Chapter 90 Patients with severe postoperative cerebral edema

Just as Zhao Heng continued to write his thesis, and Xu Manni was also watching, Gao Jun walked in from outside the office, his face was solemn, and he looked like something big had happened.

"Teacher, what's wrong?"

Seeing Gao Jun walking in, his face was still so solemn, Zhao Heng couldn't help but be a little puzzled, and Gao Jun realized that now, he had never seen Gao Jun's face so ugly.

"Xiao Zhao, you come with me, there is an emergency consultation in the ICU."

Gao Jun said solemnly.

"yes, okay."

Zhao Heng nodded, judging from Gao Jun's solemn expression at this time, something big must have happened.

Closing the open document, Zhao Heng stood up, nodded to Xu Manni on the side, and followed Gao Jun out.

"Teacher, what's the situation?"

Seeing that Gao Jun, who had always been calm, now looked like he was facing a great enemy, Zhao Heng couldn't help but ask with some curiosity.

"It was the plastic surgery department that received a patient who had a silicone filler, but just now, after the operation, the patient did not wake up, and there was a very severe cerebral edema."

Gao Jun briefly talked about the situation.

"So you put this pot on us anesthetized?"

When Zhao Heng heard this, he immediately realized what was going on.

Obviously, silicone filler is a very routine procedure in plastic surgery, and silicone is a very safe filling material, and it is rare to hear of silicone implantation causing such serious complications as cerebral edema.

Since it is unlikely that the surgery will go wrong, the spearhead is aimed at anesthesia at once.

Only an accident with anesthesia can cause serious conditions such as deep coma and cerebral edema.

This is also the reason why Gao Jun's expression is so solemn, he has just taken over the anesthesiology department, and now anesthesia is still under the operating room, and has not yet been independent to establish an anesthesia and perioperative medicine center, if something like this happens, then the impact will be very bad.

"Who anesthetized this surgery?"

Zhao Heng asked again.

"It's Old Wen."

Gao Jun said.

"Teacher Wen? With his level of anesthesia, it would not cause such serious complications. ”

As soon as Gao Jun said this, Zhao Heng felt even more surprised.

The old Wen in Gao Jun's mouth refers to Wen Shen, a senior anesthesiologist in the anesthesiology department.

As a senior anesthesiologist, Wen Shen's level is on par with Gao Jun, who has been engaged in anesthesia for so many years, and the patients who have been anesthetized by him have never had such a serious situation.

"I don't think so, but the patient found a professional medical malpractice lawyer, and he decided that it was Lao Wen's mistake and injected the anesthetic into the subarachnoid space, which directly caused the patient's cerebral edema."

Gao Jun said with a sigh.

For silicone filling, in general, only lumbar anesthesia is required, that is, local anesthetic is injected directly into the epidural space, which can anesthetize the spinal nerve root.

The subarachnoid space, also in the waist, contains the brain crest fluid, which is directly connected to the brain, although the anatomical position is the same, but the epidural lower space, in the outermost position, the subarachnoid space, but in the innermost depth position, between the two positions, there is also a layer of subdural space.

In general, it is impossible for an experienced anesthesiologist to make such a low-level mistake.

Putting the anesthetic that had been injected into the epidural space into the subarachnoid space is a low-level mistake that should not be made, and it is an extremely serious accusation, and once this statement is true, then this will be an extremely serious medical malpractice for Wen Shen.

This consequence would be devastating for any doctor.

It's no wonder that Gao Jun's face is so ugly now.

As a senior doctor in the Department of Anesthesiology, Wen Shen has always had a very good relationship with Gao Jun, coupled with his superb skills and good personality, he is an important figure for Gao Jun to rely on after the Department of Anesthesiology is independent in the future.

Now that Wen Shen suddenly has this kind of thing, it is inevitable that Gao Jun will get angry in a hurry.

"Could it be something else, or the patient has an underlying medical condition?"

Zhao Heng thought for a while and said.

"It's hard to say at the moment, the most important thing now is to get the situation under control. Now the patient who is in a coma with cerebral edema is a well-known Internet celebrity, so the hospital attaches great importance to the influence of this matter. ”

Gao Jun said.

When Zhao Heng heard this, his heart was awe-inspiring, no matter when, as a doctor, he couldn't relax!

After a while, Gao Jun and Zhao Heng came to the ICU, at this moment, at the door of the ICU, a lot of people had gathered, looking at the unkind appearance of these people, Zhao Heng felt even more bad in his heart.

"Let's go, let's go in and see the patient."

Seeing these unkind people outside the ICU door, Gao Jun sighed and said to Zhao Heng.

"Hmm."

Zhao Heng nodded.

Soon, the two entered the ICU and came to a hospital bed.

Zhao Heng saw that on the hospital bed, there was a girl in her twenties with a pale face, closed eyes, and this girl should be the Internet celebrity who did silicone filling.

Just by looking at her face cursoly, Zhao Heng found that at least three or four places had moved the knife.

Looking at it again, next to the bed, Wen Shen stood beside him with a sad face, and not far away, there were also directors of several departments, all of whom should have come to consult this patient.

"Lao Gao, Xiao Zhao."

Seeing Gao Jun and Zhao Heng coming, Wen Shen's face was slightly better and he said hello.

"How's it going?"

Gao Jun was not polite, and asked directly and directly.

"I was able to do all kinds of examinations, but I still didn't find the cause of the patient's cerebral edema."

Wen Shen shook his head and said.

He was sure that there was absolutely no problem with any of the steps of anesthesia given to this patient, including the amount of anesthesia and the location of the puncture.

However, after the operation, the patient did not wake up, and cerebral edema occurred.

This is the first time Wen Shen has encountered this situation.

"As long as there are no problems with your operation, they can't do anything to you, don't worry."

Gao Jun still believes in the level of his old friend, and does not believe that Wen Shen will make the kind of mistake that is rumored, and he can't even tell the difference between the epidural space and the subarachnoid space.

"Well, now it's only you who believe in me."

Wen Shen said with a sigh.

Zhao Heng didn't speak, he picked up the patient's medical record and looked at it carefully.

After looking at it for a while, Zhao Heng didn't find anything suspicious.

This cerebral edema, according to the mechanism of its occurrence, can be divided into vascular-derived cerebral edema (VCE), cytotoxic cerebral edema, and interstitial cerebral edema.

For the patient lying unconscious on the hospital bed in front of him, various possible causes have been examined accordingly, but no abnormal findings have been made.

After reading this patient's case, Zhao Heng felt that this patient's condition was thorny.

If the cause of the patient's cerebral edema can be identified, then the possibility of anesthesia accidents can be ruled out, and Wen Shen naturally does not have any problems.

However, if there is no problem with any other tests, then the patient's only possibility of cerebral edema must be caused by an anesthesia accident.

Excluding all impossibilities, the last possibility, is almost certain.

However, there is still a chance, the patient's cerebral edema has just appeared, and the irreversible damage to the brain tissue has not been caused, as long as the real cause of cerebral edema is found, and the right medicine is prescribed, maybe everything can be reversed.

But time is running out, and for now, every minute counts.