Chapter 2314: 2235 Postoperative Airway Foreign Body
Returning to 912, after getting off that old car, Lin Yuan finally felt warm.
"You must have been scared." Zheng Ren smiled at Lin Yuan and asked.
"Mm." Lin Yuan nodded, his right hand just about to go to his mouth to bite his nails, when Zheng Lao Ban's icy, knife-like gaze stopped him.
"How promising." Su Yun's face looked a bit unpleasant, and it was unclear whether he was talking about Lin Yuan or himself.
"Go check on the patient." Zheng Ren said.
"Boss, are you sure you can research a cure for congenital porphyria?" Su Yun asked.
Lin Yuan's ears perked up instantly.
"Who knows." Zheng Ren said, "I think congenital porphyria is just a smokescreen; their so-called congenital disease merely has similar features to porphyria, but is actually a much more severe other disease."
"Then why did you agree?" Su Yun asked, puzzled.
"Old Luo Qie has come; are you sure you can refuse?" Zheng Ren replied coldly.
Su Yun knows too much; this guy is sharper than a monkey with fur, Zheng Ren prepared to end the topic.
"This is domestic!"
"I still think it's possible to research it." Zheng Ren strode toward the fire escape, with Su Yun following behind.
"I knew it! What do you want to do?"
"Let's talk about it in a few years; there are hundreds of years of data to review, for now I have no idea." Zheng Ren casually brushed it off.
"I really don't know where your inexplicable confidence comes from." Su Yun sighed.
Lin Yuan understood the gist, but she was a bit dazed.
Research involving the genetics, pathology, and physiology of diseases is a basic discipline; how would that big shot end up seeking Zheng Lao Ban?
Moreover, Zheng Lao Ban didn't refuse; he confidently agreed.
Ten years, twenty years—this seems like a long time to ordinary people. But for researching a disease, it's merely a trivial amount of time.
Lin Yuan thought, his steps slowing slightly, while Zheng Ren and Su Yun hurried up the fire escape, already having descended one floor.
"Zheng Lao Ban, wait a moment." Lin Yuan shouted, then strode after them.
There's an elevator available, yet they insist on climbing the fire escape; Lin Yuan muttered a complaint.
"Why are you so slow?" Su Yun said disdainfully: "How about arranging a dedicated elevator for you in the future?"
"I was thinking about things." Lin Yuan weakly defended himself.
"Boss, what did Luo Qie mean by his last words?" Su Yun asked while walking.
"Literally." Zheng Ren said, "I estimate the Bruhl Family has always disliked clinical procedures, but this time they're not planning to intervene."
"This is also called a gift? Giving someone else's stuff as a present—what's that called? Being generous with others' money!" Su Yun said unhappily.
"Never mind that, go check on the patient; if conditions allow, we can extubate." Zheng Ren instantly shifted the topic back.
"At a time like this, you're still worrying about postoperative patients? How big is your heart. Postoperative patients' conditions are definitely stable; the surgery had no flaws whatsoever."
"In the end I noticed the patient was extremely agitated, so I should still take a look." Zheng Ren said, "I feel something's off; I won't be at ease unless I check."
"You're just having an OCD flare-up."
While saying that, they arrived at the ICU's main door. Pressing the doorbell to open it, Zheng Ren, Su Yun, and Lin Yuan entered.
After changing clothes and entering, Zheng Ren stared for a moment when he saw the patient's system panel.
The red faded, which was expected. But the patient's system panel inexplicably added a diagnosis—airway foreign body!
Damn!
Zheng Ren felt furious inside; what are the ICU medical staff doing, how could they cause an airway foreign body?!
However, this was just an instantaneous reflex; after working together for a while, Zheng Ren also understood the strength of 912's critical care.
It's very powerful, very meticulous; the possibility of a postoperative patient developing an airway foreign body within two hours is basically nonexistent!
But where did the airway foreign body come from? Or did the Big Pig Trotter crash?
After over a year of coordination, Zheng Ren rarely doubts the Big Pig Trotter's diagnosis anymore. Having been slapped in the face too many times, he learns from his mistakes.
But this diagnosis is too bizarre; Zheng Ren subconsciously started to think the Big Pig Trotter was joking.
He strode to the patient's bedside, watching the ventilator's airway resistance alarm indicator, and began to consider from scratch where problems might arise.
Postoperatively causing increased airway resistance, the biggest possibility is increased tracheal secretions, mucus blocking the airway.
But if it's mucus, it fundamentally cannot be called a foreign body.
Excess fluid accumulating in the ventilator tubing causing airway reflux? That probably wouldn't happen either.
Zheng Ren instantly thought of over ten possibilities, but none matched the patient's condition.
Moreover, there's no nasal feeding, nor oral intake; just how did this damned airway foreign body come about?!
The ventilator kept alarming; the monitor showed the patient's heart rate was also fast, and oxygen saturation was insufficient.
"Has the postoperative agitation been severe all along?" Su Yun asked.
"Mm, after being brought in the patient had already awakened from general anesthesia; possibly due to intolerance of the tube, the agitation is severe." The ICU Inpatient Chief said.
"How often is suction performed?" Zheng Ren asked.
"Every thirty minutes; the last time was twenty-six minutes ago, and the suction catheter didn't bring up any mucus."
"What measures were taken?" Su Yun continued to ask.
"Considering the patient's intolerance of endotracheal intubation, we added a dose of propofol." The ICU Inpatient Chief said, somewhat troubled: "The patient's agitation is too severe; four or five people can't hold him down, so we had to give it."
"Is the intolerance of the tube really this severe?" Su Yun doubted: "It's quite rare."
"Yes, the agitation is especially severe; I called in the male orderlies to hold him down, but they still couldn't."
Postoperative patient agitation has various causes; ventilator endotracheal intubation is one of them, and a relatively major one.
After all, a hard tube is inserted into the airway; after waking from general anesthesia, patients may feel panic and dread, plus the uncomfortable sensation in the trachea, causing some patients to experience a sense of impending death.
All these sensations combined, the patient develops a strong survival instinct, and then becomes agitated.
However, 50mg propofol intravenous injection, the patient's intolerance to endotracheal intubation should have been alleviated.
But the ventilator's pressure monitoring was alarming, and the patient's condition did not improve after intravenous propofol injection.
It was not caused by intolerance to the tube, but by the diagnosis given by Big Pig Trotter—tracheal foreign body.
Although Zheng Ren couldn't understand where the tracheal foreign body came from, the most basic logical judgment is like this.
Su Yun frowned at the ventilator; he was about to change the pressure mode when Zheng Ren immediately stopped him, saying, 'Wait a moment.'
'Hmm? What do you have to say?' Su Yun asked.
'Prepare the suction tube.' Zheng Ren picked up a pair of sterile Gloves, opened and put them on, then took the suction tube handed over by the ICU Inpatient Chief.
End of Chapter
