Chapter 417 Endotracheal Intubation Rescue

If you are in that kind of relaxed department after graduation, after a long time, your level will not be able to be raised! Han Qiang is like this, after graduation, he went directly to the general surgery department, every day is surgery, surgery, it looks so lively, in fact, it is all senior doctors in the operation, you just need to do a good job of hooking.

After a long time, many critically ill patients come out, and you can't learn at all.

"Don't complain, you can't learn things by yourself, you look for objective reasons now, find more subjective reasons, these things can only be learned during the internship, the main thing is to be attentive! You quickly call the patient's family, of course, he has no family! You call his ex-girlfriend!".

Lin Yu thought about the beauty in KTV, liked Han Qiang, and was happy when he thought about it.

Han Qiang's face was uncomfortable, that beauty discharged herself every time, and in the bottom of his heart, he was a little afraid!

"I... I'll tell her!".

"It's not to tell her!, but to ask her to come and sign, we will intubate the patient's trachea later, ask someone to sign, and at the same time, such a high cost, we must find a way!" Lin Yu directly threw the pot over.

"Dude, you... Every time you need to pay for it, you want me to come forward, isn't that good! My special mother is going to sell herself! This handsome person is bullied like this?" Han Qiang had goosebumps all over his body.

"Treating patients! is to contribute to the hospital, and treating diseases and saving people is to solve problems for the people! You can recover the expenses, this is also a contribution to the hospital! You are pretentious and handsome every day, don't you need to use it?" After Lin Yu finished speaking, he wanted to laugh.

"My mother! I'm too embarrassed to speak this time, and I'm not the patient's doctor-in-charge!"

"It's always our department's business! You have a good talk to her, and if you ask her to practice the patient's parents, just say that the patient is no longer good!"

When Han Qiang heard this, the chrysanthemum tightened, and said hurriedly: "Is the patient not working? I thought it could be done for a while?"

"The infection is out of control!Let his family prepare for the future!" Lin Yu asserted.

After a while, the respiratory physician came up.

"I just checked the patient's situation in our department, and I also went to see the patient's situation just now, this patient is afraid that it is not very good!"

The respiratory physician's surname is Wang, and he came to the hospital with Han Qiang, and he is in the same school and grade as Han Qiang, but he is not a classmate!

Others are already attending doctors, and they are already second-level doctors in the department, so they don't have to work night shifts.

"Lao Wang, too, there is an intensive care unit in the department, and you don't agree to transfer to another department!" Han Qiang complained.

Doctor Wang said with a painful face: "Old classmate, this disease is AIDS, who dares to accept it! It was a mistake for you to accept it at that time! This situation is troublesome, I have seen the patient's situation, and basically declared the death penalty! All drugs are useless against his bacteria!"

"Superbugs?" exclaimed Han Qiang, he didn't quite understand this.

"That's not it! Because he has AIDS, his immune system has been destroyed! The infection is uncontrollable! If you still want to maintain it, get on the ventilator quickly!".

Han Qiang glanced at Lin Yu appreciatively, the inference just now was correct!

"Then I'm going to have to call his ex-girlfriend quickly!".

"Then I have written my opinion!" Dr. Wang raised the consultation list, and said to himself: "What about me? I can only write a suggestion to strengthen the anti-infection, and it is recommended to go on a ventilator! I see that you are also on the best anti-inflammatory drugs! Antifungal drugs are on it, and this can't be saved, and then the Lord of Yama is going to take him!"

After a while, the consultation was over, and Dr. Wang left the consultation slip.

Lin Yu picked it up and looked at it for a long time, in fact, it was all clichés, and there was only one suggestion that was more valuable, that is, to get on a ventilator!

"She's here! Ten minutes!" Han Qiang also picked up the consultation sheet and studied it for a while.

"Let's go prepare for endotracheal intubation, as soon as his girlfriend comes, after you communicate with her, we will be on the ventilator!" Lin Yu arranged.

It has always been arranged by Lin Yu, and Han Qiang can only listen.

"Hmm!" Han Qiang said.

The ventilator is a device that can replace the control or change of people's normal physiological respiration, increase lung ventilation, improve respiratory function, reduce respiratory function consumption, and save cardiac reserve energy.

"The tidal volume, pressure, flow, etc. are all set!As soon as the beautiful woman comes, you ask her to sign it, and we can start the operation!".

Han Qiang didn't understand! What do you mean by us operating?

"Do we intubate ourselves with endotracheal intubation?"

"Otherwise?" Lin Yu liked to say this sentence the most.

"I don't know how to intubate my trachea! I just operated it when I was taking the doctor's qualification certificate! I usually operate it by a general surgeon! Or the anesthesiologist is very good, I wouldn't let my sister go if I knew it!" Han Qiang said regretfully.

"When you say that, I mean I'm hurt! I didn't think about what you would do from beginning to end!".

"Huh, you'll do it?"

"Well, it's a basic operation! I've done it many times during my internship!".

When Lin Yu was interning, his ex-girlfriend had passed away, and he didn't serve dishes anymore, he soaked in the operating room every day.

Now that he has a golden finger and can "see" through the tissues, blood vessels and nerves that others can't see, then this operation is easier, and in this way, Lin Yu is even more confident.

