"Is there really no way to avoid it?" Director Tang remembered the patient's situation at that time, and he was also a little scared.

To be honest, Director Tang was stunned at that time, although it had nothing to do with him.

It was a living human life, although he had seen blood, feces, roundworms, and loaches in the stomachs of patients. But it is always difficult to accept that patients die in front of themselves.

"There's a way, I'd like to think about it. Ren Haitao said, "I saw a study on the silent lung in a journal paper, which said that many factors such as perioperative anesthesia and surgical stimulation and medication can induce asthma attacks, and even develop into severe asthma - silent lung." ”

"There are a lot of ways to avoid it, but I don't think it's working. ”

"It is mainly the stimulation of anesthesia, the high tension of the patient during the perioperative period, the fear of anesthesia, the intubation, suctioning and extubation under shallow anesthesia, the depth of endotracheal tube placement, the stimulation of secretions and the high epidural can block the thoracic sympathetic nerve, the relative excitation of the parasympathetic nerve, and the stimulation of limb disinfectants and surgery to cause asthma. ”

"These things are written in textbooks to fool students, and when they are really put into clinical practice, the effect is almost zero. I watched that research team study 9 cases of silent lung in Europe and the United States for 10 years. Alas, you say that there are only 9 cases in 10 years, or all of Europe, how did I come across it. ”

Ren Haitao sighed and said.

"Be content, this is Teacher Wu. Director Tang smiled, "You said that Mr. Wu is so skilled in rescuing...... Let's put it this way, at that time, I felt that Mr. Wu didn't know how many patients with silent lungs he had met in his life. ”

"Teacher Wu was so handsome at that time!" said a little nurse excitedly.

It must be handsome, if it is replaced by himself, standing in the operating room with his hands behind his back to direct the rescue, he is also very handsome! Ren Haitao thought in his heart.

The aura depends on the time, place, and event.

Saving people's lives, flattening such a big thing with one hand, pressing down the monstrous waves, and brushing off his clothes, he really has the style of a chivalrous man in ancient times.

Hearing that everyone at the table was talking about how awesome that kid was, Wang Chengfa was unhappy in his heart. He has experienced a lot of rescues in his life, but he has never encountered a silent lung.

It's not easy to rescue, but who wouldn't find faults. Wang Chengfa was not convinced, mainly because he was panicked, and said angrily, "After all, Xiao Wu has been abroad and has seen the world. ”

Everyone at the table said that it was Teacher Wu, only Wang Chengfa called Xiao Wu, and several nurses were suddenly unhappy, and a few pretty faces were frosty, and they were a little blue.

"But I'm still younger, I can't eat accurately at first, and I have to connect to a ventilator, which delays me for at least 1 minute. Wang Chengfa said.

The nurses' faces were even more ugly.

"Uh......" Ren Haitao looked at Wang Chengfa in a daze.

"Hmm, Xiao Ren, what do you think?" Wang Chengfa saw that everyone didn't speak, thinking that he had found a flaw, and concealed his pride, so he asked modestly.

His self-righteous modesty seemed a bit false to others, especially those little nurses, who turned their eyes into sanitary balls.

"Director Wang, eat, eat. Ren Haitao said again and again.

"Well, eat. "Director Tang doesn't know that the water depth of Bajingzi Traditional Chinese Medicine Hospital is shallow, the smaller the place, the more attention must be paid to.

"Xiao Wu is still young, no matter how we say it, we are all elders. It is appropriate to give a proper compliment and encourage young people. But the position is too high, and one day it will fall down, and it will collapse. ”

Wang Chengfa felt that he was right, his words were measured, and it was all in the love of an old medical worker for young people, which was all the heart of a fist, and no one could say anything.

Ren Haitao's face was a little ugly, he looked up at Wang Chengfa, looked at his expression carefully, and finally asked carefully, "Director Wang, ...... you?"

He stopped talking, his expression strange.

"Hmm, Xiao Ren, do you have anything to say?"

"Director Wang, there was nothing wrong with Mr. Wu's operation at the beginning. Ren Haitao said, "After discovering the silent lung, the first thing to determine is which drug is causing irritation to the patient." ”

"Assist or control breathing, inhale high-flow pure oxygen ventilation, when mask ventilation cannot maintain blood oxygen, immediate endotracheal intubation, control breathing, and give propofol 1-2 mg/kg deep anesthesia, ketamine 50 mg, sevoflurane inhalation anesthesia, vecuronium bromide 0.07-0.15 mg/kg. ”

A series of data and solid operations are like a series of hard stones, which stunned Director Wang.

"If you think that Mr. Wu did not change the medication first, but adjusted the ventilator is a mistake...... I don't think that's a problem either. Ren Haitao said, entered the state, and began to concentrate on discussing with a doctor like Wang Chengfa who was born in the wild way to rescue and treat.

"It is also important to rule out factors such as blockage or bending of the main bronchial intubation or endotracheal tube, tracheal suction, etc. Although Mr. Wu took a look at it with an electronic fiber bronchoscope, some places were blind spots. I estimate that Mr. Wu judged that there was still time according to the patient's hypoxia time, so he could be more cautious. ”

"Wow!"

"At that time, you can still estimate the time, Mr. Wu is so amazing!"

"People know in their hearts, otherwise they can stand on the podium and give lectures? Speaking of which, I am a student of Mr. Wu. ”

The little nurses at the table understood, and chattered.

Wang Chengfa's face was cold, and he was a little confused. Wu Mian's operation at that time seemed to him to delay the rescue, why did Ren Haitao analyze it and become his awesomeness?

"I didn't notice at the time that when I was looking at a patient in the ward, I was recalling the rescue process several times, and the time given at that time was simply too precise. For example, if you inhale a beta-2 agonist, you need to spray albuterol several times, how much to spray, when to administer it, and the anticholinergic drug ipratropium bromide......"

The more Ren Haitao spoke, the more excited he became, and his face faintly shone with light.

People who are engaged in technology are the same, as long as they delve into it, they forget everything around them. What is the contradiction between Director Wang and Teacher Wu, and how he just walked on thin ice to save the day, he has forgotten.

In Ren Haitao's mind, there was only Wu Mian's operation at that time.

The cooperation between Teacher Wu and Teacher Chu is seamless, no wonder it is a couple. The first rescue, fortunately with the two of them, think about it carefully, it's really awesome!

At that time, I didn't feel it when I was a tool man, it was all what Mr. Wu said and what he did.

Now that I sit down at the dining table and review, I realize that Mr. Wu's operation is a stroke of genius, and every step is as if it has been calculated by the computer, and it has been accurate to the second, or even millisecond!