"What's going on!"

The itinerant nurse was close, and she was the first to react and ran towards the 76 beds that Zhang Tianyang said.

"Didi!"

"Didi!"

The monitor's sound went from normal to terrible, and it took no more than ten seconds in total.

The itinerant nurse has four or five beds in a tube, and the patient's monitor is ringing just now.

In the entire ICU ward, when half of the patients' monitors are "Didi" fast or slow, it is indeed difficult to locate quickly if it is not for Zhang Tianyang's ear power.

Fortunately, Zhang Tianyang directly reported the bed number.

"The oxygen saturation has dropped to 76!

Zhang Tianyang roared, and his body had already thrown himself to the side of the bed.

The string in his heart was tight, and his brain was running rapidly, quickly judging the old lady's condition.

"What's wrong!"

In the distance, the attending doctor who was separated by two wards also quickly ran here under the reminder of the white coat on the periphery.

Behind him, Director Song also reacted quickly.

Then a circle of white coats followed.

The white clothes are fluttering, and the clothes are swinging.

In ten seconds, they crossed the two wards and also gathered in front of the bed.

At this moment, Zhang Tianyang's hand has already begun to move.

Quickly pulled out one of the pile of sputum suction tubes next to the bed, and unpacked one side of the package with a "tear" sound, revealing the part connected to the suction device.

Unplug the suction device originally attached to the endotracheal tube, poke it at the end of the suction tube, and hold it tightly.

Spread out the film glove attached to the paper that comes with the suction tube, skillfully and quickly put it in with your right hand, shake your hand, and detach the glove from the paper.

Then the thumb and forefinger pinch the sterile suction tube, and the little finger pushes against a small valve below the endotracheal tube.

The sputum suction tube was sent through the small valve.

The index finger is suspended at the stomata at the tail of the suction tube, and it is pressed and released.

Skillful technique, skillful operation, the sputum was quickly sucked up along the suction tube.

Zhang Tianyang calmly suctioned phlegm, and the attending doctor stood behind him, approving of his operation and did not stop it.

Both of them kept their eyes fixed on the old lady's monitor, paying attention to the value of blood oxygen saturation on it.

Patients in the neurology ICU will have a transient drop in oxygen saturation from time to time.

Because they are intubated or have had a tracheostomy.

Not only is it impossible to breathe on its own without the assistance of a ventilator, but it is also impossible to expel secretions from the trachea on its own.

In layman's terms, they can't cough up phlegm on their own.

If you are not in the hospital, you are taking care of yourself at home, and your family is not aware of it.

Patients who may recover slowly may be suffocated to death by a mouthful of phlegm!

Here, there is the ICU ward of the neurology department.

Although nurses will help them suck up the sputum after a while, each patient produces sputum at a different rate, and it is impossible for nurses to ensure that each patient's sputum will be sucked out in time.

Therefore, when the oxygen saturation drops, the first action should be suction.

But is this patient really just holding sputum choking?

From the time the suction tube was disassembled to the present, twenty seconds, the sputum is indeed there, but it is almost finished.

Countless eyes were fixed on the light blue number on the monitor, waiting for it to beat.

Zhang Tianyang's heart sank slightly.

He always felt that it was not that simple.

Even if you are smothered by phlegm, your oxygen saturation will not drop so quickly.

You don't see other patients' monitors are also calling, but they are very "Buddhist", but this old lady's monitor is already "miserable".

One second.

Two seconds.

Five seconds.

The value of blood oxygen saturation on the monitor not only did not reply, but continued to drop to 72%!

"No way!"

"It's not phlegm!"

The attending doctor and Zhang Tianyang spoke at the same time.

In fact, Zhang Tianyang's operation has really done a good job.

In twenty seconds, he was not even skilled in the operation, and he had already completed suctioning before he even put on his gloves.

However, the reason for this patient's sudden oxygen saturation drop was not because the sputum blocked the airway, no matter how good he was, it would be useless.

"Get out of the way of anyone who has nothing to do!"

The attending doctor pounced with three residents.

The white coats on the periphery were driven out of the distance by the head nurse with two little nurses.

Zhang Tianyang was the first to pounce on the white coat, and the manipulation was very skillful and standardized, and several nurses did not rush him.

But he consciously took two steps away, making way for the attending doctors and residents.

There seemed to be a lot of anxiety in the air.

The patient was on a ventilator, and there was no problem with the parameters and frequency of the ventilator, and there was no opportunity for assisted ventilation.

Four doctors perform empirical operations with all hands and feet.

In a circle of white coats, the old lady was watched from afar, "turning over", "patting the back", "adjusting the position" and other operations that they could not understand.

And in a large circle of empty space between them and the white coats who were driven away, stood Zhang Tianyang alone, and Director Song Changkong and Song Song who were squeezed out of the crowd.

The 76-bed old lady happened to be one of the three patients in Director Song's hands.

Staring at the monitor, Zhang Tianyang's mind was spinning.

The 76-bed old lady was an elderly woman, 82 years old, who was hospitalized for 14 days.

This is an old sick number, so the attending doctor only asked about the latest examination results during the computer round, and Zhang Tianyang did not see her medical records.

But judging from the available evidence, he can also have a rough judgment in his mind.

First of all, the main diagnosis displayed in the patient information screen is "subarachnoid hemorrhage".

The most common causes of subarachnoid hemorrhage are congenital intracranial aneurysms and cerebrovascular malformations.

This is followed by hypertension, cerebral arteriosclerosis, moyamoya disease, intracranial tumors, blood diseases, etc.

Zhang Tianyang didn't see the specific medical records, so he couldn't tell which one it was.

But judging from the old lady's age, he estimated that it was one of the aneurysms, hypertension, cerebral arteriosclerosis, and intracranial tumors.

He knew that the old lady had undergone surgery.

But he didn't know exactly what the operation was.

After all, the type of surgery depends on the disease, such as clipping a ruptured aneurysm and angiography embolizing an aneurysm.

But what can be seen with the naked eye now is a tube extending from the top of the old lady's head, which is connected to a graduated bottle at the head of the bed.

The tube was filled with red bloody liquid, and a small half bottle of red bloody liquid had accumulated in the bottle.

This should be a drainage of cerebrospinal fluid.

The goal is to prevent and treat hydrocephalus.

In his mind, the relevant knowledge flashed quickly, and Zhang Tianyang was suddenly stunned.

Wait a minute!

Preventing and treating hydrocephalus?

Hydrocephalus!

As if he had grasped the key point, he turned his head sharply and subconsciously walked around.

Sure enough, through the gap between the corners of the group of white coats in the outer circle, he saw the two shades of green he expected behind.

The next moment, his whole body was like an arrow from the string, running to the head of the bed, and a few twists and turns, passing through the gap between the attending doctor and the three resident doctors.

"Sure enough, it's because of this!"

——————

(I'm not comfortable today, I'm late)

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Stealing incense