I can see health

Chapter 493 Lao Gu's Remorse

its not right!
Lu Chen was shocked. When he first came to the side of No. 1 hospital bed, he clearly saw that the trend of the patient's health was a plus sign.

Why did it become two minus signs in a blink of an eye?

A plus sign becomes two minus signs, what a difference!
This shows that the patient's condition at this time has suddenly changed rapidly!

While Lu Chen was thinking, he suddenly noticed the patient on the hospital bed, his eyes were staring upwards, his expression was dull, and his upper limbs trembled involuntarily.

At the same time, the bedside ECG monitor sounded a piercing "beep beep" alarm.

Lu Chen felt that something was wrong, he immediately realized it, and immediately stepped forward to check.

He patted the patient's shoulder, "Master, sir! Can you hear me?"

The patient did not respond at all!
Lu Chen quickly felt the carotid pulse on the other side, and at the same time placed the stethoscope on the apical pulse.

Didn't hear the beating of the heart at all!

"Oops, my heart stopped!"

Seeing this, Lu Chen rolled up his sleeves and immediately started chest compressions.

On the side, Gu Xinyue was also quite nervous.

He placed the patch on the patient's puncture point, and at the same time assisted Lu Chen in performing cardiopulmonary resuscitation.

Fortunately, it was in the CCU ward. The nurse in charge of the bed responded immediately and called other nurses to push the ambulance from the nurse station.

And Zhou Bin just came to the ward at this time, and when he saw this scene, he immediately ran to the bed.

"Quick, adrenaline!"

"Get the defibrillator ready!"

Zhou Bin judged the patient's condition immediately, and began to issue emergency medical orders.

"What's the matter with the patient? Didn't you pull out the tube?"

Gu Xinyue paused, and said: "Mr. Zhou, I just pulled out the tube and helped the patient press the puncture point for 2 minutes, but his heart suddenly stopped!"

"Heart stopped?" Zhou Bin frowned.

At the time of the patient's most critical condition, he did not experience cardiac arrest.

Why is the condition getting better now, but the heart stopped suddenly?

But now is not the time to think about these things, Zhou Bin calmly issued various emergency medical orders.

"Pump in Cordron, and another bottle of sodium bicarbonate!"

"VF! Prepare to defibrillate!"

……

Hard work pays off.

After Zhou Bin and Lu Chen took turns to perform chest compressions, the patient's heartbeat finally recovered.

When the faint beating sound of the heart came from the stethoscope, Lu Chen finally breathed a sigh of relief.

However, the patient's consciousness has not recovered, and he is still in a state that should not be expected.

"Phew...it's good if you can be rescued." Zhou Bin sighed slightly.

For patients in cardiac arrest, the chances of being able to press back are not great.

Lu Chen shook his sore hand, "CPR is really physical work!"

It has only been a few days since he came to the CCU ward, but the number of chest compressions he performed exceeded the sum of the past few months.

In the CCU ward, rescuing patients is commonplace!
On the side, Gu Xinyue looked a little dazed.

"Old Gu, what's wrong with you?"

Gu Xinyue was startled, lowered her head, looked a little unnatural, and said in a hesitant tone: "Lu Chen, you said that the patient's heart stopped, could it be because of me..."

Lu Chen was taken aback, "Why do you think so?"

Patients with heart disease, even if their condition is slowly recovering, may still experience malignant arrhythmia, acute heart failure, even cardiac arrest, sudden death and other unpredictable malignant events at any time.

"I..." Gu Xinyue lowered her brows, "He was fine just now, but after I extubated, his heart stopped suddenly."

"Maybe it's just a coincidence that you extubated." Lu Chen said, "If you don't extubate, his heart will stop at this time. We are by his side, just in time to rescue him, didn't we help him?"

Gu Xinyue was a little silent. He glanced at Lu Chen and said slowly, "I have my own reasons."

"What reason? Make you doubt yourself?" Lu Chen wondered.

"Lu Chen, I was wondering, did I just...press his carotid sinus?"

The puncture point of this patient is not the subclavian vein, but the internal jugular vein.

Lu Chen recalled what Gu Xinyue did just now. After pulling out the catheter, he did press the carotid sinus on one side.

The adventitia of the carotid sinus vessel wall is rich in sensory nerve endings called carotid sinus baroreceptors
The location here is superficial, and when the stimulation is enhanced, it will lead to the occurrence of carotid sinus syndrome symptoms, which can be manifested as a decrease in heart rate, weakened myocardial contractility, decreased cardiac output, and decreased blood pressure.

Pressing the carotid sinuses on both sides at the same time can indeed stimulate the vagus reflex and even cause syncope.

"Lao Gu, let's not talk about whether you have pressed the carotid sinus." Lu Chen said, "Even if you press, gently press the carotid sinus on one side, do you think it will cause cardiac arrest?"

Upon hearing this, Gu Xinyue bowed her head and remained silent.

Lu Chen knew that Lao Gu's mentality at this time was extremely self-blame.

Just now, I was still communicating with the patient about transferring back to the general ward tomorrow morning. In a blink of an eye, the patient was lying on the bed, unable to wake up.

Lu Chen patted Gu Xinyue on the shoulder, "Lao Gu, let's do our own thing well. As for other things, don't think too much, don't fight internally."

Gu Xinyue nodded, looked up at Lu Chen, "Thank you."

Lu Chen responded with a smile, "You can open it up if you want."

……

Go back to the doctor's office.

Zhou Bin also knew what Gu Xinyue was thinking, so he said with relief: "Xiao Gu, you said that the possibility of cardiac arrest caused by pressing the carotid sinus cannot be completely ruled out, but the possibility is very small."

"Mr. Zhou, then, why did the patient suffer from cardiac arrest?"

Gu Xinyue stared at Zhou Bin closely, trying to find some answers from her.

Zhou Bin smiled and asked back: "Xiaogu, let me ask you, extubation is such a simple operation, a nurse can do it, why do you need a doctor?"

Gu Xinyue frowned and didn't answer for a while.

In fact, his entire extubation operation just now took less than 1 minute.

If it's just a simple extubation operation, the nurse must have it!
Seeing this, Lu Chen paused and said, "I remember a literature report that extubation of central venous catheter can lead to accidental central venous catheter removal syndrome. stop, shock coma, etc., the mortality rate is 57%.

Zhou Bin nodded with satisfaction: "Lu Chen is right. Although it is just a simple extubation, it is actually still dangerous, so when the extubation is performed, the doctor must be present!"

In addition to massaging the carotid sinus, there is also the possibility of intravascular thrombosis and gas embolism!

However, after repeated enlightenment by Lu Chen and Zhou Bin, Gu Xinyue's mood improved a lot.

"Thank you, Lu Chen." Gu Xinyue said softly.

"No thanks, just bring me a bowl of beef noodles tomorrow morning." Lu Chen smiled.

"Okay." Gu Xinyue nodded.

……

After half an hour, I finally got off work.

Lu Chen's night shift also started.

(End of this chapter)