Chapter 1054 Hibernation Potion, a national treasure of medicine!
Xu Qiu didn't keep anyone in suspense.
He explained: "The first stage of Heitqin's elimination is too serious. If you want to exert its effect, you have to swallow it sublingually. Otherwise, you have to drip it intravenously, which is too inefficient. Moreover, the patient's body is in an unstable state. Even if you slow down the drip rate, it is likely to cause a sudden drop in blood pressure!
"In contrast, chlorpromazine is much more controllable and will not cause sudden changes in the body. "
Hearing this, everyone was stunned, and then immediately reacted.
The specific effectiveness, absorption and elimination efficiency of various drugs are all knowledge in the field of pharmacology.
The doctors in the hibernation group are basically from clinical backgrounds, and are only familiar with the pharmacology of the drugs frequently used in their department. They are relatively unfamiliar with drugs such as chlorpromazine and heitqin.
There are pharmacology doctors present.
But they can't consider as comprehensively as specialists. For example, they are unlikely to think of "burn patients can't withstand the first pass effect".
This is why multidisciplinary consultations are never as good as Xu Qiu, because there are too many details in the diagnosis and treatment process. Even ordinary communication between people may have various misunderstandings, let alone such a delicate field?
In theory, multidisciplinary experts also mean "knowing everything, not proficient in everything". After all, human energy is effective, but this does not apply to Xu Qiu...
"Then there is Du Lengding. ”
When everyone just wanted to understand the pharmacology, Xu Qiu had already entered the next stage.
Xu Qiu, who was in the center of the line of sight, was still thinking while speaking: "Dulingding can inhibit the excessive excitement of the sympathetic nerves, and it has no obvious antidiuretic effect. The inhibitory effect on the central nervous system is much lighter than morphine, and the side effects are very small.
"But it should be noted that this drug may produce a histamine-like reaction if used alone. If it is used in combination with promethazine, it can be avoided to the greatest extent..."
"..."
While Xu Qiu was thinking, others were not idle and participated in it one after another.
Kong Lan, Cheng Pingsheng and other doctors from other hospitals looked at each other and were a little happy to see the prey. After all, this kind of discussion is really rare.
Fortunately, Xu Qiu has a very good personality and did not exclude them because they were doctors from other hospitals.
Soon, everyone became one.
Although more and more people spoke, the overall rhythm was not chaotic, and the initiative was still firmly in the hands of Xu Qiu.
Therefore, the process was also quite smooth.
Finally, after repeated consideration, a total of three plans were confirmed.
Hibernation mixture No. 1: 50 mg of chlorpromazine, 50 mg of promethazine, 100 mg of pethidine, mixed in five glucose water or saline.
Hibernation mixture No. 2: 20 mg of acetylpromazine, 50 mg of promethazine, 100 mg of pethidine...
No. 3...
When necessary, the sodium ion channel blocker procaine can be used in combination, adding one to two grams to enhance the analgesic effect and central inhibition...
According to current analysis, the hibernation effect of mixture No. 1 is the best, as long as the patient does not have tachycardia, it can be used first.
Otherwise, it must be replaced with mixture No. 2, and in this case, the relatively milder procaine may not be enough, and must be replaced with lidocaine.
This drug is more than twice as effective as the former, with better analgesic effect, and the systemic toxic reaction rate is relatively low after tissue damage, and can be maintained by intravenous drip, and is also more suitable as a basic anesthesia for burn patients.
…
I thought that the discussion of the plan would be delayed for several days, but it was finally finalized in just half an hour.
Shortly after the meeting, the drug was already mixed.
At this time, Tian Ling's effective circulation volume had been significantly reduced. Xu Qiu personally operated on her and began to drip the No. 1 hibernation mixture after opening the great saphenous vein.
The drip rate was also adjusted to about 80 drops per minute.
Next, all medical staff were extremely nervous.
The first few hours after the drug was administered were the most dangerous period. No one could predict what would happen after the drug was injected...
In the first hour of the drug administration, the patient did not have any adverse reactions.
When the injection reached the 200th milliliter, Tian Ling's various indicators suddenly rebounded, and her condition tended to improve.
This has nothing to do with the efficacy, it can only prove one thing: the analgesia is effective!
Without the ubiquitous pain, the body's response to stimulation is reduced, and the vital signs are naturally much better than before.
However, despite this, the whole audience was excited!
The hibernation drug really worked!
At this moment, everyone looked at Xu Qiu with awe, and at the same time, they were relieved.
It can only be said that Director Xu is indeed the one who can save even such a serious burn shock patient temporarily!
Although it is still a long way to recovery, at least the first step has been taken!
On the other side, Kong Lan, Cheng Pingsheng and others were not idle.
Tian Ling is the most seriously burned patient in the hospital, but he is not the only victim. The burn conditions of several others are not optimistic.
However, those people are still within the controllable range, at least they have experience in treatment in China, so Kong Lan and Cheng Pingsheng were not in a hurry after accepting them.
When the burn area does not exceed the life-and-death line of 60%, it is not too difficult to deal with it with the current medical accumulation.
Moreover, 60% is already an outdated version. With the efforts of countless doctors, this life-and-death line has been raised to about "80%".
Except for Tian Ling, although the others were also severely burned, they were basically around 60. Although the fluid replacement formula is no longer effective, the concurrent pulmonary edema is no longer the main cause of death.
Everything can be done step by step!
And...
With Tian Ling, who is in charge of Xu Qiu, Kong Lan and Cheng Pingsheng also felt the pressure invisibly!
Even this kind of extremely serious burn patient has even used hibernation therapy. If Xu Qiu rescues Tian Ling, and the patient with less serious injuries in their hands dies... then Kong Lan and Cheng Pingsheng can really hit tofu!
So the two dare not neglect it at all.
Unconsciously, they no longer regard this expert assistance as a simple task, but gamble their half-life experience and ability as burn doctors!
...
Hand over the next morning.
In the emergency department doctor's office, everyone in the emergency department was stunned when they saw Kong Lan and Cheng Pingsheng, who had worked an extra night shift to observe burn patients last night and still insisted on participating in the handover this morning.
Wang Fan's eyes widened directly.
He thought, is this the breadth of an expert? It was just a task assigned by the higher-ups, but he almost put his life on the line...
These two are not just resident doctors or attending doctors who are abused at will.
They are real big names in the field of burns, top experts in the specialty, and are comparable to national treasures of the discipline!
Facing these eyes, Kong Lan and Cheng Pingsheng looked at each other, and the corners of their mouths couldn't help twitching.
If it weren't for the great pressure in front of Xu Qiu, and they couldn't lose their status as specially appointed experts, they really wouldn't be like this... These old bones can't bear it at all!
However, these words were naturally impossible to say.
The two maintained the demeanor of big names and sat down at the table in the middle that belonged to the directors. Soon, Xu Qiu, who had been busy all night, finally arrived.
However, due to the cheat, Xu Qiu's complexion was still quite rosy, and he looked like he had a good sleep.
However, Shi Lian, who followed behind him, had a messy hair. She had no time to take care of it, and her eyelids were a little puffy, but even this plain face could be considered a gift from heaven.
What attracted more attention was Shi Lian's expression. At this moment, her eyebrows were gloomy. Thinking of the fact that Xu Qiu and the others might have just returned from the ward, everyone thought of something and couldn't help but feel a little nervous.
