Sleepless Doctor

　　 One day later, at noon, Chu Zhixi went to have a meal, and the two were ready to take a bite outside the ward. There was nothing wrong when he left, but Wu Mian was very caring about Bai Dalin. For fear of a slight slip, he was really ready to squat around the corner and deal with it casually.

　　 "Mr. Wu, don't you eat?" Director Xu glanced at Bai Dalin before leaving get off work at noon. Seeing that Wu Mian's posture remained unchanged, he was extremely impressed and asked while sitting.

　　 "The girl is going to take out, we can just take a bite." Wu Mian said with a smile.

　　 After the fire, Wu Mian felt that he had changed a little bit, but after studying it all day and night, he didn't have any clues. Seeing Director Xu sitting next to him, he started chatting.

　　 "We have a few directors out for dinner at noon, or Mr. Wu, you can go and eat together. Half an hour, absolutely will not delay your time."

　　 "No, you're too polite. I'll do it here. To be honest, I have a bit of obsessive-compulsive disorder, and now I leave the ward and feel uneasy about doing anything." Wu Mian smiled, "Take time to sleep at night..."

　　As he was talking, the cell phone of Director Xu of the Anesthesiology Department rang.

　　 Director Xu glanced at him, made an apologetic gesture, and stood up to answer the call.

　　 As soon as the phone was connected, there was a rush of voice on the other side. Director Xu shouted in a low voice, "Shocked? I'll go back right away!"

　　 After speaking, he strode back with the phone.

　　 "Teacher Wu, I'm sorry, a patient was in shock, I will go back and take a look." Director Xu said hurriedly.

　　 Shock... Director Xu is required to participate in the rescue. Under normal circumstances, it will not be hemorrhagic shock.

　　 The treatment of hemorrhagic shock caused by trauma is relatively simple, and the director of the anesthesiology department can run. In Wu Mian's opinion, there is only one thing-anaphylactic shock.

　　 This is an unconfirmed emergency situation. It can be caused by various reasons, but it is almost impossible to prevent it in advance.

　　 This is a landmine. No one knows where it is buried and when it will explode.

　　 Wu Mian stood up and hurried to catch up, and asked, "Director Xu, is it convenient for me?"

　　 Asking for convenience and inconvenience at this time, there is only one target-shock patients. Although the question was a bit direct and a bit unruly, Director Xu quickly said, "Thank you, Teacher Wu, to take a look."

　　 "Recently, internationally, there have been some new views on the rescue of anaphylactic shock from unknown sources before and during the operation." Wu Mian followed in a stride out.

　　 took Wu Mian to the dressing room of the operating room and quickly changed clothes.

　　 changed clothes and went downstairs to the operating room. As soon as I entered the corridor, I heard the adrenaline rushing monitor and ventilator alarm from an operating room in the distance.

　　 The beep sound was like a war drum beating, as if there were thousands of troops charging on the opposite side, and the pressured person couldn't breathe.

　　 Wu Mian walked over with the sound and came to the door of the operating room. He saw Director Xu of the Anesthesiology Department standing beside the ventilator with a pale expression and staring at the value on the screen.

　　 This kind of thing is not common, and a large tertiary hospital in the capital city often encounters one case in one or two years. But anaphylactic shock is very dangerous, and the patient can be called a nine-death life. Even if it is rescued, a considerable number of human brains die and become vegetative. (Note)

　　 Wu Mian took a look. The patient had just been anesthetized and had not yet been operated on. He had not even done disinfection or placing a sterile sheet. He narrowed his eyes and quickly scanned the conditions of the various instruments in the operating room, and he already had some understanding in his heart.

　　 My mind is clear, unlike in the past, when I was exposed to so much information in an instant, my temples began to pound and pound and hurt.

　　 "The anesthesiologist." Wu Mian did not immerse himself in joy, but said in a deep voice, "Report medical history."

