Chapter 86: Mortality rate as high as 75%
Anesthesiologist Lu Shengwen didn't know what to do either. After all, it was still unclear which link had gone wrong.
What causes the sudden increase in heart rate and arterial carbon dioxide tension? What causes the sudden tensing of the masseter muscles?
An allergic reaction to anesthetics?
Or is it that the amount of anesthetic entering the blood circulation exceeds the decomposition rate, resulting in increased blood drug concentration and drug poisoning reaction?
Or is it because the anesthetic inhibits nerve conduction and damages the nerves?
Or is it because articaine-epinephrine injection contains a certain amount of epinephrine, which causes patients to experience adrenaline reactions such as accelerated heartbeat and increased blood pressure after use?
Seeing the two doctors, one in a daze and the other stepping back, Nurse Zhao secretly spat in her heart, thinking that these men were useless at the critical moment.
At this time, the nurse's experience came into play. Seeing that the patient had begun to tremble, Zhao Ping immediately touched the patient with her hand, and was surprised to find that the patient's body was very hot.
So he immediately took out the thermometer and checked it, and hurriedly shouted:
"Lv Shengwen, the patient's temperature has risen to 38.3°C."
Lu Shengwen quickly opened the patient's medical record and found that the body temperature measured before the operation was only 36.5℃. In less than 10 minutes, the body temperature rose by more than one degree.
"It's over, it's over, it's over~~~"
Lu Shengwen broke out in a sweat at this time. He had already made a preliminary judgment on the cause. The intense anxiety and uneasiness made him repeat "It's over, it's over" like a tape recorder.
Doctor Qi and Nurse Zhao were also anxious: "Lv Shengwen, what's going on?"
As soon as he finished speaking, another emergency occurred.
The patient's face suddenly turned black, his teeth clenched, and then his whole body began to twitch. All kinds of alarm sounds on the monitoring monitor came out, indicating that the patient's vital signs had all deteriorated instantly.
Nurse Zhao was worried and took the temperature in the other ear, then screamed:
"Hurry, hurry, hurry~~My temperature has risen to 39.5℃~~~It's fatal!!!"
Surgeon Dr. Qi knew that he could no longer retreat at this point. If the patient died, he would also be held responsible. After all, in theory, it was he who admitted the patient.
"Hurry up, hurry up! You bastard, Lv Shengwen, tell us what caused the patient's high fever convulsion? Otherwise, how can we save him?"
"Maybe, it could be malignant hyperthermia caused by the anesthetic..."
At this time, Lv Shengwen also woke up in shock: "Hurry, stop all anesthetics, oxygen, ice packs and ice caps immediately, I'll call, I'll call someone!"
Operating Room No. 12 was in chaos.
When the doctors in other operating rooms nearby heard the noise, they knew that an emergency had occurred, so those who had nothing to do rushed over to help.
Xu Huanghui, female, 51 years old, director of the Department of Anesthesiology, Huadu First Hospital.
At that time, she was attending the hospital's administrative meeting, and the director was talking about how to develop the hospital and how hard to work.
Xu Huanghui yawned lightly, then quickly lowered her head and began to pretend to take notes seriously in her notebook. In fact, she was just drawing circles on the notebook.
At this moment, the mobile phone on the table suddenly vibrated. Xu Huanghui saw that it was her subordinate Lu Shengwen, so she hung up without thinking.
Who knew that just after hanging up, Lu Shengwen called again.
Xu Huanghui hung up the phone unhappily, feeling a little resentful of Xiao Lu in her heart. Since she hung up, something must have happened. She wouldn't call back later.
Just after hanging up, Lu Shengwen called for the third time. By this time, Xu Huanghui had already realized that something was wrong.
Otherwise, a subordinate with a normal mind would not disturb his leader again and again.
Dean Ding, who was sitting at the top, had also noticed Xu Huanghui's abnormality. Even though her phone was on silent, the vibration was still quite loud when it was placed on the table.
As a hospital leader, he naturally knew that some calls had to be answered, so he smiled and said:
"Director Xu, please answer the phone. We'll wait for you for a moment and have some tea."
Xu Huanghui was a little embarrassed. She quickly stood up and apologized to everyone. Then she covered her mouth with her hand and answered the phone: "What's the matter?"
"Director Xu, hurry, come to the operating room! I have a patient with suspected malignant hyperpyrexia. Their temperature spiked two minutes after the anesthetic was injected. They are now experiencing febrile shock and have lost consciousness."
As soon as Lu Shengwen answered the phone, his voice was trembling.
Xu Huanghui was so shocked when she heard this that she stood up: "What? Malignant hyperthermia?"
Because he stood up too hard, he bumped into his notebook and knocked over the teacup. The other directors nearby hurried to help wipe the water off.
Sitting in the conference room were the heads of various departments of the hospital. When they heard that it was a high fever or a high fever convulsion, many heads of auxiliary departments actually did not take it seriously.
I thought to myself, the anesthesiologist is always surprised by what he sees. How could he be so frightened by a heat shock? Wouldn't a sedative be enough?
He Boliang, the deputy director sitting at the head of the hospital, was from the Department of Anesthesiology. When he heard the words "malignant hyperthermia", he trembled with nervousness and immediately said:
"Director Xu, go back immediately to organize a rescue! Also, Director Jin from the General Surgery Department, go as well. We must save the patient's life, the sooner the better."
Xu Huanghui and Jin Liming nodded, then immediately stood up with a grim face and hurried to the door.
Everyone in the conference room was discussing this sudden situation. Vice President He then explained to the president and everyone:
"Malignant hyperthermia in anesthesiology and febrile convulsion in pediatrics are two different concepts. Febrile convulsion is simple, but febrile hyperthermia is fatal.
Malignant hyperthermia is the only known hereditary disease that can cause perioperative death due to conventional anesthetic drugs. It is a relatively rare familial hereditary subclinical muscle disease. It is an abnormally high metabolic state of skeletal muscle triggered by drugs and the condition is very critical.
The mortality rate for what you call a febrile seizure is no more than 5%, but for what the anesthesiology department calls malignant hyperthermia, the mortality rate is around 75%, and that's even with full emergency care. So this disease is extremely rare, very dangerous, and very difficult to treat."
Large hospitals practice specialization, and each department is as different as a mountain. Especially in the anesthesiology department, some rare diseases may not be familiar to clinical doctors.
After Vice President He's explanation, everyone realized why Director Xu Huanghui lost her composure after receiving the call.
Given the current medical environment, if a patient dies in a hospital now, it goes without saying that the family members will not make a fuss.
The final outcome is a lose-lose situation. The family members lost their loved ones, and the hospital not only had to pay compensation but also lost its reputation.
Dean Ding also became anxious when he heard this:
"Oh my goodness, a 75% mortality rate! No way! We must save this patient. This meeting is over. Vice President He, bring the directors of the emergency department, neurology department, infectious disease department, and intensive care unit to help immediately."
Several department heads who were named also quickly stood up...
(End of this chapter)
Continue read on readnovelmtl.com
