A new doctor who came to help was about to lift the arm that was in trouble, but the arm didn't move at all.

A disease suddenly appeared in Zheng Ren's mind. He walked into the surgery room and stood behind and took a look.

The system panel is bright red, and several diagnoses appear in front of Zheng Ren.

Zheng Ren ignored the diagnosis of inguinal hernia, gallbladder stones, and other symptoms. What he paid attention to was a simple diagnosis of malignant hyperthermia!

This disease... can be called a disease, with a very low incidence rate and will only occur when exposed to anesthesia.

It is one of the few hidden thunders most afraid of in the anesthesiology department.

Malignant hyperthermia is a hereditary disease characterized by high metabolism. It is triggered by patients who are exposed to certain anesthetic drugs, and non-depolarized muscle relaxants can delay the onset.

"Stop the anesthetic drugs!" Zheng Ren shouted in a deep voice when he saw the diagnosis on the system panel.

The nurses were busy with doctors, and no one had any idea. They heard someone talking, and the words were filled with majesty and the unquestionable way of the superior doctor. No one thought much about why, the anesthesiologist stopped the anesthetic drugs.

"Danqu Lolin, are there any medicines prepared?!" Zheng Ren almost yelled.

“…”

“…”

The operating room was confused.

Danqu Lorraine, what the hell is this?

"Is it a malignant hyperthermia?" The chief director of the anesthesia department ran in from outside. He was burly, like a bear, and his figure alone could bring a strong and violent sense of oppression.

"Yes!" Zheng Ren looked at the patient and said without hesitation.

Not only the diagnosis of the system panel, but also the symptoms of severe convulsions, cramps, stiff skeletal muscles, sweating profusely, etc. are the most typical manifestations of malignant hyperthermia.

There is no body temperature taken, but Zheng Ren believes that the patient's body temperature is at least above 40 degrees Celsius.

The director of the anesthesia department rushed to the patient's side, and the doctors and nurses on both sides consciously made a way out.

After a simple judgment, he hurriedly said: "The temperature of the cooling blanket is not low enough, look for other things to accelerate the cooling."

After saying that, he immediately took out his cell phone and called out.

"I want a helicopter, go to UnionPay. I want Danqulorin. Some patients suddenly had malignant hyperthermia!" The voice of the director of the anesthesia department was like a bell, and the whole operation was trembling slightly.

As an extremely rare genetic disease, malignant hyperthermia cannot be prevented. Moreover, the only hospital in China that has researched malignant hyperthermia is Union Medical College.

The caffeine fluorane ex vivo skeletal muscle contraction test has been carried out in the Department of Concorde Anesthesiology. However, only Concorde Anesthesiology Department has the special drug for treating malignant hyperthermia.

Zheng Ren has read several reports, mostly cases written by doctors from the imperial capital and the Magic City. When doctors from the Magic City encountered this situation, they could only watch the patient die helplessly.

Nothing else, just because there are no special drugs.

In the imperial capital, there is another option because there is a Union of Concord. (Note 1)

But even if the helicopter is called, it is still hard to say whether the patient's life can be saved before Danqulorin is brought over.

"Improve oxygen flow, mask oxygen inhalation!" Zheng Ren shouted: "The oxygen flow increases to more than 10l/min!!"

"Ice salt water, sterile ice salt water, intravenously, the fastest!"

"Monitor your body temperature! Don't stop!"

"2 sodium bicarbonate statically push!"

"Hurry up, who is standing there! Hurry up and push the sodium bicarbonate!"

"Nurse, collect blood!"

"Instrument nurse, step down! There is no need to be sterile! Quickly collect blood, ions, blood and gas. After the collection, hurry up and send it to the laboratory department and emergency department!"

Zheng Ren roared, and kept ringing in the operating room, and he forgot his identity.

Although he has always avoided doing things that can cause disgust among the doctors in the 912 hospital, when he encounters a sudden and severe case such as malignant high fever, Zheng Ren puts everything behind him.

The world is so big that it can make a big fortune?

"Call someone again to help the physical cooling. The nurse is on the way! Head nurse! Take the time to see if the frozen salt water is enough!"

Zheng Ren yelled, as if he seemed crazy, but in fact he did not lose his mind. He kept observing the patient's vital signs on the electrocardiogram monitoring.

The patient's electrocardiogram begins to show that the q-t interval is shortened, the t wave is highly pointed, and the basal is narrow and tent-shaped.

Soon, Zheng Ren noticed that the p-wave amplitude on the electrocardiogram decreased, the p-r interval prolonged and even the p-wave disappeared!

This is a manifestation of hyperkalemia. Although the test value has not been released, Zheng Ren is highly likely to confirm that the patient's blood potassium value may have exceeded 8mmol/l, or even reached the fatal level of 10mmol/l.

"Calcium gluconate, 5000mg, quietly push!" Zheng Ren narrowed his eyes, stared at the waveform of electrocardiogram monitoring, and shouted.

"5000..." A nurse who had just arrived to help was shocked.

For clinical medicine, the limit dosage of calcium gluconate is 3g, that is, 3000mg. 5000mg. Is this amount really OK?

The director of the Department of Anesthesiology frowned and looked at Zheng Ren carefully, but he didn't know him.

Whose doctor is this? Why did he command the rescue here? But each one is very timely, except for excessive calcium gluconate.

He strode to Zheng Ren and asked in a deep voice: "Is it okay to be over?"

"The p-wave is gone!" Zheng Ren reached out and pointed at the screen of the electrocardiogram monitoring with his fingers, shouting: "The heart stops immediately!"

Generally, if you have cardiac arrest, you can also use defibrillator, external chest heart compression and other methods to rescue.

However, for patients with malignant high fever, the defibrillator is useless at all. The whole body is stiff, like a stone, and the chest cannot be pressed at all.

Zheng Ren was thinking that if his heartbeat stopped, he would open his chest directly, take a chest compression under direct vision, and add the cooling of the ice and salt water in his body, the effect might be better.

However, this method is too extreme and intense, so you don’t need to use it as much as possible. Moreover, even if you cut it, the internal and external muscles in the intercostals will be tight, and you probably can’t even reach out your hands.

The director of the anesthesia department took a look at the electrocardiogram and knew that what Zheng Ren was right, so he immediately asked the nurse to inject 5,000 mg of calcium gluconate.

"How much urine!"

"..." The operating room was already busy, and no one was monitoring the urine volume. Zheng Ren stared at the electrocardiogram monitoring tightly. After he asked, there was silence around him.

The director of the anesthesiology department was stunned for a moment, then half-squatted down, looked at the urine bag, and said, "About 20ml."

"20...no, 80mg furoured venous injection!" Zheng Ren said: "The urine volume should be monitored and maintained at 50-100ml/hour."

“Give hyperventilation!”

"Yes, overventilate, must be over-excessive!"

"Is the test value back? If not, go urge me!"

The instructions echoed and surging in the operating room in an orderly manner.

More than a dozen doctors and nurses flew up without numbing their feet.

And that arm stretched out hard, as if it was iron, and was constantly spasming and twitching at its own frequency.

...

Note 1: Beijing Sanbo Hospital also seems to have sufficient amounts of reserve medicine for danqualinine.
Chapter completed!