super anesthesiologist

Chapter 141 Chapter [-]: It's just luck (please subscribe, please recommend, thank you!!!)

"Negative value from Feng Baoguo, +50."

Feng Baoguo squeezed out a smile and said, "Mr. Lin—"

Isn't it a bit disrespectful to let a graduate student who has just participated in the regular training for a few months to try the difficult airway that he can't insert?

However, Lin Xiaobei didn't think about these things.He just thinks that such cases are very precious for junior anesthesiologists, and they are hard to come by.

Being able to practice on such a super difficult case is very helpful for the improvement of clinical operation skills.

It is no exaggeration to say that the experience gained from such difficult airway management, one case is worth hundreds of normal cases.

Another reason why Lin Xiaobei asked Liu Xu to try the hand feel was that he was in the laboratory on weekends, and later Liu Xu practiced intubating the pig's trachea many times.

Although Liu Xu is a regular trainee, Lin Xiaobei feels that her touch is as good as that of ordinary junior residents, or even stronger.

"Let her try it." Lin Xiaobei ignored Feng Baoguo's concerns.

At this time, the oxygen supply by the mask can safely supply oxygen, so what are you afraid of?

The expression on Feng Baoguo's face was as if he had eaten a five-flavored sauce, and he couldn't tell the difference between joys and sorrows, joys and sorrows.

Liu Xu is in a dilemma. On the one hand, as a newcomer, she is full of curiosity and desire for new technologies, especially this very rare and difficult airway; on the other hand, she feels a little embarrassed. After all, Feng Baoguo is always embarrassed by the side Now, he is an anesthesiologist who has been promoted to a mid-level professional title.

Feng Baoguo felt dissatisfied seeing Lin Xiaobei protecting Liu Xu so much, but he couldn't show it, he hesitated for a while and said to Liu Xu angrily: "Come and experience what it feels like to be busy, if it doesn't work, get out quickly, don't use brute force in it." force, so as not to damage the patient's oral mucosa."

This kind of reminder makes people feel weird, it seems to mean that you can't do it.

Liu Xu hesitated and hesitated, but Lin Xiaobei smiled and said, "Why, you dare not take such an opportunity?"

This provocation immediately made Liu Xu feel very proud, not to mention Lin Xiaobei was provoking her.

Liu Xu gritted her teeth, picked up the double-lumen tube, reapplied lidocaine glue, and then tried to insert it according to the technique Lin Xiaobei taught her.

Since the patient had already used the relaxant, the catkin's operation this time was relatively easier than Lin Xiaobei's first time. Not only did the patient not have stress resistance, but the muscle relaxation effect was also very good.

Everyone was silently paying attention to the movements of Liu Xu's hands.

At this moment, Lin Xiaobei suddenly felt that Liu Xu's hand was in amazing harmony with the patient's small mouth.The picture of catkin operation is like a little girl feeding herself with small hands and mouth.

Lin Xiaobei couldn't help but take a peek at Liu Xu's mouth... or her mouth is prettier.

The movements of Liu Xu's hands were very gentle and slow, and it could be seen that she was very nervous and very careful.The length of the double-lumen tube entering the patient's mouth was increasing. After a few seconds, Liu Xu's hand stopped, and Lin Xiaobei felt a sense of loss that was familiar to him.

Although Lin Xiaobei did not personally teach it, for a highly qualified anesthesiologist, this feeling of frustration can be distinguished visually.

Lin Xiaobei smiled happily, this girl Liuxu is really good, she succeeded.

Liu Xu herself was also skeptical. To be honest, she didn't have a clue in her heart, or even if she felt involved, she was still ignorant.

"Connect with the guardian and have a look."

Lin Xiaobei reminded her, and then said to Feng Baoguo, "Listen to your breathing to see if it's in the trachea."

Feng Baoguo and Chen Chao were stunned.They always thought that Lin Xiaobei just wanted Liu Xu to practice his touch.Chen Chao was even thinking about whether he would try it after Liu Xu's busy insertion failed. After all, this kind of opportunity is really rare.

