Chapter 958 Any dog can do it!
In the office, everyone's expression was a little gloomy.
It would take at least seven or eight hours for Bi Guang's parents to get here, ignoring the transfer time and ensuring that there was no traffic jam.
However, in a few hours it would be the rush hour for commuting...
And in Bi Guang's case, he could only last two or three hours at most.
Bi Guang's parents obviously realized this, and their trembling voices pleaded: "Wait a little longer, wait a little longer..."
Xu Qiu thought the other party was talking to him, and was about to speak, but heard Bi Guang's parents continue to say: "Da Bao, wait a little longer, Dad and Mom will be here soon, if you die, we will not live..."
Xu Qiu was stunned for a moment, pondered for a moment, and whispered: "When you get here, it will definitely be too late, I can decide to sign for you."
There are miracles in TV dramas.
But in clinical practice, there is no fatherly and motherly love that moves God, only cold vital signs, and black-haired people who died in the crying of their parents.
Hearing the solution given by Xu Qiu, the old man seemed to have grasped a life-saving straw, and his voice was several decibels louder: "Doctor, how much money do you want, any amount is fine, please help us... please treat him!"
Xu Qiu shook his head: "This is the doctor's duty, you come as soon as possible, I will start the operation immediately."
This is true.
Chief physicians should not only be superficially glamorous, but also have greater capabilities and should bear greater responsibilities.
In cases like this where the patient's family members are unable to sign, it is often necessary for senior officials above the department director to sign on their behalf.
Obviously, Xu Qiu has this qualification.
Before hanging up the phone, Bi Guang's parents continued to thank him.
In the office, everyone's expression was a little solemn.
After contacting Bi Guang's wife and others, the people present had a very bad impression of the family members.
Wanting the patient to wait for death in the hospital, and clinging to the doctor and refusing to let go...If it were any medical staff, it would be impossible to have a good impression of them.
In this case, it would be good not to look at them differently. Who among the department directors, the dean in charge, etc. is willing to sign for them.
Are you not afraid of being bitten back after signing?
Although there is a telephone recording as evidence, sometimes the weaker party is right. Even if the lawsuit is won, the hospital will be messed up by medical disputes.
In short, there is no benefit at all.
Xu Qiu just smiled calmly and said, "I believe them."
The other family members at the door of the ICU have their own ulterior motives.
But such a pair of parents' love for their children is unquestionable and trustworthy.
...
Back in the ICU ward, Bi Guang's blood oxygen, hemoglobin and blood pressure are slowly decreasing.
But everyone's expressions are obviously much more relaxed.
If amputation is possible, it should be able to curb the deterioration!
"Communicate with the family members and let the patient's child do a qualitative test of Treponema pallidum and the patient's wife do a Cornell reaction." Xu Qiu said.
The former is to confirm whether the patient has syphilis.
The latter is for tertiary syphilis and neurosyphilis.
If the child is congenital syphilis, then Bi Guang's wife's syphilis must have developed to the neurological stage, and choosing the Cornell reaction can be done in one step.
"Yes!" The little nurse ran out to communicate.
Xu Qiu's eyes returned to the patient.
After a period of rescue, Bi Guang's condition was still bad. Although he was dazed, he was at least awake.
Xu Qiu glanced at the monitor.
Heart rate 120 beats per minute.
Blood pressure: 73/44mmHg.
Respiratory rate 30 times per minute.
Blood oxygen also dropped to 87%.
As for the amount of bleeding, there was no way to count it.
Fortunately, although all vital signs were not optimistic, he could barely go on stage.
"Your parents are coming, hold on." Xu Qiu said.
Bi Guang's gray eyes moved, and he wanted to say something, but in the end he was covered by the labored breathing.
"Prepare for surgery." Xu Qiu said lightly.
If you can amputate, then there is nothing to worry about!
...
"Anesthetic assessment, the thyromental distance is less than six centimeters, and intubation is very difficult!" Before going on stage, the anesthesiologist was drafting an anesthesia plan and saw the tricky part at a glance.
Xu Qiu thought for a moment: "First, give the mask oxygen, and control the oxygen flow."
Swish!
Bang!
The mask was buckled on Bi Guang's face.
Xu Qiu continued:
"Intravenous injection of dexamethasone. 10 mg."
"Penethylclidine hydrochloride 10 mg."
"Midazolam 2 mg."
"Fentanyl 0.1 mg."
"Propofol 40 mg."
"Maintain spontaneous breathing, blood oxygen control above 98!"
"..."
In the operating room, under Xu Qiu's personal command, the anesthesia team directed and executed without any delay.
Gradually, Bi Guang's pupils lost focus, and his already hazy consciousness slowly lost completely.
"Close your eyes." Xu Qiu raised his chin to the circulating nurse.
The circulating nurse lowered her eyes and bit her lips under the mask gently.
When the instrument nurse and the circulating nurse saw this scene, they were furious.
You little bitch...
The instrument nurse said unhappily: "Doctor Xu asked you to close the patient's eyes!"
Under general anesthesia, the patient has no ability to close his eyes on his own.
After a surgery lasting several hours, if the patient keeps his eyes open, he will at least have keratitis when he wakes up, and in severe cases, it will develop into a corneal ulcer.
Especially for major surgeries for the elderly, it is not impossible to develop exposure keratitis.
"Oh oh oh..."
The circulating nurse reacted immediately and came to help with a red face.
Close the patient's eyelids, then soak with sterile brain cotton pads and apply sterile film to the eyes...
Did not dare to look at Xu Qiu during the whole process.
While doing intraoperative eye protection, the anesthesiologist did not delay.
He stood on a stool and carefully performed tracheal intubation.
The selected tracheal tube ID7.0mm.
However, after searching for a long time, only the soft palate could be seen.
This was expected.
The preoperative Mallampati classification was already at level three...
This is the airway classification, which is mainly based on the visible pharyngeal structure. The higher the level, the higher the difficulty of tracheal intubation.
Level three is basically invisible and can only rely on experience.
Level four is pure experience blind intubation.
Swish--
The moistened catheter was pulled out, and a layer of fine sweat appeared on the anesthesiologist's face.
The first intubation failed.
Xu Qiu restrained the urge to do it himself and instructed: "Let the soft endotracheal tube core protrude about 1 cm from the end of the endotracheal tube. Fix the core first and slowly insert the endotracheal tube. There is obvious gas exhalation in the trachea. After judging that it is in the trachea, pull out the core..."
"Fuck, it's done!"
The anesthesiologist showed an ecstatic expression on his face and looked at Xu Qiu with surprise.
Wang Fan, an assistant at the side, curled his lips.
My brother Xu has fed you food, and any dog can do it!
"Hurry up, push 6mg of vecuronium bromide." Xu Qiu said immediately.
The anesthesia team acted quickly, connected the endotracheal tube to the anesthesia machine, and started mechanical ventilation...
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