Lin Gao Qiming

Chapter 1220 Rescue
While brushing her hands, Ai Beibei watched whether the midwife's hand cleaning procedure was strictly in accordance with the standard, and at the same time listened to the nurse reading the mother's medical records

Five of the six women had no serious problems. The fetal position was correct during the prenatal examination, the fetal heartbeat was normal, and all aspects of the index were satisfactory. They should be able to have a normal delivery. However, one pregnant woman has a narrow pelvis, so it is not known whether the delivery can be normal.

What gave her a headache was that all maids were primiparous, and the probability of dystocia was much higher than that of multiparas. Moreover, the first batch of maids were often petite and had a high proportion of narrow pelvis because of their regional race.

She had been washed, put on her coat, and sterilized. She was already sweating from the heat, and followed the midwives into the delivery room.Hands raised to monitor the midwives entering the delivery room.Unless she encounters dystocia, she doesn't do it herself - she has to be ready for a cesarean section at any time, and at the same time monitor whether the midwives' operating procedures are accurate.

"Since the aborigines will not understand why they do this for a while, then just teach them that they must do this." Dean Shi said at the training meeting of the Ministry of Health, and Ai Beibei can only use this method.

The pregnant women were pushed in one by one. Ai Beibei looked at these pregnant women who could only be regarded as "girls" with some pity. In the old time and space, these girls should be studying.

She asked casually: "Has the family members come?" According to the usual practice, the family members should be notified before giving birth, and this place is no exception—especially when it involves the birth of the elder's family members.

"Three heads came, and the other three said they would come when they were born. Representatives from the general office also came."

The representative of the general office is here to register the "household registration". Once the child is born successfully, it will be registered in the senior household registration list of the general office.

Three elders came, and they finally treated them well!Ai Beibei was slightly relieved.However, even though they had already reached ten fingers when they pushed in, it would take at least one or two hours before the delivery could be completed.She was about to check them one by one, when suddenly a nurse ran in:

"That naturalized civilian woman has signs of dystocia! The fetal heart rate is unstable!"

"Don't worry, how many beds?" Ai Beibei said helplessly, these basic rules are still not taught.Although she knew very well that it was the pregnant woman in that bed.

This is the wife of a naturalized citizen. The man is a worker in a shipyard, and the woman works in a garment factory.Because the woman is older, she is a primipara, and the fetal position was found to be abnormal during the pregnancy test, so she planned to choose a date for cesarean section.

Unexpectedly, there will be fetal heart instability.Ai Beibei quickly ordered a naturalized female doctor to be present to supervise, and he quickly ordered the pregnant woman to be pushed into the operating room to prepare for the operation.

"Please ask Dr. Zhang for anesthesia!" Ai Beibei ordered and hurried towards the operating room.

"For spinal anesthesia, inject 12mg of tetracaine hydrochloride—this is the usual dose. Then turn to the supine position." Zhang Tumu finished the puncture-anesthesia neatly while speaking.A Guihuamin anesthetist behind him watched his every move nervously, as if he wanted to swallow everything completely.

The anesthesia went smoothly, and Ai Beibei looked at the patient carefully, waiting for the miraculous effect of the anesthetic.When the blocking plane was being tested, the patient suddenly stopped answering questions. Ai Beibei realized that something was wrong, and she noticed that the patient's consciousness had disappeared.

"Sudden cardiac arrest!" The naturalized nurse who was monitoring the equipment screamed. She was trained to be extremely sensitive to all the data on this oscilloscope, "Respiratory arrest!"

"Quickly, get ready for the laryngoscope! Oral intubation!" Zhang Tumu—he had been in the emergency department, and he reacted quickly, shouted, "Get ready for cardiopulmonary resuscitation! Intracardiac injection of [-]ml of epinephrine!"

Ai Beibei was startled, this is "total spinal anesthesia"!She was most afraid of encountering it during the anesthesia operation, so she hurriedly helped to perform external heart compression. Finally, the lines on the electrocardiogram began to beat again, but the heart rate was fast and irregular.

"Ask the doctor to come for a consultation!" Ai Beibei had no choice but to resort to this magic weapon.She is essentially a research doctor, and the emergency department is extremely limited, and being a doctor mainly depends on the accumulation of experience.

When Doctor Shi arrived, Zhang Tumu reported that the patient's sanity and breathing showed no signs of recovery after artificial respiration and other rescue efforts for about a quarter of an hour. It showed supraventricular tachycardia with frequent multifocal premature ventricular contractions and frequent generalized convulsions. The fetal heartbeat was normal on auscultation.

Accompanied by some frantic rescue efforts, the veteran doctors of Bairen General Hospital unanimously diagnosed the patients as "sequelae of cerebral hypoxia after cardiac arrest and resuscitation".

"Start brain resuscitation! The sooner the better!" Shi Yanren said, "Prepare ice caps and ice packs!"

The nurses hurriedly took out ice caps and ice packs from the refrigerator.Due to the poor medical conditions in this plane, some early medical methods were picked up again, so the Bairen General Hospital made an ice cap by itself early in the morning.

