super anesthesiologist

Chapter 21 Anaphylactic Shock Rescue
In the waiting rooms of various departments in the hospital, this kind of yelling is actually very common, so even though the voice was very pleasant, Lin Xiaobei didn't care.

He doesn't like to deal with people on weekdays. He has few friends, even fewer friends of the opposite sex.

The voice was definitely not coming for him.

Lin Xiaobei didn't even bother to pay attention to the source of the voice, he was very tired and needed a rest urgently.I was busy all night last night, and my eyes haven't closed yet.

Liu Xu must have fallen asleep long ago.

"Doctor Lin, I'm calling you!" Following the voice, Lin Xiaobei saw a fashionably dressed girl standing a few steps away, waving to him.

"Are you looking for me?" He pointed at himself, doubtful, and searched in his mind, but he couldn't remember when he made such an eye-catching friend of the opposite sex.

The girl's nod told him unambiguously that she was waiting for him.

Lin Xiaobei bit the bullet and walked over, "Who are you?"

He got stuck again.

"I'm Li Qiqi!" The girl was as light as a bird.

"Li Qiqi?" Lin Xiaobei racked his brains again, but still had no memory.

"Yeah, don't you remember me?" Li Qiqi blinked mischievously.

Embarrassed, Lin Xiaobei lied and said, "I seem to be a little impressed, but not very deep."

Li Qiqi was a little disappointed, and reminded: "My father is Li Changgeng,"

It was really a word that awakened the dreamer, Lin Xiaobei paid more attention to Li Qiqi, and finally remembered that the girl standing next to him when taking pictures that day was not the same girl?
"Your image is so different from that day, no wonder I couldn't remember it for a while." Lin Xiaobei explained self-contained.

That day Li Qiqi was wearing a school uniform, tied into a ponytail.

Lin Xiaobei only regarded her as a student at school, and never even looked at her directly.

She stood next to him, and they didn't say a word until the photo was over.

But Li Qiqi in front of her has fluttering hair, a clay-colored windbreaker, and a small bag. She is completely different from that young student girl.

Seeing that Lin Xiaobei finally recognized her, Li Qiqi was a little happy, but said angrily, "Didn't I not graduate then?"

In fact, it was less than a month.

Lin Xiaobei secretly thought that she had changed too quickly.

"Is your father okay?" He didn't know what to talk to her, and cut into a positive topic.

"Well, very good. My dad misses you all the time. He said Director Jiang is of high standard, and you are also good."

Patients seldom remember the anesthesiologist's contribution after surgery, and Director Jiang must have said a lot of good things behind his back.

"Thank you for the compliment, do you still have something to do?" Lin Xiaobei hinted that he was really sleepy.

Li Qiqi heard his intention to chase away guests, and was a little upset, and said lightly: "I came to accompany my classmate, I didn't expect to meet you here."

"Oh, where is your classmate?" He asked casually.

"In the infusion room, she recently had a severe cold and continued to have a fever, and she couldn't get rid of it even after taking medicine."

The speaker has no intention, but the listener has the heart.

Lin Xiaobei immediately became vigilant like a night owl, and asked scoldingly, "Your classmate is getting an infusion, why don't you accompany her?"

Li Qiqi didn't understand why he was so blunt all of a sudden, so she said carelessly: "I've been with her all this time, losing too slowly, I felt a little depressed staying inside, so I came out to get some air. Don't worry, her skin test was negative."

"It doesn't work if it's negative, you'd better go and have a look. It's better to have someone accompany you when you're infusing antibiotics." Lin Xiaobei advised her, completely ignoring whether she might be suspected of kicking out customers.

Li Qiqi gave him a dissatisfied look, this person is too boring.If it wasn't for her mother always praising him, she wouldn't put a hot face on her cold ass.

With a cold face, she said coldly "Got it", and walked away without looking back.

Lin Xiaobei was stunned in place, unable to figure out why this girl was so enthusiastic one moment and as cold as ice the other moment.

He shook his head and smiled wryly. When he was about to leave, he suddenly heard an exclamation from inside. Li Qiqi cried and cried, "Doctor Lin, come quickly."

Lin Xiaobei's heart tightened, why is his mouth so crowed!The good ones don't work, and the bad ones are accurate.

He didn't care about the daydream, and rushed in like a stride.

The infusion room was in chaos, and Li Qiqi was crying with a girl in her arms, "Feng Lan, wake up, Feng Lan, wake up, don't scare me..."

Lin Xiaobei rushed to Li Qiqi to check, the girl named Feng Lan was pale, lying in her arms, unconscious.

The infusion needle in her hand was still on the infusion stand, and the three bottles at the end were almost bottomed out.

"What's going on?" Lin Xiaobei asked, it took at least one morning to lose the three bottles.

"She adjusted the speed up on her own, which caused a severe allergic reaction." The nurse in the infusion room was trembling with fright, and she couldn't speak clearly.

Hearing what she said, Lin Xiaobei untied Feng Lan's collar, and there was a shocking wind mass around his neck, like a pile of red mounds.

