Chapter 113: Very Low Birth Weight Newborns - The Problem of Endotracheal Intubation!

Next.

8:10 a.m.

Operating room: Anesthesiologist's office.

This morning, Zhao Heng came with Xu Manni.

As for what happened last night, the author's pen is limited enough to describe the beauty of it.

However, after last night, Xu Manni was even more satisfied with Zhao Heng.

And Zhao Heng is also very satisfied with Xu Manni, and he couldn't be more satisfied.

In the past few days, Zhao Heng has been doing a lot of work, so this is also very early.

"I bought you some siu mai, you eat some first, otherwise you won't be able to eat when you get busy."

Zhao Heng was sitting at the desk and turning on the computer, Xu Manni walked in with a bag of roasted wheat, put it on the table and said.

This tone, this demeanor, is simply the appearance of a standard good wife and mother.

"Well, you can eat some too."

Zhao Heng nodded, he was already very used to Xu Manni's care for him.

"Hmm."

Xu Manni pulled over the chair, sat down, and took out the siu mai to eat one, while looking at Zhao Heng with very satisfied eyes.

"Sister, what are you looking at me like this?"

Zhao Heng was a little hairy by Xu Manni's eyes, and couldn't help asking.

"You said you had good stamina, I used to think you were bragging."

Xu Manni said with a smile.

"Ahem.

Zhao Heng was drinking water, and when he heard Xu Manni's words, he almost choked.

"If you drink slowly, why did you choke?"

Seeing this, Xu Manni hurriedly patted Zhao Heng's back and said.

Zhao Heng is 25 years old this year, and Xu Manni is just six years older than Zhao Heng.

And Zhao Heng, who is 25 years old, is also energetic.

This day's thunder stirred the earth's fire, and it was self-evident what kind of intensity it would be for a whole night.

This also has to be Zhao Heng's endurance that has been systematically strengthened, otherwise, he may really not be able to withstand it.

The other doctors in the office, seeing Zhao Heng and Xu Manni so close, felt that they had been fed several mouthfuls of dog food.

Well, you don't have to eat it early, the dog food is full.

After a while, after accompanying Zhao Heng to eat breakfast, Xu Manni also went to get busy.

Seeing Xu Manni leaving, Zhao Heng breathed a sigh of relief.

But fortunately, Zhao Heng won this level.

Thinking of this, Zhao Heng touched his waist, he was wondering if he had to make up for something.

At this moment, Tian Zhen, the nurse in the operating room, walked in and said to Zhao Heng: "Doctor Zhao, there is a consultation in the neonatal department. ”

"yes, got it."

Zhao Heng nodded and stood up.

No, just after eating breakfast, Zhao Heng was still ready to rest for a while, and he would come to work so soon.

Originally, Zhao Heng's day's work was planned before, and between several surgical anesthesias, Zhao Heng still had time to rest.

However, now Zhao Heng's level has been recognized by all surgeries, and gradually, Zhao Heng seems to have become a firefighter.

However, Zhao Heng is also strange, what is this neonatology department looking for him?

Coming out of the operating room, after a while, Zhao Heng came to the intensive care unit of the neonatal department.

Seeing Zhao Heng come in, Fang He, the attending doctor of the neonatal department, hurriedly walked over and said to Zhao Heng: "Doctor Zhao, you can be regarded as here." ”

"Well, what's going on?"

Zhao Heng nodded and asked.

In Dongfang Hospital, his current area of expertise is anesthesia and postoperative recovery, as well as the rescue and treatment of some difficult and serious diseases.

"Dr. Zhao, it's like this, we have a baby boy who was just one day old, when he was born, he choked on amniotic fluid, and now he has a serious lung infection and respiratory distress, and he needs endotracheal intubation."

Fang He briefly explained the situation.

She wears black-rimmed glasses and looks like a dignified and rigid female head teacher.

"Endotracheal intubation? This can also be done by the doctors of your department? ”

Hearing Fang He say this, Zhao Heng was a little surprised, this tracheal intubation can be said to be a skill that doctors must master.

Especially in the neonatology department, there are newborns with respiratory distress due to choking on amniotic fluid or other reasons every day, and these newborns need to be intubated to assist breathing.

"Doctor Zhao, if we can do it, we won't look for you. This newborn is in a special situation, when he was born yesterday, he was only 1.5kg, and because he coughed up amniotic fluid, he now has severe airway edema. ”

Fang He said helplessly.

The normal full-term newborn birth weight is between 2.5-4kg, and the baby with a birth weight of less than 2500g can be called a low birth weight baby, which is only 1.5kg, which can be called a very low birth weight baby.

This kind of newborn born with very low birth weight is generally accompanied by congenital deficiency, and in the mother's body, for various reasons, do not receive enough nutrition.

Moreover, it is more laborious to raise such a newborn than a normal baby.

For such a small baby, coupled with airway edema, the width available for intubation may be the thickness of a fast child, and the difficulty of intubation is very high.

In addition, the newborn's airway is not fully developed, so it is necessary to be careful and careful when performing the operation to avoid damaging the normal airway tissues.

"For such a young baby, it is indeed very difficult to perform endotracheal intubation."

Hearing Fang He's words, Zhao Heng thought for a while and said.

"Yes, but now it can't be intubated, this newborn's respiratory distress is already very serious."

Fang He nodded and looked at Zhao Heng with hopeful eyes.

Endotracheal intubation is a basic skill that anesthesiologists must master.

And now, as a leader among anesthesiologists, Zhao Heng's ability to master this technology must also be unusual.

This is also the reason why Fang He invited Zhao Heng to come for consultation.

"Let's go see the newborn first."

Zhao Heng pondered for a moment, and several plans for the intubation of this extremely low weight newborn flashed in his mind, but only after seeing the newborn could Zhao Heng determine which plan to use.

I have to say that the experience of dropping fusion from Huang Lao's body is too great for Zhao Heng's level improvement.

In particular, Huang Lao's lifelong experience in practicing medicine is incomparably precious.

Medicine is an empirical discipline.

There are many situations that patients have that they simply don't know what to do if they haven't encountered them.

"yes, okay."

Seeing that Zhao Heng did not refuse, Fang He's mood also relaxed a lot, and led Zhao Heng to the hospital bed where the newborn was.