"Doctor Shi, according to the latest international medical journal articles, it is meaningless to focus on cooling the head in this case..." Ai Beibei said cautiously.

"It doesn't make sense, I can only try it out." Shi Yanren said, "Focus on cooling the head, and cooling the whole body with ice packs! Diuretic and dehydrating!"

However, these methods did not achieve obvious results. Seeing that the patient remained in a coma, without spontaneous breathing, anuria, flushed skin, frequent multi-source ventricular premature beats, and convulsions became more and more frequent.How to proceed further?At this moment, Bairen General Hospital was helpless and bewildered.

In the old time and space, there are naturally some methods that can be used, but regardless of those methods, if the cause of the disease is not found, targeted treatment cannot be implemented.

In the blink of an eye, Shi Xiaoren recalled the similar cases he saw in medical journals back then, and immediately pointed out: At this time, the abdominal muscle tension and diaphragm muscle tension of pregnant women have completely disappeared, and the huge uterus presses the diaphragm against the chest cavity. Sudden decrease, heart position variation, pulmonary insufficiency, distortion of hilar large blood vessels, and insufficient ventilation function.Therefore, although the patient is not severely hypoxic under artificial respiration, coma, convulsions increase unabated, blood pressure tends to increase, ventricular arrhythmia persists, body temperature rises, and the skin is red and hot, suggesting that the carbon dioxide in the body cannot exhausted.According to the above signs, he judged that the patient was in a state of "carbon dioxide anesthesia" in addition to the "sequelae of cerebral hypoxia". The coma, frequent convulsions, and multi-source ventricular premature beats were all caused by the serious accumulation of carbon dioxide in the body due to the obstruction of carbon dioxide excretion.If the problem of carbon dioxide accumulation is not resolved in time, the result will be cardiac arrest again and rescue is hopeless.Based on this, Shi Xiaoren believed that a cesarean section should be performed immediately and decisively to take out the fetus, so as to relieve the lifting of the diaphragm and press against the chest cavity, and improve the problem of breathing and ventilation function.

"Surgery under such circumstances, people can't stand it!" Although Ai Beibei agreed with Shi Niaoren's diagnosis, when he thought that the patient would probably die on the operating table - one dead body and two lives!Said the eye circles are a little red.She is not like other veteran doctors who have been engaged in clinical work for a long time in the old time and space, and her heart has been hardened enough.

"If you don't do this, you won't be able to survive immediately!" Zhang Tumu also supported Shi Youren's plan, "It's the worst, but at least I can keep the child!"

"I also know that it is indeed a huge risk to propose a cesarean section in such a clinically dying state." Shi Xiaoren admitted that according to the routine, performing a major operation in such a critical condition is simply a violation of regulations. Incredible. "But this is the only way to save the patient's life. We have no other choice."

"Should I ask the family members to sign it..." Zhang Tumu reminded.Although the other party is a naturalized citizen, he still has to respect the necessary rights.

"What about the family?"

"At work, according to the regulations, you can't take maternity leave until the baby is born. She said that she will come after get off work." The nurse replied.

Ai Beibei couldn't help cursing: "What the hell! No human feelings at all! People are dying!" She could hardly control her tears as she spoke.

"Okay, there is no need for the family members to sign," Shi Yanren said, "I will sign it. The operation will be performed immediately!"

A healthy baby boy was excised by cesarean section. The patient's complexion became normal immediately, dilated pupils gradually recovered, profuse sweating stopped, ventricular premature beats basically disappeared, and his condition improved obviously, but he was still in a coma, anuria, accompanied by general Twitch state.Shi Yanren ordered to continue to actively implement post-treatment such as brain resuscitation.

More than an hour after the operation, the patient finally recovered on his own breathing, Shi Niaoren finally breathed a sigh of relief
"You go to the delivery room." Shi Yanren said to Ai Beibei, "There are also people there. This child should give him a good physical examination, so as not to cause any sequelae!"

"Okay, I'll go right away." Ai Beibei hurried away again.

Shi Yanren ordered Zhang Tumu to watch first, then walked out of the operating room, took off his gloves and soaked in the disinfection cleaning tank, and walked to the lounge.The nurse wiped his sweat and lit him another cigar.This incident is a bit strange, because similar incidents rarely happen in the old time and space, and the anesthetics used are also medicines brought from the old time and space, not imitations made by the pharmaceutical factory itself. To be honest, they can't make butyl hydrochloride right now. Caine--he wouldn't be surprised at all to say that an allergic reaction to antibiotics or something wrong with the vaccine caused fatal cases, which is simply inevitable at the current level of pharmaceutical factories.But this tetracaine hydrochloride is an out-and-out authentic product—a first-level control material, which is not allowed to be used unless it is a major operation...

Shi Yanren suddenly shuddered, remembering the notice given to them by the Planning Institute last time: Because the expiration date is approaching, the first-level control of many drugs will be revoked.

Isn't this tetracaine hydrochloride expired?Shi Yanren thought, although he can basically do whatever he wants in this plane, but this incident is really a very bad signal, if it is used on the elders to cause such a big incident, it will be miserable!
(End of this chapter)