Chapter 229
"Anesthesia, deep venipuncture kit!"
When he heard that he wanted a deep venipuncture kit, Anesthesia's face turned pale.
"The director used it for yesterday's surgery, but the goods haven't arrived yet."
Hearing this, Xiao Chenguang's head was buzzing, and his body, which was wearing gloves and preparing to operate, froze in place.
Unlike in later generations where deep venous puncture kits were prepared in general departments, hospitals currently do not have the habit of leaving deep venous catheters.
Even the puncture kit in the operating room is due to the new technology they developed.
"I'll ask the supplier to deliver it now."
Anesthesia's heart sank to the bottom.
New technologies cannot go through the hospital procurement process. Every time the goods come in, the supplier will send them directly to the anesthesiology department.
Because the quantity used is small, delivery does not come every day. I thought it would be okay to wait for two days, but by coincidence, this happened today.
Anesthesia was so anxious that she could only have someone contact the supplier to deliver it immediately.
But they can wait, but patients cannot.
If there are no effective measures for cardiac arrest caused by embolism, the patient will only have a dead end.
"The patient is lying on his left side with his head down and his feet down, and he is given 1 mg of epinephrine intravenously."
If there is no kit, we must find other ways. Xiao Chenguang will not sit still and wait for death. He will give the doctor's orders while positioning himself.
"Take one each of atropine, dopamine, and isopyrax."
"Call the general surgery department and ask Gong Liang and Lin Gaoyang to come to the rescue immediately."
Xiao Chenguang let out a loud voice that made his eardrums hurt, and there was an unquestionable tone in his words.
"Okay, okay." Youyou didn't dare to breathe, and immediately called for support.
Xiao Chenguang turned sideways and punched the patient's heart several times.
The powerful and heavy knocking produced bursts of muffled sounds, which made those who listened tremble in their hearts.
The heartbeat on the monitor jumped a few times, but quickly returned to zero.
After three life-saving punches, Xiao Chenguang immediately started chest compressions in a very weird posture.
Anesthesia almost cried when she saw this scene.
Compression rescue on the stage is something I haven't encountered in a long time.
Even the anesthetist didn't know how to help, but Director Xiao's compression method was so weird.
Press vertically, with your forearms straight, hands crossed, depth 5cm, frequency 30:2.
But Xiao Chenguang turned his body sideways and stayed in the same position as the patient. He put his left hand on the back and arched his right arm to apply pressure on the chest area with one hand.
The posture was awkward, but the intensity did not diminish, and the waveforms on the monitor began to change.
"The ventilator mode is changed to volume control, the tidal volume is set to 400ml, the upper pressure limit is adjusted to 40mmHg, and pure oxygen is given."
Xiao Chenguang did not expect that the anesthetist, who had not participated in rescue operations for a long time, would be able to use his hands to perform compressions.
At this moment, the patient is intubated and using a ventilator, eliminating the 30:2 compression oxygenation process.
However, the selection and adjustment of the ventilator mode must be done under anesthesia.
"I know, I know."
Although the anesthetist didn't know why the ventilator mode was changed during the resuscitation, Xiao Chenguang's words were so overbearing that no questioning was allowed.
The anesthetist immediately changed the ventilator mode and heard two clanging metallic sounds from the air compressor in the ventilator.
A powerful stream of air rushes into the patient's body along the tube.
Xiao Chenguang also took out one hand from the previous compression and began to tap and tap the patient's chest on both sides.
This is?
Anesthesia couldn't understand what Xiao Chenguang was doing, but he didn't freeze on the spot like a fool, because Xiao Chenguang's rescue orders were like exploding beans, crackling on his body.
"Epinephrine 1 mg intravenously every four minutes."
"Dexamethasone 5mg, intravenously."
"0.2 mg of deacetylated lanternin mixed with 20 ml of saline, injected intravenously."
At this point, the medicines were no longer available, so the patrolman pushed another operating table and placed the first aid box in the operating room directly on it.
The medical orders continued.
Xiao Chenguang listened to the doctor's instructions for the tour and anesthesia. His hands continued to move, but his eyes kept watching the changes in the vital signs on the monitor.
“How many pathways are there in the patient?”
"Two ways!"
The one who was dispensing the medicine responded immediately.
"On the other side, quickly drop a bottle of sodium bicarbonate."
"Take one dose of furosemide to reduce the burden on the heart. Take out the mannitol and warm it with warm water."
Another series of medical orders came through, and even the equipment nurses took off their sterile gloves and joined the dispensing army.
Since the operating room was a temporary team, the rescue could only be carried out at the urging of Xiao Chenguang. When encountering such an emergency, although everyone was a little panicked, they still managed to complete every medical order given by Xiao Chenguang.
At this time, Xiao Chenguang was wearing many hats. He had to coordinate the overall situation and direct rescue operations, adjust the ventilator, and perform heart compressions.
In just a moment, a layer of fine sweat formed on his forehead, gradually gathered into a river, wetted the brim of his hat, and dripped down his cheeks.
The huge expenditure of physical strength and energy made Xiao Chenguang gasp for breath, and the bloodshot threads in his eyes stretched out like spider webs.
At this moment, there was a rush of footsteps outside the operating room.
"Boss, what happened?"
"Director Xiao, what do you need us to do?"
Like a wall, Lin Gaoyang pushed Gong Liang, who came with him, into the operating room.
The familiar voice sounded, making the tired Xiao Chenguang's eyes light up.
"Lin Gaoyang, come and do the compressions my way."
"Gong Liang, remember the technique I taught you before, pat the back to vibrate the lungs."
As the order was issued, they also saw the heart rate and blood pressure on the monitor, which were constantly alarming.
Oh my god!
The two exclaimed at the same time. Rescue on the stage, such a big thing, really happened in front of them.
They didn't dare to stay and immediately went on stage to start rescue.
With their participation, Xiao Chenguang's pressure was instantly relieved.
Lin Gaoyang's big hand like a bear's paw was placed on the patient's chest. With a light press, the entire chest immediately sank, the weak heart was stimulated, and the heart rate waveform on the monitor began to fluctuate greatly.
Bang bang bang...
The pressing continued, and the operating table was shaking like a storm.
Everyone was stunned.
Gong Liang followed the technique of vibrating the lungs and expelling phlegm that Xiao Chenguang had taught him before, with his five fingers together, his palm slightly bent, and his palm like an empty cup.
Pa pa pa...
High-frequency tapping, constantly patting the patient's chest, making bursts of clear sounds.
The two of them worked together, cooperating with each other, and Xiao Chenguang was in the middle, directing the rescue.
The three of them worked in perfect harmony, pressing and tapping again and again. Under the effect of adrenaline, the patient's heartbeat gradually recovered.
At this moment, the patient seemed to have hope of survival.