Chapter 2918: with translation of chapter title

Time is no longer counted in days, nor in hours, but in seconds.

Each second passes, the patient's traumatic arterial blood pressure very Stability continuously Decreases, and when the heart rate reaches above 150 beats per minute, it no longer changes drastically.

But this tachycardia is already terrifying; one never knows when it will become a cliff-like drop, which can be declared as the patient's death.

Blood oxygen saturation dropped to around 66%, insufficient oxygen, the anesthesiologist has already switched to 100% pure oxygen ventilation via the ventilator.

Under the effect of pure oxygen, blood oxygen saturation briefly Rose, then firmly continued to Decrease.

"Director Liu, is it a gas embolism?" the anesthesiologist said somewhat panicked; all possibilities he could think of have been ruled out, leaving only this diagnosis with a huge mortality rate.

If it's a gas embolism, it's screwed; the anesthesiologist's voice trembled when he said this.

Director Liu glanced; the Hem-o-lock was placed at the bifurcation of the renal Vein, completely occluding the renal Vein, and there was no possibility of a large amount of carbon dioxide entering the blood circulation along the Vein due to pressure difference when establishing pneumoperitoneum.

He rejected the anesthesiologist's suggestion, but cautiously immediately stopped carbon dioxide insufflation into the abdomen and withdrew the Veress needle to relieve pneumoperitoneum?

But the patient's condition remained unchanged; resuscitation drugs had already been administered once, and the vital signs shown on the monitor continued to Decrease.

"Call Director Miao," Director Liu said in a low voice.

The circulating nurse was stunned for a moment; time seemed to have gone back half a year. No matter what happened, as long as you called Director Miao, it could be resolved.

However, she did not hesitate, nor did she mind that Director Miao had already retired; she immediately dialed Director Miao's phone.

……

……

Director Miao sat at home, chatting casually with Zheng Ren and Su Yun.

They chatted about everything under the sun, just not about medicine. Having spent a lifetime in the field, now they have hung up their boots and let all that drift away.

"Director Miao, my mom also does square dancing at home, I just don't see what's good about it. Please tell me, what exactly are the benefits." Su Yun said, "How can they be so dedicated to this, rain or shine, these old folks are so proud of it."

"We're just getting together for some fun," Director Miao said with a hearty laugh, his voice full of vigor; he has basically fully recovered. Aside from a minor issue walking due to the Bone fracture site, everything else is fine.

"There's nothing to do at home all day; being idle is just being idle."

"I have a dog; why don't you help me walk it when you're free? Also, check on it. Heizi's leg was injured during Earthquake Relief, so he runs slowly; don't worry, his legs are comparable to yours." Su Yun asked with a smile.

Director Miao was about to laugh and scold when the phone rang.

He leaned back on the sofa, leisurely picking up his phone. Glancing at it, he saw it was a call from the Operating Room; he immediately sat up straight, the smile on his face fading, leaving only dignity and solemnity.

"What's wrong, Director Miao?" Su Yun asked.

Director Miao waved his hand, not answering Su Yun's words, but directly answered the phone.

"What's up." Director Miao asked in a low voice.

From the other end of the phone came a clamorous, urgent, loud voice; Zheng Ren and Su Yun both caught some fragments.

Uh…… the patient's condition is not good during surgery?!

The two exchanged a glance; if they were in 912, they would have already rushed to the Operating Room by now.

But now at Director Miao's home, waiting for a car to arrive, then rushing to the hospital, the cucumber dishes would have gone cold.

Urology Department, this Afternoon there is a laparoscopic nephrectomy; did they accidentally hit a Blood Vessel they shouldn't have?

"Video, let me check the patient's condition." After hearing a brief introduction, Director Miao said solemnly in a low voice.

After hanging up, Director Miao saw Zheng Ren and Su Yun staring at him intently, and explained: "During Laparoscope-assisted nephrectomy, blood pressure and heart rate suddenly became unstable, and blood oxygen saturation rapidly Decreased."

Indeed it is!

"Did they hit a Blood Vessel?" Su Yun asked.

"No, if they hit a Blood Vessel, just stop the bleeding and it's over." Zheng Ren said, "It's probably some inexplicable situation. Could it be caused by a vagus nerve reflex?"

Director Miao slightly shook his head, "Cardiac arrest caused by vagus nerve reflex during nephrectomy is rare; usually medication suffices."

Just as he said that, the WeChat video call sounded, and Director Miao answered the video request.

"Director, the patient……" came Director Liu's voice from the video; he held his phone, pointing the screen at the Laparoscope monitor, "No bleeding, the patient's blood pressure and heart rate……"

"The heart has stopped! Start CPR!" the anesthesiologist shouted loudly.

Zheng Ren and Su Yun quickly gathered around Director Miao, watching the screen.

The heart rate cliff-like Decrease, blood oxygen saturation 52%, alarms on the ventilator and monitor blaring continuously; even seeing this scene at home, the three people's bodies naturally secreted large amounts of dopamine, adrenaline, and glucocorticoid Hormone.

"Anesthesiologist, adjust the Operating table to head low, feet high." Director Miao said.

But the scene over there was chaotic; the anesthesiologist was pushing drugs, Yu Zong was performing chest compressions, and since the problem hadn't been identified, everyone was panicking.

"Anesthesiologist! Xiao Liu, adjust the Bed Position to head low, feet high!" Director Miao raised his voice, leaving no room for doubt.

Soon the Bed Position was adjusted at an angle, changing the posture as Director Miao said.

Adrenaline, isoproterenol, digoxin; orders for Vein injection were spoken from Director Miao's mouth, and the video side carried out the medical instructions.

It was as if an invisible hand turned back time, returning once again to the past; at this moment Director Miao stood in the Operating Room directing the rescue.

"Director Miao, are you considering……"

"It's gas embolism caused by establishing pneumoperitoneum." Director Miao said firmly.

If Zheng Ren were present, he could use the System Panel to make a judgment; if Director Miao weren't there, Zheng Ren would need some time to figure it out.

After all, gas embolism caused by establishing pneumoperitoneum is so rare; at the very least, Zheng Ren himself had never encountered such a situation when performing Laparoscope surgery in the General Surgery Department.

Laparoscopic nephrectomy, Zheng Ren quickly searched his memory for similar information.

For patients with kidney disease, Laparoscope nephrectomy is a minimally invasive, safe, and effective surgical treatment, but because establishing pneumoperitoneum is required, there is an inevitable risk of gas embolism?

The incidence of gas embolism is very low, about 0.002%~0.02%, but once it occurs, the mortality rate can reach as high as 50%.

Looking back at the literature, so far only five cases of gas embolism have been reported in Laparoscope kidney surgery?

Old ginger is spicy; likely Director Miao has encountered similar situations before, and a single glance tells what happened.

After all, Director Miao is among the earliest batch of surgeons in the country to use Laparoscope for surgery; there's no situation he hasn't encountered.