I Can See Health

Remember [new] in one second! To be honest, although Zhou Bin has made complete pre-operative preparations, everyone is a little nervous.

If something happens to a patient without family members, it would be hard to tell.

Lu Chen was writing the patient's course record while updating the interventional surgery records, wanting to know the real-time status of the surgery.

At this moment, the WeChat notification tone on his phone suddenly rang.

Lu Chen picked it up and saw that it was a message to add friends.

The other party's nickname is Xiaohan, and the image is a very cute cartoon cat.

The remark information was introduced by Aunt Li Xuan.

Lu Chen thought it was some little girl selling tea, and was about to close WeChat when he suddenly thought, isn't "Li Xuan" the name of the CCU head nurse?

Could it be that this Xiao Han is really a blind date?

So, he clicked "pass".

After successfully adding a friend, the other party immediately sent a WeChat message.

"Hello, I was introduced by Aunt Li."

It was really introduced by the head nurse. Just as Lu Chen was thinking about replying, a nurse's shouts suddenly came from the rescue room.

"Grab 8, rescue! Rescue!"

Lu Chen was startled and ran out of the office.

The patient who grabbed 8 was the girl who was put on ecmo.

Everyone spent so much energy to save him, but they didn't want to see her just gone.

As soon as the nurse's voice came out, all the doctors who were idle ran towards the 8th emergency room.

…

Zhou Bin took the lead and ran at the front.

"What's wrong with the patient?!"

The nurse in the emergency room immediately stepped forward and said quickly: "The blood oxygen suddenly dropped! It has been at 95% in the morning, and it has just dropped to 85%."

Zhou Bin frowned and stepped forward to check the pipes and parameters of the ecmo machine.

Lu Chen followed Zhou Bin nervously and watched.

Because of being on ecmo, the patient needs long-term heparinization to prevent coagulation in the pipeline access.

At this time, various complications are prone to occur, the most common of which is bleeding, such as skin and mucous membrane bleeding, intracranial hemorrhage, and visceral bleeding.

Bleeding in the skin and mucous membranes is easy to see.

However, the patient was in a sedated state and showed no external symptoms such as intracranial hemorrhage and visceral hemorrhage.

In addition, the joints and side branches of the pipeline may fall off, leak blood, or enter the air.

"Check the coagulation items urgently first!" Zhou Bin said immediately.

By monitoring the activated partial thromboplastin time, the coagulation status in the patient's body can be known, thereby preventing the occurrence of cerebral hemorrhage.

"In addition, some should closely monitor each channel! Pay attention to the patient's body temperature not being too high or too low. Generally, the ear temperature is kept at 36~37c. If the body temperature drops, a heating blanket or constant temperature water tank can be used."

"Okay, got it!" the nurse said immediately.

After issuing these medical orders, Zhou Bin still frowned.

The problems she thought of didn't seem to be enough to cause the patient's blood oxygen to drop!

At this time, Zhou Bin saw Lu Chen lying in front of the ecmo machine, seemingly hesitant to speak.

"Lu Chen, what's wrong with you?"

Lu Chen pointed to the liquid infused on the tube, "Teacher Zhou, can fat emulsion be given to the extracorporeal circulation tube? I remember it was reminded in the book that fat emulsion may affect the oxygenation effect of ECMO patients!"

Zhou Bin looked down.

Indeed, it seems that fat emulsion is actually infused into the extracorporeal circulation pipeline.

However, will this nutritional solution affect the patient's oxygenation?

There are not many patients who need ecmo, and CCU doctors are not very experienced in this area.

Zhou Bin was also a little unsure.

"Wait a minute, I'll call Brother Feng and ask him for confirmation."

Zhou Bin quickly took out his mobile phone and called Ren Feng.

…

Interventional operating room.

Ren Feng was performing an interventional surgery on the aunt just now, and the assistant outside the catheterization room handed the mobile phone to his ear.

"Zhou Bin, what's going on?"

"Brother Feng, the patient who was put on ecmo just now had a sudden drop in blood oxygen. I would like to ask if she can use fat emulsion for extracorporeal circulation?"

"Fat emulsion? Of course this kind of medicine cannot be used!" Ren Feng said solemnly, "Besides, I remember that I didn't let you use fat emulsion, right?"

"This... seems to be Brother Hui's medical order." Zhou Bin said, "He may not have paid much attention to this."

"Stop immediately, and then check the patient's blood oxygen level. There shouldn't be any big problems." Ren Feng said, "I'll come over immediately after I finish this intervention."

"Okay." Zhou Bin hung up the phone.

…

CCU ward, No. 8 rescue room.

Zhou Bin immediately ordered the nurse: "Stop the fat emulsion immediately!"

She also glanced at Lu Chen who was standing aside. This guy was also coming into contact with ecmo for the first time. How did he find so many?

Back to the doctor's office.

Lu Chen thought of the friend he had just added. It seemed that he hadn't replied to her yet!

So he quickly took out his mobile phone and edited the message: "Sorry, I was just rescuing the patient."

Zhou Xiaohan held the phone and frowned slightly.

She added this person as a friend to complete the task.

Aunt Li is so enthusiastic, and she is too embarrassed to offend others.

I just didn’t expect that the other party’s exit was to rescue the patient!

I heard from Aunt Li that the other party is still a graduate student, so can he be in charge of the rescue work?

Are you pretending to be cool to attract your own attention? Or is it a polite refusal?

"However, this is good, so as not to embarrass both parties." Zhou Xiaohan thought for a while.

So, she also replied: "Oh, let's get straight to the point, don't be so long-winded, and just go through the procedures."

…

Lu Chen was stunned. Follow the procedure?

What does it mean?

Just as he was about to reply, the nurse ran into the doctor's office again.

"Lu Chen, the family member of the patient who just had the interventional surgery called. Dr. Zhou is seeing other patients. She asked you to pick her up and communicate with the patient's family."

"Oh, okay." Lu Chen put away his phone and came to the nurse's station.

On the other end of the phone was the patient's son.

He was out of town, and after finding out about his mother's condition, he immediately handed over the work and rushed back.

However, UU Reading www.uｕｕｓhu.net will not be available until tomorrow morning at the earliest.

Lu Chen explained the patient's condition to the family members in detail.

"The patient is undergoing surgery. After the surgery, we will communicate with you as soon as possible!"

"Excuse me, doctor, I will come back as soon as possible. If you need anything, please contact us in time!"

…

Lu Chen also understood the feelings of the patient's family members very well, so he took the trouble to explain it many times.

After more than ten minutes, he returned to the doctor's office.

"It seems I didn't reply to her?"

Lu Chen thought for a while, he was at work, so he might as well wait until after get off work.

So, he directly replied: "I'm very busy now. What program are you talking about? Let's talk about it after I get off work."

At this time, Zhou Xiaohan on the other end of the phone was already speechless.

"Why is this little doctor busier than other company bosses?"