I Can See Health

Remember [new] in one second! its not right!

Lu Chen was shocked. When he first came to bed No. 1, he clearly saw that the patient's health trend was a plus sign.

Why did it turn into two minus signs in the blink of an eye?

One plus sign becomes two minus signs, what a huge difference!

This shows that the patient's condition suddenly took a turn for the worse!

Just as Lu Chen was thinking about it, he suddenly noticed the patient on the bed. His eyes stared upward, his expression was dull, and his upper limbs were shaking involuntarily.

At the same time, the electrocardiogram monitor next to the bed sounded a harsh "beep beep" alarm.

Lu Chen felt something was wrong. He reacted immediately and immediately stepped forward to check.

He patted the patient's shoulder and said, "Uncle, uncle! Can you hear me?"

The patient had no reaction at all!

Lu Chen quickly felt the carotid artery pulse on the other side, and at the same time placed the stethoscope on the apex pulse.

I couldn't hear the beating of my heart at all!

"Oops, my heart stopped!"

Seeing this, Lu Chen rolled up his sleeves and immediately started chest compressions.

On the side, Gu Xinyue was also quite nervous.

He placed the patch on the patient's puncture point and assisted Lu Chen in performing cardiopulmonary resuscitation.

Fortunately, we were in the CCU ward. The bed nurse responded immediately and called other nurses to push the ambulance from the nurse station.

Zhou Bin happened to come to the ward at this time. When he saw this situation, he immediately ran to the bed.

"Quick, adrenaline!"

"Prepare the defibrillator!"

Zhou Bin judged the patient's condition immediately and began to issue emergency medical instructions.

"What's wrong with the patient? Isn't it necessary to remove the tube?"

Gu Xinyue paused and said, "Teacher Zhou, I just finished extubating the tube and helped the patient press the puncture point for two minutes, but his heart suddenly stopped!"

"Heart stopped?" Zhou Bin frowned.

Even when the patient's condition was at its most critical, he did not suffer cardiac arrest.

Why is it that my condition is getting better now, but my heart suddenly stopped?

But now is not the time to think about these things. Zhou Bin calmly issued various rescue medical instructions.

"Pump in Cordron and a bottle of sodium bicarbonate!"

"Ventricular fibrillation! Prepare for defibrillation!"

…

Hard work pays off.

After Zhou Bin and Lu Chen took turns performing chest compressions, the patient's heartbeat finally recovered.

When the faint beating sound of his heart came from the stethoscope, Lu Chen finally breathed a sigh of relief.

However, the patient's consciousness has not recovered and he is still in a state of unresponsiveness.

"Huh...it'll be good if we can rescue him." Zhou Bin sighed slightly.

For patients who have suffered a cardiac arrest, the chance of being able to press back is low.

Lu Chen shook his sore hand, "Cardiopulmonary resuscitation is really physical work!"

It had only been a few days since he came to the CCU ward, but the number of times he had performed chest compressions exceeded the total number of chest compressions he had done in the past few months.

In the CCU ward, rescuing patients is a common occurrence!

On the side, Gu Xinyue looked a little dazed.

"Lao Gu, what's wrong with you?"

Gu Xinyue was startled, lowered her head, looking a little unnatural, and said hesitantly: "Lu Chen, you said the patient's heart stopped, could it be because of me..."

Lu Chen was stunned, "Why do you think so?"

Even if patients with heart disease slowly recover, they may still suffer from unpredictable malignant events such as malignant arrhythmia, acute heart failure, or even cardiac arrest and sudden death at any time.

"I..." Gu Xinyue lowered her eyebrows, "He was clearly fine just now, but after I extubated him, his heart suddenly stopped."

"Perhaps you go to extubate, maybe it happens by chance." Lu Chen said, "If you don't go to extubate, his heart will stop at this time. We were by his side and rescued him in time, didn't we help him?"

Gu Xinyue was a little silent. He glanced at Lu Chen and said slowly, "I have my own reasons."

"What's the reason? Making you doubt yourself?" Lu Chen asked doubtfully.

"Lu Chen, I was wondering, did I... press his carotid sinus just now?"

The puncture point for this patient was not the subclavian vein, but the internal jugular vein.

Lu Chen recalled Gu Xinyue's actions just now. After pulling out the catheter, he did press the carotid sinus on one side.

The adventitia of the carotid sinus vessel wall is rich in sensory nerve endings, called carotid sinus baroreceptors.

The location here is superficial. When the stimulation is enhanced, it will lead to the occurrence of carotid sinus syndrome symptoms, which can be manifested as decreased heart rate, weakened myocardial contractility, reduced cardiac output, and decreased blood pressure.

Pressing the carotid sinuses on both sides at the same time can indeed excite the vagus reflex and even cause syncope.

"Lao Gu, let's not talk about whether you pressed the carotid sinus or not." Lu Chen said, "Even if you pressed, gently pressing the carotid sinus on one side, do you think it will cause cardiac arrest?"

Hearing this, Gu Xinyue lowered his head and remained silent.

Lu Chen knew that Lao Gu's mentality at this time was one of extreme self-blame.

Just now, I was communicating with the patient about transferring him to the general ward tomorrow morning. In the blink of an eye, he was lying on the bed and couldn't wake up.

Lu Chen patted Gu Xinyue on the shoulder, "Lao Gu, let's do our own thing well. As for other things, don't think too much about it and don't have internal conflicts."

Gu Xinyue nodded, looked up at Lu Chen, "Thank you."

Lu Chen responded with a smile, "Just be more open-minded."

…

Back to the doctor's office.

Zhou Bin also knew Gu Xinyue's thoughts and said with relief: "Xiao Gu, you said that the possibility of cardiac arrest caused by pressing the carotid sinus cannot be completely ruled out, but the possibility is very small."

"Teacher Zhou, then, why did the patient suffer cardiac arrest?"

Gu Xinyue stared at Zhou Bin closely, trying to find some answers from her.

Zhou Bin smiled and asked: "Xiaogu, let me ask you, a nurse can complete such a simple operation as extubation, why do you need a doctor?"

Gu Xinyue frowned and didn't answer for a while.

In fact, his entire extubation operation just now took less than a minute.

If it is just a simple extubation operation, UU Reading www. uukanshu.net There must be nurses!

Seeing this, Lu Chen paused and said, "I remember a literature report that central venous catheter removal can cause accidental central venous catheter removal syndrome, which manifests as tachycardia, syncope, hypoxemia, inertia, and even heartbeat and breathing. Stop, shock and coma, etc., the mortality rate is 57%.”

Zhou Bin nodded with satisfaction: "Lu Chen is right. Even if it is just a simple extubation, it actually still has certain risks, so the doctor must be present when the tube is extubated!"

In addition to massaging the carotid sinus, there is also the possibility of intravascular thrombosis and gas embolism!

However, after Lu Chen and Zhou Bin took turns to enlighten her, Gu Xinyue's mood improved significantly.

"Lu Chen, thank you." Gu Xinyue said softly.

"No thanks, just bring me a bowl of beef noodles tomorrow morning." Lu Chen smiled.

"Okay." Gu Xinyue nodded.

…

After half an hour, I finally got off work.

Lu Chen's night shift also started.