　　 The anesthesiologist was busy rescuing and didn't pay attention to who was talking. People who can stand in the operating room at this time know well. Those who dare to say must be those who can bear the burden, there is no doubt about that.

　　 "The patient female, 32 years old, had no surgical contraindications in the preoperative examination, and underwent petroclinic meningioma resection under combined general anesthesia."

　　 "After entering the room, BP128/82mmHg, HR88 beats/min, SpO299% were measured. Peripheral venous access of the upper limbs was opened, compound sodium chloride was instilled, and oxygen was supplied by a mask. The left radial artery was punctured and continuously measured under local anesthesia."

　　 "Parecoxib sodium 40mg, sufentanil 25μg, propofol 100mg, rocuronium 50mg, after induction stable, insert a double-lumen endotracheal tube, 35Fr, depth 28cm from the incisors."

　　 Generally speaking, this is called being non-human.

　　No one usually talks like that at all. The anesthesiologist makes the statement exactly according to the way the doctor writes the medical record. No one in the room feels surprised.

　　 The doctor got anxious and said all the terms were similar to reading medical records. (Note 2)

"Remifentanil 0.17μg·kg/1·min; dexmedetomidine 2.78μg·kg/1·min intravenous pump injection, 1.5% sevoflurane inhalation to maintain anesthesia. Mechanical ventilation of both lungs, 65% inhaled oxygen concentration , Peak airway pressure 16cmH2O, SpO2100%."

　　 "B-ultrasound guided puncture of the right central venous catheter, intravenous infusion of hydroxyethyl starch for volume expansion, and infusion of piperacillin and sulbactam 20 minutes later."

　　 "3 minutes ago, the patient's blood pressure dropped rapidly. ABP and HR progressively decreased. Three intravenous boluses of 2, 3, and 4 mg of dopamine were ineffective, and three additional boluses of 0.1, 0.2, and 0.2 mg of epinephrine."

　　 After finishing speaking, the anesthesiologist looked at the blood pressure of 40/20MMHg on the monitor, crying without tears.

　　 The rescue medication was given, but the effect was very poor. The blood pressure fell off a cliff, and I did not look back at all.

　　 There is not much time left for everyone in the operating room.

　　 The blood pressure has reached the shock range, and it is still severe shock. The brain tissue will soon become ischemic and hypoxic.

　　 This situation stays for a little longer~www.readwn.com~ The delicate brain tissue will be necrotic, even if it is rescued, it is likely to be a vegetative person.

　　 This is the result of the rescue medicine. It is hard to say when the blood pressure will return to zero and the ECG will be straight.

　　 "B-ultrasound machine pushed over, ready to extend-focused abdominal scanfortrauma." The cold voice popped out a series of English, but Wu Mian didn't seem to realize it.

　　 The anesthesiologist was taken aback.

　　 "Will you do it? No, I will come." Wu Mian said.

　　 "Yes...Yes." The anesthesiologist hesitated, but hesitated to speak without delaying his actions, and the B-ultrasound machine immediately pushed to the patient's side.

What is 　　extended-focusedabdominalscanfortrauma? Director Xu was dewy.

　　 There is nothing to worry about. Teacher Wu is in the operating room.

　　 "Preparation is complete!" the anesthesiologist said loudly, as if to cheer himself up.

　　 "Let's start, the four sections of the heart cavity under the xiphoid process." Wu Mian's eyes were narrowed, and his eyes kept jumping from one instrument to another.

　　He wants to collect all kinds of data and control the full length.

at this time,

　　At this moment,

　　He is the only master here

　　 The only king.

　　……

　　……

　　 Note 1: I have been in medicine for 20 years, and I have heard of at least 5 cases, of which 2 cases are my own doctors, nurses...Mo.

　　 Note 2: There was an acute attack of asthma in a patient, and he had to hold back. When I was in a hurry, I stopped talking and talked to the nurse about dihyperprophylline. Later, I asked many doctors, and some of them had similar experiences.