Chapter 1480: 1433 Shock Storm (Alliance Leader Lan Qiu Lu Bonus Chapter 3)

Zheng Ren strides into the Operating Room.

Song Moxi was still fine a moment ago, but in the next second, symptoms of anaphylactic shock appeared.

The manifestation of skin and mucous membranes is the earliest and most common sign of anaphylactic shock. Coin-shaped papules appear directly, quickly giving a weird feeling.

But this time, it's not localized symptoms; it's generalized flushing.

Song Moxi's skin flushed, followed by widespread rash and angioedema, and even within a short 1 second, symptoms of generalized edema appeared vaguely.

Due to laryngeal edema and spasm in the airway, plus catarrhal secretions in the trachea causing upper airway edema obstruction.

Song Moxi exhibited increased airway pressure and increased airway resistance.

At the same time, her lower airway edema increased pulmonary secretions, leading to inadequate gas exchange, insufficient oxygen supply, and decreased blood oxygen saturation.

Even, Song Moxi turned cyanotic in an instant.

Upper and lower airways both developed edema, condition rapidly deteriorated; without ventilator assistance, Song Moxi likely could not have been saved.

Due to capillary leakage and vasodilation causing absolute or relative intravascular volume deficiency, venous return decreased, and Song Moxi's blood pressure plummeted to 80/50 mmHg.

This is merely the beginning; her arterial pressure continues to plummet wildly.

Heart rate surged above 120 beats per minute, pulse thready, extremities cyanotic and cold.

These were all within Zheng Ren's expectations.

He rushed into the Operating Room, shouting: "Suction secretions, keep the airway clear!"

The anesthesiologist hadn't reacted yet; just a moment ago everything was calm and peaceful. How did all the equipment start screaming madly in an instant?

Is it equipment failure?

It couldn't be simultaneous equipment failure; these are the world's most advanced instruments, and they're well maintained.

"Suction!" Zheng Ren kicked the anesthesiologist's outer thigh.

He didn't use much force; just used violence to wake the anesthesiologist.

"Oh." The anesthesiologist staggered, immediately realizing what he should do now.

After all, he is a top-tier anesthesiologist with solid training.

In the shortest time, he picked up the suction catheter and smoothly inserted it into the endotracheal tube.

A hissing sound rang out as large amounts of airway secretions were sucked out.

Seeing the anesthesiologist move, Zheng Ren didn't bother him, but continued shouting: "Su Yun, elevate the head 15°, lower limbs 15°."

Su Yun solemnly.

Although he was prepared, he didn't expect anaphylactic shock to be so violent.

Elevating the head and lower limbs is a point easily overlooked in the resuscitation of anaphylactic shock.

Doing so helps venous return from the brain and lower limbs, increasing pressure gradient, and can prevent sudden rise in carotid sinus pressure, which reflexively lowers blood pressure.

This is a detail few notice, yet it's extremely important!

"Epinephrine 0.5 mg intravenous injection!"

"Hydrocortisone 200 mg intravenous injection!"

"Epinephrine 0.5 mg intravenous injection again!"

The anesthesiologist looked at the ECG Monitor and instinctively reminded: "Doctor Zheng, the ECG Monitor shows a sine wave pattern, consider ventricular fibrillation. Give amiodarone."

He spoke cautiously, not daring to provoke Zheng Ren easily. Even in the Emergency Rescue, he wanted to respect Zheng Ren's opinion.

Doctor Huo was slapped against the wall and is still sitting there holding his head, dazed.

"It's not ventricular flutter." Zheng Ren said firmly, "Get a limb-lead ECG."

Harmony Nurture Hospital is relatively advanced, with all leads placed in the precordial area.

Zheng Ren said that a limb-lead ECG is an ECG where the limbs also participate in the leads.

The anesthesiologist doctor was stunned.

In the Emergency Rescue, if ventricular flutter occurs, shouldn't it be treated immediately? Why would one think otherwise?

Continuous, regular, wide, bizarre QRS waves look so "ugly".

