378 Intraoperative high fever
(Thanks to friends for their origin and destiny and destiny and destiny and destiny)
The hypothyroidist patient last night left a lot of money in Liu Banxia's career. This is the doctor's profession. Sometimes he forgets what he did right in a few days, but if he makes mistakes, he will remember it for the rest of his life.
Doctors cannot make mistakes. What is related to the patient's life if it makes mistakes.
Today, Liu Banxia has nothing to do during the day, and there is no surgery yet. Whether she can spend a day in the hospital peacefully depends on God’s arrangement.
"Liang Xiaolin, how did you have the surgery recently?" Liu Banxia asked.
"I'm tired, there will be one more today. I'll have to go to the orthopedic department for an internship tomorrow. In fact, I shouldn't have been with me too much fun," said Liang Xiaolin.
"We are Qingkova here and don't need to join in too much fun. The rest are counted as one, and no one can miss it." Liu Banxia said.
"Actually, it's nothing. You don't have to set such high requirements for yourself. Just be able to simply deal with fractures. At least one level lower than Xu Yinuo and others. This is all for the treatment of a large number of trauma patients in the future."
"Teacher Liu, what those people said online is so excessive, are you really not angry at all?" Xu Yinuo came over.
"You, just ask about these gossip news." Liu Banxia glanced at her helplessly.
"Actually, I think it should be adjusted and let you and Wang Chao go to an internship. At that time, you will be able to get all the rumors about our Second Hospital, which should be good."
"What are you calling me?" Wang Chao, who had just returned from breakfast, asked.
"It's nothing. We have to treat us to chicken legs at noon." Liu Banxia said seriously.
"Why am I just treating me? I didn't do anything?" Wang Chao was so worried.
"Xu Yinuo plans to worship you as his teacher and let you teach you another masterpiece." Liu Banxia still fooled her face without changing her face.
"Xiao Xu, don't worry, if you like me, you just say it directly. For the sake of Mr. Liu's face..., why are you looking at me like that?" Wang Chao said halfway, unable to continue.
"Soutian is teasing you and let you teach Dr. Xu to study the gossip." Zhou Li said with a smile.
Wang Chao looked at Liu Banxia resentfully, "I met someone wrong and made friends with me carelessly. My great youth was harmed by Mr. Liu."
"My God, I got goose bumps. But I have to remind you, has my stomach been getting up lately? I need to increase some exercise as appropriate." Liu Banxia said and patted Wang Chao's belly.
"Hey... Mr. Liu, I'm wondering. Why is my belly so strong? My work is very tiring every day." Wang Chao said with a frown.
"Teacher Wang, don't care about your stomach first. Teacher Liu was arranged so much online, so don't we think about how to fight back? Why do we just let them talk nonsense?" Xu Yinuo said.
"That depends on what your teacher Liu himself is thinking, right? He doesn't care, it's useless for you to be anxious." Wang Chao said with a smile.
"Actually, you Teacher Liu is like this. Sometimes you are petty and sometimes you are very generous. It is better to persuade Qiao Qiao to go even if you are staring at him."
Liu Banxia glanced at him helplessly, "Are you really uneasy? Do you have to make a round of trouble?"
"It was originally. In the short term, this is a slander report against you. In the short term, this is a slander against our entire industry, who can bear it?" Wang Chao said in a righteous manner.
"You are just idle and have nothing to do. If you have three surgeries in a row, you won't have so many ideas." Liu Banxia said.
"Hehe, isn't this a pity for you?" Wang Chao said with a smile.
He was really worried that Liu Banxia would give him three surgeries in one breath, so he didn't dare to resist, so he could only bear it silently.
"Don't think about it anymore. I'll think about it back. Letting them arrange it is not that way." Liu Banxia said.
"Hurry up. There has been a lot of more people with colds or drunks these days. Be sure to be careful and never make any omissions."
The interns responded with laughter.
It is also a special morning meeting of the emergency center, because the patient information is followed up in real time, so it will not be so troublesome. Moreover, Liu Banxia also intends to reduce the time spent on shifts so that everyone can get enough rest.
He was also really worried that he would be exhausted from the interns in the future. Even if he told them to choose by themselves, he hoped that they could stay in the emergency center of the Second Hospital.
Now they have been trained. The people selected by Chen Zhenxing have been able to stand alone after so long after graduation in the future.
After explaining this, Liu Banxia returned to her office and had to review the patients who needed to be discharged today. As the number of patients admitted to the hospital increased, the time spent processing these documents every day would be much more.
In other words, he has been insisting on intensive training every day in the past few months and has undergone a lot of surgery. Otherwise, it would be difficult for him to take into account both his work and surgical ability, and he would definitely have to influence each other.