But the catkins were just inserted, and Feng Baoguo used a stethoscope to distinguish from left to right, and then it didn't matter, because the standard continuous carbon dioxide waveform on the monitor can best explain everything.

Chen Chao regretted that he should have taken the opportunity to come by himself. After all, as long as one case of this difficult airway treatment is done alone, it is self-evident for the importance of improving the technique in the future.

Lin Xiaobei suddenly wondered, how could he receive "Negative value from Chao Chen, +30"?
When did he offend Chao Chen?
After confirming that she had indeed successfully inserted herself, Liu Xu's face flushed red, and her surprise was beyond words.

"I'm just lucky." She was speaking very modestly, but Feng Baoguo and Chen Chao felt a sense of showing off.

"That's right, Teacher Wen Xin is really good at teaching." Lin Xiaobei praised.

"Negative value from catkins, +20".

"Negative value from Feng Baoguo, +30".

Teacher Wenxin came by herself, so she might not be able to get in, okay?
Connected to the ventilator, this time Feng Baoguo did not stubbornly fix the double-lumen tube firmly, but listened to Lin Xiaobei's advice to keep it loose.

Only then did he tell Lin Xiaobei how he accidentally tore the double-lumen tube out of the trachea: When putting the patient in the position, Feng Baoguo found that the tracheal carina could not be found with a fiberoptic bronchoscope, and the breath sounds of the left lung could not be found. Clear, and then manual assisted breathing found that the patient's airway pressure was high.There are various indications that the double-lumen tube was displaced when the patient's body position changed.

At this time, it must be readjusted, and as Lin Xiaobei said, it is not good to be too fixed, and the position of the double-lumen tube cannot be moved.Feng Baoguo had no choice but to loosen the tightly bound tapes first, the tapes stuck together into a lump, and he couldn't get rid of it lying on his gloves.

Feng Baoguo's mood suddenly became irritable, and he tried to shake off the messy pieces of adhesive tape. He might have used too much force, and accidentally drove the double-lumen tube while pulling and shaking it, pulling it out of the patient's trachea.

Then, the anesthesia machine started to alarm, and the breathing circuit bellows couldn't inflate...

Lin Xiaobei was dumbfounded after hearing this, and pulled out the double lumen tube?This action is a bit violent!

In fact, Lin Xiaobei did not force the double-lumen tube to be fixed after it was inserted.
It's just a matter of personal preference.Those who don't like fixation are easy to adjust, but the premise is to be more careful, especially when the patient's body position changes, pay attention to the protection of the catheter; and those who like fixation always feel that the possibility of double-lumen catheter displacement after fixation is less.In fact, there is no absolute standard for who is right and who is wrong for the two, it depends on what people say.

After Zhao Jingjing started the operation, Lin Xiaobei returned to his operating room.

Liu Xu also followed.

Lin Xiaobei asked curiously: "Why do you come to work overtime at this time? Who notified you?"

"Negative value from catkins, +100."

Lin Xiaobei was startled, this girl seemed to be very angry!Didn't he just ask a question?

Liu Xu talked about him from left to right, flipped through the medical records and looked at the patient, and suddenly asked, "Why didn't your patient get a central vein?"

It doesn't matter if you wear it or not, you can wear it or not.This patient's peripheral circulation is very smooth, so Lin Xiaobei was lazy and didn't wear it.

"Do you want to wear it?" He asked Liu Xu.

"Negative value from catkins, +30."

Is not this nonsensical?Since following Wen Xin, most of Liu Xu's anesthesia operations are limited to spinal anesthesia, and there are very few opportunities for such techniques as vascular puncture. She has practiced handy on those pigs on weekends, but she has rarely tried them clinically.

Afraid that Lin Xiaobei would change his mind, Liu Xu said angrily, "Just wear it!"

After speaking, I ran to the item management room to look for the central vein bag.

(End of this chapter)