medical road high rise

Chapter 312 Anesthesia machine accident

A Will Eternal Chapter 313

At six o'clock in the morning, Qin Feng was woken up by the ringing of the mobile phone, opened his eyes in a daze, and connected the phone.

"Doctor Qin, it's not good. The patient in bed 05 has a severe cough."

Qin Feng suddenly woke up. This patient was the elderly patient he treated early in the morning.

Normally, Qin Feng would not react so strongly to the patient's cough.

But this patient is now covered with tubes, and severe coughing can cause the tubes to shift and contusion the tissue.

In addition, the patient has suffered a severe stroke and the pressure on the cerebral blood vessels is very high, and coughing can also aggravate the pressure and cause the blood vessels to rupture.

Once a blood vessel ruptures, the patient is bound to die.

Therefore, when the nurse was monitoring the situation, she immediately called Qin Feng when she found something was wrong.

Qin Feng hurried to the ward, checked the patient's condition, and said with a serious face: "Prepare for emergency surgery."

"But it seems that there are so many people in the emergency department who have to go to the emergency department for surgery." The nurse said.

Qin Feng frowned. Usually rounds start at ten o'clock, and doctors come one after another after nine o'clock. At this point, there are not many doctors in the emergency department, and there are even only two or three nurses.

"You go to contact the anesthetist first, I'll call Director Zhao." Qin Feng said.

The nurse left and went to make a phone call. There was still an anesthetist staying at this point to deal with emergencies at any time.

After calling Director Zhao, Zhao Guoping asked Qin Feng to go directly to the operating room, and he would arrange the staff.

After hanging up the phone, Qin Feng re-entered the ward, surrounded by the patient's two sons.

"Doctor, how is my mother doing now?" the eldest son asked anxiously.

"The operation must be performed immediately." When Qin Feng said this, he also shouldered a heavy responsibility.

The time to decide was the operation at ten o'clock in the morning, and it was recorded in the medical office. Even if the operation failed, the patient's family members would not be able to make a fuss if they wanted to.

But now, the patient's blood pressure has risen sharply, his heart rate is unstable, and his breathing is blocked. If it is delayed, it will be a dead end.

Qin Feng can only go to surgery first, notify the director of the department, and then file for the record, so as to minimize the risk.

The current Qin Feng has also changed a lot. If it was the previous Qin Feng, he would have come to the stage directly. Even the director of the notification would not be notified, and he would go up to Mang if he dragged people.

But even if Qin Feng pulls other people now, other people will not follow Qin Feng to mess around like this. It is not easy for everyone to have a job.

Half an hour later, several messy figures rushed into the emergency department, quickly changed their clothes and came.

"Xiao Qin, you are really terrible! I was just dreaming when I was woken up by a phone call from the director!" Li Xuewen said with dark circles under his eyes.

"Everyone is the same." Qin Feng smiled.

The doctor from the anesthesiology department came, the equipment nurse, the first assistant was Li Xuewen, and the second assistant was the chief inpatient of the emergency department.

Originally the second assistant Li Xuewen was going to arrange for an intern to study, but the intern insisted on coming to study, and Li Xuewen still had to give the total face of the hospital.

Everyone stood around the operating table one by one. Li Xuewen also reported the preparations to Qin Feng. Qin Feng nodded and raised his hand. The nurse helped Qin Feng put on the isolation suit, tidy up the brim of his hat, and held a scalpel to prepare for the operation.

"Perform anesthesia." Qin Feng said.

The anesthetist nodded, injected the drug dose into the patient, waited for a few minutes, and gave way to Qin Feng.

"Operation begins."

Qin Feng used a scalpel to cut the skin directly on the mark on the patient's neck, and the blood began to drip down the sterile cloth along the scalpel.

The neck is one of the places with the richest blood vessels. Bleeding is normal. It is just dripping, not gushing, and the amount of bleeding is still acceptable.

"The patient seems to have a protruding cervical disc." Li Xuewen observed.

Cervical disc protrusion is not a serious disease, but a manifestation of neck degeneration. It is more common in the elderly. If there are no special symptoms, it generally does not need treatment.

But in the current operation, the patient's cervical disc protrusion seriously affected the patient's airway, causing it to be compressed.

"Pull Shuye away first." Qin Feng said calmly.

Not flustered by the sudden situation, Li Xuewen took the tissue forceps and separated the skin of the neck.

Qin Feng raised the knife directly, cut open the protruding part, and then performed internal fixation to stop the bleeding.

The protrusion of the cervical intervertebral disc has been resolved, and this operation is only a minor operation in the orthopedics department, and it is not a big deal for Qin Feng.

"No, the patient's breathing is still not smooth." Li Xuewen frowned.

The bulge affecting the trachea has been resolved, and now the patient still has some difficulty breathing, so there is a problem.

"Could it be the reason for the induction of anesthesia that caused resistance to the patient's ventilation?" asked the hospital chief.

The anesthesiologist stepped forward to check, shook his head and said, "This depth of anesthesia is the most suitable, and there will be no ventilation resistance."

Before Qin Feng could speak, the instrument monitoring the pulse oxygen saturation began to emit a low alarm sound.

Alarm bells sounded in everyone's hearts. The anesthesiologist quickly looked at the instrument and shouted: "The patient's airway pressure continues to rise." "Doctor Qin, do you want to perform airway intubation? The patient can no longer breathe on his own." Hospitalized always suggested.

"The patient can't be intubated now, the airway pressure is too high, even if intubated, he can't ventilate." Qin Feng stared at the data on the instrument.

"Then what do we do now?" The hospital manager asked anxiously.

Everyone looked at Qin Feng, at this moment Qin Feng became the backbone of everyone.

"Not good, the patient's heart rate continues to drop, and cardiac arrest is about to occur!" Li Xuewen's pupils contracted.

We must know that once cardiac arrest occurs during the operation, the operation will become extremely dangerous. In addition, the patient's physical condition is already very bad. Once the cardiac arrest occurs, death can be declared.

"Why don't you cut the cricothyroid membrane first!" Li Xuewen suggested.

Now the cause of the patient's dyspnea will not be found for a while, and cricothyrotomy is the best choice.

Cricothyrotomy and ventilation can fundamentally solve the problem of dyspnea, but it will increase the risk of surgery, and postoperative healing will also become extremely difficult.

Qin Feng didn't speak, and the others seemed a little anxious.

"Check the anesthesia machine." Qin Feng glanced around and fixed his eyes on the anesthesia machine.

The anesthesiologist hurriedly checked, and finally found that the ventilation coil had failed. The anesthetist's face changed drastically. This was his problem.

The composition of the anesthesia machine includes an anesthesia circuit, a breathing circuit, etc. In addition to anesthesia, an artificial respiration channel can still be established.

But now the patient has difficulty breathing, and the patient has no problem, so there is a high probability that it is a problem with the machine.

After all, machines are not people, and there are always times when things go wrong.

So every time he came on stage, the anesthetist would check the anesthesia machine in detail, but today was not very lucky, and the time was too early, so the anesthetist was a little confused, so this mistake happened.

(End of this chapter)