As for the media reports, he can only finish talking. He really can't control the mouths of those people. If you respond and explain, they will be more excited.
"Mr. Liu, you need to go on stage. Two sisters were hit by an electric bike. My sister found a liver laceration and an intestinal perforation. Dr. Wei has taken her to the operating room." While busy, Wang Chao ran in.
"Okay, you can go on stage with me, and you have to increase your experience in this area. How big is the laceration?" Liu Banxia asked.
"It should be about 1.5 cm." Wang Chao said.
"When you cross the intersection, you ran a red light. The cars in the first lane saw it, but the cars in the second lane directly hit them. People are too impetuous now, and you will be fine if you wait a few more seconds."
"I find that you have very social qualities now, very good." Liu Banxia said with a smile.
"Not even possible. Can you say a few more words during the surgery today?" Wang Chao asked.
"If the situation is not serious, leave it to you for the liver suture work." Liu Banxia said.
Wang Chao nodded happily.
The first choice for liver surgery at the emergency center is Zhou Shuwen, followed by Liu Banxia, and then Shi Lei. If these three people are busy, they have to ask someone for help from the general surgery department in the hospital.
If doctors who can perform such a level of surgery are also busy, they will be able to rescue patients first and whoever catches up will come. But this is just the last choice, should patients be put first?
There are not so many opportunities to practice in daily life, so Zhou Shuwen is not there. Basically, everyone is watching Liu Banxia.
When I arrived at the operating room, the anesthesiologist today was Li Liwei.
"I thought it was Lao Wang next door. After reading the examination report, the amount of bleeding was not very large." Liu Banxia said.
"The other patient seemed to have some spleen damage, so Wang Lei went to that one," said Li Liwei.
"The patient's vital signs are very good. With your speed, today's lunch will not be delayed. Everyone can relax a lot, come on."
Liu Banxia nodded with a smile. It was already a very gratifying thing to be able to eat and rest normally in the hospital.
However, there will be a little accident today. He has to be responsible for supervision, and the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who will be the one who
The abdominal cavity is opened and the laceration is presented to everyone.
"Super, what should I do? It's two centimeters long. It should be that the capsule cracked a little after CT, but fortunately the depth is not very deep." Liu Banxia said.
"You can't help me with a large omentum with pedicle repair," Wang Chao said relaxedly.
"Oh, Wang Chao, congratulations. I got off the stage, don't you indicate lunch?" Li Liwei joked.
Wang Chao nodded, "No wonder Mr. Liu asked me to add chicken legs in the morning. It seems that this is God's will. If it is deeper, it is not something I can handle. You must add chicken legs. Rinse it."
Now he is really confident that this operation is fine. He can also add a liver suture to his surgical experience, and the practical experience is definitely deeper than the practice.
"Dididi...Dididi..."
What no one expected was that just after washing up, the monitor next to it began to call the alarm.
"Not good, tachycardia, carbon dioxide partial pressure is too high, and body temperature is rising." Li Liwei shouted.
"Use ice packs first to assist in cooling." Liu Banxia also became nervous.
"Damn it, malignant high fever, the body temperature is already 42 degrees. The cooling blanket, ice bag, and air conditioner are adjusted to the lowest level. Inject danquolin to prevent organ failure, quickly." Li Liwei shouted suddenly.
This scared everyone, because malignant hyperthermia can cause acidosis, hypoxemia, hyperkalemia, arrhythmia, organ failure and other complications, which eventually lead to the death of the patient.
No one is idle, everyone is busy together, and the patient's temperature must be controlled.
"I use sevoflurane in the anesthetic." Li Liwei said with a wry smile.
"Don't think about it, it's important to cool down first." Liu Banxia nodded.
Malignant hyperthermia does not show any symptoms in normal times, but exposure to volatile anesthetics or muscle relaxants during general anesthesia is likely to be induced.
"Wang Chao, go to the operating room next door to inform them to pay attention to malignant high fever, which is inherited." Liu Banxia was helping the patient cover a cooling blanket and suddenly thought about it.
Wang Chao was stunned for a moment, then turned around and ran over there.
I just focused on treating the patient, but I forgot that this was a genetic disease. Today, the injured are two sisters. This one has been induced with malignant high fever, and the other is also very dangerous.
Because all the surgeries they need to undergo need to be treated with general anesthesia, they must be stopped in time as long as there is danger, and the anesthetics should be replaced to avoid risks in this regard.
Now the patient's liver suture is secondary, and the most priority is to lower her body temperature. Otherwise, she will lose her life, what else is there?
Chapter completed!