I'm really an intern

Chapter 371 Can't Stop!

The patient's heart rate is indeed increasing.

After another period of observation, Zhang Tianyang affirmed his judgment.

Because in less than 2 minutes, the patient's heart rate rose from 79 to 88 beats per minute.

It doesn't look like much difference, it seems like normal fluctuations.

But if Zhang Tianyang glanced before the operation and vaguely remembered that the patient's heart rate should be only 69 beats per minute...

This amount of growth is probably too much.

He silently stood up again, but he didn't directly interrupt the chief director's work, he just greeted the anesthesia trainee gently.

"Teacher anesthesiologist, please pay attention to your heart rate."

The anesthesiologist stood up anxiously.

Zhang Tianyang felt that the patient's heart rate was getting faster just by relying on his own memory.

But he had never rotated through an anesthesiology department, and had never used anesthesia records. Naturally, he didn't know that all the vital signs of the patient were recorded in real time during the entire operation.

In the interface that anesthesiologists can see, colorful lines weave up and down the screen.

He quickly found the colored line that belonged to the patient's "heart rate."

The first half of the line has occasional fluctuations, but is generally smooth.

But since a few minutes ago, the smooth curve has a clear tendency to "raise its head".

The anesthesia trainee was a little flustered.

He subconsciously glanced at the time.

"Teacher Pan went to the bathroom for 5 minutes..."

Although my own anesthesia teacher is strict, he loves round stools, and is short, and loves to make him work.

But treat patients very seriously.

Other anesthesia belts teach "decentralization", throwing patients directly to the students they bring, and then running away by themselves, without seeing anyone for half an hour.

But Teacher Pan will not.

He will watch it himself.

Because of this, he was always very haggard.

I heard that after he ran away the day before yesterday, Mr. Pan fainted because of the delay in the operation, did not eat on time, and suffered from hypoglycemia...

Such a serious Teacher Pan went to the toilet for 5 minutes...

That must be stuck in the toilet!

At this time, even if he went to the toilet to find him, he probably wouldn't be able to get out!

It was the first time for an anesthesiology intern who faced a "special situation" independently and was at a loss.

He stared at the upward curve for another ten seconds, knowing in his heart that he couldn't drag it any longer.

Hesitating around to the right side of the patient, he tried to speed up the infusion speed.

This is the only place he can change.

If it doesn't work, he has to go to the toilet to catch someone!

Zhang Tianyang has three purposes.

While listening to the changes in the frequency of the monitor's "didi", he covered the screen with his peripheral vision, and "deflated" when the chief director used the electric knife and white smoke appeared on the screen.

At the same time, he also paid attention to the movements of the anesthesiologists.

The fluid the patient is infusing is not a drug, just plain saline.

In addition to keeping the venous access smooth, the only purpose is to replenish fluids during the operation.

So the anesthesia intern thought that the reason for the patient's rapid heart rate was a precursor to shock?

Zhang Tianyang nodded secretly.

During the operation, the patient will indeed bleed, and the fluid replacement is not timely, resulting in a decrease in circulating blood volume, which in turn leads to an increase in heart rate. It is indeed a reasonable guess.

But will it work?

"Didi, Didi"

The heart rate on the monitor jumped to 89 beats per minute.

Increase instead of decrease!

The anesthesia intern broke out in a cold sweat from fright.

"I'm going to find Teacher Pan!"

Hastily leaving a word, he ran out quickly.

Without hesitation at all.

He is very clear about his position.

He is here, and he is not here, the difference is not big.

But if Teacher Pan came back a little later, he would die!

"Didi, Didi"

The monitor behind him is like a reminder.

When the anesthesia trainee was running in a hurry, he vaguely felt that the frequency of the voice seemed to be a little higher!

He shuttled through the crowd like the wind, and almost violently broke into the shared toilet for men and women closest to the operating room.

Then, he opened his mouth and shouted eagerly——

"Teacher Pan! Are you there!"

……

"Didi, Didi"

In the operating room, the operation was interrupted for the second time.

