"Which bed?"

"41 beds!"

it!

Zhang Tianyang secretly said in his heart that it was not good.

How is it 41 beds again!

This number is unlucky!

Hurriedly followed the little nurse to the intensive care unit, and saw a family member pressing a hand on the neck of the old lady in bed 41.

"Doctor!" the family members looked like they were grasping at straw in the water, their faces full of horror.

"Doctor, look at my mom, the tube in her neck is bleeding all the time!"

Zhang Tianyang hurried to the side of the hospital bed, and at a glance saw the blood stains soaked on the gauze and tissues under the hands of the family members.

Layer after layer of gauze has almost been soaked in red, and the paper towels pressed by the family members themselves are also more than half red!

"it!"

This is bleeding after internal jugular vein catheterization!

After a pause, Zhang Tianyang rushed out at a faster speed than when he came.

"Xiaolin! Let the family pressurize and hold down! Pressurize!

Hemorrhage is one of the complications of internal jugular venous catheterization, and it is also a condition that clinicians are more afraid to encounter.

There are many causes of bleeding after internal jugular vein catheterization.

It can be a puncture that damages the small blood vessels under the skin, or it may penetrate the internal jugular vein, or what is more terrible is that a small artery is punctured.

Looking at the amount of bleeding of the old lady in bed 41, Zhang Tianyang was afraid that it was really a small artery that would break.

A broken artery anywhere has the potential to cause the patient to lose too much blood and die!

Zhang Tianyang's slightly slack-off spirit instantly tensed.

As he ran to the treatment room, he took out his mobile phone to contact the senior doctor.

I first called Professor Liu, but I was hung up after only two rings.

The second call was made to Sister Liang, but unfortunately Sister Liang seemed to be undergoing surgery and no one answered at all.

Senior Brother Wang usually arrives half an hour late for work in the afternoon, and if Zhang Tianyang calls him, it is possible to find someone.

But when Senior Brother Wang came, it was probably useless.

There was no way, Zhang Tianyang could only briefly outline the situation in the small group, and then began to rummage in the treatment room.

Gauze, plain gloves, sterile gloves, al-iodine, cotton swabs, endotracheal intubation, video laryngoscope......

Running back to the intensive care unit with the treatment cart non-stop, Zhang Tianyang saw that there were already two more blood-stained tissues on the table next to the bed.

"Doctor, what should I do!"

The family member was a woman who looked to be in her early thirties, and the hand holding the old lady's neck was trembling at this time.

Seeing that his emotions were about to collapse.

Zhang Tianyang ignored her.

In times of crisis, how can you have time to explain your condition!

"Xiao Lin, help me look at Professor Liu's reply!"

He moved quickly, stuffed the mobile phone into the arms of the little nurse Lin Lin, and then put on the gloves in two seconds.

"Take it away. ”

The hands of the family members and the little nurse were all pushed aside by him.

Carefully and quickly lifted the blood-red gauze around the old lady's neck, showing the situation inside.

The internal jugular vein tube was running out of the neck, and the wound was constantly belching with blood.

Speed, fast!

Zhang Tianyang's heart was beating wildly in his chest, but his hand was always steady.

Quickly sterilize and replace with new gauze, then press and hold.

The red blood was still oozing out firmly and slowly, soaking the white gauze little by little.

Zhang Tianyang's heart sank little by little.

It depends on the situation, you have to make an incision on the side of the bed to explore the bleeding point!

"Xiaolin, did Professor Liu reply?"

The voice unconsciously turned into a roar, and the little nurse's nervous nerves were also mobilized.

"It's calling!"

It was Professor Liu's phone number.

Professor Liu was speaking at the meeting, but the patient's condition was critical, and he now ran directly out of the conference room to communicate with Zhang Tianyang.

"I'll contact the professor in the dialysis room downstairs who did the internal jugular vein catheterization for bed 41 now!"

Professor Liu made the same choice as Zhang Tianyang.

"Incision to probe bleeding spots!"

"It will take at least five minutes for the professor over there to come up, you get everything ready first!"