This is one of the waveforms most feared by cardiology doctors, meaning the patient is hard to resuscitate.

The QRS duration is long, over 0.12 seconds, and the QRS wave's amplitude resembles a sine-like curve, making it hard to distinguish from the T wave.

All this proves that Master Song has already developed ventricular flutter!

Although the QRS rate hasn't reached 180 per minute and the P wave hasn't disappeared, that broad QRS waveform tells the anesthesiologist: this is ventricular flutter!

Rescue is necessary.

He really wanted to immediately give Master Song intravenous amiodarone, but Zheng Ren's slap just now...

Might as well do a limb-lead ECG.

Even if Master Song encounters an accident, I have fulfilled my duty.

Not knowing people is Master Song's problem. And this arrogant, overbearing Doctor Zheng stubbornly rejecting my reminder means that whatever happens has nothing to do with me.

The Anesthesiology Department doctor quickly connected the limb-lead ECG, but when the ECG appeared, he was stunned.

It's definitely not ventricular flutter; P-QRS-T is clearly visible, and the sine wave pattern is likely due to interference between instruments.

This...

The anesthesiologist doctor looked at the clear P-QRS-T waveform, feeling immensely doubtful.

In this situation, who gave him the guts to judge it as equipment interference?!

"Pay attention to suction!"

"Anisamide 100 mg intravenous drip, note low speed."

"5% glucose 1000 mL, hydroxylamine, dopamine..."

"Mannitol 250 ml rapid drip!"

Ustekinumab injection 100,000 units, intravenous drip!

Zheng Renyi issued medical orders one after another, continuously.

In the operating room, everyone was whipped by the invisible whip woven from medical orders, and they moved frenetically.

Zheng Ren stood not far away, his view just covering the entire rescue scene. Anyone who made a mistake would be mercilessly reprimanded.

In the whole scene, only Su Yun was running back and forth swiftly, without a single mistake.

Gradually, the alarm sounds in the operating room began to fade.

Machine after machine returned to normal; Song Moxi's vital signs began to stabilize, blood pressure slowly rose, and his condition gradually improved.

After a full half hour, the operating room finally fell completely silent.

Looking at the steady ECG monitor and the values on various instruments, all doctors and nurses of Harmony Nurture Hospital felt as if they had experienced a dream.

A nightmare.

However, under the direction of this young doctor at the public hospital, the outcome was perfect.

The violent anaphylactic shock, upon recollection, still left the medical staff present drenched in cold sweat.

The obstetrics and gynecology doctor wanted to apologize, but upon seeing Zheng Ren, her heart trembled repeatedly.

Fortunately, she didn't rush forward to provoke Doctor Zheng; otherwise, she thought that facing such a major rescue, with the patient being Teacher Song, Doctor Zheng would not hesitate due to gender differences.

She feared she herself would be slapped into the wall.

"Boss, you said you'd let me command." Su Yun was dissatisfied, muttering beside Zheng Ren.

"Some things are too tedious; I'm still a bit worried." Zheng Ren said.

"Did you release the force down there?" Su Yun glanced at Dr. Ho, who was holding his head and crying in the next room, and asked.

The volume was neither too loud nor too soft, the same as Dr. Ho's voice just now, and it would definitely be heard.

"Got it. If not, then he's the one who needs rescuing." Zheng Ren said calmly: "Remove the tubes, send the patient back to the ward."

After saying that, he turned around: "Let's go, Su Yun."

……

……

Yesterday I complained to Boss Zheng, never expecting so many tips. I really feel embarrassed, it's just a small matter. It's been half a year, and there are always times of emotional fluctuation; I feel embarrassed, embarrassed. Tomorrow I'll return to Di Du to continue surgery, mourning the already dying cardiothoracic surgery and the soon-to-disappear extracorporeal circulation.

Speaking of which, the rising star of cardiothoracic surgery—thinking about it now, it's really unfair to Comrade Su Yun. Cardiothoracic surgery basically has no tomorrow……

Everything should be minimally invasive, but using a thoracoscope for aortic arch replacement seems insufficient.

A bow……