The movement of the anesthesia interns running away was so loud that they couldn't help not paying attention.

"what happened?"

The director frowned.

"The heart rate has been increasing."

Zhang Tianyang glanced back at the monitor, "Now it's 93 beats per minute."

After a pause, he added another sentence.

"It shouldn't be because of painful stimulation. After you stop, the director, your heart rate has no tendency to decrease."

"Didi, Didi"

With the beeps getting faster and faster, the atmosphere in the operating room gradually froze.

The chief director and brother Meng watched the monitor silently, waiting for the anesthesiologist to come to the rescue.

It's not that they don't want to deal with it.

It's just that they can't figure out what went wrong for a while.

Industry specializing in surgery.

On the operating table, the surgeon is responsible for the bloody operation.

The anesthesiologist is responsible for keeping the patient alive!

"Didi, Didi"

When the heart rate jumped to 95 beats per minute, the chief director also became anxious.

"Isn't it here yet?"

"The anesthesiologist went to the toilet and may not be able to come out temporarily."

Zhang Tianyang explained, and suddenly turned to look at the only person present who was not wearing a surgical gown - Sun Yu.

"Sun Yu!"

He even forgot to use the name Shangsun classmate!

"Go to the next door! Go and invite the anesthetist next door!"

Zhang Tianyang's voice was firm and urgent, with an orderly tone.

Sun Yu was shocked, turned around and ran out without hesitation.

Didn't even ask "why".

In a critical moment, she instinctively chose to trust Zhang Tianyang!

"Didi, Didi"

96 beats per minute.

Heart rate is still increasing.

A heartbeat of more than 90 beats per minute is a level that anesthesiologists must also handle carefully.

If it exceeds 100 times per minute, it is the level that anesthesiologists break out in cold sweat.

If it continues to increase, it will exceed 110, or even 120...

There is no need for surgery, prepare for rescue on stage!

Although the blue number on the monitor is still at 96 beats per minute, this increasing speed casts a haze over everyone's heart.

What made them even more anxious was that, apart from the anesthesiology trainee who had gone forever, Sun Yu, who was sent to the next door to ask for an anesthesiologist, was also gone forever!

Is it up to the three of us? !

Brother Meng's eyes were slack, and his mind was spinning rapidly.

What causes the heart rate to increase!

Countless key words flashed in his mind.

physical activities?

Pooh!The patient has been lying down, there is a fart of physical activity!

Food digestion?

Pooh!The patient is strictly fasting and water-free, and has been checked before coming here!

anxiety?excited?fear?

Pooh!He was lying there in the mood for a fart!

pregnancy?

……

What am I thinking about? Hey!

Brother Meng's face was ferocious, and his eyes were depressed.

His foundation was very solid, so in an instant, he thought of countless possibilities that could cause his heart rate to increase.

Then gloriously circled himself in!

Zhang Tianyang is also thinking fast.

What causes increased heart rate during surgery?

Light anesthesia, painful stimulation?

Too much blood loss, not enough fluids?

But the chief director had already suspended the operation, and the anesthesia trainee had just adjusted the speed of fluid infusion.

The two most likely reasons appeared in an instant and were rejected in an instant.

So, what else?

Countless keywords flickered in Zhang Tianyang's mind, and at the same time, his eyes scanned the operating room.

Use of sympathomimetic active drugs?

No, this patient has no serious underlying disease, and there is no reason to keep pumping norepinephrine into him.

His eyes scanned the infusion pump dedicated to the anesthesiologist, but he did not see the label belonging to norepinephrine.

Surgical stress, hyperthyroid crisis?

will not.

This patient was handled by him himself, and he has neither history of hyperthyroidism nor elevated T3T4.

Infection, high fever?

Or hypoxia?

His eyes unconsciously scanned every item and every machine in the operating room.

When scanning to a place, Zhang Tianyang was taken aback suddenly.

"Wait!"

"I seem to have found the reason!"

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(Added nearly [-] words~meow~)

(End of this chapter)