Time is no longer calculated in days or hours, but seconds.

As time goes by, the patient's invasive artery blood pressure is steadily decreasing, and the heart rate will no longer change dramatically when it reaches more than 150 beats per minute.

However, this tachycardia is already scary. I don’t know when it will be a cliff-like decline that can declare the patient dead.

The blood oxygen saturation has dropped to about 66%, and the oxygen is not enough. The anesthesiologist has begun to change to 100% pure oxygen ventilator ventilation.

Under the action of pure oxygen, blood oxygen saturation briefly increased and then declined unswervingly.

"Director Liu, it's gas embolization." The anesthesiologist was a little panicked. All he could think of might have been ruled out, leaving only this diagnosis with a huge mortality rate.

If the gas is blocked, it will be fucked, and the anesthesiologist's voice trembles when he says this.

Director Liu took a look and found that Hem-o-lock was placed at the bifurcation of the renal vein and completely closed the renal vein. There was no possibility that a large amount of carbon dioxide would go down the vein and pass through the pressure difference to enter the blood circulation.

He denied the anesthesiologist's statement, but he cautiously stopped inflating the carbon dioxide abdominal cavity immediately and pulled out Quluoka to relieve the pneumoabdominal abdomen?

However, the patient's condition has not changed at all. The rescue medication has been given, and the vital signs displayed on the monitor are still decreasing.

"Call Director Miao." Director Liu said in a deep voice.

The nurse on the tour was stunned for a moment. It seemed that time had been back half a year ago. No matter what happened, just call Director Miao to solve the problem.

However, she did not hesitate and did not care that Director Miao had retired now, but immediately called Director Miao.

...

...

Director Miao sat at home and chatted with Zheng Ren and Su Yun about gossip.

I was chatting all over the world, but I just didn’t talk about medical treatment. I have been working for a lifetime and have already returned to the field. Let everything go away from me.

"Director Miao, my mother also dances square dance at home, so I don't think there is anything good. Tell me what the benefits are." Su Yun said, "Why is it all the time? The old man and the old lady are so proud of this thing."

"Let's join in the fun together." Director Miao said with a smile, his voice full of energy, and he has basically recovered. Except for the fracture end that causes some minor problems when walking, nothing else is fine.

"I have nothing to do at home for a day, and I am idle."

"I have a dog at home. Why don't you help me walk the dog if you have nothing to do? By the way, heizi's legs were broken when he was in earthquake relief and he couldn't run fast. Don't worry, it's the same as your legs and feet." Su Yun asked with a smile.

Director Miao was about to laugh and scold him when the phone rang.

He leaned his back on the sofa and picked up his cell phone leisurely. He looked at it and found that it was the phone from the operating room. He sat up straight, his smile was covered, leaving only majesty and solemnity.

"What's wrong with Director Miao?" Su Yun asked.

Director Miao waved his hand and did not answer Su Yun's words, but answered the phone directly.

"What's wrong?" Director Miao asked in a deep voice.

A wow sound came from the other side of the phone, very fast and loud. Zheng Ren and Su Yun both heard some clips.

Uh...the patient is in poor condition during the operation?!

The two looked at each other. If it were 912, they would probably have rushed to the operating room at this time.

But now at Director Miao's house, I waited for a car to come and then rushed to the hospital, and the cucumber and vegetables were cold.

In the Urology Department, there was laparoscopic nephrectomy in the afternoon. Did you encounter blood vessels that shouldn’t be touched?

"Video, I'll see the patient's condition." Director Miao said seriously after hearing the brief introduction.

When the phone hung up, Director Miao saw Zheng Ren and Su Yun looking at him with their eyes straight, and explained: "A laparoscopic nephrectomy suddenly occurred, and his blood pressure, heart rate was unstable, and his blood oxygen saturation dropped rapidly."

That's true!

"Have you touched the blood vessel?" Su Yun asked.

"No, if you touch the blood vessel to stop bleeding, it will be done." Zheng Ren said, "It is probably because of the inexplicable situation. Is it caused by the vagus nerve reflex?"

Director Miao shook his head slightly, "Cardous arrest caused by vagus nerve is rare in nephrectomy surgery, and it is usually better to use medicine."

As soon as he said this, the sound of WeChat video sounded and Director Miao answered the video request.

"Director, patient..." Director Liu's voice came from the video. He held his mobile phone and faced the laparoscopic TV screen. "No bleeding, the patient's blood pressure and heart rate..."

"The heart has stopped! CPR!" the anesthesiologist shouted.

Zheng Ren and Su Yun quickly surrounded Director Miao and looked at the picture.

The heart rate dropped sharply, the blood oxygen saturation was 52%, and the alarm sounded constantly on the ventilator and monitor. Even when I saw this scene at home, the three people naturally secreted a large amount of dopamine, adrenaline and glucocorticoids from their bodies.

"The anesthesiologist adjusts the operating table and lowers his head and feet to the high position." Director Miao said.

But the scene was messy, the anesthesiologist was pushing the medicine, and Mr. Yu was doing heart compression. Because the problem had not been found, everyone was so panicked.

"Anesthesiologist! Xiao Liu, adjust the bed, lower your head and high feet!" Director Miao raised his voice and said unquestionably.

Soon the bed was adjusted to an angle and changed the position as Director Miao said.

Adrenaline, isoproterenol, Xidilan, and intravenous instructions were spoken in Director Miao, and the video was executed on the other side.

It was like an invisible hand turning back time and returning to the past again. At this time, Director Miao stood in the operating room and presided over the rescue.

"Director Miao, you are considering..."

"The gas embolism caused by establishing pneumoabdominal abdomen." Director Miao said with certainty.

If Zheng Ren is present, he can use the system panel to make a judgment; if there is no Director Miao, Zheng Ren will probably have to think about it for a while before he can determine it.

After all, gas embolism caused by establishing pneumoperitoneum is so rare. At least Zheng Ren did not encounter similar situations when he had laparoscopic surgery in general surgery.

After laparoscopic nephrectomy, Zheng Ren quickly searched for similar information in his mind.

For patients with renal disease, laparoscopic nephrectomy is a minimally invasive and safe and effective surgical treatment, but due to the need to establish a pneumoclase, the risk of gas thrombosis is inevitable?

The incidence of gas embolization is very low, about 0.002%~0.02%, and once it occurs, its mortality rate can be as high as 50%.

Looking back at the literature, there are only 5 reports of gas embolism in laparoscopic renal surgery so far?

Jiang is still old and spicy. It is probably because Director Miao has encountered a similar situation and you can tell what happened at a glance.
Chapter completed!