Chapter 105 Equipment Transformation (2) Ask for recommendation votes
Is it enough to use a double-lumen tube connector attached to the laryngeal mask as an entry connector for tracheoscopic anesthesia? Isn't it just an extra pipe!
"You'll find out if you try it!" Hou Quanhai said with a smile.
"Okay, then try again!" Dr. Lee 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, how does this work?" The anesthesiologist was shocked.
"Hey...... This is very simple......" Hou Quanhai explained the principle again, and the two of them nodded frequently after listening to it.
"Dr. Hou, where did you learn this?" Dr. Li asked curiously.
"When I was studying in a hospital before, I saw a doctor do this, and it worked very well." Hou Quanhai 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 patient was finally a little less, Hou Quanhai went to have a meal, and as soon as he came back, he was suddenly found by a doctor from the head and neck department.
"Doctor Hou, can you do me a favor?" The doctor's surname is Li.
He didn't know.
"What's the matter?" Hou Quanhai looked puzzled. Although I don't know each other, as a hospital, I still have to help if I can.
"I heard from the anesthesiologist that you are a little expert in transformation, there is a patient in our department who has a total laryngectomy for laryngeal cancer, during postoperative care, the gauze covering the tracheal opening is always dry, and the nurse needs to take a syringe every few minutes to drop a few drops of saline, the nurse is distressed, can you think of a way?" Dr. Li asked expectantly.
Transformation little expert?
Groove ...... This anesthesiologist is really good, and he gave himself this name before the day passed.
"This, I don't know if it's going to work, I have to go over and have a look." Hou Quanhai looked at the emergency department and there was nothing to do at the moment, so he planned to take a look.
"Okay, thank you so much." Dr. Li said happily.
Soon followed the other party to a ward in the other department, and Hou Quanhai saw the patient lying on the hospital bed shrouded in mist.
Why is the fog hazy? Due to the loss of the warming and humidifying effect of the nasal cavity, the air inhaled into the respiratory tract becomes abnormally 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 tracheal immunity is reduced, which can also cause coughing and affect the healing of the incision; In addition, it can cause a large amount of fluid loss. Therefore, this is a problem that must be addressed.
"Doctor Hou, is there a way?" Dr. Li asked expectantly. 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 Hou, 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.
Hou Quanhai: ......
If it's pretty, hehe, I don't mind!
"Well, I'll think about it."
Hou Quanhai searched in his mind for the experience in [First Aid General Surgery].
Experience with retrofitting of this type of device.
After searching for a while, I finally had a case of experience in this area.
"You can try to fill the analgesic pump that the anesthesiology department uses to relieve pain for patients with saline, set the speed, and see if it works!" Hou Quanhai said.
"Huh? It sounds like it works, so I'll give it a try! After hearing this, Dr. Li suddenly had a feeling of enlightenment.
Sure enough, after trying it, it worked perfectly!
It perfectly solves the problem of gauze drying out!
"Doctor Hou, don't say so much, in the future, we will definitely call you for activities!" The head nurse smiled coquettishly.
"Dr. Hou, thank you so much, I will invite you to dinner when I have time in the future." Dr. Li also hurriedly thanked him.
"Ahem...... You're welcome. Hou Quanhai also knew that the two were kind words.
After finishing another day's work, Hou Quanhai had a meal, and then went to Wuzhou Second People's 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.
Lu Lei 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 APPEARS HERE IS BECAUSE HE ALSO HAS TO FOLLOW HOU QUANHAI TO STUDY THE PRE-HOSPITAL REBOA.
Walking out of the conference room, Lu Lei smiled at Hou Quanhai and said, "Doctor Hou, when will you come to the next class?" As he spoke, he transferred 10,000 yuan to Hou Quanhai.
"It depends on the situation, I will inform you 2 days in advance." Hou Quanhai smiled.
After all, sometimes he has to work night shifts, and sometimes Xia Yu also has extra money to earn, so this time is uncertain.
"Okay, then I'll send you back." Lu Lei nodded in understanding.
Just as the two of them were about to go out, a doctor hurriedly walked up!
"Director Lu, please stay, I have a patient here who needs your help to diagnose, I can't diagnose the condition!" Li Jiancheng hurriedly said. He is the attending physician of the Emergency Department of Wuzhou Second People's Hospital.
"Where is the patient and what's going on?" Lu Lei frowned slightly.
"In the ward, the patient, a 76-year-old male, had pain and discomfort on 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, the two pupils are equally large and circular, about 2.5 mm in diameter, and sensitive to light reflection. 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 on 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, HR80 times/min, rhythm, and the muscle strength and muscle tone of the limbs are normal. ”
"I did a CT scan of his head, but the examination showed no abnormalities in the skull!" Li Jiancheng whispered.
"Well, this condition is a bit complicated, take me to see it." After Lu Lei finished speaking, he turned his head to Hou Quanhai and said, "Doctor Hou, can you wait for me for a few minutes?" ”
"No problem, I want to go and see it too."
"Yes!"