super anesthesiologist

Chapter 15 The little boy who was run over by a truck ([-]) (Please recommend, please collect, thank you!!!)

Lin Xiaobei's voice seemed to be shouting for a big sale in the market, and immediately a crowd of people crowded over like bees.

"Doctor, how is the child?"

"Doctor, is he okay?"

"Doctor, save him quickly, you must save him!"

"doctor……"

"doctor……"

"doctor……"

……

Lin Xiaobei felt that his ears were going to be numb, and shouted loudly: "Except for Wang Yuzhe's immediate family members, everyone else will go back."

The crowd retreated like a tide.

"Are Wang Yuzhe's parents here?"

At this time, a middle-aged woman slumped on a chair in the distance responded weakly: "I am Wang Yuzhe's mother."

"come here!"

A man of similar age supported her by the arm.

"Doctor, how is Wang Yuzhe?" She asked anxiously and full of expectation.

"The vital signs can still be maintained for the time being." Lin Xiaobei said euphemistically. At this time, if he said too harshly, the family members would collapse in an instant. If he said too conservatively, it would be difficult to explain if Wang Yuzhe really died on the operating table later.

He can only be ambiguous, not only to reassure the family members temporarily, but also to let them realize that the child's condition is very serious.

"Doctor, do you mean that Wang Yuzhe's life is not in danger?" the man asked softly.

Lin Xiaobei was secretly startled, the man spoke in a gentle manner, but he gave him the same words without leaving any traces.

A mine is set.

He glanced at the man warily: "Who are you Wang Yuzhe?"

He looks very similar to Wang Yuzhe's mother.

"I'm Uncle Wang Yuzhe."

"Oh, where's his father?"

"I'm on a business trip and I'm rushing back. I guess I won't be able to get back until tomorrow afternoon."

Lin Xiaobei said expressionlessly: "Wang Yuzhe was seriously injured and lost a lot of blood. Our blood gas monitoring has not detected hemochrome. Although his current vital signs can barely maintain, accidents may happen at any time."

Wang Yuzhe's mother broke down again when she heard it, and cried loudly: "My Yuzhe, you will not live without your mother. You must be strong, woo~~~"

Lin Xiaobei quickly persuaded her, "You can't solve the problem even if you cry here! You sign it quickly, so that we can save time as soon as possible."

Uncle Wang Yuzhe was as treacherous as a speculator, and he was only looking for his words: "You haven't started the rescue yet?"

"We're just bandaging him with pressure. No one dares to operate because the blood source hasn't come. His lower extremity artery is ruptured. A slight touch may cause massive bleeding, which is life-threatening." Lin Xiaobei answered impeccably.

"When will the blood source arrive? Will we just wait like this?"

Lin Xiaobei looked at Uncle Wang Yuzhe and thought, why do you talk so much nonsense!
"Wang Yuzhe's blood type is AB type, which is relatively rare. The hospital does not have enough stock. We have contacted the city blood station and are on the way."

Wang Yuzhe's mother finally stopped crying, and asked, sobbing, "Doctor, where do you sign?"

Lin Xiaobei pointed to a blank area in the middle of the consent form, and said to Wang Yuzhe's mother, "Wang Yuzhe was seriously injured and his life was in danger at any time. I wrote all possible complications before, during, and after the operation. Take a look." You also have a look at the possible complications of general anesthesia in the consent form. If you approve and agree, sign here."

The woman didn't bother to look at it at all, she picked up the pen and wrote after glancing at it.

"Here, here, Wang Yuzhe is a minor and not qualified to sign. Just sign your name and clearly mark the relationship behind." Lin Xiaobei was afraid that she would make a mistake, so he explained in detail.

After signing, Lin Xiaobei asked them to wait outside, and returned to the operating room by himself.

2 units of red blood cells and 500ml of plasma from the blood transfusion department have been delivered.

Lin Xiaobei and Liu Qin checked carefully according to the principle of three checks and eight pairs. After confirming that the information was correct, the two groups of infusion channels were infused at the same time, and the plasma was transfused while the red blood cells were transfused.

