Chapter 322 After a sleep, everything is fine
“Huh?”
Zhuang Yan was surprised. Meng Liangren put away the cardboard boxes while pricking up his ears and pretending to be busy. , but carefully collect all information.
“I don’t know the specifics, but Brother Fan said that on the night Professor Luo went there, there was a full-scale shooting in Baltimore City. It was very large, and it didn’t look like a common robbery. Then ...There is another strange thing. Even the Baltimore Bridge collapsed that night. "
"Don't make trouble, Director Yuan," Zhuang Yan said with a smile, "Senior Brother is just a bit better technically. , it’s not Superman who wears his underwear outside, it definitely has nothing to do with the collapse of the Baltimore Bridge.
Besides, I also read the news. The bridge was hit by a Singapore freighter. The captain was Ukrainian and the crew was Indian. "
"That's what I say, but I always feel that it is related. "Yuan Xiaoli seemed to know something, but it was not convenient for him to say it.
Meng Liangren just lowered his head and packed his things quickly, pretending that everything had nothing to do with him.
......
"After Professor Luo came back, I always felt that something was wrong. Lao Liu, did you notice it? ”
the neurosurgeon asked.
"No, I think it's pretty good. I'll join in the rescue when I get back."
"Rescue? A dog? Hahaha." The neurosurgeon laughed.
"We are all cows and horses, and you actually laugh at a dog? He is a meritorious police dog. He was retired after being injured. In the future, I estimate that Professor Luo will adopt him and live a life without worries about food and clothing." Liu Yiyi listened to neurosurgeon He despised Luo Hao's actions and directly attacked him.
"What about you? You can only retire after 65. If you extend it further, you have to be 70. Your eyes are dim and you can't do surgery. Every day you are yelled at by the young director and scolded like your third grandson."< br>
"..." The neurosurgeon was about to refute, but after thinking about it carefully, what Liu Yiyi said did make sense.
“Let’s not talk about retirement. Let’s just talk about the present situation. If you encounter an emergency rescue and the patient has AIDS, you accidentally touch the skin and become infected with AIDS. You have to take the blocking medicine yourself. Buy it. It’s still too late. If it’s not too late, you will become an AIDS patient.”
The neurosurgeon’s face became a little ugly.
“You have to be conscientious as a person. You don’t want to be eaten up and thrown into the garbage.”
“Old Liu, please speak up.” The neurosurgeon smiled widely. It's ugly, "I just said it so casually, you are really an anesthesiologist in Professor Luo's medical team, you can't even make a joke to Professor Luo."
Liu Yiyi sat next to the ventilator, her eyes constantly wandering over the ventilator, monitors and various tubes.
The operation has lasted for 8 hours and is finally coming to an end.
The operation was long, and Liu Yiyi did not relax because of exhaustion. She even drank a bottle of Red Bull to refresh herself.
Generally speaking, doctors are against drinking Red Bull drinks, not because of the amount of taurine or the like in it, but simply because of the name.
Not much better than Wangzai, similar to dragon fruit.
The patient was a 55 kg 11-year-old boy who developed epilepsy and his symptoms continued to worsen. He was admitted to the hospital and planned to undergo resection of the right frontal lobe epilepsy focus.
The patient took valproic acid and levetiracetam on the morning of the operation, but had a fulminant seizure before the operation, and the patient was admitted to the operating room in the pediatric ICU emergency room.
This patient is considered a semi-emergency patient. He caught up with Liu Yiyi's Tai'er and followed him until this time.
Fortunately, the operation is almost over. The patient's vital signs are stable. Although the operation is slow, it is considered a success. Liu Yiyi is already looking forward to getting off work.
Anesthesiologists are really a terrible job. We often hear clinicians complain about being tired, but in fact, it is the anesthesiologists who are the most exhausted.
Natural cows and horses, Liu Yiyi thought to herself.
"Old Liu, you have enough papers. Hurry up and be promoted, hurry up and lead a group of professors."
"That's enough, you have enough scientific research." Liu Yiyi raised her head, proudly He replied, "Professor Luo has prepared everything for me. The provincial self-study will be available by the end of this year, and then we will wait for the review."
The neurosurgeon was envious to the core of his bones. Although he had been promoted to associate professor, But there is also the threshold of chief physician and professor.
He also wanted to hold Luo Hao's thigh like Liu Yiyi.
