At noon 1 day later, Chu Zhixi went to eat, and the two were ready to deal with each other outside the ward. Originally, there was nothing to do when he left, but Wu Mian was extremely concerned about Bai Dalin, for fear of a slight mistake, so he was really ready to squat in the corner of the wall and deal with it casually.

"Teacher Wu, don't you want to eat?" Director Xu came to see Bai Dalin before getting off work at noon, and when he saw that Wu Mian's posture remained unchanged, he was also extremely impressed in his heart, and sat on the side and asked.

"The girl is going to ask for takeout, let's just take a bite. Wu Mian said with a smile.

After the wildfire, Wu Mian felt that he had changed somewhat, but after studying for a day and a night, he didn't have a clue. Seeing Director Xu sitting beside him, he chatted.

"We'll go out to eat at noon, or Mr. Wu, you can go and eat together." Half an hour, absolutely no time to lose. ”

"No, you're too polite. I'll just do it here. To be honest, I'm a bit obsessive-compulsive, and now I'm leaving the ward, and I don't feel at ease doing anything. Wu Mian smiled, "It's ...... to take time to sleep at night."

As he was talking, Director Xu's mobile phone rang in the anesthesiology department.

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

As soon as the phone rang, there was a rush of voice from the other side. Director Xu roared in a low voice, "Shock, I'll go back immediately!"

After saying that, he strode back with his mobile phone.

"Mr. Wu, I'm sorry, there is a patient in shock, I'll go back and take a look. Director Xu said hurriedly.

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

Because the treatment of hemorrhagic shock caused by trauma is relatively simple, there is only one thing that can make the director of the anesthesiology department run - anaphylactic shock.

This is an undecided situation, and there are various reasons that can lead to it, but it is almost impossible to prevent it in advance.

It's a mine, and no one knows where it's buried or when it's going to explode.

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

At this time, it is inconvenient to ask whether it is convenient or not, and there is only one target - a patient in shock. Although the question was a bit direct and a little unruly, Director Xu hurriedly said, "Please take a look at it with Mr. Wu." ”

"Recently, there have been some new views on the rescue of anaphylactic shock of unknown origin before and during surgery. Wu Mian followed and strode out.

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

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

The sound of beeping was like a war drum, as if thousands of troops were charging on the opposite side, and the people were breathless.

Wu Mian strode over to the door of the operating room, and saw Director Xu of the anesthesiology department standing next to the ventilator with a pale face, his eyes staring at the values on the screen.

This kind of thing is not common, and often a large tertiary hospital in the imperial capital can encounter one case in one or two years. However, anaphylactic shock is quite dangerous, and the patient can be called a life. Even if they are rescued, a considerable number of people are brain dead and become vegetative. (Note)

Wu Mian took a look, the patient had just been anesthetized, and he had not yet undergone surgery, and he had not even done disinfection and laying sterile sheets. His eyes narrowed, and he quickly scanned the situation of each instrument in the operating room, and he already had some understanding in his heart.

The mind is clear, not like in the past, and when I am exposed to so much information in an instant, my temples begin to thump and hurt.

"Anesthesiologist. Wu Mian did not indulge in joy, but said in a deep voice, "Report the medical history." ”

The anesthesiologist was busy resuscitating, and he didn't pay attention to who was talking. At this time, the people who can stand in the operating room know it in their hearts. There is no doubt that someone who dares to say that he can take care of things.

"The patient, a 32-year-old female, had no contraindications to surgery before surgery, and underwent meningioma resection in the petrological oblique area under intravenous-suction combined general anesthesia. ”

"After entering the room, BP128/82mmHg, HR88 times/min, SpO2 99%. Open peripheral venous access of the upper limbs, instillation of compound sodium chloride, oxygen supply by mask, and continuous manometry of the radial artery in the left hand under local anesthesia. ”

"Parecoxib sodium 40 mg, sufentanil 25 μg, propofol 100 mg, rocuronium bromide 50 mg, induced to stabilize and then inserted into a double-lumen endotracheal tube, 35 Fr, 28 cm from the incisors. ”

Generally speaking, this is called not speaking human.

Usually no one spoke like this, and the anesthesiologist made a statement exactly the way the doctor wrote the medical record, and no one present found it strange.

The doctor was anxious and said all the terms, similar to reading the medical record. (Note 2)

"Remifentanil 0.17 μg·kg/1·min;dexmedetomidine 2.78 μg·kg/1·min intravenous pumping, 1.5% sevoflurane inhalation maintenance anesthesia. Both lungs were mechanically ventilated, the inspired oxygen concentration was FiO2 65%, the peak airway pressure was 16 cmH2O, PETCO234mmHg, and SpO2 was 100%. ”

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

"3 minutes ago, the patient's blood pressure dropped rapidly. ABP and HR decreased progressively, and dopamine 2, 3, and 4 mg were injected intravenously in 3 boluses to be ineffective, followed by 3 boluses of epinephrine 0.1, 0.2, and 0.2 mg. ”

After speaking, the anesthesiologist looked at the blood pressure of 40/20MMHg on the monitor and wanted to cry without tears.

The rescue medication was given, but the effect was very poor, and the blood pressure fell off a cliff, and there was no turning back at all.

Time is running out for everyone in the operating room.

The blood pressure has reached the shock range, or severe shock. Brain tissue soon becomes ischemic and hypoxic.

If this condition is maintained for a little longer, the delicate brain tissue will die, and even if it is rescued, it is likely to be vegetative.

This is the result of using rescue drugs, and it is really hard to say when the blood pressure will be zeroed and the ECG oscilloscope will be straight.

"The ultrasound machine pushes over and prepares for extended-focused abdominal scan for trauma. A cold voice burst out in a series of English, and Wu Mian didn't seem to realize it.

The anesthesiologist was stunned.

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

"Yes...... Yes. The anesthesiologist was a little hesitant, but the hesitation did not delay his movements, and the B-ultrasound machine immediately pushed to the patient's side.

What is extended-focused abdominal scan for trauma?

There's nothing to worry about, Mr. Wu is in the operating room, if he can't be rescued...... That's fate.

"Ready!" the anesthesiologist said loudly, as if to cheer himself up.

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

He has to collect all kinds of data and control the whole length.

At this point,

now

He's the only master here

The only king.

......

......

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

Note 2: There was an acute asthma attack in a patient who had to hold it back. When I was in a hurry, I didn't talk to people, and told the nurse that dihydroxypropylphylline was coming. Later, I asked many doctors, and some of them had similar experiences.