Doctor: I picked up attributes in the hospital

Chapter 91 Patients with Postoperative Severe Cerebral Edema

Just as Zhao Heng continued to write his thesis and Xu Manni was watching, Gao Jun walked in from outside the office with a serious expression on his face, as if something big had happened.

"Teacher, what's wrong?"

Seeing Gao Jun walk in with such a dignified expression, Zhao Heng couldn't help being a little puzzled, and realized with Gao Jun that he had never seen Gao Jun with such an ugly expression.

"Xiao Zhao, come with me, there is an emergency consultation in the ICU."

Gao Jun said solemnly.

"okay."

Zhao Heng nodded. Judging from Gao Jun's solemn expression at this time, something big must have happened.

After closing the opened document, Zhao Heng stood up, nodded to Xu Manni, and followed Gao Jun out.

"Teacher, what is the specific situation?"

Seeing that Gao Jun, who had always been calm, now looked like he was facing a formidable enemy, Zhao Heng couldn't help asking curiously.

"It's the plastic surgery side, who received a patient who underwent silicone filling surgery, but just now, after the operation was completed, the patient did not wake up, and also developed very serious cerebral edema."

Gao Jun briefly talked about the situation.

"So push this pot to anesthetize us?"

When Zhao Heng heard this, he immediately realized what was going on.

Obviously, in plastic surgery, silicone filling is a very routine operation, and silicone is a very safe filling material. Basically, it is rare to hear that implanting silicone has caused such serious complications as cerebral edema.

Since it was unlikely that there would be a problem with the operation, the anesthesia was immediately targeted.

Only an accident with anesthesia can cause such serious conditions as deep coma and cerebral edema.

This is why Gao Jun's expression is so serious. He has just taken over the anesthesiology department, and now the anesthesia belongs to the operating room, and has not yet independently established an anesthesia and perioperative medical center. If something like this happens, the impact will be great. very nasty.

"Who administered the anesthesia for this operation?"

Zhao Heng asked again.

"It's Old Wen."

Gao Jun said.

"Mr. Wen? With his level of anesthesia, it won't cause such serious complications."

When Gao Jun said this, Zhao Heng felt even more surprised.

The old Wen mentioned by Gao Jun refers to Wen Shen, a senior anesthesiologist in the Department of Anesthesiology.

As a senior anesthetist, Wen Shen's level is comparable to that of Gao Jun. He has been engaged in anesthesia for so many years, and the patients he anesthetized have never had such a serious situation.

"I don't think so either, but the patient hired a professional medical malpractice lawyer, who immediately determined that it was Lao Wen who made a mistake and injected the anesthetic into the subarachnoid space, which directly caused the patient's cerebral edema."

Gao Jun said with a sigh.

For silicone filling surgery, under normal circumstances, only the waist anesthesia is needed, that is, the local anesthetic is injected directly into the epidural space to anesthetize the spinal nerve root.

The subarachnoid space, also in the waist, contains cerebrospinal fluid and is directly connected to the brain. Although the anatomical location is the same, the epidural subdural space is at the outermost position, and the subarachnoid space is at the innermost depth. location, between the two locations, there is a layer of subdural space.

Under normal circumstances, it is impossible for an experienced anesthesiologist to make such a low-level mistake.

Injecting the anesthetic that was originally injected into the epidural space into the subarachnoid space is a low-level mistake that should not be made, and it is an extremely serious accusation. Once this statement is established, it will be a big deal for Wen Shen It will be an extremely serious full responsibility medical malpractice.

This consequence, for any doctor, will be a devastating blow.

It's no wonder Gao Jun's face is so ugly now.

As a senior doctor in the anesthesiology department, Wen Shen has always had a very good relationship with Gao Jun. In addition, he has superb skills and a good personality. After Gao Jun separates the anesthesiology department in the future, he will be an important person who will be his right-hand man.

Now that something like this happened suddenly to Wen Shen, it was inevitable for Gao Jun to get angry.

"Will it be other reasons, or the patient has underlying diseases."

Zhao Heng thought for a while and said.

"It's hard to say at the moment. The most important thing now is to bring the situation under control. The patient with cerebral edema and coma is a well-known Internet celebrity, so the hospital attaches great importance to the influence of this matter."

Gao Jun said.

After hearing this, Zhao Heng felt awe-inspiring. As a doctor, he can't relax at any time!

After a while, Gao Jun and Zhao Heng arrived at the ICU. At this moment, a lot of people had gathered at the entrance of the ICU. Seeing the unfriendly appearance of these people, Zhao Heng felt even worse.

"Come on, go in and see the patient."

Seeing these unkind-looking people outside the ICU, Gao Jun sighed and said to Zhao Heng.

"Ah."

Zhao Heng nodded.

Soon, the two entered the ICU and came to a hospital bed.

Zhao Heng saw a girl in her 20s with a pale face and closed eyes lying on the hospital bed. This girl should be the Internet celebrity who made silicone fillers.

Just by looking at her face roughly, Zhao Heng found at least three or four places where the knife had been used.

Looking again, Wen Shen stood beside the hospital bed with a sad face, and not far away, there were several directors of departments standing, all of whom should have come to consult with this patient.

"Old Gao, Xiao Zhao."

Seeing Gao Jun and Zhao Heng coming, Wen Shen looked a little better and said hello.

"How is the situation now?"

Gao Jun was not polite either, and asked straight to the point.

"I have done all kinds of examinations, but I still haven't found the cause of the patient's cerebral edema."

Wen Shen shook his head and said.

He can be sure that there is absolutely no problem with the anesthesia given to this patient, any step, including the amount of anesthesia and the location of the puncture.

However, the patient did not wake up after the operation, and also developed cerebral edema.

This was the first time Wen Shen encountered such a situation.

"As long as there is no problem with your operation, they can't do anything to you, don't worry."

Gao Jun still believed in the level of his old friend, and didn't believe that Wen Shen would make the kind of mistake that was rumored, and he couldn't even tell the difference between the epidural space and the subarachnoid space.

"Well, now you are the only one who believes in me."

Wen Shen said with a sigh.

Zhao Heng didn't speak. He picked up the patient's medical record and read it carefully.

After watching for a while, Zhao Heng didn't find anything suspicious.

According to the mechanism of its occurrence, cerebral edema can be divided into vasogenic cerebral edema (vce), cytotoxic cerebral edema and interstitial cerebral edema.

As for the unconscious patient lying on the hospital bed in front of him, various possible reasons have been checked accordingly, but no abnormalities were found.

After reading the case of this patient, Zhao Heng felt the difficulty of this patient's condition.

If the cause of the patient's cerebral edema can be found out, then the possibility of anesthesia accident can be ruled out, and Wen Shen naturally has no problem.

But if there is no problem with any other examination, then the only possibility of the patient's cerebral edema must be caused by accidental anesthesia.

Eliminate all impossibilities, and the last possibility is almost certain.

However, there is still a chance now. The patient's cerebral edema has just appeared and has not yet caused irreversible damage to the brain tissue. As long as the real cause of the cerebral edema is found and the right medicine is prescribed, everything may be salvageable.

But time must be seized. Right now, every minute and every second is very important.

(End of this chapter)