In addition, after complete anesthesia and intubation in the supine position, there is actually a considerable risk in the process of helping to flip into the lateral decubitus position, which will cause damage to the limbs, especially the intubation larynx, and drastic changes in hemodynamics. The patient can complete the positioning and anesthesia intubation when he is awake, which can avoid this danger and meet the position requirements of the operator.

However, the requirements for lateral intubation are much more complicated, and many intubation doctors have never done a lateral intubation, which cannot be done, especially if the patient is fat, with a thick neck, ultra-short jabin spacing, and a narrow upper airway, which is generally a difficult airway, and it is very difficult to intubate itself, not to mention that it is a special lateral intubation, which ordinary anesthesiologists can't handle.

Dai Yunyang has specialized in the intubation of special patients such as fat people, and has also studied lateral intubation, and has many successful practices, so many doctors who need lateral intubation have asked him for help.

It's just that the patient in front of him has a huge body that Dai Yunyang has never seen before, and it is very difficult to intubate such a fat patient, not to mention the lateral intubation, the difficulty can be imagined.

Dai Yunyang looked and saw that the patient had opened the venous access and used a multi-functional monitor to monitor blood pressure, pulse oximetry, heart rate and electrocardiogram. So Dai Yunyang nodded at Dr. Liao and said, "You can let the patient change to the position you need for surgery." ”

Dr. Liao smiled, instructed the mountain-like patient to turn sideways, put himself in the most ideal position for surgery, and then looked at Dai Yunyang.

Dai Yunyang asked the patient, and after there was no discomfort in this position, he asked the nurse to lay the soft pad, fix the belt, and lift the waist bridge. A thin cloth pillow is placed under the patient's head to ensure that the longitudinal axis of the head is in a straight line with the specific longitudinal axis.

Oxygen is inhaled using a mask for three minutes, and intravenous anesthesia induction is performed by an anesthesiologist. The anesthesiologist opens the airway by buckling the mask sideways.

Dai Yunyang placed the dental pad between the upper and lower teeth on the left side of the front teeth. Thirty seconds in advance, the video laryngoscope is lit and warmed up, the tracheal tube is bent after the tracheal cuff, the right hand supports the patient's right mandibular angle and raises the base of the tongue, the left hand holds the video laryngoscope to make the endotracheal tube tip enter the mouth along the middle of the incisors, and advances the video laryngoscope along the middle seam of the hard palate and palate, uvula and epiglottis according to the display screen, and the right hand cooperates to lift the mandibular angle to lift the base of the tongue and the epiglottis to facilitate entry and observation.

After the tip of the endotracheal tube enters the glottis, the right hand is sent into the endotracheal tube along the core, and the assistant nurse next to it is motioned to help pull out the core, and the endotracheal tube is rotated and pushed until the catheter cuff enters the subglottis. The endotracheal tube is then secured and the intubation is completed.

Seeing that Dai Yunyang's intubation was as smooth as smooth, Dr. Liao couldn't help but give Dai Yunyang a thumbs up: "Amazing!" Thank you bro! ”

Dai Yunyang smiled, waved his hand, exited the operating room, and changed his clothes, only then did he muster up the courage to look at the mobile phone that had been muted by himself.

Sure enough, there was a row of missed calls on the phone, it was his wife Ai Fenfei calling, and there was also a piece of WeChat, and he was very unhappy to ask him why he didn't answer the phone and where he was.

Dai Yunyang hurriedly replied, "I'll be there soon", and then drove to Yintan Hospital at a gallop, and before the car stopped, I saw him Ai Fenfei carrying a bag of things, bowing his head and playing with his mobile phone.

Dai Yunyang held his breath and quietly parked the car next to Ai Fenfei. Ai Fenfei noticed that there was a car, and when he saw that it was Dai Yunyang, he directly opened the car door and sat in the passenger seat, silently without saying a word.

"Angry?" Seeing his wife's reaction, Dai Yunyang chuckled in his heart, knowing that it was bad.

Ai Fenfei is a Wuhan girl with a pungent temperament, if she is scolded, she will have to apologize, but now this kind of cold treatment means that it can no longer be solved by coaxing.

"How dare I." Ai Fenfei sneered, and his face was full of "old lady is unhappy".

"I didn't answer your call on purpose," Dai Yunyang looked ahead, and said softly while starting the car, "When I got off work, a particularly difficult tracheal intubation came to the urology department, if I go, the patient may be delayed, and he can only grit his teeth." ”

"You're a doctor, too, so you know." While waiting for the traffic light, Dai Yunyang took the opportunity to turn his head and made a killer move with a "flattering" face.

Ai Fenfei and Dai Yunyang looked at each other for a moment, then turned their heads suddenly. When the red light turned green and the car slowly started with the traffic, although she was still stubborn, her tone was much softer.

"Hmph, I know this trick." Ai Fenfei muttered, she is Dai Yunyang's younger sister, graduated two classes late, worked in the Department of Infectious Diseases of Yintan Hospital, and often encountered overtime pressure, not much better than Dai Yunyang.

Husband and wife are both doctors, they get together less and leave more, and every point of meeting is very precious, and it is too luxurious to be angry, so by the time they reach their destination, the two have reconciled as before.

"The gift box is in the trunk, I'll go get it, you go up first." After parking the car, Dai Yunyang told Ai Fenfei to open the door of his side.

The two of them came to his father-in-law's and mother-in-law's house for dinner tonight, both of them are tube buildings, and the light in the parking place is not very good, Dai Yunyang asked his wife to go to the bright place first.

"Just a few steps, I'll wait for you." Ai Fenfei got out of the car from the other side, waited for Dai Yunyang to take something out, stretched out his hand directly, and the two naturally clasped their fingers, and walked towards Xiaolou side by side.

This is the old house of the Ai family, where Ai Fenfei grew up. Although the environment is a bit old, it is better because the transportation is convenient and it is close to the hospital, so the two often come to their parents' place for dinner.

My parents' house lives on the second floor. When they arrived at the door, Ai Fenfei was about to take out the key, but the door had already opened, and Ai Mu stood at the door with flower hair, greeting them with a smile: "Come in, your dad has seen your car on the balcony." ”

Dai Yunyang called "Mom", and then followed his daughter-in-law into the house behind her buttocks. In the living room, Ai's father leaned back on the sofa and looked at them kindly.

Looking at Ai's father with a thin face, Dai Yunyang remembered his old father who was far away in Beijing. However, my father is much stronger than my father-in-law, they are about two years old, but my father is more than ten years younger than my father-in-law. It's not because my father looks young, but because my father-in-law had a cerebral hemorrhage and had surgery, and his physical condition has deteriorated rapidly.

"Dad, Mom, Happy New Year's Day!" Dai Yunyang congratulated respectfully and raised a bag of gifts in his hand.

"Good! You're happy when you're here! Ai Mu smiled and took something from his hand and complained, "Hurry up and sit down to eat." ”

The two of them came late, but Ai Mu was stuck and made it, so it was still steaming at this time. The four of them sat down in different places, and the TV in the living room was on, and news about the preparations for the Spring Festival Gala was playing.