Chapter 86 The mortality rate is as high as 75%
Anesthesiologist Lu Shengwen didn't know what to do. After all, it was still unclear which link had the problem.
What causes sudden increases in heart rate and arterial blood carbon dioxide tension? What is the cause of sudden masseter muscle tension?
Is it an allergy to anesthetic drugs?
Or is the amount of anesthetic entering the blood circulation exceeding the rate of decomposition, causing an increase in blood concentration and a drug poisoning reaction?
Or is it because anesthetic drugs inhibit nerve conduction and damage the nerves?
Or is it because Articaine Adrenaline Injection contains a certain amount of epinephrine, causing patients to experience adrenaline reactions such as accelerated heartbeat and increased blood pressure after use?
Seeing one of the two doctors in a daze and the other retreating, Nurse Zhao secretly sighed in her heart. He was a man who was useless at the critical moment.
At this time, the nurse's experience came out. Seeing that the patient had begun to tremble, Zhao Ping immediately touched the patient with her own hands, and was surprised to find that the patient was very hot.
So he immediately took out the thermometer and took a test, shouting hurriedly:
"Lu Shengwen, the patient's temperature has risen now, reaching 38.3°C."
Lu Shengwen quickly opened the patient's medical record and found that the body temperature measured before the operation was only 36.5°C. In less than 10 minutes, the body temperature had risen by more than one degree.
"It's over, it's over, it's over~~~"
Lu Shengwen was sweating all of a sudden. At this time, he had already initially judged the reason. The strong anxiety and uneasiness made him repeat it over and over again like a repeater.
Doctor Qi and Nurse Zhao were also anxious: "Lu Shengwen, what's going on?"
As soon as he finished speaking, something unexpected happened again.
The patient's face suddenly turned black, his teeth clenched, and then his whole body began to twitch. All kinds of alarm sounds came out during the monitoring meeting, indicating that all the patient's vital signs had deteriorated instantly.
Nurse Zhao worriedly changed her ear and took her temperature again, then screamed:
"Quick, quick, quick~~The body temperature has risen to 39.5℃~~~It's killing me!!!"
The surgeon, Dr. Qi, knew that he could no longer retreat at this time. Even if the patient died, he would still be unable to eat and carry around. After all, he was the one who theoretically admitted the patient.
"Rescue, rescue quickly, Lu Shengwen, you bastard, tell me what caused the patient's febrile convulsion? Otherwise, how can we rescue him?"
"Maybe, it may be malignant hyperthermia caused by anesthetic drugs..."
Lu Shengwen also woke up at this time: "Hurry, stop all anesthetic drugs, inhale oxygen immediately, put on ice packs and ice caps, I'll call, I'll call and shake people!"
The operating room on No. 12 was already in chaos.
When the doctors in other operating rooms nearby heard the noise, they all knew that an emergency had occurred here, so those who had nothing to do rushed over to help.
Xu Huanghui, female, 51 years old, director of the anesthesiology department of Huadu No. 1 Hospital.
At this time, she was participating in the hospital's executive meeting, where the director was spitting on how to develop and work hard.
Xu Huanghui yawned slightly, quickly lowered her head and started to pretend to record it carefully in her notebook. In fact, she had been drawing circles in the notebook.
At this time, the mobile phone placed on the table suddenly vibrated. Xu Huanghui saw that her subordinate Lu Shengwen was displayed, so she hung up without thinking.
Unexpectedly, just after hanging up, Lu Shengwen immediately received a second call.
Xu Huanghui continued to hang up unhappily, and she was still complaining that there was something wrong with Xiao Lu. If she hung up, something must be wrong, and she would not be beaten again soon.
Just after hanging up, Lu Shengwen's third call came in. By this time, Xu Huanghui had already realized that there was a problem. Otherwise, a subordinate with a normal mind would not bother the leader again and again.
Dean Ding, who was sitting at the top, had also noticed something strange about Xu Huanghui. Even if his phone was muted, the vibration was still quite loud when it was placed on the table.
As a hospital leader, I naturally know that some calls must be answered, so I smiled and said:
"Director Xu, pick it up. We'll wait for you for a while and have a sip of tea."
Xu Huanghui was a little embarrassed. She quickly stood up and apologized to everyone, then covered her mouth with her hands and answered the phone: "What's the matter?"
"Director Xu, come quickly, come to the operating room. I met a patient with suspected malignant high fever. His body temperature soared 2 minutes after the anesthetic was injected. Now he has thermal shock and the patient has lost consciousness."
As soon as Lu Shengwen answered the phone, his voice was already trembling.
When Xu Huanghui heard this, she stood up in shock: "What? Malignant hyperthermia?"
Because he stood up too much, he bumped into his notebook and knocked over his tea cup. The other directors nearby quickly helped wipe away the water.
Sitting in the conference room were all directors of various departments in the hospital. When everyone heard that it was high fever or febrile convulsions, many directors of auxiliary departments actually disagreed.
I thought that anesthetists are rare and strange. How could they be so frightened by a heat shock? Wouldn't it be better to take a sedative?
Vice President He Boliang, who was sitting at the deputy head, was from the anesthesiology department. When he heard the words malignant hyperthermia, he was so nervous that his whole body trembled and he immediately said in a hurry:
"Director Xu, you go back immediately to organize the rescue! Also, Director Jin from the General Surgery Department will also go. We must save the patient's life, the sooner the better."
Xu Huanghui and Jin Limin nodded, immediately stood up with pale faces, and hurried towards the door.
Everyone in the conference room was talking about this unexpected situation, and then Vice President He explained to the dean and everyone:
"Malignant hyperthermia in the anesthesiology department and febrile convulsions in the internal medicine and pediatrics departments are two different concepts. Fever is simple, but hyperthermia can lead to death.
Malignant hyperthermia is the only known hereditary disease that can cause perioperative death due to conventional anesthetic drugs. It is a relatively rare familial hereditary subclinical myopathy. It is an abnormal hypermetabolic state of skeletal muscles triggered by drugs. Very critical.
The mortality rate of febrile convulsions as you mentioned does not exceed 5%, but if it is malignant hyperthermia as described by the anesthesiology department, the mortality rate reaches about 75%. This is under the premise of all-out rescue, so this disease is very rare. , very dangerous and very tricky. ”
Specialization is implemented in large hospitals, and departments are separated by mountains. Especially some rare disease clinicians in the anesthesiology department may not necessarily understand them.
After Vice President He explained this, everyone realized why Director Xu Huanghui had lost her composure after receiving the phone call just now.
Nowadays, if a patient dies in the hospital, it goes without saying that according to the current medical environment, it is impossible for the family members not to make a fuss.
The final outcome is a lose-lose situation. The family members lose their loved ones, and the hospital not only loses money, but also loses its reputation.
Dean Ding became anxious upon hearing this:
"My dear, the mortality rate is 75%. No, we must rescue this patient. Now the meeting is terminated. Vice President He, you immediately take the directors of the emergency department, neurology department, infectious disease department, and intensive care department. Help.”
Several department heads who were named also stood up quickly...
(End of chapter)