Several people were so tired that they were out of breath, Tan Yuanyuan was heavier than expected, no wonder, she was more than 200 pounds, and the whole person was in a calm and relaxed state, with no body control ability, no way to cooperate, and naturally felt heavier.

Dai Yunyang hurriedly checked the ventilator, he was very nervous, after turning the patient over and lying down, would there be some improvement in oxygenation.

"Wow! 80 ml all at once! Fu Quan, the ICU doctor next to him, was the first to exclaim in amazement.

"Oxygen saturated and starting to rise! It's 90%! Dai Yunyang was as happy as a child, and he couldn't help but bump his elbow with Wu Hao.

The head nurse, Xiong Shengnan, was even more excited and carried away, hugging nurse Xiao Juan.

And Wang Bingbing was still holding the catheter at the head of the bed, looking at them stupidly and laughing, but tears flowed down her cheeks.

Yes, after so many days, this is the first time that the unconscious Tan Yuanyuan has returned to the passing line with oxygen saturation, although it is with the help of a ventilator, this is already a great success, which makes the sentimental Wang Bingbing cry with joy.

Just turned over, all the ventilator parameters did not change anything, and the oxygen saturation turned the whole thing around! It's really exciting.

"Pat the back! This position is the most convenient to pat on the back. After Xiong Shengnan was happy, he immediately threw himself into the treatment and immediately ordered. Xiao Juan agreed, stepped forward and knocked on Tan Yuanyuan's back to vibrate and discharge phlegm.

Soon, a large amount of viscous sputum was shaken out of the endotracheal tube.

"Suck the phlegm!"

Wang Bingbing hurriedly came over and began to suction. This sputum suction went surprisingly smoothly, and the oxygen saturation did not fall. Unlike before, as soon as the ventilator was removed to suction, the oxygen saturation was lost, which scared people to death.

If you think about it, when you are in the supine position, under the action of gravity of the sputum in the lungs, a large amount of it accumulates in the lower lungs, and now it is turned over, and the phlegm is on it, and it is naturally easy to shoot it off.

The situation has improved a lot, which makes Dai Yunyang and them very happy.

Next, they started to get busy.

Dai Yunyang also began to inspect other patients.

Nurse Xiao Juan patted an elderly man in his seventies on the back. But she couldn't take care of the front and back alone, the old man's body was quite weak, his throat was inserted into the trachea, he kept coughing, and a large amount of yellow thin phlegm was coughed up to the outer end of the trachea.

Dai Yunyang hurriedly went over to help, held the old man's shoulder with his hand, and patted him on the back. Xiao Juan used a sputum aspirator in front of her. Dai Yunyang asked, "Why are you alone?" What about them?"

"They're all busy! Who's busy? One has to manage several. ”

Dai Yunyang's heart was heavy, what he said was the truth. If you have time, help them take care of the patients!

Xiao Juan said to Dai Yunyang gratefully, "Thank you, Doctor Dai. You can help me look at the ventilator interface, and I'll do the rest. ”

Dai Yunyang held the patient's shoulder, kept it in a lateral position, and then disconnected the ventilator interface. However, when there is a ventilator, the strong oxygen air flow can push the coughed up phlegm directly back without spurting it out. Now once the ventilator interface is closed, the sputum in the patient's intubation is violently sprayed out with the patient's cough airflow. But when the patient's coughing stopped, she immediately took the sterile sputum suction tube and reached into the patient's intubation to suck the patient's sputum.

The patient's trachea does have a bit of phlegm, and while suctioning, the patient's larynx is irritated and he coughs more violently. Some of the sputum splattered out from around the suction tube and spilled onto Xiao Juan's isolation gown, and even her mask and goggles on her head.

And at this moment, the ventilator sounded the alarm. At the same time, the air and mucus that the patient previously exhaled is sprayed into the air.

Dai Yunyang hadn't noticed this detail before, but this time he personally helped Xiao Juan care for the patient, only to realize how dangerous this situation was.

After suctioning, Dai Yunyang hurriedly reconnected the ventilator. said to Xiao Juan: "You hurry up and wipe the phlegm on your body, it's too dangerous, it will be infected." ”

Xiao Juan seems to have gotten used to it, and the patient's cough often splashes phlegm on her body. At first, I felt disgusting, but now I don't feel weird. However, in the past, she did not care for infectious diseases, and infectious diseases had to be sent to the infectious disease department, so she did not worry about whether she was seriously ill. And this time, she was nursing a highly contagious new crown patient, so Xiao Juan was also highly nervous.

She hurried into the bathroom and washed the mucus off her body with disinfectant.

Dai Yunyang walked quickly to Director Wu Hao. said: "Director Wu, the nurse sucks the sputum on the patient, and the sputum will splash out with the cough and spray on the body and goggles, which is very scary, and its danger is no less than that of tracheal intubation." ”

Wu Hao nodded and said, "I know this, and I have noticed it a long time ago." But there is no way, sputum suction must be carried out, otherwise the patient will be blocked by sputum. ”

Li Yanling heard it, and also came over and said, "I also think this is a problem, but I can't find a good solution." Once the ventilator is disconnected, the oxygen supply will disappear, and the patient's oxygen will drop immediately, resulting in the patient's breathing deepening and accelerating. As a result, more virus-laden aerosols are ejected into the surrounding environment for a short period of time, exposing them to the air. As long as we are negligent, the virus will take advantage of the situation and infect health care workers. ”

"If you want everyone to be absolutely vigilant every second, it's okay to be around the patient, you can be vigilant, but it's not necessarily when you're away from the patient, and you may even take off the mask to catch your breath or something. At this time, aerosols that are half-suspended in the air will take advantage of the void and infect our medical staff. ”

Wu Hao said: "Yes, there is no way, I can only remind everyone to pay attention to safety." Especially for nurses who suction, the protection should be equivalent to that of the intubated doctor, wear tertiary protection, and use the head mask and gloves. ”

"What about the aerosols floating in the air?"

"There's no way, we can only let everyone be careful."

Li Yanling looked at Dai Yunyang: "Xiao Dai, you have a lot of ghost ideas, even you mentioned this matter just now, do you have any ideas?" ”

"I wondered if there would be some kind of device that could be fully enclosed to suction, so that the phlegm would not be sprayed in the air. - I'm not very familiar with the nursing equipment, it's just a blind thought. ”

The three of them are all clinical studies, and they don't pay much attention to the equipment, but only study how to treat diseases and save lives, but they pay less attention to nursing. Hearing Dai Yunyang mention this problem, suddenly both of their eyes lit up, yes, it would be good if it could be improved from the perspective of equipment, I don't know if there is any technology in this area, or the corresponding mature equipment.

Li Yanling hurriedly beckoned the head nurse Xiong Shengnan over and asked, "Do you have any equipment in your nursing to prevent the phlegm from flying out and sticking to the nurse during sputum suction, causing infection?"