Anaphylactic shock!
This shock is a severe systemic allergic reaction triggered by the immune mechanism in a short period of time after certain external antigenic substances (penicillin drugs are the most common) enter the sensitized body.

Opening her eyelids again, Lin Xiaobei gasped.

Feng Lan's pupils on both sides began to dilate, and the color was gray!

Life is at stake!

"Hurry up and rescue him!" Lin Xiaobei shouted loudly.

As if a god descended, his appearance made the nurses calm down quickly. It is estimated that they are usually well-trained, busy and not chaotic, and quickly connected to the ECG monitoring.

Heart rate has dropped to over 50!

The normal HR for a girl of this age should be around 75.

SPO2 is only 85%, and it is still falling.

BP 65/35, has dropped to the point where it affects systemic perfusion.

"A shot of epinephrine, static push! CPR immediately!"

"Dexamethasone (hormone) 15mg!"

"Dopamine (vasopressor) 20ug/kg.min pumps up!"

Lin Xiaobei asked Li Qiqi to go away, put Feng Lanping on the bench, crossed his hands on her chest and started to press on the middle and lower 1/3 of the manubrium of the sternum.

"Is there an intubation box?"

"Yes, prepare now!"

Soon someone handed over the complete endotracheal intubation kit.

Lin Xiaobei picked up the laryngoscope to check. He didn't know if the handle of the mirror was in poor contact or the battery hadn't been replaced for a long time. The light source was so dim that it was barely visible.

At this time, every second counts, and there is no extra time to pick and choose.

He pried open Feng Lan's lips with ease, and inserted into the laryngoscope.

The girl's bilateral tonsils are huge, like two stones blocking them, and the mirror can't move an inch in the small space.

Lin Xiaobei explored inside for a long time, but couldn't find the epiglottis.

In order to prevent unnecessary mucous membrane damage caused by violence, he withdrew from the lens, readjusted the angle, and slowly entered again. It was indeed invisible, and there was a red and swollen piece inside.

Feng Lan's airway is actually Mallampati Class IV.

It's not that Lin Xiaobei has never encountered a difficult air, but it's the first time that a girl as young as her has encountered such a serious air.

Generally speaking, young people with this kind of difficult airway either have congenital diseases such as stupidity, or have characteristics such as small jaw and short neck.

But Feng Lan could tell from that youthful and beautiful face that she must be a smart girl.

Lin Xiaobei was frightened inwardly, even tried a few times to no avail.

He stopped and squeezed the rubber ball (simple respirator) a few times to pressurize and give oxygen, but found that the resistance was huge.

Due to constant stimulation, Feng Lan's oral secretions increased, accompanied by food residues and blood streaks.

Lin Xiaobei asked the nurse to connect the aspirator to clean her mouth.

The adrenaline injection was effective, and Feng Lan's heartbeat reached 120 beats per minute, but this was only a superficial phenomenon.The effect of the drug lasts only a few minutes, and the lack of oxygen can severely damage the heart muscle, and cardiac arrest will soon occur.

Establishment of the airway is urgent.

Lin Xiaobei concentrated on stabilizing himself, the more critical the situation was, the calmer he became.

Suddenly he felt that his mind went pale, and then a red light burst out, and the golden panel quickly appeared: [Super anesthesiologist training system prompt: Host emergency ability experience, limited to 10 minutes! 】.

Just like that time with Li Changgeng, he was blind in both eyes, and the super perspective between his brows was opened.

All the anatomical structures of Feng Lan's airways are clearly displayed.

Her glottis was very high and the airway was filled with mucus and food debris from above the carina.

She has had severe aspiration!No wonder I couldn't get up after pinching the ball to give oxygen just now.

"Pass me the suction tube! Suction device on!"

Lin Xiaobei withdrew the lens, inserted the suction tube directly from the mouth, into the glottis, and slowly sucked out all the dirt from the airway.

"Give 20ml of normal saline (flush the airway)!"

"Pass me the endotracheal tube!"

"Doctor Lin, don't you want a laryngoscope?" The nurse next to her asked tremblingly, she was so frightened that she forgot her surprise.

"No need, it's already plugged in, connect the oxygen." Lin Xiaobei was so relaxed that the people around him couldn't believe it.

He inserted the endotracheal tube without a laryngoscope?
But the facts are indisputable.

Feng Lan's vital signs improved rapidly, HR 98, SPO2 100%, BP 98/61.

The pupils on both sides recovered from constriction and were as black as pearls.

Finally rescued, although not completely out of danger, but will not die immediately.

Lin Xiaobei took a deep breath, his forehead felt a sharp pain, the red light disappeared, the center of his brows was white, and his eyes slowly regained their perspective.

面板显示：【超级麻醉医生培训系统提示：任务完成，气管插管术：+5；生命体征监护：+10；基础理论知识运用：+10；消耗：能量药水：10支；奖励：能量药水：5支；金手环 5只】。

　Dear friends, after reading, please give me the recommendation ticket in your hand, the seedlings are in urgent need of support.Thanks! ! !
　　


(End of this chapter)