It's a pity that Luo Hao doesn't do neurosurgery at all, so he has no chance to flatter him.
Even neurosurgeons once considered performing neurointerventional surgeries themselves, so that they could have some interactions with Luo Hao.
What if, Professor Luo showed mercy and had everything, just like Lao Liu.
"Old Liu, you are such a stupid person." The neurosurgeon sighed.
"That's right." Liu Yiyi was not angry because she said she was a fool, she answered with her head held high.
Liu Yiyi knew very well that being able to sneak into Luo Hao's medical team was like smoking from the ancestral graves. Naturally, she had to act well if she got an advantage!
Otherwise, life is like walking at night in brocade clothes, which is very boring.
Looking at the envious eyes of other doctors, Liu Yiyi even enjoyed it.
“Ready to close.”
When closing the dura mater, propofol and remifentanil were stopped, and sevoflurane was used, maintained with 0.5 MAC.
Although Liu Yiyi was showing off, her operation was precise, like a machine.
Integrating man and machine, Liu Yiyi is not only an anesthetist, but also a ventilator, monitor, and micropump.
"Old Wang, the patient's body is a little stiff. Is he suffering from epilepsy?" Liu Yiyi observed the change in the patient's condition.
“It’s okay, turn it off.” Professor Wang Diwang from the Department of Neurosurgery didn’t care.
Liu Yiyi was fine. She was given 2 mg of midazolam and 500 mg of levetiracetam intravenously, and received symptomatic treatment.
Professor Wang Diwang only sutured the dura mater. In order to relieve the pressure of cerebral edema, the skull piece was not returned to its original position.
After the operation, Professor Wang breathed a sigh of relief.
The anesthesia was also stopped, but the ideal situation did not occur when Wang Di finished sewing the last stitch and the patient started to become agitated.
Not to mention agitated, the patient couldn't even breathe on his own.
The moment she saw that the patient was not breathing on her own, white hairs of sweat suddenly appeared on Liu Yiyi's back.
"Lao Liu, come down and have a meal together. Tell me what you have now. If you can help me write a SCI article, I will cover all the dinners for the next year!" Wang Di hadn't realized the problem yet.
"Professor Wang, the patient is not awake." The floral hat Liu Yiyi wore trembled slightly.
“What?!” Wang Di was startled, and the muscles on his face twitched.
"I'll try again." Liu Yiyi gave some more medicine, waited for 10 minutes, and tried to extubate, but the patient still didn't wake up and couldn't breathe on his own.
“Fuck me!” Wang Di was stunned.
One hour after the anesthetic was stopped, the patient still did not resume spontaneous breathing, nor did he respond to oral and tracheal suction. His pupils had normal light reflexes and stared downward.
Liu Yiyi was helpless.
"How did you anesthetize me!" Professor Wang became angry.
The person who just said that he was eating doesn't seem to be him.
Liu Yiyi glared at him and said nothing.
After a day of surgery, everyone was under great pressure, and Liu Yiyi was not as familiar with him.
Shifting the blame after something goes wrong is something Liu Yiyi doesn’t do.
"Old Liu, you are usually very good, but why do you lose control when you play with me?" Wang Di added, confirming that it was Liu Yiyi's fault.
"Professor Wang, now is not the time to pass the blame!" Liu Yiyi was a little angry.
Wang Di endured it and began to think about the next step.
Immediately send to the CT room to determine the reason for delayed recovery after surgery.
CT results showed rightward shift of the midline, diffuse loss of gray and white matter differentiation, and edema of the brain and cerebellum.
Professor Wang Diwang performed another craniotomy and found no clear cause.
"Old Liu, it's none of our business. Look at the surgery area. It's really not my fault."
An hour and a half later, Wang Di said to Liu Yiyi tiredly and anxiously.
Liu Yiyi is taking medicine during her third examination.
She didn't see anything wrong.
It’s strange that the patient doesn’t wake up.
“What should I do, what should I do!” Wang Di began to become manic.
Liu Yiyi glared at Wang Di fiercely, picked up her phone and began to summon Luo Hao.
"Professor Luo, on my side..." Liu Yiyi didn't hesitate for a moment. She originally wanted to call Luo Hao when the patient withdrew the anesthesia and couldn't breathe on his own, but she still endured it.
There is really nothing we can do now, even if we call the director of the anesthesiology department.
