Chapter 105: Transforming Little Experts
Just use the connector of the double-lumen tube to connect the laryngeal mask as the lens insertion connector for bronchoscopic anesthesia? Isn’t it just that there is one more pipe connected!
"You'll know if you try it!" Ruan Bin said with a smile.
"Okay, then let's try again!" Dr. Chen nodded.
Soon after he tried it, he was surprised to find that it was such a simple improvement. There was no air leakage when doing a bronchoscope and no need to stop the anesthesia machine. This really solved the big problem!
"Oh my god, what's the principle?" Anesthesiologist Zhou Jialin said in shock.
"Hehe... this is very simple..." Ruan Bin said the principle, and after hearing this, both of them nodded frequently.
"Doctor Ruan, where did you learn this?" Dr. Chen asked curiously.
"When I was studying in a hospital before, I saw a doctor doing this, and it worked very well." Ruan Bin said lying with his eyes open.
“Awesome!”
Soon, after the patient had all the examinations, the result was indeed tuberculosis. There was no need to talk nonsense and sent directly to the infectious department.
...
It was afternoon again in a flash.
The patients finally got a little less. Ruan Bin went to have a meal, and as soon as he came back, he was suddenly caught by a doctor from the head and neck department.
"Doctor Ruan, can you help me?" The doctor's surname is Zheng.
He doesn't know him.
"What's the matter?" Ruan Bin looked puzzled. Although he didn't know him, as a hospital, he still had to help if he could.
"I heard from Anesthesiologist Zhou that you are a master of transformation. There is a patient with total laryngeal cancer removal in our department. During postoperative care, the gauze covering the opening of the trachea is always dry. The nurse needs to take a syringe to drop a few drops of saline every few minutes. The nurse complains. Can you think of a solution?" Dr. Zheng asked with anticipation.
A little expert in transformation?
Damn... The anesthesiologist is really good this week. He just called himself this name before he even passed a day.
"I don't know if this is OK, I have to go over and take a look." Ruan Bin looked at the emergency department and there was nothing to do at the moment, so he planned to go and take a look.
"Okay, thank you so much." Dr. Zheng said happily.
Soon he followed the other party to a ward in the other party's department, and Ruan Bin saw the patient lying on the hospital bed shrouded in the mist.
Why is the fog blurry? Because the nasal cavity is not warmed and humidified, the air inhaled into the respiratory tract becomes extremely dry. For this reason, nurses thought of using an air humidifier. Normal patients are OK, but they have little effect on patients with laryngeal surgery. The gauze covering the opening of the trachea will soon become very dry, and then the trachea will become dry.
On the one hand, the reduced immunity of dry trachea will also cause coughing to affect the healing of the knife; in addition, it will also cause a large amount of body fluid loss. Therefore, this is a problem that must be solved.
"Doctor Ruan, is there any way?" Dr. Zheng asked expectantly. There are a lot of patients in this subject. So they always do gauze, and the nurses are busy. If there are seven or eight such postoperative patients a day, those nurses don't have to do other work. Give these saline drops every day is enough for them to work.
I am worried about leaving this kind of thing to the patients of my family. If something goes wrong, they are the nurses who are responsible!
"Dr. Ruan, if you can solve this problem, we have so many nurses in the general subject and many of them are single. Let me introduce you to a few~" the head nurse joked.
Ruan Bin:...
If it's pretty, hehe, I don't mind!
"Well, I'll think about it."
Ruan Bin searched his mind for experience in [Extrahospital Emergency Aid General Practice].
Experience in minor modifications for this type of patients.
After searching for a while, I finally found an experience in this area.
"You can try to install saline in the analgesic pump used by the anesthesiology department to relieve pain in patients, set the speed to see if it works!" Ruan Bin said.
"Huh? It sounds like it can work, I'll give it a try right away!" After hearing this, Dr. Zheng suddenly felt a sudden enlightenment.
Sure enough, after trying it, the effect was perfect!
Perfectly solve the problem of gauze becoming dry!
"Doctor Ruan, I won't say that much. In the future, we will definitely call you for activities in our department!" The head nurse said with a giggle.
"Dr. Ruan, thank you so much. I'll treat you to dinner when I have time." Dr. Zheng also thanked him quickly.
"Ahem...no need to thank you." Ruan Bin also knew that the two of them were talking politely.
It was the end of another day's work. After get off work, Ruan Bin had a meal and then went to the 101 Hospital of the Magic City.
Because tonight is the day when he gave some doctors in the emergency department over there to the second pre-hospital reboa class.
Then he will get another 10,000 yuan, so of course he will be happy to teach them.
After a class, it was already past nine o'clock in the evening.
Yan Zhenrong is still so enthusiastic!
Although he is the director of the emergency department and usually does not need to be on duty at night, the reason why he appears here is because he also has to follow Ruan Bin to study pre-hospital reboa.
Walking out of the conference room, Yan Zhenrong smiled and said to Ruan Bin: "Doctor Ruan, when will you come to the next class?" He said while transferring 10,000 yuan to Ruan Bin.
"It depends on the situation at that time. I will notify you two days in advance." Ruan Bin smiled.
After all, sometimes he has to work night shifts, and sometimes Lin Yatong also earns extra money, so the time is indefinite.
"Okay, then I'll send you back." Yan Zhenrong nodded in understanding.
Just as the two were about to walk out, a doctor hurriedly walked up!
"Director Yan, please stay. I have a patient here who needs your help to diagnose it. I can't diagnose the condition!" Qi Jicheng said hurriedly. He is the attending physician of the emergency department of Modu 101 Hospital.
"Where is the patient, what's going on?" Yan Zhenrong frowned slightly.
"In the ward, the patient was 76 years old, female, with pain and discomfort on the left head and facial pain and discomfort on the left head and facial pain and discomfort on the left head and facial pain and discomfort on the left head and facial pain and discomfort on the left head and facial pain and discomfort on the left, and no obvious symptoms of palpitations or chest tightness."
"The consciousness is clear, the two pupils are as large as the circle, the diameter is about 2.5 mm, and are sensitive to light reflection. The two sides are paired with forehead lines, the two sides are paired with eyelids, the two sides are paired with eyeballs, the two sides are paired with nasolabial grooves, and the tongue is centered. The two sides are not enlarged, the neck is soft, the trachea is centered, the two lungs are clear, and there is no obvious dry and wet rales, hr 80 times/min, the rhythm is uniform, the limbs are strong, and the muscle tone is normal."
"I did a head CT examination for her, but the examination showed that there was no abnormality in the head!" Qi Jicheng said in a low voice.
"Well, this condition is a bit complicated, take me to see it." Yan Zhenrong turned his head and said to Ruan Bin: "Doctor Ruan, can you wait for me for a few minutes?"
"No problem, I want to watch it, too."
"Can!"
Chapter completed!