A doctor who travels through two eras

Chapter 86: Mortality rate as high as 75%
Anesthesiologist Lu Shengwen didn't know what to do either. After all, it was still unclear which link had gone wrong.

What is the reason for the sudden increase in heart rate and arterial carbon dioxide partial pressure? What is the reason for the sudden tensing of the masseter muscles?
An allergic reaction to anesthetics?

Or is it that the amount of anesthetic entering the blood circulation exceeds the decomposition rate, causing the blood drug concentration to increase and cause a drug poisoning reaction?

Or is it because the anesthetic inhibits nerve conduction and damages the nerves?

Or is it because articaine-epinephrine injection contains a certain amount of adrenaline, which causes patients to experience adrenaline reactions such as accelerated heart rate and increased blood pressure after use?

Seeing the two doctors, one in a daze and the other stepping back, Nurse Zhao secretly spat in her heart, thinking that these men were useless at the critical moment.

At this time, the nurse's experience came into play. Seeing that the patient had begun to tremble, Zhao Ping immediately touched the patient with her hand, and was surprised to find that the patient's body was very hot.

So he immediately took out the thermometer and measured it, and hurriedly shouted:

"Lv Shengwen, the patient's temperature has risen to 38.3℃."

Lu Shengwen quickly opened the patient's medical record and found that the body temperature measured before the operation was only 36.5℃. In less than 10 minutes, the temperature rose by more than one degree.

"It's over, it's over, it's over~~~"

Lu Shengwen broke out in a sweat at this time. He had already preliminarily determined the reason. The strong anxiety and uneasiness made him repeat "it's over, it's over" over and over like a tape recorder.

Doctor Qi and Nurse Zhao were also anxious: "Lv Shengwen, what happened?"

As soon as he finished speaking, another emergency occurred.

The patient's face suddenly turned black, his teeth clenched, and his whole body began to twitch. All kinds of alarm sounds on the monitoring monitor went off, indicating that all of the patient's vital signs had deteriorated instantly.

Nurse Zhao was worried and took the temperature in the other ear, then screamed:
"Hurry, hurry, hurry~~The temperature has risen to 39.5℃~~~It's fatal!!!"

Dr. Qi, a surgeon, knew that he could no longer retreat at this point. If the patient died, he would also be held responsible. After all, in theory, he was the one who admitted the patient.

"Rescue, rescue quickly, Lv Shengwen, you bastard, tell us what caused the patient's high fever convulsion? Otherwise, how can we rescue him?"

"Maybe, it could be malignant hyperthermia caused by the anesthetic..."

Lv Shengwen also woke up at this time: "Hurry up, stop all anesthetics, oxygen and ice packs immediately, I'll call someone!"

Operating Room 12 was in chaos.

When the doctors in other operating rooms nearby heard the noise, they knew that an emergency had occurred, so those who had nothing to do rushed over to help.

Xu Huanghui, female, 51 years old, director of the Department of Anesthesiology, Huadu First Hospital.

At that time, she was attending the hospital's affairs meeting, and the director was talking about how to develop the business and how hard he worked.

Xu Huanghui yawned lightly, then quickly lowered her head and began to pretend to take notes seriously in her notebook, but in fact she was just drawing circles on the notebook.

At this moment, the mobile phone on the table suddenly vibrated. Xu Huanghui saw that it was her subordinate Lu Shengwen, so she hung up without thinking.

Who knew that just after hanging up, Lu Shengwen called again.

Xu Huanghui continued to hang up unhappily, and in her heart she was still a little resentful of this Xiao Lu for being crazy. Since she hung up, something must have happened, and she wouldn't call back later.

Just after hanging up, Lv Shengwen called for the third time. By this time, Xu Huanghui had realized that something was wrong. Otherwise, a subordinate with a normal mind would not disturb his leader again and again.

Dean Ding, who was sitting at the top, had also noticed Xu Huanghui's abnormality. Even though her cell phone was on silent, the vibration was still quite loud when placed on the table.

As a hospital leader, he knew that some calls had to be answered, so he smiled and said:

"Director Xu, please answer the phone. We'll wait for you for a while and have some tea."

Xu Huanghui was a little embarrassed. She quickly stood up and apologized to everyone. Then she covered her mouth with her hand and answered the phone: "What's the matter?"

"Director Xu, come to the operating room quickly. I have a patient with suspected malignant hyperpyrexia. His body temperature soared two minutes after the anesthetic was injected. He is now in heat shock and has lost consciousness."

As soon as Lu Shengwen answered the phone, his voice was trembling.

Xu Huanghui was so shocked that she stood up: "What? Malignant hyperthermia?"

Because he stood up too vigorously, he bumped into his laptop and knocked over the teacup. The other directors nearby hurried to help wipe the water off.

Sitting in the conference room were the directors of various departments of the hospital. When they heard that it was a high fever or a high fever convulsion, many directors of auxiliary departments actually did not take it seriously.

I thought the anesthesiologist was just too frightened by the heat shock. Wouldn't it be fine if I just gave him a sedative?

The deputy director, He Boliang, who was sitting at the vice-chair, was from the Department of Anesthesiology. He was so nervous when he heard the words "malignant hyperthermia" that his whole body trembled. He immediately said in a hurry:

"Director Xu, go back immediately to organize the rescue! Also, Director Jin from the general surgery department should go as well. We must save the patient's life, the sooner the better."

Xu Huanghui and Jin Liming nodded, then immediately stood up with a grim face and hurried to the door.

Everyone in the conference room was discussing this sudden situation. Vice President He then explained to the president and everyone:

"Malignant hyperthermia in anesthesiology and febrile convulsion in pediatrics are two different concepts. Febrile convulsion is simple, but febrile seizure is fatal.

Malignant hyperthermia is the only known hereditary disease that can cause perioperative death due to conventional anesthetic drugs. It is a relatively rare familial subclinical muscle disease. It is an abnormally high metabolic state of skeletal muscle triggered by drugs and the condition is very serious.

The mortality rate of what you call febrile convulsions is no more than 5%, but if it is malignant hyperthermia as described by the anesthesiology department, the mortality rate is about 75%, and this is under the premise of full rescue, so this disease is very rare, very dangerous, and very difficult to treat. "

Large hospitals practice specialization, and each department is as different as a mountain. Especially in the anesthesiology department, some rare diseases may not be familiar to clinical doctors.

After Vice President He's explanation, everyone realized why Director Xu Huanghui lost her composure after receiving the call.

Given the current medical environment, if a patient dies in a hospital today, it goes without saying that the family members will not make a fuss.

The final outcome is a lose-lose situation. The family members lost their loved ones, and the hospital not only had to pay money but also lost its reputation.

Dean Ding also became anxious when he heard this:

"Oh my goodness, the mortality rate is 75%. No, we must save this patient. The meeting is over. Vice President He, take the directors of the emergency department, neurology department, infectious disease department, and intensive care unit to help immediately."

Several department heads who were named also stood up quickly...

(End of this chapter)