Doctor: I picked up attributes in the hospital

Chapter 114 Difficulties of endotracheal intubation in very low birth weight neonates!

Chapter 114 Very low birth weight newborns - the problem of endotracheal intubation!
The next day.

Eight ten in the morning.

Anesthesiologist's office in operating room.

This morning, Zhao Heng came with Xu Manni.

As for what happened last night, the author's writing power is limited, and it is not enough to describe the beauty and beauty in it.

However, after last night, Xu Manni was more satisfied with Zhao Heng.

As for Zhao Heng, he was also very satisfied with Xu Manni, he couldn't be more satisfied.

In the past few days, Zhao Heng had a lot of work, so he came here very early.

"I bought you some siu mai, eat some first, or you won't be able to eat when you get busy."

Zhao Heng was sitting at the desk and turned on the computer. Xu Manni came in with a bag of Shaomai, put it on the table and said.

This tone, this demeanor, is simply the appearance of a standard good wife and mother.

"Well, you can eat some too."

Zhao Heng nodded, he was very used to Xu Manni taking care of him.

"Ah."

Xu Manni pulled the chair over, sat down, took out the siu mai and ate one, and looked at Zhao Heng with satisfied eyes.

"Sister, what are you doing looking at me like that?"

Zhao Heng felt a little terrified by Xu Manni's eyes, and couldn't help asking.

"You said you have good stamina, I thought you were bragging before."

Xu Manni said with a sweet smile.

"Cough cough..."

Zhao Heng was drinking water, and when he heard Xu Manni's words, he almost choked.

"Drink slowly, you will choke."

Seeing this, Xu Manni quickly patted Zhao Heng on the back and said.

Zhao Heng is 25 years old this year, and Xu Manni happens to be six years older than Zhao Heng. For a woman, this age is at its peak.

And Zhao Heng, who is 25 years old, is also full of energy.

It is self-evident what kind of intensity it will be for the whole night.

This also had to be Zhao Heng's stamina strengthened by the system, otherwise, he might really not be able to withstand it.

As for the other doctors in the office, seeing Zhao Heng and Xu Manni being so close, they all felt like they had been given several mouthfuls of dog food.

Well, there is no need to eat earlier, the dog food is full.

After a while, after eating breakfast with Zhao Heng, Xu Manni also went to work.

Seeing that Xu Manni had left, Zhao Heng breathed a sigh of relief.

But fortunately, Zhao Heng has won this level.

Thinking of this, Zhao Heng touched his lower back, wondering if he should do something to mend it.

At this moment, Tian Zhen, a nurse in the operating room, came in and said to Zhao Heng, "Dr. Zhao, there is a consultation in the Neonatology Department."

"Oh, I see."

Zhao Heng nodded and stood up.

No, just after eating breakfast, Zhao Heng was going to rest for a while, and came to work so soon.

Originally, Zhao Heng's day's work was planned before, and Zhao Heng still had time to rest between several operations and anesthesia.

However, now Zhao Heng's level has been recognized by all the surgeons. Gradually, Zhao Heng has become like a firefighter. Whenever there is a difficult problem, he can go to Zhao Heng for consultation.

However, Zhao Heng also wondered, what does the neonatology department ask him for?
After coming out of the operating room, Zhao Heng came to the intensive care unit of the neonatology department after a while.

Seeing Zhao Heng coming in, Fang He, the attending doctor of the neonatology department, hurried over and said to Zhao Heng, "Dr. Zhao, you are here."

"Well, what's going on?"

Zhao Heng nodded and asked.

In Dongfang Hospital, he is currently specializing in anesthesia and postoperative recovery, as well as rescue and treatment of some difficult and serious diseases. Speaking of which, Zhao Heng can handle a wide range of situations.

"Doctor Zhao, it's like this. We have a one-day-old baby boy who choked on the amniotic fluid when he was born. Now he has severe lung infection and respiratory distress, and needs tracheal intubation."

Fang He briefly explained the situation.

Wearing black-rimmed glasses, she looked like a dignified and rigid female head teacher.

"Entracheal intubation? Doctors in your department can do it, too?"

Hearing what Fang He said, Zhao Heng was a little surprised. Endotracheal intubation, so to speak, is a skill that doctors must master.

Especially in the neonatology department, every day there are newborns with respiratory distress caused by coughing amniotic fluid or other reasons. These newborns need to be intubated to assist breathing.

"Dr. Zhao, if we can do it, we won't be looking for you. This newborn is in a special situation. When he was born yesterday, he only weighed 1.5kg. Moreover, because he coughed up the amniotic fluid, he now has severe airway edema."

Fang He said helplessly.

The birth weight of this normal full-term newborn is between 2.5-4kg, and a baby whose birth weight is less than 2500g can be called a low birth weight baby. This is only 1.5kg, which can be called a very low birth weight baby.

Newborns with such extremely low birth weight are generally accompanied by congenital deficiencies. In the mother's body, due to various reasons, they do not receive enough nutrition.

Moreover, raising such a newborn is more laborious than normal babies.

For such a small baby, coupled with airway edema, the width available for intubation may be as thick as chopsticks, and the difficulty of intubation is very high.

In addition, the airway of newborns is not yet fully developed, so care must be taken when performing operations to avoid damage to normal airway tissues.

"For such a small baby, it is indeed very difficult to intubate the trachea."

Hearing Fang He's words, Zhao Heng thought for a while and said.

"Yes, but it doesn't work without intubation now. The newborn's respiratory distress is already very serious."

Fang He nodded and looked at Zhao Heng with hopeful eyes.

Endotracheal intubation itself is a basic skill that anesthesiologists must master.

Now, as a leading anesthesiologist, Zhao Heng's ability to master this technique must be extraordinary.

This is why Fang He invited Zhao Heng to come for consultation.

"Go and see the newborn first."

Zhao Heng pondered for a while, and several plans for intubation of such extremely low birth weight newborns flashed through his mind. However, Zhao Heng had to meet the newborns before Zhao Heng could decide which one to use.

It has to be said that getting the fusion experience from Huang Lao is really great for improving Zhao Heng's level.

In particular, Mr. Huang's lifelong experience in practicing medicine is extremely valuable.

Medicine is an empirical discipline.

There are many situations that patients have, if they have not encountered them, they will not know what to do.

"okay."

Seeing that Zhao Heng didn't refuse, Fang He relaxed a lot, and led Zhao Heng to the hospital bed where the newborn was.

(End of this chapter)

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