbonate into the syringes and began to inject.
"Ventilator, increase the volume of hyperventilation!"
"Why isn't the report from creatine kinase here yet? Hurry up and urge the laboratory department! "Zheng Ren was very calm, his eyes never leaving the patient's ECG monitor.
The patient's vital signs were stabilized after the injection of medication and physical cooling.
His body temperature dropped from 41.2 degrees Celsius to 38.5 degrees Celsius.
However, this was not the end. Without dantrolene, all he was doing now was to maintain his vital signs, and there was a time limit to this maintenance.
Once the patient's physical condition collapsed, the chain reaction would lead to immediate death, and there would be no chance of resuscitation.
Professor Yang's mouth was dry. Because he was nervous, his glands could no longer secrete saliva.
He approached Zheng Ren and asked in a low voice, "Boss Zheng, why are you here?"
"Brother Yang, you're here," Zheng Ren said. "Help me check how much iced salt water is left. Also, lend me an ice blanket. "
"…" Professor Yang was stunned, but he didn't reject it. He didn't even understand the situation, so he accepted the mission. In times of life and death, even the director of the Department of Anesthesiology was squatting there to observe the urine output. What was there for him?!
However, he was very confused and did not know what was going on.
"Boss Zheng, what's wrong?" Professor Yang asked in a low voice.
"Malignant high fever," Zheng Ren said in a deep voice. "Change the ice blanket! How many ice cubes do you have left? "
"!!!" Yang Lei's heart trembled.
He knew very well what these four words meant. Although he had never really encountered a similar patient, once a malignant high fever appeared, the patient had a high probability of dying.
"Dantrolene has been obtained. The helicopter will arrive in ten minutes!" The phone of the director of the anesthesiology department rang. After he picked it up, a voice shouted from the other side.
"Hurry up."
"Inform the ICU to make the relevant preparations," Zheng Ren also heard the news of dantrolene and said very directly.
Someone went to inform the ICU and told them to make preparations.
The ventilator and the rest were still secondary because these were all standard equipment in the intensive care unit. The difference was that there had to be a large amount of iced salt water and related rescue drugs. These had to be notified in advance.
Although the situation did not improve, it did not worsen either.
The P wave that had disappeared from the patient's ECG monitoring also appeared. Under the hyperventilation of the ventilator, the high carbon dioxide content at the end of the breath was also improved.
The body spasmed and twitched. The situation of the wooden plank did not change, but Zheng Ren's requirements were not high. He first maintained the vital signs and waited for dantrolene.
Ten minutes later, a doctor in a dark-green emergency rescue suit rushed in barefoot with a surgical gown draped over his shoulders. He did not even have time to put on his shoe covers. He took off his shoes and barged in.
He was holding dantrolene in his hand, holding the hope of saving his life.
"Intravenous injection of 100 mg of dantrolene!" Zheng Ren looked at the unfamiliar box. It was all in English and said calmly.
A nurse took the box of dantrolene and began to prepare the intravenous injection.
"Is the amount of medicine enough?" Zheng Ren asked.
"Enough!"
"After the intravenous injection, 10 mg/kg/h, continue to pump in with a micro-pump." Zheng Ren's heart finally relaxed.
Zheng Ren was very glad.
The incident was sudden, but the chief anesthesiologist called in time. He did not even look for an ambulance but directly called a helicopter.
A helicopter rescue cost 30,000 to 50,000 yuan an hour, and a box of dantrolene cost more than 20,000 yuan. The cost of this rescue was really high.
However, in the face of life and emergency treatment, no one cared about the cost.
It was already very lucky to have dantrolene. The validity of this medicine was only one year, and it had to be imported. Within a year, with the number of surgeries in the Imperial Capital, there was not even one case of a patient with the possibility of malignant high fever.
If it were not for the Concorde Anesthesiology Department doing similar research, the patient would have died.
In fact, if the journey was a little further and dantrolene took more than 12 hours to arrive, the patient would also be unable to reach the site of action due to insufficient blood flow in the skeletal muscles after circulatory failure and thus unable to fully exert the muscle relaxation effect.
In that case, although the patient could still be saved, the patient's chances of survival would drop from 90% to about 50%. There would be countless changes.
A few minutes after the dantrolene was injected into the vein, the patient's muscle stiffness was obviously relieved.
"ICU notification. The other side is ready!" a nurse ran over and said loudly.
"Push the bed. The anesthesiologist will follow. Pay attention to the volume of the airbag ventilation!" Zheng Ren said.
The chief anesthesiologist had been squatting by the side to observe the urine volume. When he saw a stretcher trolley being pushed over, he wanted to make way.
However, his legs were already numb. He did not stand up and fell to the ground.
Zheng Ren quickly pulled him up and slowly walked to the side.
There were enough people. There was no need for Zheng Ren to help carry the patient. The patient was carried onto the stretcher trolley. The anesthesiologist sat beside the patient, his body curled up … Zheng Ren suddenly thought of Chu Yanran.
He missed Sea City so much.
"You are …" the chief anesthesiologist asked, breaking Zheng Ren's memories.
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