Sleepless Doctor

"Is there really no way to avoid it?" Director Tang thought of the patient's situation at the time, and he was also a little scared.

To be honest, Director Tang was frightened at the time, although it had nothing to do with him.

It was a living life, although he had seen blood, shit, roundworms, and mud loach in the stomach of patients, so he was very knowledgeable. But it is always difficult to accept that the patient died in front of him.

"There is also a way, I think about it." Ren Haitao said, "I saw a study of silent lungs in a journal article. It said that perioperative anesthesia, surgical stimulation, medication and many other factors can induce asthma. The attack even develops into severe asthma-silent lung."

"There are many ways to avoid it, but I don't think they are of much use."

"The main reason is the stimulation of anesthesia. In the perioperative period, the patient's high tension, fear, intubation, suction and extubation under light anesthesia, the depth of tracheal tube insertion, the stimulation of secretions and the high epidural can block the chest Sympathetic nerves, parasympathetic nerves are relatively excited, as well as limb disinfectants and surgical stimulation to cause asthma."

"These gadgets are written in textbooks to fool the students. They are really clinically effective, and the effect is almost zero. I think that the research team has studied 9 cases of silent lung in Europe and America in 10 years. Alas, you said only 9 cases in 10 years. , Or all of Europe, how did I encounter it."

Ren Haitao said with a sigh.

"Satisfied, this is Teacher Wu." Director Tang smiled, "You said that Teacher Wu is so skilled in rescue...Let me put it this way, I felt that Teacher Wu didn't know how many patients with silent lungs had been encountered in this life."

"Teacher Wu was so handsome at the time!" a young nurse said excitedly.

He must be handsome, if you want to change to yourself, standing in the operating room with your hands behind your back and directing the rescue, he is also very handsome! Ren Haitao thought to himself.

It depends on the time, place, and event.

To save a life, with only one hand to deal with such a big thing, to crush the monstrous waves, and to wipe away the clothes after the incident, it really has the style of ancient chivalry.

Hearing everyone at the table talking about how awesome the kid is, Wang Chengfa felt unhappy in his heart. He has experienced many rescues in his life, but he has never encountered Silent Lung.

Rescue is not easy, but who can't find something wrong. Wang Chengfa was unconvinced in his heart, mainly because he was panicked, and said with an urn voice, "After all, Xiao Wu has been abroad and has seen the world."

Everyone at the table said it was Teacher Wu, and only Wang Chengfa called Xiao Wu. The nurses were suddenly upset, some of their pretty faces were frosty, and some were pale and blue.

"But I was still younger. I was not sure at the beginning. I had to connect to a ventilator. It was delayed for at least 1 minute." Wang Chengfa said.

The faces of the nurses were a bit more ugly.

"Uh..." Ren Haitao looked at Wang Chengfa in a daze.

"Huh? Xiaoren, what do you think?" Wang Chengfa asked when everyone was silent, thinking that he had found the flaw and concealing his pride, pretending to be humble.

His self-righteous pretending to be humble seems to be false to others, especially the little nurses, who have turned their eyes into sanitary balls.

"Director Wang, eat, eat." Ren Haitao said repeatedly.

"Well, eat." Director Tang didn't know that the water in the Bajingzi Hospital of Traditional Chinese Medicine was shallow. The smaller the place, the more attention should be paid to it. The so-called temple demon has a lot of wind and Chiqian kings. This is true everywhere.

"Xiao Wu is still young, so we are all elders in any way. Appropriate boasting and encouraging young people is what it should be. But the position is too high, one day it will fall down, and it will be devastated."

Wang Chengfa felt that he was right and his words were measured. They were all in the love of an old medical worker for young people. This is all in the heart of the box, and no one can say anything.

Ren Haitao's face was a bit ugly. He looked up at Wang Chengfa, carefully looked at his expression, and finally asked carefully, "Director Wang, you..."

He was hesitant to speak, his expression was weird.

"Huh? Xiao Ren, do you have anything to say?"

"Director Wang, there was nothing wrong with Mr. Wu's operation at the beginning." Ren Haitao said, "After discovering the silent lung, we must first determine which medicine caused the patient's irritation."

"Assist or control breathing, inhale high-flow pure oxygen ventilation, when the mask ventilation cannot maintain blood oxygen, you should immediately perform tracheal intubation, control breathing, and give propofol 1-2mg/kg to deepen anesthesia, ketamine 50mg, sevoflurane Alkane inhalation anesthesia, vecuronium bromide 0.07-0.15mg/kg."

A series of data and solid operations are like a series of hard stones, which stuns Director Wang.

"If you think that Mr. Wu didn't change the medication first, but it was a mistake to adjust the ventilator... I don't think it is a problem." Ren Haitao said, entering the state, and began to concentrate on working with Wang Chengfa, a doctor who was born in a wild way. Discuss the rescue treatment.

“It’s also important to exclude the main bronchial intubation, blockage or bending of the tracheal tube, and tracheal suction. Although Mr. Wu took a look with an electronic fiber bronchoscope, some places are blind spots. I guess Mr. Wu based on the lack of patients. There is still time to determine the oxygen time, so it can be handled with more caution."

"Wow!"

"Is it still possible to estimate time at that time? Teacher Wu is so amazing!"

"People know it, or else I can stand on the podium and give lectures? I am considered Teacher Wu's student."

The little nurses on the table understood, and they whispered.

Wang Chengfa's face was cold, and he was a little dumbfounded. Wu Mian's operation at the time seemed to him to delay the rescue. How did Ren Haitao analyze it and turn it into a strong point for him?

"I didn't notice at the time. When I was seeing patients in the ward, I recalled the rescue process several times~www.wuxiaspot.com~ The time given at the time was simply too precise. For example, inhaling β2 receptor agonists, you need to spray multiple times. Salbutamol, how much to spray, when is it administered, and the anticholinergic drug ipratropium..."

Ren Haitao became more and more interested as he spoke, his face glowing faintly.

People who engage in technology are the same, as long as they delve into it, they will forget everything around them. He had forgotten about the conflict between Director Wang and Teacher Wu, and how he had just walked on thin ice and turned away from danger.

In Ren Haitao's mind, only Wu Mian's operations at the time.

The cooperation between Teacher Wu and Teacher Chu is perfect, no wonder they are couples. For the first rescue, fortunately they were there. Thinking about it carefully, all this was really awesome!

When I was a tool man, I didn't feel it. It was all about what Teacher Wu said and did what he did.

Now that I was sitting still at the dining table and replaying the game, I realized that Mr. Wu's operation is a magical touch. Every step is as if it has been calculated by a computer, and it has been accurate to seconds, even milliseconds!