At noon one day later, Chu Zhixi went to eat. They were ready to deal with a bite outside the ward. There was nothing wrong when he left, but Wu Mian was very interested in Bai Dalin. For fear of a slight mistake, he was really ready to squat in the corner and deal with it casually.

    "Miss Wu, don''t you eat?" director Xu looked at Bai Dalin when he came from work at noon. Seeing that Wu Mian''s posture remained unchanged, he was also very impressed and sat aside and asked.

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

    After the mountain fire, Wu Mian felt that he had made some changes, but he didn''t have a clue after studying for a day and a night. Seeing director Xu sitting next to him, he chatted.

    "Let''s go out to dinner with some directors at noon. Why don''t you go and have a bite with Mr. Wu? It won''t take you half an hour."

    "No, you''re welcome. I''ll be fine here. To tell you the truth, I''m a little obsessive-compulsive. I''m not at ease when I leave the ward now." Wu Mian said with a smile, "take time to sleep at night..."

    Just then, director Xu''s cell phone rang.

    Director Xu glanced, made a sorry gesture, and stood up to connect the phone.

    As soon as the phone got through, there was a rapid voice on the other side. Director Xu shouted in a low voice, "shock? I''ll go back right away!"

    With that, he strode back with his mobile phone.

    "Miss Wu, I''m sorry. There is a patient in shock. I''ll go back and have a look." director Xu said in a hurry.

    Shock... Director Xu needs to participate in the rescue. Generally, it will not be hemorrhagic shock.

    Because the treatment of hemorrhagic shock caused by trauma is relatively simple, there is only one thing that can make the director of Anesthesiology run, according to Wu Mian - anaphylactic shock.

    This is an unexpected situation that has not been decided yet. There are various reasons that may lead to it, but it is almost impossible to prevent it in advance.

    This is a mine. No one knows where it is buried and when it will explode.

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

    At this time, it is convenient to ask if it is convenient. There is only one target - patients with shock. Although the question was a little direct and a little unruly, director Xu quickly said, "please take a look at Mr. Wu."

    "Recently, the international community has some new views on rescuing anaphylactic shock of unknown sources before and during operation." Wu Mian strode out with great strides.

    He took Wu Mian to the dressing room of the operating room and quickly changed his clothes.

    Change your clothes and go downstairs to the operating room. As soon as I stepped into the corridor, I heard the alarm sound of adrenaline soaring monitor and ventilator in a distant operating room.

    The sound of Dudu sounded like a war drum, as if thousands of troops and horses were charging opposite, and the pressure was out of breath.

    Wu Mian strode along the sound and came to the door of the operating room. He saw director Xu of the anesthesiology department standing by the ventilator with an iron face, staring at the values on the screen.

    This kind of thing is not common. It is often encountered in a large third-class hospital in DIDU in a year or two. But anaphylactic shock is very dangerous, and the patient can be called a near death. Even if they are rescued, a considerable number of human brains die and become vegetative. (note)

    Wu Mian took a look. The patient had just been anesthetized and had not been operated on. He didn''t even do disinfection and lay aseptic sheets. He narrowed his eyes and quickly scanned the instruments in the operating room. He already had some understanding in his heart.

    My mind is clear, not like in the past. When I touch so much information in an instant, my temples begin to jump and hurt.

    "Anesthesiologist." Wu Mian was not immersed in joy, but said in a deep voice, "report the medical history."

    The anesthesiologist was busy rescuing and didn''t notice who was talking. At this time, people who can stand in the operating room know it well. There is no doubt that those who dare to say must be able to take care of things.

    "The patient, a 32 year old female, had no operative contraindication in preoperative examination. She underwent resection of petroclival meningioma under static inhalation combined general anesthesia."

    "After entering the room, bp12882mmhg, hr88 times and spo299% were measured. The peripheral venous pathway of the upper limb was opened, compound sodium chloride was injected, oxygen was supplied by mask, and left radial artery puncture was performed under local anesthesia for continuous pressure measurement."

    "Parecoxib sodium 40mg, sufentanil 25" μ g. Propofol 100mg and rocuronium 50mg. After stable induction, insert a double lumen endotracheal tube, 35fr, with a depth of 28cm from the incisor. "

    Generally speaking, this is called not speaking human words.

    No one speaks like that at ordinary times. The anesthesiologist makes a statement completely according to the way the doctor writes the medical record. No one in the audience is surprised.

    The doctor got worried and said all the terms, similar to reading medical records. (Note 2)

    "Remifentanil 0.17 μ G · kg1 · min; dexmedetomidine 2.78 μ G · kg1 · min intravenous pump, 1.5% sevoflurane inhalation to maintain anesthesia. Double lung mechanical ventilation, inhaled oxygen concentration fio265%, peak airway pressure 16cmh2o, petco234mmhg, spo2100%. "

    "Under the guidance of B-ultrasound, puncture the right central vein and place a tube, drip hydroxyethyl starch for volume expansion, and drip piperacillin sulbactam 20 minutes later."

    "Three minutes ago, the patient''s blood pressure decreased rapidly. ABP and HR decreased progressively. Three times of intravenous injection of dopamine 2, 3 and 4mg were ineffective, and three times of intravenous injection of adrenaline 0.1, 0.2 and 0.2mg."

    With that, the anesthesiologist looked at the blood pressure of 4020mmhg on the monitor and wanted to cry without tears.

    The rescue medication was given, but the effect was very poor. The blood pressure fell precipitously and didn''t look back at all.

    There''s not much time left for everyone in the operating room.

    Blood pressure has reached the shock range, or severe shock. Brain tissue will soon be ischemic and hypoxic.

    If this situation is maintained for a little longer, the delicate brain tissue will be necrotic. Even if it is rescued, it is probably vegetative.

    This is the result of using rescue medicine. It''s really hard to say when the blood pressure returns to zero and the ECG shows a straight line.

    "The B-ultrasound machine is pushed over to prepare for extended focused ab dominals can forauma." a series of English words pop up in a cold voice, and Wu Mian doesn''t seem to realize it.

    The anesthesiologist was stunned.

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

    "Yes... Yes." the anesthesiologist hesitated, but his hesitation did not delay his action, and the B-ultrasound machine was immediately pushed to the patient.

    What is extended focused B dominals can fortrauma? Director Xu has a head of dew.

    There''s nothing to worry about. Mr. Wu is in the operating room. If he doesn''t come back... He''s dead.

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

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

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

    At this point,

    Now,

    He is the only master here

    The only king.

    ……

    ……

    Note 1: I have been a doctor for 20 years and have heard of at least 5 cases, of which 2 cases are doctors and nurses in my family.

    Note 2: once the patient had an acute attack of asthma and had to hold it back. As soon as I was in a hurry, I stopped talking and told the nurse about dihydroxypropyltheophylline. Later, I asked many doctors, and some of them had similar experiences.