【2782】Knowledge of surgical anatomy
If the junior sister said that if she sprinkled cold water, Liu Jingyun's hands finally stopped shaking.
In fact, this young anesthesiologist named Liu can do it. He used sevoflurane, which adjusted the concentration just right, and did not irritate the baby to choke.
Ye Sujin was very careful. If the other party really couldn't do it, he would just snatch the work and do it himself.
After induction anesthesia, tracheal intubation is required.
Ye Sujin first called her son to prepare for work: "Let's listen."
The airways of newborns are short-short and not as straight as adults, and the left and right bronchials are almost as straight as those of adults. The catheters are likely to slip out of the child's airway or insert them into the left and right bronchials.
After receiving the mother's order, Cao Zhao picked up the stethoscope and hung the earplugs, put the listener head on the child's chest and listened to the breathing sounds, and checked whether the catheter was inserted in the correct position.
When the others saw this immortal brother, he had never been obedient before. Thinking that the anesthesia boss was really good, he directed the deputy chief physician and deputy director like the immortal brother.
Just work together, don’t think too much. If you don’t believe it, you will see your son commanding his mother during the operation later. It’s another manifestation of the Cao family’s official duties.
When Liu Jingyun was preparing to intubate, the problem arose.
"What tube are you going to insert?"
After being questioned by Bos Ye for a while, Liu Jingyun was nervous again and said, "The catheter has no airbag."
The narrowest part of the larynx of a newborn baby is the annular cartilage, which is round, and the tracheal catheter is also round. After inserting it, it will automatically stick to the wall and not leak air, so there is no need to add a cannula airbag to fix it like an adult.
The eldest sister answered halfway through this, and Xie Wanying reminded her: "Nose cavity."
Ye Sujin heard her hint and praised her again: This child really understands anesthesiology.
The younger the child, the better the transnasal tracheal intubation is than the translaminal tracheal intubation. The reason is that the former is easy to operate and the latter is difficult to operate. Doctors who are experienced in surgical anesthesia of neonatal infants use transnasal tracheal intubation more.
Cao Yong and Cao Zhao caught a glimpse of his mother's expression: Don't be proud of it for now.
In this operation, it cannot be said that it is very related to anesthesia but very related to surgical anatomy. Because without anesthesia, tracheal intubation is required for rescue of children.
The newborn has a high larynx position, a large tongue, and a sagging epiglottis covering the glottis. Doctors can only use direct laryngoscopy to intubate the cannula.
If the nasal cannula is intubated, the size of the nostril is roughly the same as the soft cartilage of the ring. As long as the tracheal catheter can be inserted into the nostril, it can generally enter the trachea smoothly. The doctor does not have any effort to insert it, but only needs to pay attention to sucking away the secretions in the nasal cavity.
After reminding Mr. Ye and his junior sister, Liu Jingyun changed to intubation of the child through the nasal tracheal cavity, which made her experience simple and easy.
Anesthesia is done.
Cao Zhao issued an instruction to the student standing opposite: "Go and brush your hands."
Someone was stunned for a moment. The main swordsman only named one person to brush his hands?
Xie Wanying immediately understood what happened when she came back and went out to wash her hands.
Don’t look at Dr. Cheng Yuchen and the nurse will help her with the preparations for pre-operative sterilization. But when it comes to wearing surgical gowns, only the main surgeon and her put on the surgical gown and go to the stage.
The wish of students Pan and Lin Hao, who were thinking about whether they could take advantage of the second and third help, was completely disappointed. They didn't know why such an important operation was only arranged for one assistant.
Chapter completed!