Professor Yang Ruiyang from the Department of Hepatobiliary Surgery is visiting the clinic today.

After he learned the news that the patient had a strange illness just after anesthesia on the stage, he threw down the outpatient patient and ran straight up.

At first, he thought it was after the administration, but there was a problem with the endotracheal intubation and he could not be mechanically ventilated, resulting in the patient on the stage.

However, the general report of hospitalization said that the endotracheal intubation had been completed, and the ventilator maintained good ventilation.

Yang Rui couldn't figure it out now.

But no matter what, you have to come and see and participate in the rescue.

Leaving the outpatient clinic behind, he ran directly to the operating room as fast as he could. Because he was out of the clinic today, he only arranged for a simple operation to be done by the inpatient manager.

What a bad luck thing that can go wrong?

I hurriedly changed my clothes, and while wearing a mask, I ran to the operating room.

In Professor Yang's imagination, the operating room should be a mess, with several people taking turns doing chest compressions, and there are people next to them holding defibrillators and defibrillating intermittently.

But when he came to the door of the operating room, he saw a scene that he could never forget for the rest of his life.

The director of the Department of Anesthesiology, who is usually unsmiling and dignified, squatted on the ground and looked at the urine bag. Doctors and nurses are busy changing ice saline to physically cool down and inject drugs.

And the one who commanded the rescue was - Boss Xiao Zheng!

What is the situation? Professor Yang was stunned for a moment.

With the director of the Department of Anesthesiology here, how could Boss Zheng take over and direct the rescue?

An anesthesiology doctor rushed over and handed the test sheet in his hand to Zheng Ren.

"Sodium bicarbonate, 3 sticks, intravenous!" Zheng Ren glanced at it, and then said.

As soon as this unconventional dose was spoken, Professor Yang's heart trembled a few times.

It's terrible!

However, the nurse present did not hesitate, and directly injected three glass ampoules of sodium bicarbonate, pumped them into the syringe, and began to bolus.

"Ventilator, the amount of hyperventilation is larger!"

"Why hasn't the return of creatine kinase come yet? Hurry up and urge the laboratory!" Zheng Ren was very calm, and his eyes did not leave the patient's ECG monitoring.

After a bolus of the drug and physical cooling, the patient's vital signs were maintained.

The body temperature also dropped from 41.2 degrees Celsius to 38.5 degrees Celsius.

But it didn't end there. Without dantrolene, all that is done now is to maintain vital signs, and this maintenance is time-limited.

Once the patient's physical condition collapses, the chain reaction can lead to direct death, the kind with no chance of rescue.

Professor Yang's mouth was dry, and because of nervousness, the glands were no longer able to secrete saliva.

He came to Zheng Ren's side and asked in a low voice, "Boss Zheng, why are you here?"

"Brother Yang, you're here. Zheng Ren said, "Help me go and see how much ice salt water is left." Also, borrow another ice blanket with ice. ”

"......" Professor Yang was stunned, but he didn't refuse, he didn't even understand the situation, so he continued with the task. When life and death were at stake, even the director of the Department of Special Anesthesiology squatted there to observe the urine output, what did he have?!

But he was puzzled and didn't know what was going on.

"Boss Zheng, what's the disease?" Professor Yang asked in a low voice.

"Malignant hyperthermia. Zheng Ren said in a deep voice: "Change the ice blanket! How many ice cubes are left?"

"!!" Yang Rui felt a pang in his heart.

He was clear about what these four words meant. Although I have never encountered a similar patient, once a malignant hyperthermia occurs, there is a high probability that the patient will die.

"Dantrolorine has been retrieved, and the helicopter will be here in ten minutes!" the phone of the director of the Department of Anesthesiology rang, and after he answered it, a voice on the other side shouted.

"Hurry up. ”

"Notify the ICU and make relevant preparations. Zheng Ren also heard the news of Danqu Lorraine, and said it directly.

Somebody went to ventilate with the ICU and told the other side to get ready.

Ventilators and other things are still secondary, because these are standard in the intensive care unit. The difference is to have a large amount of ice saline and related rescue medications, which must be notified in advance.

The situation has not improved, but it has not deteriorated either.

The P wave that disappeared from the patient's ECG monitoring also appeared, and the high end-respiratory carbon dioxide content was also improved under ventilator hyperventilation.

The body spasms and convulsions, and the plank-like situation has not changed, but Zheng Ren's requirements are not high, and he maintains his vital signs first, and everything has to wait for Dantra Loline.

Ten minutes later, a doctor in a dark green rapid rescue suit, dressed in a surgical gown, rushed in barefoot. He didn't even have time to put on his shoe covers, so he just took off his shoes and broke in.

He had dantrolene in his hand and hope for life.

"Intravenous 100mg dantrolene!" Zheng Ren looked at the unfamiliar box, which was all in English, and said calmly.

A nurse took the box of dantrolene and began to prepare for the intravenous injection.

"Is the amount enough?" asked Zheng Ren.

"Enough!"

"After intravenous injection, 10mg/KG/h, a micropump is continuously pumped. Zheng Ren's heart finally let go.

Zheng Ren was very happy.

The incident happened suddenly, but the director of the anesthesiology department called in time, and did not even look for the 120 ambulance, but directly called the helicopter.

Helicopter rescue with a cost of 3-50,000 yuan per hour, and more than 20,000 yuan for a box of dantrolene.

But in the face of life, in the face of emergency rescue, no one cares about the cost.

With dantrolene, it's already a blessing. The drug is only valid for one year and has to be imported. Within a year, with the amount of surgery in the imperial capital, there is not even one case of patients with the possibility of malignant hyperthermia.

If it weren't for a similar study done by the Department of Anesthesiology at Union Medical College, the patient would have died.

Even, if the distance is a little farther, the arrival time of dantrolene is delayed for more than 12 hours, and the patient will give full play to the muscle relaxation effect due to insufficient blood perfusion of skeletal muscle after circulatory failure.

In that case, although there is still a life, the hope of survival of the patient will drop from 90% to about 50%, and there will be countless changes.

Dantrolorine was injected intravenously, and after a few minutes, the patient's muscle stiffness was significantly relieved.

"ICU inform, that side is ready!" a nurse said loudly as she ran over.

"Push the bed, the anesthesiologist follows, pay attention to the amount of balloon ventilation must be large!" Zheng Ren said.

The director of the anesthesiology department had been squatting next to him to observe the urine output, and saw a flat cart pushing over and wanted to get out of the way.

But his legs were numb, and he didn't stand up, and sat down on the ground.

Zheng Ren hurriedly pulled him up and slowly walked to the side.

There are enough people, and there is no need for Zheng Ren to help carry the patient. The patient was lifted onto the flat cart, and the anesthesiologist sat next to the patient, curled up...... Zheng Ren suddenly thought of Chu Yanran.

I miss Haicheng so much.

"Are you ......?" asked the head of the anesthesiology department, shattering Jeong-in's memory.