"Sister Yiyi, Luo Hao is taking a shower, are you anxious?" Wang Jiani's voice came.
"..." Liu Yiyi sighed.
Looking at the time, Liu Yiyi felt even more guilty.
Everyone is going to bed, so I make a call at this time.
“Who is it?”
“Sister Yiyi.”
“Wait a moment.”
Luo Hao’s voice came, a little muffled and vague The sound of water reached Liu Yiyi's ears.
"I'm sorry, Da Nizi."
"It's okay, it's okay, there must be something urgent on your end."
Soon, Wang Jiani handed the phone to Luo Hao.
“His~~~”
“Professor Luo, what’s wrong?”
"The injuries on my body haven't healed yet, but I have to take a shower. They all stink." Luo Hao smiled heartily, "Tell me, what's the matter."
Hearing Luo Hao's voice, Liu Yiyi's restless heart finally calmed down.
Luo Hao's temperament is like an invisible big hand, invisibly soothing people's hearts and making them feel at ease.
"Oh, that's right." Luo Hao replied calmly after listening.
“Professor Luo, what should I do?”
"The patient was given 1000 mg of phenytoin phosphate intravenously and was sent back to the pediatric ICU. I'll go there now. Don't worry, it's fine."
"Okay."
Faced with Luo Hao's medical advice, Liu Yiyi did not Half doubtful.
Originally, I called Professor Luo Haolo out of desperation. There was nothing to question.
After taking phenytoin sodium 1000mg and sending the child to the pediatric ICU, Liu Yiyi looked sad.
"Lao Liu, please quickly ask your director to check the child's medication. There must be something wrong with your medication." Professor Wang said firmly, "Hurry up. Just now I saw that the parents of the child were not feeling well, and they were already going to stress." I can't stand it anymore."
"Why must it be a problem with medication?"
Luo Hao's voice came from behind, his voice was cold, with a hint of violence and sharpness.
Wang Di was startled.
"Professor Wang from the Department of Neurosurgery, right? Can you tell me what went wrong with Lao Liu's medication, and I will follow suit." Luo Hao asked. "..." Wang Di could hear the gunfire in Luo Hao's plain words.
"Professor Luo, I don't understand, it's just casual..."
"There is nothing casual about medical matters. It's impossible to say anything if you don't understand. You have to be responsible." Luo Hao looked at Professor Wang Diwang seriously.
"..." Wang Di was startled. He did not fight with Luo Hao.
The rumors about the person in front of me are no longer rumors, but facts.
Even the dean dared to criticize him, let alone himself, the leading professor of neurosurgery.
Besides, Luo Hao is a tall man and Wang Di knows that he is protecting his calf. At this time, there is really going to be a dispute. Luo Hao throws the medical record in his face, and Professor Wang doesn't know what to do.
Hiding his face and walking away, Professor Wang did not hesitate at all. No matter how embarrassing it was, it would be better than being beaten up by Luo Hao on the spot.
"Professor Luo..."
"Well, let me take a look, don't worry." After Luo Hao waited for Wang Di to leave, he returned to normal, and his warm and genial temperament changed. It came back like magic.
During the physical examination and the medication used during the operation, Luo Hao pulled up a chair and sat beside the child's bed.
"Professor Luo, what do you think is going on?" Liu Yiyi stood beside Luo Hao and asked softly.
"Propofol infusion syndrome."
"A series of symptoms caused by long-term, high-dose infusion of propofol: such as metabolic acidosis, rhabdomyolysis, high Serum potassium, renal insufficiency, hyperlipidemia, liver damage, arrhythmia, cardiac insufficiency, etc."
"From a pathophysiological perspective, PRIS patients are depleted of carbohydrates and their cells require fatty acids for energy. This process in turn triggers the release of cortisol and epinephrine, which promotes lipolysis and produces ketone bodies for use in the Krebs cycle. ”
Luo Hao began to talk about propofol infusion syndrome in an orderly manner, as if giving a lecture to students.
Liu Yiyi knows about this complication, but it rarely occurs, and the most important thing is that propofol syndrome has no overly certain indications.
As Luo Hao said, many times anesthesiologists will mistakenly think it is drug allergy, shock, MODS, etc.
If it cannot be identified and diagnosed in time, it can easily cause irreversible organ and tissue functional damage.
