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Chapter 21: Asynchronous 200J Defibrillation

"The conduction system of the patient's heart has been restored, and there is only the last step left to success."

Wu Xiangdong raised his head and looked at the data on the monitor quietly. The heart rate, which was originally a straight line, gradually fluctuated. However, because the heart stagnated for too long, the existing electrical signals could not meet the needs of pregnant women.

At this time, ventricular fibrillation waves of different sizes and shapes began to appear on the screen. This dense and jagged waveform was floating up and down rapidly. Looking at the heartbeat with a frequency far exceeding 250 beats/min, Wu Xiangdong took out his left hand from his abdominal cavity.

, took off the bloody medical surgical gloves, then picked up the defibrillator that had been prepared aside, and placed the electrode plates on the apex and bottom of the patient's heart.

At this time, as the defibrillator screen lights up, it prompts that the patient is experiencing ventricular fibrillation. This is because the previous electrical stimulation cannot fully supply the ventricular beating, resulting in fast and weak contraction of the ventricular muscle or uncoordinated rapid trembling.

The result is that the heart does not pump blood, the heart sounds and pulse disappear, and the heart, brain and other organs and surrounding tissues still do not receive sufficient blood perfusion.

"It's time to give you a strong stimulus." Because the patient's newly established conduction system was limited, Wu Xiangdong had to use external force to help her start her heart.

"The patient has ventricular fibrillation. Prepare for asynchronous 200j electric defibrillation. Everyone should avoid contact with the patient." Wu Xiangdong picked up the standard conductive paste next to the defibrillator, opened the bottle cap and squeezed hard, and a ball of light blue gel was squeezed by him.

on the electrode plate.

Under the influence of Wu Xiangdong, the silver-white electrode plates faced each other and evenly applied conductive paste on them. Then, with his right hand, he pressed a fingernail-sized yellow charging button on the right side of the upper part of the electrode plate.

Along with a charging sound that lasted for several seconds, the 200j non-synchronous current columnar charging model set on the defibrillator screen was gradually filling from left to right.

When the yellow energy column finally reached 200j, the entire screen flashed red, and the defibrillator itself also sounded sharp beeps.

Didi didi...

Watching the current filling up, Wu Xiangdong looked around. While making sure that no one was touching the patient, he held the electrode pads in both hands and pressed them on the patient's heart again. At the same time, he pressed the red button above the electrode pads, and then a rapid current flowed along.

The wire is instantly released from the electrode plate.

The powerful current made the patient tremble, and his hands suddenly lifted up with the current, and then fell down. Then the current passed through the skin and sternum of the patient's chest area, and directly acted on the patient's heart. The extreme current continued.

Surging, the originally weak myocardium instantly gained electrical energy.

The ventricle, which has been trembling without any ups and downs, begins to beat under the stimulation of electric current. The atria contract and the ventricles relax. A heartbeat cycle is completed, and the originally irregular sawtooth-shaped ventricular fibrillation waves on the electrocardiogram have become regular qrs.

Wave.

Plop, plop, plop...

The heart beats again, delivering fresh blood to the patient's various organs again. The patient's heart rate, oxygen saturation, blood pressure, and breathing are all improving little by little.

The effect of the defibrillator is immediate, which is why Wu Xiangdong prepared this rescue equipment in advance.

"The pupils are retracting, the response to light is also recovering, the rales in both lungs have disappeared, and the heart sounds and pulse fluctuations are good." Wu Xiangdong put down the electrode pad aside, picked up the stethoscope and began to quickly check the patient's condition.

Everything is under his control, Wu Xiangdong grinned, the heavy shackles were finally put down at this moment, and the gears of history will also be changed because of him at this moment.

"Rescued?! Anesthesiologist Wan Zhihua, who was at the bedside of the patient and had been observing her breathing, stared at her in disbelief as her vital signs gradually stabilized.

"It was successful, it was really successful! Her heart started to beat on its own, and we rescued her." Li Yanan's tears rolled in her eyes. She touched the tears with her arms and then revealed a rare expression.

smile.

Others present were also stunned by Wu Xiangdong's wonderful rescue. At first, they couldn't help shaking their heads secretly after seeing the condition of the pregnant woman. In their inherent thinking, such a situation was inevitable unless a miracle happened.

, otherwise it would be impossible to save them, but now it was Wu Xiangdong who made them believe in miracles and understand the principle of perseverance in treating illnesses and saving lives.

"Thank you, thank you Doctor Wu, you are the savior of our family." The family members who were originally depressed seemed depressed due to excessive grief, but as Wu Xiangdong announced that the rescue was successful, especially when he saw his daughter-in-law, his heartbeat

When it started beating again, he felt like he was in a dream, his face was full of joy, and the feeling of relief made him stand up excitedly, and kept bowing to Wu Xiangdong to thank him.

Faced with tears of gratitude from his family members, Wu Xiangdong waved his hand: "The patient's heartbeat has now recovered and her circulatory system has begun to operate normally, but the critical period has not passed yet. I am going to send her to the operating room to stop the bleeding and still perform follow-up suture treatment."

After Wu Xiangdong ensured that the pregnant woman's heartbeat was working normally, the biggest crisis had been resolved. He picked up a thick stack of sterile gauze pads placed on the treatment cart and pressed hard against the arc incision in the pregnant woman's abdominal cavity.

In just a moment, the white gauze was soaked in blood and turned red. Seeing this, Wu Xiangdong felt more relieved. This showed that the blood supply throughout the pregnant woman's body had basically met her own body needs.

After all, ordinary people can easily cut a wound the size of a thumb and it will continue to bleed, but a pregnant woman has a large incision that is ten centimeters long. If a little blood does not flow out, it will be a problem.

Seeing Wu Xiangdong speak, everyone saw that the gauze he was pressing was dyed bright red. Everyone who was happy just now also came to their senses. Although the pregnant woman was rescued, she was not out of danger yet, and the...

The bleeding edge of the knife is proof of this.

"Okay, we are going to transfer the patient now." Everyone present began to instinctively follow Wu Xiangdong's instructions and make preparations for the transfer in an orderly manner.

"Bring her as much balance fluid as there is in the emergency room. The fluid can be dripped freely. It is best to establish a venous access on one side for her to prepare for subsequent blood transfusions." Wu Xiangdong looked at the low blood pressure on the monitor.

, considering that the patient's perfusion was insufficient, Li Yanan was asked to take out all the fluids in the rescue vehicle.

At this time, Li Yanan began to work after receiving Wu Xiangdong's order. Since the patient's circulation was successfully rescued, the blood vessels on her body were not as deflated as before. She tied a tourniquet on the patient, and a vein in the middle of her arm gradually began to heal.

The surface of the skin is bulging.

This time she did not give in, but recalled Wu Xiangdong's previous operation, pulled out the needle plug and inserted the steel needle into the patient's blood vessel against the skin.
Chapter completed!
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