"Steady!"

Professor Liu is far away from other provinces, and he can't reach it.

The only one who can stand up to the front here is Zhang Tianyang.

"Kobayashi, I need a cut-out bag, where can I find it!"

"There's a dialysis room downstairs!

"Go now!"

Zhang Tianyang was roaring, the little nurse was also roaring, and the entire care room was quiet.

Everyone seemed to be aware of the critical situation, and subconsciously did not dare to speak out, for fear of disturbing the doctor's judgment.

The family members of the old lady in bed 41 were anxious and frightened, their hands trembling and covering their mouths tightly, their eyes were red, and tears were swirling in them.

"Family, bring gloves and press here!"

Zhang Tianyang's roar made the woman come back to her senses suddenly, and hurriedly put on the gloves on the treatment car.

But her hands were so shaky that she wore the large gloves three or four times before she successfully put them on.

"This position, press tightly, press down!"

"Just press the right side of the neck, don't touch the left!

The position of the press was handed over to the family, and Zhang Tianyang changed into a pair of gloves and began to prepare the items.

The video laryngoscope was opened, the protective sleeve was attached, and the No. 7 endotracheal tube was unpacked and lubricated.

During the whole process, Zhang Tianyang's eyes never left the oxygen saturation on the patient's monitor.

Now the patient is not only at risk of excessive blood loss, but also the possibility of suffocation.

If the bleeding vessel is really a small artery, then the patient has most likely developed a hematoma.

Large hematomas can compress the airways, causing the patient to suffocate.

At that time, the patient has not lost too much blood, and will be suffocated to death because of the airway!

Zhang Tianyang stared at the fluctuation of blood oxygen saturation, as long as it had a slight downward trend, he was ready to intubate the patient!

The onlookers next to him were also arrested by Zhang Tianyang.

"Big brother, do me a favor!"

The 40-bed brother now looks normal except for a little higher blood pressure, and Zhang Tianyang instructed him to go to the nurse's station.

"Go and tell the nurse that there is a risk of shock with heavy bleeding in bed 41, now get Ringer fluid ready!

Dopamine and norepinephrine are also available!"

"What, what, what?"

"Call a nurse and I'll tell her!"

......

Two minutes later, Nurse Kobayashi ran back with the cut bag in her arms.

"Cut, cut open the bag, take it, get it back!"

The little nurse's face was flushed with the speed of running, and her chest was heaving violently from wheezing.

Zhang Tianyang glanced at it and threw over a pair of ordinary gloves.

"Put it on! help me!"

He quickly put on his mask, hat, and then unwrapped the blue package of the cut bag and quickly changed into sterile gloves.

The little nurse Lin Lin's movements are also very skilled.

Pour on the al-iodine, disassemble the sterile gauze, disassemble the sterile gauze again, and then disassemble the sterile gauze.

Over there, Zhang Tianyang had already disinfected with Aner iodine, and then spread a sterile towel.

Then I sorted out a large stack of gauze dismantled by the little nurse from the incision bag, took two pads and put them on the bleeding area of the indwelling catheter of the internal jugular vein, and folded the rest on a sterile hole towel.

Disassemble the blade and attach the scalpel.

Thread the needle and thread, and prepare the ligation and suturing tools.

Lidocaine is drawn and infiltrated anesthesia is performed in all directions along the position of the internal jugular vein indwelling catheter.

Everything is ready, just wait for the master.

Professor Zhou, who hurriedly ran up downstairs, saw such a scene as soon as he entered the door.

Ready for anything?

For a moment, he was a little skeptical about life.

But he reacted quickly and quickly put on the mask, hat and sterile gloves prepared next to him.

Taking the scalpel handed to him by Zhang Tianyang, Professor Zhou made a slight incision diagonally in the direction of his chin along the position of the internal jugular vein catheterization.

Incision of the skin, incision of subcutaneous fat, incision of connective tissue.

The speed at which blood oozed out increased slightly.

Professor Zhou's hand gently pressed on the patient's neck......

"Poof!"

A blood-colored fountain erupted directly!