"I won't tell you any more, go home and read the book by yourself." Luo Hao leaned on the chair, "I'll watch tonight, you can go back. Come early tomorrow morning, the patient will most likely be extubated. . Have a good night’s sleep and everything will be fine.”
After a sleep, everything was fine...
Liu Yiyi was a little confused and her nose was a little sore.
If anyone else had said this, Liu Yiyi would have thought it was perfunctory and comforting; but since it came from Professor Luo, Liu Yiyi was sure that it would be fine.
"Professor Luo, are you angry? I saw that you wanted to slap Professor Wang when you were talking to him." Liu Yiyi asked.
“Of course I’m angry. I heard the patient’s family at the door saying that the anesthesiologist used the wrong medicine and the child couldn’t wake up. The patient’s family knew shit about the anesthetic medicine, it must have been Wang Di That bitch told the patient’s family members in order to deflect blame.”
"!!!"
"It's okay, leave this matter to me." Luo Hao raised his head slightly and looked at Liu Yiyi, "Go back and have a good rest."
"Okay. "Liu Yiyi saw Luo Hao taking out his cell phone and preparing to make a call. She knew that he wanted to report to the medical office, so she informed Feng Zixuan in advance to prevent the situation from getting out of control when the patient's family complained.
"Old Liu."
"Hey."
"Don't argue with Professor Wang, I'm here for you." Luo Hao warned gently.
"Okay." Liu Yiyi felt confused and guilty.
She knew very well that this was what Professor Luo diagnosed - propofol infusion syndrome.
Although as an anesthesiologist, I did not intend to do this, it is a normal complication, but in the final analysis it is still a matter of medication.
Professor Wang Di and Wang made a mistake and got it right.
Otherwise, Professor Luo would have had an attack on the spot.
As for how it happened, what to do, and what the consequences would be, Liu Yiyi didn't know, but she had confidence in Luo Hao.
Confidence comes from daily observation,
Confidence comes from my understanding of Professor Luo,
Confidence comes from the fact that the guy who is not convinced by heaven and earth always talks about Professor Luo. When I mean "hao", I will add "monster".
Chen Yong was not here either, so Liu Yiyi went out alone to eat and roll noodles.
The braised pork is very fragrant, but there seems to be something blocked in Liu Yiyi's throat, and she has to work hard to swallow every bite.
It was really frustrating, and Liu Yiyi felt helpless in her heart.
Professor Wang may be blaming the blame, or he may be envious of himself. In short, he put the blame on himself as soon as the accident happened.
Damn, what a pig teammate!
Liu Yiyi cursed fiercely in her heart.
When this matter is over, I will...
Thinking of this, Liu Yiyi was stunned. What should I do? Or what can Professor Luo do?
Catch Wang Di and beat him up?
Not that bad, and this is suspected of picking quarrels and provoking troubles, which is standard picking quarrels and provoking troubles. It is inevitable to go in and squat for 7-14 days.
Liu Yiyi felt a little aggrieved, but she could be strong when facing Wang Di and patients.
But now she was alone, and that bitch Chen Yong was not here yet, and Liu Yiyi felt even more aggrieved.
After eating a big mouthful of noodles, I felt sad and a tear fell from my heart.
"Eh? Are you crying? Didn't Luo Hao go? What are you worried about?" Chen Yong took off his mask with a playful smile and sat across from Liu Yiyi.
“Aren’t you in Funiu Mountain?”
"I heard that something was wrong with you, so I came back. The world is so big, how can I have a girlfriend?"
Liu Yiyi always felt that Chen Yong was driving.
"Isn't Luo Hao gone? Why are you crying?" Chen Yong asked.
"I didn't cry!" Liu Yiyi denied without hesitation.
"Harm." Chen Yong raised his hands, pressed them on both sides of Liu Yiyi's temples, and wiped her eyes with his index finger.
"The eyelashes are so long and beautiful."
"pei!"
"I praise you." Chen Yong moved his hand away, and a flower appeared between Chen Yong's fingers.
"Given to you, you are as beautiful as the flowers today."
Liu Yiyi's mouth was full of hand-rolled dough, her cheeks puffed up, and she looked at the flowers in Chen Yong's hand in surprise. .
"The hairpins in the world are standing tall, and the flowers are blooming in autumn."
Chen Yong said softly and tied the wildflowers on Liu Yiyi's temples.
