The rescue has to continue, but Qian Aiwu has no chance to wake up. Her son refused to use ECMO, and ICU doctors had to pin their hopes on thrombolysis in addition to ongoing vital sign maintenance. Of course, everyone knows in their hearts that there is not much point in thrombolysis now. In the case of pure oxygen, the patient still has such a severe hypoxia, and it is definitely not any artery that is blocked—it should be the pulmonary artery that is blocked. Thrombolytic therapy that can block the pulmonary artery will not be very effective. The treatment of DIC and the treatment of pulmonary embolism are inherently conflicting, and in this case, ECMO is the safest treatment.

But it's useless to let doctors choose this kind of thing.

Not only did he refuse ECMO, but he also refused other resuscitations. Sun Lien was watching the doctors in the ICU inject Qian Aiwu with heparin and thrombolytic drugs, and Dr. Cao once again came with bad news. "All the rescue had to be stopped. ”

"What is this person?" Before Sun Lien could speak, the ICU doctors on the side were dissatisfied, "Heparin has been pushed halfway, let's stop?"

Sun Lien was also a little angry, "What does he mean?", he looked at Dr. Cao Yanhua with a helpless face, "He didn't let him do this, how could he still agree to the patient's operation before?"

Cao Yanhua looked helpless, "How do I know what happened before? ”

Sun Lien hid in the doctor's office in the ICU and called Feng Chujie with a hint of inexplicable anger, "Doctor Feng, which family member signed Qian Aiwu's previous surgery?"

"It's her daughter. Feng Chujie seemed to suddenly understand something, "She authorized her daughter before she was admitted to the hospital, and her willingness to treat was very resolute, and she repeatedly assured us that there was no problem in terms of her ability to pay." ”

"Call her immediately, I'm going to give Qian Aiwu ECMO. Sun Lien threw down a sentence, turned his head and rushed out of the office.

Something happened, and it's a big deal. Sun Lien's sweat on his head couldn't stop falling, he ran to Qian Aiwu's side with all his strength, and shouted to the medical staff on the side, "Immediately push ECMO over and prepare to take over for her!"

"Huh?" the ICU doctors showed perfectly what it means to be "confused", and although they moved as fast as they could before asking for details, they still had to confirm before using catheters to complete the puncture and catheterization of the femoral artery and femoral vein (V-A EMO mode). Before tearing open the prepackaged pipes, the ICU doctors asked Sun again again, "What is the situation?"

The patient's family had different opinions, the daughter insisted on treatment, and the son obstructed it. Sun Lien used the most concise words to describe the reasons for the change in the opinions of the patient's family. Dr. Feng Chujie from the gynecology department had already called her daughter, and the other party agreed to go to ECMO for rescue. ”

The rescue has to continue, but Qian Aiwu has no chance to wake up. Her son refused to use ECMO, and ICU doctors had to pin their hopes on thrombolysis in addition to ongoing vital sign maintenance. Of course, everyone knows in their hearts that there is not much point in thrombolysis now. In the case of pure oxygen, the patient still has such a severe hypoxia, and it is definitely not any artery that is blocked—it should be the pulmonary artery that is blocked. Thrombolytic therapy that can block the pulmonary artery will not be very effective. The treatment of DIC and the treatment of pulmonary embolism are inherently conflicting, and in this case, ECMO is the safest treatment.

But it's useless to let doctors choose this kind of thing.

Not only did he refuse ECMO, but he also refused other resuscitations. Sun Lien was watching the doctors in the ICU inject Qian Aiwu with heparin and thrombolytic drugs, and Dr. Cao once again came with bad news. "All the rescue had to be stopped. ”

"What is this person?" Before Sun Lien could speak, the ICU doctors on the side were dissatisfied, "Heparin has been pushed halfway, let's stop?"

Sun Lien was also a little angry, "What does he mean?", he looked at Dr. Cao Yanhua with a helpless face, "He didn't let him do this, how could he still agree to the patient's operation before?"

Cao Yanhua looked helpless, "How do I know what happened before? ”

Sun Lien hid in the doctor's office in the ICU and called Feng Chujie with a hint of inexplicable anger, "Doctor Feng, which family member signed Qian Aiwu's previous surgery?"

"It's her daughter. Feng Chujie seemed to suddenly understand something, "She authorized her daughter before she was admitted to the hospital, and her willingness to treat was very resolute, and she repeatedly assured us that there was no problem in terms of her ability to pay." ”

"Call her immediately, I'm going to give Qian Aiwu ECMO. Sun Lien threw down a sentence, turned his head and rushed out of the office.

Something happened, and it's a big deal. Sun Lien's sweat on his head couldn't stop falling, he ran to Qian Aiwu's side with all his strength, and shouted to the medical staff on the side, "Immediately push ECMO over and prepare to take over for her!"

"Huh?" the doctors in the ICU vividly performed a "confused" look. However, thanks to the nature of ICU work, they, like emergency doctors, are always used to acting first. A question mark didn't stop them from pushing the ECMO machine and the pre-packaged tubing as quickly as possible. Along with the ECMO, there was also a B-ultrasound machine used to guide the femoral vein and femoral artery puncture and catheterization.

While waiting for the arrival of the ECMO machine and the professional team, Sun Lien received a WeChat message from Feng Chujie. In WeChat, Feng Chujie wrote that the patient's daughter had agreed to support Qian Aiwu's ECMO vital signs and had recorded the phone call. And the other party was also very cooperative, and said that he would immediately go to the fourth court to make up the corresponding authorization signature.

"So what's going on? Can this tube be plugged in?" Before tearing the pipe, the doctors in the ICU confirmed to Sun Lien for the last time, "This tube is torn up, but it's a few thousand dollars out!"

"The patient's family disagreed, the daughter insisted on saving us, the son firmly disagreed – he was also going to sue us for medical negligence. Sun Lien explained the process in the most concise language, "But at the beginning, it was his daughter who signed the patient's admission to the hospital - so rest assured that there will be no problem with intubation!"

The doctors in the ICU glanced at each other, "Okay, let's start preparing now, it's about five minutes before the pipeline is connected to the blood vessels, Dr. Sun, you'd better ask your superiors." ”

The doctor from the ECMO team also helped, "Yes, Dr. Sun, the family members do not agree on the same opinion, and there will be a lot of trouble in the future." Would you like to ask the opinion of the hospital office or the dean?"

"There was a hospital that did the same before, and the family members didn't agree. The doctor on duty in the ICU cautioned, "Later, the hospital was sued, and the court ruled that the hospital should bear 40% of the responsibility." The ICU treatment fee and the ECMO start-up fee are not a small amount, Dr. Sun, it is better for you to ask clearly. ”

The opinion of the ICU is very simple, of course, the cost of thousands of blood pipelines is expensive, but if it is dismantled, it is just a deduction from the salary. However, if ECMO is used for rescue when the family members do not agree with each other, Sun Lien will have to bear the 40% responsibility.

As a standardized resident training student who has not yet been admitted to the medical certificate, Sun Lien himself will definitely not be able to bear this responsibility. Either the Fourth Hospital will be a defendant in the illegal practice of medicine with him, or a senior doctor will be found to bear the medical malpractice with Sun Lien, who is a little more responsible than Sun Lien because he failed to supervise and guide Sun Lien.

ECMO is invasive and intubated without the consent of all family members, which is too risky.

Sun Lien sighed, hurried to the office to call Liu Pingchuan, and waited for the phone to be connected for more than ten seconds, Sun Lien's heart suddenly swelled up with a wave of weakness somehow.

It's really hard to be a doctor.