All kinds of pipelines have been replaced with new ones under the quick action of medical staff, so as to eliminate the accidental occurrence of pipeline problems to the greatest extent.

    Rescue drugs have entered the patient''s body, and the rescue is being carried out in an orderly manner. Time is enough. Wu Mian has his own judgment.

    However, patient words put more pressure on anesthesiologists.

    Background "music" is the alarm of various instruments, invasive monitoring of blood pressure by radial artery puncture, and the value displayed on the screen fluctuates constantly. Under the action of high-dose rescue drugs, although the cliff decline is stopped, it can only be maintained at a very low value.

    The anesthesiologist''s whole body was wet with sweat. He kept leaning slightly to the side and back with a strange posture, and a nurse wiped his sweat. But his eyes did not dare to leave the B-ultrasound screen for a second. He carried out every word of the unknown teacher behind him meticulously.

    Although I didn''t know who was behind me, I didn''t worry about various professional vocabulary and rescue order, especially at the beginning. Instead, I made differential diagnosis first and found a correct way to make anesthesiologist Ren Haitao more confident.

    It must be Daniel, otherwise who dares to do so. Although Daniel is directing the rescue, Ren Haitao is not sure that the rescue will succeed.

    Just go all out. He really did his best. Anesthesiologists are very sensitive. When they hear the alarm of monitors, ventilators and other instruments, they subconsciously have to take a look.

    But he knows his responsibility.

    "Sono phased array probe p21, in M mode, the sampling line is placed about 2cm away from the right atrium inferior vena cava junction to measure the maximum and minimum diameters."

    "IVC is obviously slender, with a diameter of 1cm, indicating insufficient capacity and capacity reactivity."

    Anesthesiologists are very nervous. Generally, when they do this, there will be a very complex calculation formula.

    Respiratory variability of mechanical ventilation - IVC inspiratory expansion rate = (ivcmax ivcmin) ivcmin. Usually let yourself count. It takes at least 2 or 3 minutes to hold a pen and paper.

    Now, 2 or 3 minutes may determine the patient''s life and death.

    Quite complex calculation formula, quite tedious calculation process, quite... In short, Ren Haitao has a headache when he thinks of this formula.

    This is not the college entrance examination, but it is more difficult than the last big question in the college entrance examination.

    However, Daniel''s voice did not say any value, but continued after adjusting the infusion volume.

    The anesthesiologist was slightly stunned. He didn''t think that the calm Daniel behind him could not even use this formula. Various remote controls before proved his deep research in E-fast.

    It must have been Daniel who worked out the result, and the infusion guided by this result was... The anesthesiologist was just stunned. Wu Mian''s voice behind him became severe and stabbed Ren Haitao''s back like a knife.

    "Anesthesiologist, concentrate!"

    He didn''t swear, but the anesthesiologist felt that he was more afraid than scolding himself.

    Under the pressure of technology, anesthesiologists have developed an emotion called fear.

    "The probe is placed at the apex of the heart, 1 ~ 2cm inside the midline of the left fifth intercostal clavicle, slightly inclined upward, and the direction mark points to the patient''s left shoulder."

    "Slide... Put the probe on the long axis of the left ventricle next to the sternum and slide the probe towards the apex of the heart. Well, well done."

    "Pay attention to the ventricular septum, pay attention!"

    "When the ventricular septum just disappears, rotate the probe 90 degrees clockwise... Turn!"

    "Press the tail end of the probe down slightly, tilt the probe so that the ultrasonic beam points to the right shoulder. Yes, that''s it."

    The B-ultrasound probe constantly swims back and forth between the heart and inferior vena cava, and the infusion sequence is often slightly adjusted according to the images provided by B-ultrasound.

    A large number of rapid volume expansion was carried out under the guidance of cardiac B-ultrasound. The colloidal solution was changed to succinyl gelatin with crystals interspersed in the middle. The lower limbs were raised by 15 °, and the amount of return heart blood was increased by posture.

    Sometimes give the crystal at full speed, sometimes advance the colloid behind, and sometimes reduce the infusion speed.

    At first, some people thought about it, such as the anesthesiologist being rescued.

    Soon, everyone''s thinking can''t keep up with Wu Mian''s speed and go all out to do it. Moreover, it''s too late, let alone think.

    Everyone became puppets, controlled by the hand behind them.

    As time went by, the patient''s blood pressure fell steadily and slowly picked up. Various values gradually return to the lower limit of normal level from critical value.

    Lactate was measured three times and kcl4g and calcium gluconate were injected by pump; Intravenous drip 250ml sodium bicarbonate to correct body acidosis and electrolyte balance disorder.

    I don''t know how long it took, the beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep beep.

    1 second

    10 seconds

    60 seconds

    The clear and clear command voice did not appear. Someone thought in a trance whether the rescue was successful?

    Impossible things happen in front of us. Even if they seem to be true, people will have a feeling of disbelief.

    2 minutes

    5 minutes

    "Miss Wu..."

    "Prepare mannitol."

    Xu, director of anesthesiology department, and Wu Mian said at the same time.

    "...." director Xu of anesthesiology department was buzzing in his head.

    The patient''s blood pressure returned to 7045 mm Hg, which was a temporary escape from the fatal shock state. In director Xu''s opinion, he would take the patient to ICU for a few days.

    The next troublesome thing is how to explain to the patient''s family members and strive for the understanding of the patient''s family members.

    No one wants to be this kind of shock that comes and goes without a trace.

    But Miss Wu Mian gave it to mannitol!

    Mannitol is a common and commonly used drug. It is a good diuretic. It can reduce intracranial pressure, intraocular pressure, kidney medicine, dehydration medicine, sugar substitute, excipient of tablets and diluent of solid and liquid.

    If the patient is still in shock, he should give mannitol urgently. What if he can''t control the shock?

    However, director Xu can''t do such a thing by blaming teacher Wu Mian''s medical advice face to face.

    Not that I can''t, but that I dare not.

    Not to mention a series of glorious history before Wu Mian, but just the rescue process, clearly tell everyone how strong this teacher Wu is.

    "Here, I know." Wu Mian smiled and said, "generally, patients with anaphylactic shock will have complications of increased intracranial pressure. If brain edema is not controlled in time, there is a 2.23% possibility of serious consequences."

    It is well known that serious consequences refer to brain death and patients become vegetative.

    But mannitol... Hypotension... Shock

    The combination of these contradictory nouns makes people feel at a loss. Just after the rescue, the patient got rid of hypotension. If mannitol is given, what if shock happens again?

    "Miss Wu, is 250ml enough?" director Xu hesitated for a few seconds and asked in a low voice.