Recently, Mr. Meng and his family members in Datong City wrote on one side "There is a sky outside the sky, escape from death; Superb medical skills, creating miracles" pennant was sent to the medical staff of the Second Cardiovascular Department of the Fourth People's Hospital to express their gratitude.
Some time ago, Mr. Meng was admitted to our hospital due to illness and suddenly had ventricular fibrillation while undergoing painless sclerosis treatment in the gastroscopy room. The emergency plan was immediately activated, and the whole hospital was rescued on the spot. The gastroscopist continued chest compressions, and the anesthesiologist gave emergency endotracheal intubation, subclavian central venous catheterization, and defibrillation at 200 joules for the first time, followed by three hundred joules and five intermittent defibrillations of 360 joules. For refractory ventricular fibrillation, the anesthesiologist and cardiologist jointly decide to use amiodarone to pulse through the central vein and maintain the sinus rhythm to stabilize. After the vital signs were relatively stable, he was transferred to the second department of cardiology for further treatment.
In the follow-up treatment, the patient had myocardial infarction, cardiogenic shock, heart failure, pulmonary edema, anesthesiologist and cardiologist were on duty at the bedside to monitor, treat the symptoms and take into account the etiology, maintain vital signs and correct the internal environment disorder.
After careful treatment, Mr. Meng's condition improved significantly on the third day, with clear consciousness, normal muscle strength, and stable blood oxygen on the ventilator, in order to prevent ventilator-related pneumonia, the anesthesiologist and cardiologist jointly decided to perform fast-track sequential weaning and smoothly transferred to nasal high-flow oxygen therapy mode. Mr. Meng entered the stage of rehabilitation and conditioning of important organs such as heart, brain and kidney.
Emergency resuscitation is one of the important responsibilities of the Department of Anesthesiology, and an important part of the basic life support technology (BLS) is manual cardiopulmonary resuscitation, which is precisely because of the continuous non-stop chest compressions to ensure that the patient's vital organs will not be ischemia and hypoxia, laying the foundation for subsequent treatment.
Further life support (ALS) techniques involve the application of assistive devices and special techniques to establish ventilation and stabilize circulation. Rapid endotracheal intubation and timely defibrillation to stabilize sinus rhythm play such a role, and effective torsion of refractory ventricular fibrillation is a key factor.
Continuous life support (PLS) is the resuscitation of the brain and other vital organs. The patient's brain, heart and other organs were restored as soon as possible, thanks to seamless rescue and meticulous care from the cardiology medical team.
Life first, harmony between doctors and patients!
Liu Jie, director of the Department of Anesthesiology of the Fourth People's Hospital of Datong City
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