"Check one, check one." director Liu repressed his irritability and waved, "let''s go quickly. There are a lot of people here, which violates the aseptic principle."
He was quite impatient, and did not shy away from letting Ren Haitao know his impatience.
There are so many people here. Considering that there may be mental diseases, what are they doing? Fooling around.
But for Mr. Wu''s sake... It''s not a big deal to check a blood gas analysis.
"Lao Ren, it''s too much!" Li Zhong frowned.
"Forget it, director Li." the deputy director of Anesthesiology sighed and said. He was also disgusted. What''s the matter? He had to force a blood gas analysis. As for whether Mr. Wu answered the phone, he had a dark guess in his heart.
"Alas." Li Zhong saw Ren Haitao insist and moved out teacher Wu to endorse. He couldn''t persuade him any more.
"Director Li, who has the final say in your medical group?" the anesthetic Director Deputy half joked.
"The facts has the final say, the strength has the final say." Ren Haitao absorbed the attention of the anesthesiologist and took a hard reply.
Li Zhong sighed. Lao Ren has a dog''s temper. No wonder director Xu didn''t like him when he was in the second hospital of Medical University. It''s really a poor man. He must have something to hate. He met Miss Wu. Miss Wu has a good temper and is used to this nerd.
How old are you and so willful that you can''t consider other people''s ideas?
Strength has the final say, paralyzed he is right! In a word, choking people can''t breathe. But even what has the final say, Wu has the final say. When will it be his turn?
Li Zhong''s mind was full of stomach Fei, and he read Ren Haitao in pieces. He even felt bored when he looked at his wrinkled old face.
But just then, the anesthesiologist''s assistant ran back with a newly printed report.
The anesthesia department has its own intraoperative examination equipment, which is not uncommon, but generally there is only one operating room, so it is not necessary to equip each operating room.
Seeing what Lao Ren said this time, Li Zhong was disgusted.
But
What''s wrong with the little assistant of the anesthesiologist? The action was a little flustered. I didn''t notice my shoulder hitting the airtight door. I ran in flustered.
Li Zhong was a little confused. He instinctively saw this moving picture. He knew that there was something wrong with the blood gas analysis.
But after another look at ECG monitoring, the blood oxygen saturation is 100%. It can''t be!
"Master," said the little assistant hurriedly.
"Hmm? What''s the matter?" the anesthesiologist realized that something had happened. He asked in a deep voice.
"Pao 238.8mmhg, Sao 280.6%, K + 2.76mmoll, lac < 1.0mmol, carboxyhemoglobin 1.1%."
"..." the room was silent.
Even the ventilator and monitor remained silent, and there was still no alarm.
The anesthesiologist took the test sheet suspiciously, took a look from top to bottom, then stood up and replaced the patient''s blood oxygen clip with a finger.
It may be the problem of oxygen clamp sensing, but generally, the problem is the decrease of oxygen saturation, rather than the constant maintenance of oxygen saturation between 99-100%.
Sure enough, after changing a finger, the blood oxygen saturation was still 100%, without any change.
"Is it arterial blood?" asked the anesthesiologist.
"Shifu, yes... Maybe." the little assistant was not sure, and he didn''t dare to insist. This is a key issue. If it is venous blood, everything has an explanation. But if it''s arterial blood, there''s a lot of doubt.
"I''ll pick another one." the anesthesiologist began to prepare things, and his assistant was busy.
The chest doctor was just about to open the skin. There was an accident on this side, and their actions stopped.
"Lao Lin, what''s going on?" asked the chest director.
"Maybe it''s venous blood," the anesthesiologist said. "You go on, I''ll take arterial blood."
"HMM." the chest director nodded and continued the operation.
When blood was collected from the radial artery, the anesthesiologist showed his skills, hit the nail on the head, determined it was the radial artery, and then sucked it back.
The color of blood... Some strange, not bright red, but dark red. It''s not like arterial blood, but like venous blood. You know there''s a problem at first sight.
The anesthesiologist was stunned. He took the syringe and hesitated.
"Stop the operation and change to double chamber ventilation." Ren Haitao straightened up. He was not joking, but began to command the rescue seriously under the urging of instinct.
Li Zhong wanted to say something, but his lips under the sterile mask moved, and finally there was no sound.
He believed that Mr. Wu asked him to take the blood gas analysis, but what was the problem? Everything is calm. There can be no problem.
"Teacher Ren, what''s going on?" the deputy director of Anesthesiology asked in surprise.
"Follow the doctor''s advice and send the second blood sample for examination." Ren Haitao''s waist is straight, his eyes are sharp, his old state has disappeared, and his voice is calm and can''t be refused.
The deputy director of Anesthesiology made a gesture, the anesthesiologist communicated with the thoracic surgeon, immediately stopped the operation and changed from single chamber ventilation to double chamber ventilation.
"Intravenous infusion of methylprednisolone 80mg."
"Potassium chloride 3G micro pump."
"Prepare cooling blanket, ECMO..." Ren Haitao blurted out a series of medical orders. It is obvious that he had an overall plan before this.
Just before that, Ren Haitao didn''t know what happened to the patient.
Call Mr. Wu. Although he only said a few words, he added infinite confidence out of thin air after he got Wu Mian''s oral medical advice.
In addition, the blood gas analysis value is the same as expected, Ren Haitao is more confident. At this moment, he is like Mr. Wu standing in the operating room of bajingzi traditional Chinese medicine hospital directing rescue, and the gas field is fully open.
Ren Haitao carefully used hormones to prevent hypoxic brain injury. At the same time, he made full preparations to avoid being in a hurry when there was an accident.
At this time, the numerical return of the second blood gas analysis was the same as that of the first time. Ren Haitao had more confidence in his heart and his voice of commanding rescue became more and more calm.
Several rescue drugs were as like as two peas. The patients lay quietly on the operating table. They could not see what was going on, and they were exactly the same as Ren Haitao when he entered the surgery.
Three minutes later, Ren Haitao saw that the patient''s vital signs were stable, and there was no sudden cliff like change, progress, or even uncontrollable,
He took a long breath and said, "take another arterial blood... Take another venous blood."
This is a very rigorous and careful approach. I''m afraid that arterial blood will be regarded as venous blood when collecting blood.
As long as there is comparison, there is no problem.
Soon, the test results returned.
Arterial blood: Pao 285.8mmhg, Sao 298.8%, K + 2.78mmoll, lac1.0mmol, COHb 0.8%.
Venous blood: pao239.7mmhg, svo280.7%, K + 2.69mmol, lac1.4mmol, cohb1%.
The difference is huge, and the oxygen saturation of arterial blood has risen to 98.8%.
Ren Haitao took a long breath and said, "continue the operation."