"Atrophic cholecystitis will be done, this operation is not enough to plug the teeth!" Han Qiang finally came back to his senses.

"Conscious!" Lin Yu was not polite.

"That's... Let me do it once! I haven't done it before!"

"Okay, you hurry up and see where that beauty is, the patient's blood oxygen still hasn't come up!" Lin Yu was a little irritable.

Normally, the patients are critically ill, and the family members should be in the hospital or the surrounding area at any time!

This patient is another special case!

It's just an ex-girlfriend, and legally she is not really a family member.

"Dr. Han, the patient's family is here!" the nurse shouted.

Lin Yu sneered and said, "Nima, is this an ex-girlfriend? I didn't come to the ward first, I actually went to look for you first!"

", is it interesting to say this at this time?" Han Qiang arrived at the office angrily

Lin Yu prepares the endotracheal intubation bag!

"Dr. Lin, why are you wearing a sterile gown?" the nurse wondered.

"Originally, there is no need to wear sterile clothing for endotracheal intubation! However, this patient has to wear it!" This is also why Lin Yu sent two sets of sterile clothes to the functional department here!

HIV is no joke, these devices and everything will be specially sterilized! Clinically, this is the most important thing! Protecting yourself is also protecting others!

"No wonder, you wear two layers of gloves!"

Han Qiang came over panting, just afraid that the tracheal intubation would not be done.

"I've already talked to her, and she won't say a word and sign it!" Han Qiang said while wearing a sterile gown.

"Is she gone?"

"No, she's waiting for me in the office!" Han Qiang had already put on his mask, was fully prepared, and said mysteriously: "Do you guess what she gave me?"

"What's it?, a condom?" Lin Yu joked. "Phew, can you not be so dirty! She actually went to our hospital for a blood transfusion before four and told me that she didn't have AIDS!".

"Ahh

"There are so many people who like me!Can you not joke with her!" Han Qiang felt uncomfortable thinking about it.

"You kid, I didn't tell you!" After you met for the first time, you took a wet tissue to wipe the table where she was sitting, and she looked back and saw it! So, she was going to tell you that others didn't have this disease!" Lin Yu revealed the mystery.

"What? Last time, was it the time when I was in the office?" Han Qiang was startled, this is really not good, he feels like he looks down on people.

"Yes! It was a nurse who told me! At that time, she went out of the office door and turned back, only to see you wiping the stool with wet wipes! Everyone else was crying!" Lin Yu said, this matter was told by a nurse to the head nurse, and the head nurse told Lin Yu.

I had forgotten about it, but I just remembered it again.

"Actually! She's still good, and it's not easy! She has been breaking up with the patient for a year, but the first time she took this patient to take drugs, even if they broke up, he would harass others from time to time! Ask her to pay for him to take drugs!" Han Qiang looked sorry.

"She's about to be free!" Lin Yu predicted, a person is going to die, as a doctor, there is no regret, I am afraid that it will be this patient.

"It's good to be relieved, let's start intubation!" Han Qiang began to prepare for tracheal intubation, regretting that he didn't see how to do it just now!

"Doctor Han, are you the attending doctor, do you want Dr. Lin to guide?" the nurse laughed.

Lin Yu looked at her embarrassedly and said viciously: "You hurry up and send the defibrillator over!

Dare to laugh at Lao Tzu, I want you to run more!

"Let's do it, the patient's blood oxygen still hasn't risen!" Lin Yu suggested.

"Then I'll start!" Han Qiang held the patient's jaw forward, and made a lot of effort to make the patient's mouth open.

"Put the laryngoscope lens in your left hand and put the laryngoscope in it, the movement must be slow, and you can see the uvula.... Showing the epiglottis..."Lin Yu saw that he was clumsy, so he had to guide him.

"Actually, it's not as difficult as I imagined!" Han Qiang muttered.

"You don't have to be too high-key, the most difficult thing is the next move, the catheter needs to be inserted into the trachea, you don't want to insert it into the esophagus! This is the focus of the exam!" Lin Yu reminded.

Dark tracheal intubation is not too difficult to operate, many doctors may not be able to do it in clinical practice, if the physician can't do it, it's excusable, if the surgeon can't do it, then it really can't be said.

Clinically, many times, when the condition of an internal medicine patient changes and needs to be intubated, some departments will invite surgeons to intubate, but there are also experienced doctors who perform intubation operations by themselves.

"When I did an internship before, I did it too! It's not that difficult!" Han Qiang muttered.

Lin Yu secretly said that you have been working for a few years, and you are still a graduate student, and the internship you are talking about is your internship after graduating from your bachelor's degree, how young is this! You brag and don't make drafts.

"Are you done?" Lin Yujian stopped and asked curiously.

"It's done!"

"How do I feel that your tube is not plugged in correctly!" Lin Yu guessed, the distance is not right!

"That's right! You see that the patient doesn't respond!" Han Qiang looked left and right for a long time, thinking about the operation he had just done, and felt that there was nothing abnormal.

"Generally speaking, it is said that the incisors are about 20cm away from the tip of the catheter, and your distance is not enough! Look, there is a scale here!" Lin Yu directly pointed out the scale on the catheter to him.