Wu Hao said: "You have a lot of experience in the treatment of respiratory distress in the respiratory department, do you have any ready-made experience that can be used?" Let's try a little more methods, and who knows which way will work? No one knows which cloud has rain, so maybe they can find one that can get through and use it first. ”

A sentence reminded Director Fu, he hesitated for a moment, and said: "In our respiratory department, for patients with respiratory distress, if the blood oxygen saturation continues to be low, sometimes the patient will try to use prone ventilation, that is, let the patient lie face down for more than 12 hours, however, this method is only effective for a small number of patients, and the oxygenation effect is not very obvious, so we don't use it much, but it is not a solution." ”

Wu Hao and Dai Yunyang glanced at each other, they were in intensive care, and rarely focused on how to improve oxygen and this problem for patients with respiratory distress as much as the respiratory department.

What they do more is to save the patient's life and maintain vital signs before sending them to the appropriate department for treatment. In other words, the emergency center is more of an emergency treatment function than a treatment function, so there is a lack of research on the treatment of diseases. I didn't notice the simple trick of prone ventilation.

Wu Hao immediately said: "No matter what, let's give it a try." ”

Director Fu shook his head and said: "The reason why we use this method relatively little is that it has a small effective scope, and the degree of improvement is not heavy, so it has little effect. Another is that if the patient is intubated or has other underlying diseases, such as dialysis, there are a lot of tubes on the body, and it is quite difficult for such a serious patient to turn him over. It is necessary to make various preparations first, to remove the monitoring wire, to ensure that the breathing pipe, infusion pipeline all kinds of unblocked, several doctors work together, and to come step by step slowly, especially laborious, not enough manpower, and the effect is not very good, so it is not much use. ”

Hearing this, Wu Hao was a little disappointed, and shook his head with a wry smile.

Dai Yunyang gritted his teeth and said: "Let's still use the methods we can think of, maybe it will have an effect!" ”

Wu Hao said: "Forget it, didn't you hear what Director Fu said, it is very difficult for a patient with a tube on his body to turn over, and it takes several doctors and nurses to coordinate and help, and it takes almost half an hour to turn the patient over once." Think about it, we have so many patients here, there are only a few doctors and nurses, if we promote this work, then we may not have to do anything else, just turn the patients over. ”

Director Fu also smiled, and then said goodbye and went upstairs.

Wu Hao also went to get busy, but Dai Yunyang has been thinking about this matter. Several of his patients have been very poor in oxygen saturation, and the oxygen is always above 80% when the oxygen is turned on to pure oxygen, and it is less than 95%, so he is very anxious.

Tracheal intubation, tracheostomy, and pure oxygen have all been used, and oxygen saturation has never been up. Is it only the only way to fight for an artificial heart-lung machine? The number of artificial heart-lung machines is too small, and now they are all numbered.

But fortunately, two of his patients, Cai Liya and Nurse Xiao, both used artificial heart-lung machines, and their vital signs can still be maintained relatively well. For other patients, they are not so lucky, and they have to find a way to go further.

In the evening, another round began. This time, it was Wu Hao who took the doctors and nurses to go from bed to bed and ward, and everyone brainstormed to consult patients.

I searched all the way to the ward of Secretary Takamatsu on the third floor.

Secretary Gao Song's face is obviously much worse, he is on a non-invasive ventilator, and his oxygen saturation has always been below the 90 passing line. Because he is old and has underlying diseases.

A group of doctors and nurses came in and greeted him warmly. Secretary Takamatsu perked up his spirits and smiled and said that everyone had worked hard.

Wu Hao is the attending physician of Secretary Gao Song. He talked about Secretary Gao Song's illness at the bedside, and everyone didn't dare to speak casually in the face of Secretary Gao Song. In addition, Secretary Gao Song is the director of the emergency department, and he is the authority of intensive care and first aid, so how dare others speak casually about his patients.

Therefore, after he finished the introduction, when he asked the doctors for their opinions, several department directors and deputy directors just echoed a few words painlessly, and the attending and resident doctors simply did not dare to speak.

Wu Hao did not insist on it, and immediately adjusted the doctor's instructions verbally, mainly to strengthen supportive treatment, ensure sufficient calories, pay attention to water and electrolyte balance, maintain the stability of the internal environment, monitor vital signs, pay attention to oxygen saturation, etc. In terms of antivirals, interferon nebulized inhalation is mainly used. And according to the degree of dyspnea of Takamatsu, glucocorticoids are given.

Everyone was about to leave, and Secretary Gao Song suddenly said to Dai Yunyang: "Xiao Dai, you come over after checking the room later, and I'll tell you something." ”

Dai Yunyang didn't know why Secretary Gao Song called himself alone, looked at everyone, quickly agreed, and then went to check the room.

After the whole ward round, Dai Yunyang came to Secretary Gao Song's ward: "Secretary, I'm here." ”

Secretary Takamatsu was struggling to breathe on a non-invasive ventilator. Hearing his voice, he opened his eyes, beckoned him over slightly, and then pulled off the breathing mask slightly and said, "I just heard Director Fu say that you advocate intubation in advance to avoid sudden death of new crown patients, I think it is very insightful." Now that they've come to believe you, that's a good thing, and your discovery might save a lot of people! ”

Only then did Dai Yunyang understand that this was the case. It turned out that Director Fu had already told Secretary Gao Song of the ward about this, and after Secretary Gao Song knew about it, he specially called himself to praise him, and he did not forget to work on the hospital bed, which made Dai Yunyang very moved.

Secretary Gao Song also said: "Young people should dare to break through, have the courage to break through, don't be afraid of failure, and have any ideas to try boldly." After all, this time we are facing a terrible virus that we have never experienced before, and we must do our best to deal with it! ”

Hearing this, and seeing Secretary Gao Song's hard work of breathing, Dai Yunyang's heart suddenly moved, and said: "Secretary Gao, I heard Director Fu of the respiratory department say a way to improve oxygen saturation, but this method will be more troublesome, and the effect may not be obvious, so they are useless." The number of medical staff is not large, and it is difficult to promote it in large quantities. But I think that if this method can be effective, even if it is only partially effective, it is good, you can also try it, can people find a way? ”

When Gao Song heard this, he immediately became interested and said, "What is the way?" You name it. ”

"This method is very simple, it is prone ventilation, that is, lying face down on the stomach for more than 12 hours. It is said that the respiratory department used this method to have a certain effect on patients with respiratory distress syndrome before, but the effect is not very obvious, and it is only effective for some people. ”

"Really? Then I'll give it a try. I was holding my breath and couldn't get oxygen into my lungs, and they were ready to intubate me. If you have to use a tranquilizer muscle relaxant or something as soon as you intubate, then you can't do anything, so I'll try something else first! I'm going to try this too, come now, and you can help me turn over. ”