Sleepless Doctor

Chapter 423: Abnormal blood gas

The latest website: "Check one, check one." Director Liu suppressed his irritability, waved and said, "It's okay, let's go quickly. There are a lot of people here, which violates the principle of sterility."

He was quite impatient, and he did not shy away from letting Ren Haitao know about his impatience.

There are so many people and things, considering that there may also be mental illnesses, what are you doing, nonsense.

But in the face of Teacher Wu... then it is not a big deal to check a blood qi analysis.

"Old Ren, it's too much!" Li Zhong frowned and said.

"Forget it, Director Li." The deputy director of the Anesthesiology Department sighed and said, he was also a little nauseous in his heart. As for whether Mr. Wu answered the call, he had dark conjectures in his heart.

"Oh." Seeing Ren Haitao's insistence, Li Zhong moved out of Teacher Wu to endorse, so he couldn't persuade him any more.

"Director Li, who has the final say in your medical team." The deputy director of the anesthesiology department said half-jokingly and half-heartedly.

"The facts have the final say, the strength has the final say." Ren Haitao watched the anesthesiologist intently taking blood, and replied stiffly.

Li Zhong sighed, Lao Ren had a bad temper. No wonder Director Xu didn't wait to see him when he was in the second hospital of the second hospital. Really poor people must have something hateful, so I met Teacher Wu, who has a good temper and is used to this nerd.

How old are you, and still so capricious, can't you think about other people's ideas?

Strength has the final say, he is right when he is paralyzed! In a word, the choking person couldn't breathe. But even if the strength is in the final say, it is Mr. Wu that has the final say, when will it be...

Li Zhong thought of Ren Haitao with countless slurs in his heart, even looking at his wrinkled old face, he felt bored.

But at this moment, the anesthesiologist's assistant ran back with a report that had just been printed out.

It is not uncommon for the anesthesiology department to have its own intraoperative examination equipment, but there is generally only one in the operating room, and it is not necessary to equip each operating room.

Looking at what Lao Ren said this time, Li Zhong slandered.

But……

Why is the face of the anesthetist's little assistant wrong? The movement was a little flustered, and he didn't notice the shoulder hitting the airtight door, and ran in in a panic.

Li Zhong was a little puzzled. Seeing this animated picture instinctively, he knew that there was a high probability that there was a problem with the analysis of blood qi.

But I took another look at the ECG monitoring, and the blood oxygen saturation was 100%, which is impossible!

"Master." The little assistant said hurriedly.

"Huh? What's the matter?" The anesthesiologist also realized that something was wrong, and he asked in a deep voice.

"PaO238.8mmHg, SaO280.6%, K+2.76mmol/L, Lac<1.0mmol/L, carboxyhemoglobin 1.1%."

"..." There was silence in the room.

Even the ventilator and monitor remained silent, and there was still no alarm.

The anaesthetist took the test sheet suspiciously, took a glance from top to bottom, then stood up and changed the patient's blood oxygen clamp to a finger.

There may be a problem with the induction of the blood oxygen clip, but the general problem is that the blood oxygen saturation is reduced, rather than the blood oxygen saturation has been maintained between 99-100%.

Sure enough, after changing a finger, the blood oxygen saturation is still 100%, no change at all.

"Is arterial blood taken?" the anesthesiologist asked.

"Master, yes...maybe." The little assistant was unsure, he didn't dare to insist. This is a very critical issue. If it is venous blood, everything is explained. But if it is arterial blood, there are many doubts.

"I'll take another one." The anesthesiologist began to prepare things, and his assistant was busy back and forth.

The thoracic doctors were about to perform the skin surgery, and something went wrong on this side, and their movements stopped.

"Lao Lin, what's the matter?" the director of the chest department asked.

"Maybe the blood was collected into venous blood." The anesthesiologist said, "You continue, I'll take an arterial blood."

"Yeah." The director of the chest department nodded and continued the operation.

Taking blood from the radial artery, the anesthesiologist used his whole body skills, hit the nail on the nail, determined that it was the radial artery, and then sucked it back.

The color of blood...a bit weird, not bright red, but dark red. It's not like arterial blood, but like venous blood. You can see that there is a problem at first glance.

The anesthesiologist was startled, he held the syringe and hesitated.

"Stop the operation and change to dual-chamber ventilation." Ren Haitao straightened his waist. He was not joking, but started to command rescue instinctively.

Li Zhong wanted to say something, but his lips under the sterile mask moved and finally made no sound.

He somewhat believed that it was Teacher Wu who asked the blood gas to be analyzed, but what was the problem? Everything is calm, there can be no problems.

"Teacher Ren, what's the matter?" The deputy director of the anesthesiology department also asked in surprise.

"According to the doctor's order, the second blood sample is sent for examination." Ren Haitao's waist was straight and his eyes were sharp. His old attitude was gone, and his voice was calm and could not be rejected.

The deputy director of the anesthesiology department made a gesture, and the anesthesiologist communicated with the thoracic surgeon, immediately stopped the operation, and switched from single-chamber ventilation to double-chamber ventilation.

"Methylprednisolone 80mg is injected intravenously."

"Potassium chloride 3g micro pump pumped in."

"Prepare to cool down the blanket, ecmo..." Ren Haitao blurted out a series of doctors' orders, and it was obvious that he had already planned to do everything before.

It's just that Ren Haitao didn't know what happened to the patient before that.

I made a call to Teacher Wu. Although he only said a few words, he gained infinite confidence out of thin air after receiving Wu Mian's oral doctor's advice.

Coupled with the fact that the blood gas analysis value is the same as imagined, Ren Haitao is more confident. At this moment, he was like Teacher Wu standing in the operating room of the Bajingzi Hospital of Traditional Chinese Medicine commanding rescue, with his aura in full.

Ren Haitao carefully used hormones for patients to prevent hypoxic brain injury, and at the same time made full preparations to avoid being rushed in the event of an accident.

At this time, the numerical return of the second blood gas analysis was the same as the first one. Ren Haitao felt more confident in his heart, and the voice of commanding rescue became more and more calm.

Several rescue medications were given, and the patient lay quietly on the operating table, with no visible changes on the outside, exactly the same as when Ren Haitao first walked into the operating room.

After 3 minutes, Ren Haitao saw that the patient’s vital signs were stable, and there was no sudden cliff-like change, progress, or even uncontrollable changes in his imagination.

He took a deep breath and said ~www.wuxiaspot.com~ Take another arterial blood... and take another venous blood. "

This is a very rigorous and careful approach, for fear that arterial blood will be treated as venous blood when blood is collected.

As long as there is a comparison, there is no problem.

Soon, the test results returned.

Arterial blood: PaO285.8mmHg, SaO298.8%, K+2.78mmol/L, Lac1.0mmol/L, COHb0.8%.

Venous blood: PaO239.7mmHg, SvO280.7%, K+2.69mmol//, Lac1.4mmol/L, COHb1%.

The difference is huge, and the oxygen saturation of arterial blood has risen to 98.8% this time.

Ren Haitao took a breath and said, "Let's continue the operation."

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