"Well, it feels much better to look at it this way. A beautiful flower matches a beauty. The hosta is lightly divided into sweet-scented osmanthus and smoke. Even words like my old Liu's peerless appearance pale in comparison."
Chen Yong With her small mouth and full emotional value, Liu Yiyi was quickly coaxed.
“Where did the flowers come from?”
"They were picked from the mountains. If you want to learn magic, I'll teach you some time." Seeing that Liu Yiyi was well, Chen Yong smiled and raised his hand to rub her cheek, "Which bastard bullied my old Liu? Come with me." Say, I'll ask Luo Hao to fuck him."
"Can you be of some use?"
Liu Yiyi spat.
"If you can close the door and let the dogs out, who will take action yourself? You think so." Chen Yong didn't care at all and laughed, "Forget it, no matter who it is, as long as Luo Hao shows up, he will be dead. ”
“How can you be so sure?”
"This time Luo Hao came back feeling unhappy. His eyes were like a hammer. Everyone looked like a nail. He wanted to hit him twice." Chen Yong explained, "When you meet an unlucky guy, how can you do it without hitting him twice? "
"Trust me, go home and have a good sleep. I'll show you how Luo Hao hits people tomorrow."
"How?" Liu Yiyi was curious.
"I don't know, but don't think that Luo Hao is a good person just because he is pedantic. That bitch has never been associated with a good person. Last time, at Donglian Mine, the director who offended him is still On the side. ”
! ”
"I'm so miserable. I've wanted to come back several times. It's said that Qiu Bo, the director of Donglian Mine, has always refused, so he will probably be crucified in the countryside." Chen Yong shrugged, "The other one was driven to Cuba to open up wasteland. The other one will live or die. I don’t know.”
“…” Liu Yiyi was speechless.
“Did he scold you?”
“No, he just blamed it, saying it was about the use of anesthetic drugs.” The moment Liu Yiyi felt aggrieved, Chen Yong’s warm hand Put it on your cheek.
Liu Yiyi tilted her head and pressed Chen Yong's hand.
"I even told the patient's family."
"Oh, that would be troublesome." Chen Yong knew Luo Hao. He said trouble, but he smiled broadly, "Don't worry, since he is so picky. Yes, Luo Hao will definitely take action tomorrow. The patient may not be discharged tomorrow, but don’t worry.”
“Why are you doing this, Professor Luo?” The anesthetist of the team should go to the medical team leader if something goes wrong. This nonsense can’t be solved. Luo Hao should go fishing with Boss Chai every day.”
……
...
Luo Hao sat at the bedside of the child, staring at the values on the monitor and ventilator, and the medical orders were executed one after another.
The resident manager of the pediatric ICU is not an idiot. How could she talk back to Luo Hao over this matter?
Someone was sitting by the bed taking care of the child, and she was so happy that she even ordered a glass of lemonade from Mixue Bingcheng for Luo Hao.
Luo Hao's luck value is high, he has been observing.
The child's condition was also very stable, with no symptoms such as bradycardia arrhythmia, lactic acidosis, rhabdomyolysis, liver and renal insufficiency, etc. The only obvious symptom was extensive cerebral edema.
In the end, Luo Hao considered that this case might be related to the overdose of propofol.
The essence of propofol infusion syndrome is that propofol causes cellular energy metabolism disorders and insufficient ATP production, which presents different symptoms in different patients or under different conditions.
In patients with neurological diseases whose symptoms are obvious in the brain, propofol infusion syndrome should be considered, propofol should be stopped as early as possible, and carbohydrate nutrients should be supplemented.
After symptomatic treatment, the child was breathing spontaneously at three o'clock in the morning, and at eight o'clock in the morning, the child was taken offline.
The next day, the child can go to the ground, be transferred out of the pediatric ICU, and return to the general neurosurgery ward.
Three days later.
Wang Di was happy after going to work early in the morning.
Today is the weekend and we will go fishing tomorrow!
But when he walked into the ward, he clearly felt that something was wrong with the atmosphere.
Glancing into the doctor's office from the corner of his eye, Wang Di was shocked to see... Luo Hao sitting by the window, talking and laughing with Feng Zixuan.
Luo Hao was followed by a mechanical dog. The dog's eyes were glowing green and it was staring at him.
Gan!
(End of this chapter)