"Puncture an artery for him." Lin Xiaobei said to Liu Xu.

"Ah?" Liu Xu was a little surprised, "Mr. Lin, he is awake!"

"It's okay, you can get some local anesthetic."

Liu Xu still didn't dare to make a move, "Why don't you wait a while, anyway, you're going to give him general anesthesia."

"Who said I'm going to give him general anesthesia?"

"You, you don't do general anesthesia?" Liu Xu stared at Lin Xiaobei as if she was looking at an alien.

The anesthesia consent form has been signed, what kind of tricks does Teacher Lin want to play?
"Do you want to wear it? If you don't want to wear it, I'll let Cheng Dewen wear it. Don't say I didn't give you a chance." Lin Xiaobei said half-threateningly and half-encouragingly.

"No, I'll wear it." Liu Xu couldn't bear to give up such a good mobile phone opportunity.

Lin Xiaobei touched Wang Yuzhe's right radial artery, he lost a lot of blood and the pulse was very weak.

"Can you sense it?"

Liu Xu stuck her finger on it like a gourd drawing a ladle, and did not move for a long time, her eyebrows furrowed into a ball.

She can't feel anything.

Lin Xiaobei didn't say anything, and added 3mg of MHJ (vasopressor), and after about a minute, let her try again.

"Well, I can feel a slight pulse right now."

"Then start preparing!"

Liu Xu stretched out Wang Yuzhe's right palm, with the thenar pointing outward, and placed a 100ml saline bag on his wrist, in order to better expose the radial artery.

Then put a thin towel under the palm of the hand, so as to keep it clean when the puncture will be done, so as not to get blood stains everywhere.

Having done all this, she fixed it lightly with adhesive tape.

Disinfection, laying towels, but Liu Xu hesitated at the critical moment.

"What are you waiting for?" Lin Xiaobei was helping her connect the arterial kit, using heparin water to remove the air.

"Ms. Lin, won't he be in pain?" She asked in a low voice.

"Didn't you take local anesthetic?"

"Oh, I haven't hit it yet." Liu Xu blamed herself angrily.

It looked like she was confused by nervousness.

Lin Xiaobei guided her with a smile and said, "It is enough to intramuscularly inject two target points at 0.5cm from the edge of the artery, and 0.2ml (2% lidocaine injection) for each point is enough."

When the No. 3 needle pierced the skin, Wang Yuzhe's hand twitched, and Liu Xu was also startled.

Seeing how timid she was, Lin Xiaobei shook his head helplessly, and gave Wang Yuzhe 1 mg MDZL (sedative tranquilizer).

After the intramuscular injection of the local anesthetic, the catkins are rolled back and forth on the two target points with a cotton swab, so that the local anesthetic will spread and the anesthesia effect will be better.

Although she is timid, she is a very careful and considerate girl.

Wang Yuzhe didn't move anymore, catkins were punctured smoothly, and she smiled slightly when the arterial cannula was successfully inserted.

Arterial monitoring showed that Wang Yuzhe's BP fluctuated around the 70/48 range. Lin Xiaobei asked Liu Xu to find a pressurizer for blood transfusion.

It took about 20 minutes to transfuse two units of red blood cells.

The 10 units of red blood cells delivered by the city's blood station also arrived in the operating room in good time.

"Can we start?" Orthopedic surgeon Huang Hao asked.

Lin Xiaobei looked at the monitor, arterial monitoring BP has risen to around 80/52.

"Move to the operating bed first."

One must not be careless, and one must be cautious in everything.With just such a slight movement, Wang Yuzhe's vital signs, which were stable just now, changed drastically: HR 165; BP 55/32!

"Liu Xu, hurry up and add more booster drugs. Liu Qin, continue to infuse blood!" Lin Xiaobei tried to keep calm, and he must not panic at this time.

If something happened to Wang Yuzhe at this time, he would not be to blame, because Huang Hao had already consulted him before moving the patient.

He is the commander, so he is also the bearer of responsibility.

Really know how to throw the pot!Lin Xiaobei fucked all eighteen generations of Huang Hao's ancestors in his heart.

(End of this chapter)