Chapter 87 The whole hospital organizes a major rescue

Outside the operating room.

Jiang Meilan and her husband Sun Shu were looking nervously at the big screen, where their son's procedure was always displayed as "under anesthesia."

Jiang Meilan is a little worried:

"How come your son didn't even move during the operation? I see that other patients next to me have changed from anesthesia to surgery. You see, this patient entered the operating room later than our son and has already been operated on."

Sun Shu didn't take it seriously, looked at the big screen and said:

"You don't understand this. The reason this patient was able to jump in line must be because he gave the doctor a red envelope. This is an emergency surgery, and we don't know who the surgeon is, and we didn't give him a red envelope. Of course, our son was placed at the back of the queue. ”

Jiang Meilan agreed when she heard it. It was said that whether or not a surgeon stuffed a red envelope was a completely different treatment, so she convinced herself in her heart.

Just when she was thinking wildly, several doctors suddenly rushed out of the elevator. Judging by their age, they were all experts.

I saw these doctors rushing to the door of the operating room with livid faces, taking off their white coats as they walked.

As soon as they arrived at the door, the electric door of the operating room opened, and several doctors came out, holding surgical gowns in their hands to help them change into them.

Then the door of the operating room was closed, leaving a group of patients' family members looking at each other outside the waiting area of the operating room.

At this time, someone asked: "What, what's going on? Why did so many experts suddenly come in?..."

"You guys don't understand, right? At first glance, a patient in the operating room had an accident, and the surgeon was shocked..."

"Yes, yes, and it must be very urgent. I walked and changed my clothes without seeing a doctor. Obviously I had to race against time, and I couldn't waste a moment..."

"Oh, it must not be my dad's fault. Bodhisattva bless you..."

The patient's family members began to talk about it, and Jiang Meilan became nervous again. She almost cried when she thought of her son's strange procedure:

"Can't he be my son? My poor Xiao Ming~~~"

Sun Shu is also a little irritable, but he doesn’t want to show it in front of his wife:

"Don't be anxious, don't be anxious. Xiao Ming just has a small case of appendicitis. What big thing can happen? There are so many major surgeries in this operating room, but it's not our turn."

Just as the patients were talking about it, the elevator door opened again.

An elderly doctor walked at the front, followed by an even larger army. There was also a doctor at the front who was clearing the way:

"Come on, everyone, make way, make way~~~"

As this second group of doctors passed by in a hurry, the family members started talking louder.

"Why are there more and more people? It seems like something big happened in the operating room..."

"Let me tell you, the person who just came here is the director of this hospital, his surname is He, and behind him are experts and professors from the first hospital, very high-level people..."

"I don't know whose patient has an accident. Oh, I'm really anxious..."

Patients outside are anxious, but doctors in the operating room are even more anxious.

As Xu Huanghui walked, she changed into surgical clothes. At the same time, she didn't forget to ask about the surgical process, and her steps were almost as fast as her feet.

There are a total of 30 operating rooms in the surgery area of Huadu No. 1 Hospital. They are lined up in a long row. The distance that used to be short seemed to be extremely long today.

Lu Shengwen trotted to keep up with Director Xu while reporting on his condition:

"This is the process. Less than 2 minutes after the anesthesia was administered, I already found trismus and masseter muscle tension during tracheal intubation. Then my heart rate rose rapidly, then my body temperature rose rapidly, and finally convulsions occurred..."

Director Xu gritted his teeth, brushed his teeth, took the medical record and read it:

"Have you interviewed the patient before the operation? Have you carefully inquired about the relevant medical history, paying special attention to whether there is any personal and family history of myopathy, high fever after anesthesia, etc."

Lu Shengwen blushed, but did not dare to lie: "Director, you also know that this is an appendicitis operation, so I, I did not go to meet the patient..."

"Look, look, during regular medical meetings, I repeatedly emphasize that we must abide by the procedures and everything must comply with the diagnosis and treatment standards. You are lucky if nothing happens. If anything happens, you will be blamed. Lu Shengwen, let me tell you, if the patient today If we can’t be rescued, you are the first person responsible!”

Lu Shengwen almost cried.

It is true that he will not be fired, but according to the rules of Huadu No. 1 Hospital, doctors who have had medical accidents cannot be promoted within 5 years, which is equivalent to a waste of 5 years.

Moreover, every step is too slow. If others are promoted earlier than you, you will be ahead of all the benefits in the future. This is the end of your career. (This is also the main reason why Lin Sanqi’s intern teacher lets students take the blame)

The door of the operating room opened with a bang, and Xu Huanghui and Director of Surgery Jin Limin rushed in.

Xu Huanghui saw at a glance the little patient who had fallen into coma on the operating table, with a tube in his trachea and a ventilator working hard.

"How is the patient's condition now? Report body temperature and end-tidal CO2!"

Dr. Qi saw several directors looking like they were about to kill someone, so he stuttered and reported:

"Report, the patient's temperature is now 40.1℃ and is still rising. The end-tidal CO2 value is 85%. We have just injected the sedative..."

Director Jin asked Xu Huanghui next to him:

"Lao Xu, how are you? Can malignant hyperthermia be diagnosed?"

Xu Huanghui already had a general understanding of the condition, and combined with the current body temperature and end-tidal CO2, she probably felt a little confident.

"It's almost the same, but the diagnosis needs to be confirmed through the rynidine contraction test and the dynamic halothane test."

Director Xu gave another order to the young doctor in the operating room:

"1. Immediately stop using all anesthetics, replace the anesthetic breathing circuit and soda lime to prevent inhalation of anesthetics from further aggravating the condition.

2. Use variable temperature water beds, ethanol baths in the aorta, place ice packs, and infuse large amounts of cold balance fluid to control the patient's body temperature. ③ Adequate oxygenation and hyperventilation.

3. Repeated use of furosemide to maintain urine output, large amounts of fluids to dilute the concentration of myoglobin in the blood, infusion of 5% sodium bicarbonate to alkalize the urine to prevent myoglobin from clogging the renal tubules and other measures to protect renal function.

4. Review blood gases and electrolytes every hour, and check blood, urine myoglobin and creatine kinase every 4 hours. ”

"Received!"

Several young doctors and nurses immediately prepared their own preparations and began to work immediately.

At this time, Vice President He also brought people in, "Director Xu, how is the patient's condition?"

Xu Huanghui touched the patient's forehead and looked at the young face with unbearable expression:

"The patient is only 14 years old, a little boy. If the body temperature rises above 41°C and continues to be blocked, it will be dangerous and there is a high probability that he will not be saved."

Vice President He also had a headache. He turned around and told Director Jin of the Department of Surgery next to him:

"The matter has been resolved. Now your surgical department will immediately notify the patient's family. Every step of the following treatment must be explained clearly to the family and must have their signature and consent. Don't intensify the conflict!"

The problem is that some things won’t happen unless you are afraid...

(End of chapter)