Use the connector of the double-lumen tube to connect to the laryngeal mask as the lens connector for tracheoscopic anesthesia?

"You'll find out if you try it!" said Ruan Bin with a smile.

"Okay, then try again!" Dr. Chan nodded.

Soon he tried it and was surprised to find that with such a simple improvement, there was no air leakage when doing tracheoscopy, and the anesthesia machine did not need to stop, which really solved a big problem!

"Oh my God, what is the principle of this?" said anesthesiologist Zhou Jialin in shock.

"Hey...... This is very simple......" Ruan Bin explained the principle again, and the two of them nodded frequently after listening to it.

"Dr. Ruan, where did you learn this?" Dr. Chen asked curiously.

"When I was studying at a hospital before, I saw a doctor do this, and it worked very well. Ruan Bin opened his eyes and said nonsense.

"Awesome!"

Soon, after this patient had done all the examinations, the results of the examination were indeed tuberculosis, and there was no need to talk nonsense, and he was directly sent to the infection department to finish his work.

......

It's afternoon again.

The patients were finally reduced, Ruan Bin went to have a meal, and as soon as he came back, he was suddenly approached by a doctor in the head and neck department.

"Doctor Ruan, can you do me a favor?" the doctor's surname is Zheng.

He didn't know.

"What's the matter?" Ruan Bin looked puzzled. Although I don't know each other, as a hospital, I still have to help if I can.

"I heard Anesthesiologist Zhou say that you are a little expert in transformation, there is a patient in our department who has a total laryngectomy for laryngeal cancer, and during postoperative care, the gauze covering the tracheal opening is always dry, and the nurse needs to take a syringe and drop a few drops of saline every few minutes.

Transformation little expert?

Groove ...... The anesthesiologist is really good enough this week, and he has given himself this name before the day has passed.

"I don't know if it's going to work, I've got to go over and take a look. Ruan Bin looked at the emergency department and there was nothing to do at the moment, so he planned to go and have a look.

"Okay, thank you so much. Dr. Zheng said happily.

Soon followed the other party to a ward in the other department, and Ruan Bin saw the patient lying on the hospital bed shrouded in mist.

Why is the fog hazy? Due to the loss of nasal warming and humidification, the air inhaled into the respiratory tract becomes unusually dry. For this reason, nurses came up with the idea of using air humidifiers. Normal patients are okay, but there is little effect on patients with laryngeal surgery. The gauze covering the opening of the trachea will soon become very dry, after which the trachea will become dry.

On the one hand, dry trachea can reduce immunity, cough and affect the healing of the incision, and in addition, it can also cause a large amount of fluid loss. Therefore, this is a problem that must be addressed.

"Doctor Ruan, is there a way?" asked Dr. Zheng with an expectant expression. They have a lot of patients in this area. If there are seven or eight such postoperative patients a day, those nurses don't have to do anything else, and giving these drops of salt water every day is enough for them to be busy.

This kind of thing is not safe to be handed over to the patients of their families to do, in case something goes wrong, they nurses are responsible!

"Doctor Ruan, if you can solve this problem, there are so many nurses in our general practice, and many of them are single, I'll introduce you to a few later~" The head nurse teased.

Ruan Bin: ......

If it's pretty, hehe, I don't mind!

"Well, I'll think about it. ”

Ruan Bin searched in his mind about the experience in [Out-of-Hospital Emergency General Surgery].

For this type of patient small makeover experience.

After searching for a while, I finally had a case of experience in this area.

"You can try to fill the analgesic pump used by the anesthesiology department to relieve pain for patients, fill it with saline, set the speed, and see if it works!" Ruan Bin began.

"Huh, it sounds like it works, I'll give it a try!" Dr. Zheng suddenly had a sense of enlightenment after hearing this.

Sure enough, after trying it, it worked perfectly!

It perfectly solves the problem of gauze drying out!

"Doctor Ruan, don't talk so much, we will definitely call you for activities in our department in the future!" the head nurse said with a smile.

"Dr. Ruan, thank you so much, I will invite you to dinner when I have time in the future. Dr. Zheng also hurriedly thanked him.

"Ahem...... You're welcome. Ruan Bin also knew that the two were kind words.

After finishing another day's shift, Ruan Bin had a meal, and then went to Modu 101 Hospital.

Because tonight was the day he was giving the second pre-hospital REBOA class to some of the doctors in the emergency department over there.

When the time comes, it will be another 10,000 yuan, and of course he will be happy to teach them a lesson.

After a class, it was already past nine o'clock in the evening.

Yan Zhenrong is still so enthusiastic!

ALTHOUGH HE IS THE DIRECTOR OF THE EMERGENCY DEPARTMENT, HE IS USUALLY NOT ON DUTY AT NIGHT, BUT THE REASON WHY HE IS HERE IS BECAUSE HE ALSO HAS TO FOLLOW RUAN BIN TO LEARN PRE-HOSPITAL REBOA.

Walking out of the conference room, Yan Zhenrong smiled at Ruan Bin and said, "Doctor Ruan, when are you coming to the next class?" he said as he transferred 10,000 yuan to Ruan Bin.

"It depends on the situation, I will inform you 2 days in advance. Ruan Bin smiled.

After all, sometimes he has to work night shifts, and sometimes Lin Yatong also has extra money to earn, which is not accurate.

"Okay, then I'll send you back. Yan Zhenrong nodded in understanding.

Just as the two of them were about to go out, a doctor hurriedly walked up!

"Director Yan, please stay, I have a patient here who needs your help to diagnose, I can't diagnose the condition!" Qi Jicheng hurriedly said. He is the attending physician in the emergency department of Modu 101 Hospital.

"Where is the patient, what's going on?" Yan Zhenrong frowned slightly.

"In the ward, the patient, a 76-year-old male, presents with pain and discomfort in the left side of his head and face for 5 hours. Admitted to the hospital 1 hour ago, with a history of hypertension and no history of diabetes, 5 hours ago, the patient felt pain and discomfort in the left head and face, accompanied by nausea and discomfort, no obvious palpitation, chest tightness. ”

"Conscious, with two equally large pupils, about 2.5 mm in diameter, and sensitive to light reflexes. Bilateral frontal lines are equal, bilateral eyelids are not drooping, bilateral eyeball movement is normal, bilateral nasolabial folds are equal, and the tongue protrusion is centered. There is no enlargement of the thyroid gland in both sides, the neck is soft, the trachea is centered, the breath sounds in both lungs are clear, there is no obvious dry and wet rales, HR is 80 beats/min, the rhythm is uniform, and the muscle strength and muscle tone of the limbs are normal. ”

"I gave him a CT scan of the skull, but the examination showed that there was no abnormality in the skull!" Qi Jicheng said in a low voice.

"Well, this condition is a bit complicated, take me to see it. After Yan Zhenrong finished speaking, he turned his head to Ruan Bin and said, "Doctor Ruan, can you wait for me for a few minutes?"

"No problem, I want to go and see it too. ”

"Yes!"