Doctor Song, are you married?

Chapter 235 235. Complete a case of tracheal intubation

Dongfang Wenyan was also anxious, "Isn't this urgent enough? Look at the patient's body shape. He has a thick neck, short mandible, and a thick tongue. Because of vomiting, there may be vomit in the throat. Such tracheal intubation is too difficult. It's gone, and Cheng Weiye isn't here either. By the time he comes, it will be too late!" Dongfang Wenyan said, and began to open the tracheotomy bag on the table next to him.

According to her plan, a local infiltration anesthesia can be done in three to two minutes!
"Don't worry, give me a chance! I can intervene!" Song Qi took action and held her down.

"What? Can you intubate? Don't be ridiculous. This tracheal intubation is too difficult. I believe you in routine operations. But, don't take risks! If it's an emergency, you'd better make an incision quickly!"

Song Qi held her down again: "Believe me, I can definitely do it, but I need your help!" Song Qi said eagerly.

Time was urgent, and Song Qi didn't have time to explain. At this time, he just hoped that Dongfang Wenyan could trust him as he trusted her.

"it is good!"

Dongfang Wenyan hesitated for a moment, then nodded heavily.

"Then, I'll intubate, you come and help me, don't let them get close to me, they won't let me do it! I promise it will be done soon, please help me resist!" Song Qi said, reaching out. Get a laryngoscope.

"What are you going to do?" The anxious and at a loss frontline doctor saw Song Qi going to get a laryngoscope and asked quickly and vigilantly.

"I know tracheal intubation!" Song Qi said quickly, then walked to the patient's head, tilted the patient's head back, and lifted the mandible forward and upward with both hands.

While talking, he held the handle of the laryngoscope with his left hand and slid it directly from the corner of the patient's mouth.

"This patient has a difficult airway. As a trainee, you should not join in the fun here." The frontline doctor said this and looked back at the nurse. “Has Cheng Weiye not been contacted yet?”

The nurse shook her head.

The front-line doctors were so angry that they wanted to scold their mothers, but in the current situation, let alone scolding their mothers, it would be useless even if they scolded all their ancestors.

How to do?
If not, just have a tracheotomy!
Thinking like this, the front-line doctors couldn't care less and said to the nurse: "No wait, it's too late, get me a tracheostomy bag!"

At this time, Song Qi held the laryngoscope in his hand, moved it several times, and finally inserted it!

After picking up the stethoscope and listening to confirm that it was in the trachea, he raised his head and said to the busy frontline doctors.

"No need, I've already inserted it!" As soon as the frontline doctor's voice fell, Song Qi said calmly, and then said to the nurse: "Hurry and get the breathing bag."

The nurse was dubious, but still cooperated and took the breathing bag.Then took it up.

At the same time, Song Qi also saw the system prompts before his eyes.

[Complete a case of tracheal intubation, task completion degree 1/100]

Song Qi breathed a sigh of relief.

"The blood oxygen saturation is up." Dongfang Wenyan stared at the numbers on the monitor and shouted excitedly!

"What? Insert it? It's inserted?" The front-line doctors couldn't believe that such a difficult tracheal intubation was actually inserted by a new trainee.

"Yes, it has been inserted. However, this man's chin is too short and cannot be fixed very well. However, when he wakes up and regains consciousness, he can probably be extubated." Song Qi said, and inserted the tube again. The fixing tape is wrapped an extra circle.

The front-line attending doctor quickly stepped forward to check.

Sure enough, the blood oxygen saturation had gone up, and the endotracheal tube was firmly fixed.

"This, this is unscientific," the front-line attending doctor couldn't help but mutter in a low voice. "Song Qi, that's great, how did you do it?" Dongfang Wenyan also asked excitedly.

How did you do it?
Song Qi narrowed his eyes and recalled.

When he picked up the laryngoscope, he felt that his hand was different from usual. When the laryngoscope was inserted from the corner of his mouth, he even felt that his hand was out of control. The uvula was not visible originally. , however, after constantly adjusting the angle of the laryngoscope, it was first inserted into the root of the pharynx, and then the laryngoscope was translated obliquely upward and raised as a whole, and the glottis was completely exposed!

The whole process takes 2 minutes?Even less than 2 minutes?Song Qi was not sure, but felt that the time was very short.

"Actually, the difficulty with this patient is that he is too fat and has some edema on the posterior pharyngeal wall, making it difficult to expose. We only need to adjust the direction of the laryngoscope, and then the glottis will be exposed." Song Qi said as he moved his hands Subconsciously he followed.

It can be seen that although it is only the first operation, there is muscle memory.

As Cheng Weiye said, the steps for tracheal intubation are really simple to say, but it is not so easy to insert them smoothly.

For example, the laryngoscope should be placed at just the right angle. If it is a little more, it will be withdrawn, and if it is a little less, it will be moved in a little more. These are simple to say, but for beginners, or even doctors with only three or two years of work experience, they are very difficult. Not that easy.

There are also some doctors who can't even get the laryngoscope into the mouth because it's always blocked by the tongue. Some of them barely get into the mouth and can't lift the epiglottis.

Some people clearly see the glottis, but they can't get it in.
Some people managed to insert it, only to find that it had been inserted into the stomach by mistake.
Therefore, for doctors who can skillfully insert the trachea, it is indeed very simple, but for those who cannot insert it, it is very difficult.
"Song Qi, where did you learn this technique of tracheal intubation?" The frontline doctor finally came to his senses and asked Song Qi quickly.

The front-line doctor is Xu Dali, and he was there when Song Qi was practicing here.

But there isn’t much interaction.

Song Qi only remembered that he talked a lot, but was often interrupted by the director, asking him to talk about the key points!Also, he seems to be very busy all the time, his feet are busy, his mouth is also busy, in short, he is busy all day long.

Xu Dali's impression of Song Qi was only that he was handsome.

"I learned it here." Song Qi pointed to the emergency bed.

"No way? Cheng Weiye taught it? No, he wants to teach you, and it must be what he just taught you. Are you going to learn it in seconds?" Xu Dali expressed serious doubts.

"It doesn't count. During my internship, I listened to Teacher Cheng giving lectures to the graduate students," Song Qi explained quickly.

"I have listened to the most classes, how come I still don't know how to do it now?" Lobelin, who had been silent all the time, also said dullly, "Maybe, I am not suitable for emergency treatment at all," Lobelin said, His eyes dimmed again.

"No, no, Senior Brother Luo. In fact, when I was in the district's Traditional Chinese and Western Medicine Department, I practiced with an anesthesiologist for a period of time in the operating room."

Lobelin was already miserable enough. Song Qi couldn't bear to hit him anymore, so she made up a lie.

"When you were in the district's traditional Chinese and Western medicine department, all you performed were minor surgeries such as circumcision and hemorrhoidectomy. They were all done under local anesthesia, and there was no need for tracheal intubation at all."

Lobelin didn't buy it.

"Actually." Song Qi wanted to explain again.

But he was interrupted by Lobelin, "You are great just because you are great. You don't have to be modest. If I can't do it, I can't do it. I can accept it. Otherwise, please teach me more about tracheal intubation when you have time. I won't let you teach me in vain." , I helped you with all the chores the teacher asked you to do, how about it?" Lobelin looked at Song Qi sincerely.

　Sorry, I forgot to set the scheduled update, so it was two hours late today.

　　
　
(End of this chapter)