Chapter 851 - Who Is This?
Chapter 851: Who Is This?
Professor Yang Lei from the Department of Hepatobiliary and Pancreatic Surgery was in the outpatient clinic today.
After he learned that the patient had a strange illness right after he was anesthetized on the stage, he left the patient in the outpatient clinic and ran straight up.
At first, he thought that there was a problem with the tracheal intubation after the medication was administered and that the patient could not 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 maintained well.
Yang Lei could not understand what was going on.
No matter what, he had to come and take a look and participate in the rescue.
Leaving the outpatient clinic behind, he directly ran to the operating theater as fast as he could. Because he was out of the outpatient clinic today, he only arranged for a simple operation to be performed by the chief resident.
How could there be a problem with this? He was really f*cking unlucky!
He hurriedly changed his clothes, put on a mask, and ran to the operating theater.
In Professor Yang’s imagination, the operating theater was a mess. People were taking turns to perform chest compressions. There would also someone beside him who was holding a defibrillator and defibrillating intermittently.
However, when he came to the operating theater’s door, he saw a scene that he would never forget for the rest of his life.
The Chief of the Anesthesiology Department, who was usually serious and dignified, squatted on the ground and was looking at the urine bag. The doctors and nurses were busy changing the frozen saline to lower the temperature and inject the medicine.
The person who was directing the rescue was Little Boss Zheng!
‘What was going on?’ Professor Yang was stunned.
With the Chief of the Anesthesiology Department around, why would Boss Zheng take over and direct the rescue?
A doctor from the Anesthesiology Department rushed over and handed the test results to Zheng Ren.
“Sodium bicarbonate, three vials, intravenous injection!” Zheng Ren glanced at it and said immediately.
Professor Yang’s heart trembled a few times when he heard about this extraordinary dosage.
This was a death sentence!
However, the nurses present did not hesitate. They immediately injected three vials of sodium bicarbonate into the injector and began to push the injection.
“Ventilator, increase the amount of hyperventilation!”
“Why hasn’t the report of creatine kinase come back yet? Hurry up and urge the laboratory!” Zheng Ren was very calm. His eyes never left the patient’s ECG monitoring.
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, this was not the end. Without dantrolene, all he could do now was to maintain his vital signs. Moreover, there was a time limit to this maintenance.
Once the patient’s physical condition collapsed, the chain reaction would lead to immediate death. There would be no chance of resuscitation.
Professor Yang’s mouth was dry. Because of his nervousness, his 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 check how much saline there is left. Also, lend me an cooling blanket with ice.”
“…” Professor Yang was stunned, but he did not refuse. He did not even understand the situation. If he was given a mission, he would just accept it! When a life was at stake, even the Chief of the Anesthesiology Department was squatting there to observe the urine volume. What merit did he have now?!
However, he was very confused and did not know what had happened.
“Boss Zheng, what’s the illness?” Professor Yang lowered his voice and asked.
“Malignant high fever,” Zheng Ren said in a deep voice. “Change the ice blanket! How many ice cubes are left?”
!!!
Yang Rui’s heart trembled.
He knew clearly what these words meant. Although he had never encountered a similar patient before, once a malignant hyperthermia appeared, the patient’s death was a high probability.
“We have retrieved dantrolene. The helicopter will arrive in ten minutes!” The Chief of the Anesthesiology Department’s phone rang. After he picked it up, a voice shouted from the other side.
“Hurry up.”
“Inform the ICU to make relevant preparations.” Zheng Ren also heard the news about dantrolene and instructed directly.
Someone went to the ICU to inform them to make preparations.
The ventilator and other things were still secondary because these were standard ICU equipment. The difference was that there had to be a large amount of frozen saline and related rescue drugs. These had to be notified in advance.
Although the situation did not improve, there was no deterioration either.
The P wave that disappeared from the patient’s ECG monitoring had reappeared. Under the hyperventilation of the ventilator, the high end-of-breath carbon dioxide content also improved.
The body spasmed and convulsed. The wooden board-like situation did not change, but Zheng Ren did not have high requirements. He maintained his vital signs first, and everything had to wait for dantrolene.
Ten minutes later, a doctor in a dark green quick-rescue suit rushed in barefooted, wearing a surgical gown. He did not even have time to put on his shoes. He took off his shoes and rushed in.
He held dantrolene, holding the hope of saving his life.
“Inject a hundred milligrams of dantrolene intravenously!” Zheng Ren looked at the unfamiliar box, which had writing in English, and calmly instructed.
A nurse took the box of dantrolene and began to prepare the intravenous injection.
“Is the dosage enough?” Zheng Ren asked.
“Yes!”
“After the intravenous injection, ten milligrams per kilo per hour, the micro-pump will continue to pump in.” Zheng Ren’s heart was finally relieved.
Zheng Ren was very glad.
The incident happened suddenly, but the chief anesthesiologist called in time. He did not even call for an ambulance, but directly called a helicopter.
A helicopter rescue cost between 30,000 to 50,000 yuan per 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.
They were already lucky to have dantrolene. The drug’s effectivity period was only one year, and it had to be imported. Within a year, with the number of surgeries in the Imperial Capital, there was less than one patient who had a high possibility of developing malignant fever.
If not for the similar research conducted by the Concorde’s Anesthesiology Department, the patient would have died.
Even if the distance was a little longer and the time taken for dantrolene to arrive was more than 12 hours, the patient would not be able to fully exert the muscle relaxation function due to insufficient blood flow to the skeletal muscle after circulatory failure.
In that case, although there was still hope, the patient’s chances of survival would be reduced from 90% to around 50%. There would be countless changes.
Dantrolene was injected intravenously. A few minutes later, the patient’s muscle stiffness were obviously alleviated.
“ICU notification. Their side is ready!” a nurse ran over and said loudly.
“Push the bed. Follow the anesthesiologist. Pay attention to the volume of 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 coming over, he wanted to make way.
However, his legs were already numb. Before he could stand up, he sat down on the ground.
Zheng Ren hurriedly pulled him up and slowly walked to the side.
There were enough people. Zheng Ren did not need to help transport the patient. The patient was carried onto the stretcher trolley. The anesthesiologist sat beside the patient and curled up his body… Zheng Ren suddenly thought of Chu Yanran.
He really missed Sea City.
“You are…” the chief anesthesiologist asked, breaking Zheng Ren’s reverie.