Doctor's Life Simulator

Chapter 48 The Magical Use of Laughing Gas

Hearing Qin Lang's words, Wu Youtu was slightly surprised, but at this time, treating patients is the first priority: "Expand and talk?"

Qin Lang said calmly: "For the airway flushing and suctioning method, in addition to the conventional forceps and suction tube, you also need to prepare a syringe with a capacity of 20ML and an airway humidification solution of about 15ML."

Qin Lang glanced at the equipment nurse, who immediately began to prepare.

".Humidification liquid formula: 100ML normal saline, 1ML isoproterenol, 5MG dexamethasone and gentamicin, 8 U and 1500 U of chymotrypsin respectively"

While the little nurse was preparing simultaneously, Qin Lang continued to explain the detailed operation to Wu Youtu:

"In the process of flushing, two people are required to operate at the same time and cooperate with each other. One of them prepares for sputum suction, helps the patient adjust the state, reminds the patient to take a deep breath, and the other pulls out the injection needle and humidifies the pre-prepared Draw the liquid into the syringe, inject the humidified liquid into the airway when the patient is inhaling, wait for a few seconds, but when the patient coughs, suck it out as soon as possible.”

"When performing sputum suction, a sputum suction tube should be inserted at the airway of the cannula mouth, the negative pressure should be turned on, and then the suction tube should be rotated in the left and right direction, while sucking and retreating"

In Qin Lang's introduction, based on Wu Youtu's experience, he naturally understood the advantages of the airway flushing and suction method:

"Compared with the conventional sputum suction method, it can more thoroughly absorb the secretions and sputum produced in the airway, and the airway humidification liquid can effectively prevent the accumulation of secretions and sputum, which can make the airway of the patient The viscosity of the sputum is reduced, and the effect of sputum suction is naturally ideal."

"As for the operation of rotating the suction tube left and right, it is similar to Director Wei's improved suction method. It is indeed a suction method that is more suitable for Ling Sheng's condition."

After a short analysis, Wu Youtu agreed with Qin Lang's plan: "Qin Lang, the plan you proposed is indeed more appropriate and suitable than I imagined. Then let's start, and I will be your assistant."

Qin Lang nodded, and at this time, the equipment nurse who was urged by Qin Lang had already prepared various items.

".During the process of flushing the patient with Dr. Wu, we recorded and recorded the total number of sputum suction, and at the same time observed and recorded the shape of the Yellow River sputum"

"okay!"

Being able to make Wu Youtu willingly serve as an assistant further enhanced Qin Lang's authority in the operating room.

Qian Liang on the side was also shocked: "Qin Lang, this boy, this is too powerful. If Wu Zhizhi can be my assistant, then my tail can go up to the sky."

"Write it down, write it down, Director Wei's improved sputum suction method, and Qin Lang's airway flushing and sputum suction method."

With these two skills by his side, next time he encounters such a situation, he will be able to show his might!

With the tacit cooperation of Qin Lang and Wu Youtu, naturally the suctioning of phlegm was completed very quickly.

"Dr. Qin, Dr. Wu, the sputum suction effect is very remarkable. The patient's previous sputum whine and sputum accumulation sensation all disappeared, and his breathing began to return to normal, and his blood oxygen saturation was within the normal range."

The itinerant nurse on the side reported various data such as the ECG monitor immediately, her tone full of admiration and joy.

"I didn't expect airway irrigation to be so effective at clearing the airway."

Wu Youtu looked at some unexpected results, and he was in a good mood: "Qin Lang, your airway flushing method is very good, and it can be promoted in future treatment. After this rescue operation is over, I will discuss it with Wei Wei. The director suggested that the sputum suction method should be promoted and taught in the departments, and you will be the one to give the lectures when the time comes!"

The first reason for Wu Youtu's consideration is that this sputum suction method is indeed very good, and the other reason is to create opportunities for Qin Lang to show himself and establish an advanced and model image in the department, which will benefit Director Wei's operation later.

Although this kid tends to act on his own initiative, he really has unconstrained innovation ability and convincing and reassuring clinical level.

"Qin Lang, there are indeed a lot of patients this time. Our department is very short of manpower. From now on, you will be like Qian Liang and Peng Yun. I will judge the patient's condition and arrange independent surgery for you. You will be the chief surgeon. Escharotomy decompression, debridement, debridement, and tracheotomy.”

After Wu Youtu rescued the patient, he looked at Qian Liang beside him:

"Qian Liang, you have almost rested during the operation, now follow me to rescue the rest of the patients."

"okay."

Qian Liang nodded solemnly. It is indeed time to race against time, so he also waved his hand towards Qin Lang:

"Qin Lang, you are officially authorized to join the rescue. I believe that with your support, we can save more lives."

Wu Youtu also looked at Qin Lang: "Qin Lang, you just finished two operations, take a break first, and I will arrange for your next operation."

Surgery is a big project that consumes a lot of physical strength and energy. When Xiang Wu Youtu performs some major operations, it often lasts for more than ten hours, and he has long been used to it without eating or drinking.

However, Qin Lang is just a newcomer after all. Although he is young, he does not know how to allocate physical strength, adjust energy, and take fragmented rest like them.

"It's okay, Dr. Wu, I'm fine."

Qin Lang shook his head with a firm tone.

Wu Youtu looked at Qin Lang, feeling a little moved in his heart. This little guy is humble, hard-working, calm and calm in critical moments, full of brilliant ideas, which is really a good piece of material.The evaluation of Qin Lang in my heart is a little higher.

"Okay, then we will go to treat the next batch of patients now."

Soon, Qin Lang was assigned a new patient, a girl in her early 20s. Her back was severely burned, her face was painful, and she looked anxious.

Qin Lang is going to give her the first debridement.

"Doctor, I'm in so much pain and discomfort, can you ease it up?"

The little girl turned her head sideways, lying on the flat car, dripping tears from time to time.

After thinking about it, Qin Lang came up with a debridement method that could further relieve the patient's pain.

[Ding, new mission: Use the sedative and analgesic technology of nitrous oxide inhalation to relieve Liu Neini's debridement pain and reduce the patient's anxiety at the same time.Task reward: 1 life simulation point. 】

Hearing the sound of the system, when Qin Lang looked at Liu Nei again, he seemed to see an experience baby.

Burn pain is a kind of continuous pain throughout the whole healing process, which often brings obvious anxiety to patients, and the use of laughing gas is a very safe and perfect means of analgesia.

Laughing gas is also widely used in the fields of stomatology, obstetrics, emergency departments, and endoscopic auxiliary examinations in the United States because of its near-perfect safety. It has strong analgesic and anti-anxiety effects.

However, in the burn department of the First Hospital of Hecheng City, there are still relatively few clinical applications, so unknowingly, Qin Lang made another amazing move.

In the operating room, after Qin Lang gave the order, the instrument nurse and the itinerant nurse were also a little surprised, but now, Doctor Xiao Qin has won their trust.

“.先吸入100%氧气5秒，开始加入10%的笑气5min，然后每隔5min增加笑气浓度5%”

And after Qin Lang gave the order, during the whole operation process, he also closely observed Liu Nei's reaction.

Another 5 minutes later, when the nurse asked how Liu was doing, the other person's previous anxiety and crying were obviously relieved, and his complexion recovered a lot.

".I am much more comfortable, and the pain is really reduced a lot. Thank you, doctor!"

(End of this chapter)