Doctor Song, are you married?
Chapter 252 252 The tracheal intubation tube was inserted into the stomach!
Chapter 252 252. The tracheal intubation tube was inserted into the stomach!
"Director Guo, this patient is very strange. His blood oxygen saturation did not rise even after being intubated. I just auscultated him and found that the breath sounds in both lungs were very low." Cheng Weiye said.
"It should not be blocked by phlegm. By the way, after intubation, the patient aspirated multiple times and food residue was sucked out of the endotracheal intubation tube." The nurse also added.
Director Guo of the Thoracic Surgery Department was not in a hurry to express his opinion. He first took the medical record and looked at it carefully, then picked up the stethoscope and auscultated the patient's chest.
"With such low breath sounds, has the patient's condition worsened?" Director Guo said, immediately opening the patient's chest strap.
"Logically speaking, the patient has a chest trauma on the right side. He has already had closed chest drainage and a tube inserted. This shouldn't happen!" Director Guo said, waving to the nurse, "Bring it to me. A suction tube."
The nurse quickly brought a suction tube over.
Director Guo inserted the sputum suction tube into the tracheal intubation port and found that no sputum could be suctioned out at all, and the suction tube seemed to be unable to enter smoothly!
"The resistance is so great! Could it be that the endotracheal intubation tube is blocked by aspirated food residue?" Director Guo said, took a balloon from the side and manually pressed and supplied air, but it couldn't go in at all!
Is the endotracheal tube completely blocked? !
At this time, Director Gong also rushed over to watch the fun, "Hey, Director Guo, what gust of wind brought you here?"
Director Guo shook his head, "It's not like you came to me from the emergency department. Everyone in the department is busy, so I came over to take a look. This patient's condition is not right. I think it's better to remove the tracheal intubation and reinsert it." .”
Director Guo said, and pulled out the tracheal intubation smoothly.
"Weiye, you are great at intubation. Come and re-insert it. In addition, I suggest that the patient be reviewed with a CT scan later to see if there is anything else going on in the chest."
Cheng Weiye quickly put on gloves and re-inserted the patient's tube in a few clicks.
"Hey, Weiye is still awesome. This intubation speed is faster than Lao Qiu from the anesthesiology department." Director Guo said with a smile, and then looked at the patient's monitor.
"The blood oxygen saturation seems to be slowly rising, but to be on the safe side, let's get a CT scan."
"Wei Ye, you and Xiao Chi will take the patient for a CT scan. Director Guo, it's rare for you to come to Devil's Emergency Department. Please come to my office and sit down. I have good coffee beans here. I'll grind a cup for you."
Director Guo laughed loudly, "Lao Gong, Lao Gong, you are the most sentimental in the whole hospital. You also have freshly ground coffee. I am so busy in the Department of Thoracic Surgery that my feet never touch the ground. Let alone freshly ground coffee, it is instant coffee." I have to take a sip, I have a rare break today, so I must enjoy your freshly ground coffee."
"Director Guo is joking again. That's a knife for thoracic surgery. I'm just an errand boy. My business has long been abandoned."
"Director Gong, please don't be modest. I heard that if Lao Hu retires next year, the position of director of the emergency department will be yours. By then, I guess you won't be able to have any leisure time even if you want."
"Director Guo, don't you dare say such nonsense."
The two of them chatted and laughed all the way into the director's office.
CT room.Cheng Weiye asked Xiao Chi to push the patient into the room, and he himself went directly into the CT doctor's operating room.
"Dr. Cheng, I heard that you have a very good emergency department trainee. They said that the ICU asked you for emergency consultation, but your trainee immediately killed them?"
The news that Song Qi went to the ICU to intubate Mr. Wang's trachea soon spread in the hospital.
Of course, there are various versions. Some say that the apprentice brought out by Cheng Weiye is amazing!
Some people say that this graduate student was already very good before he came to the graduate school, and he was a star doctor, and so on.
Cheng Weiye was a little unhappy after hearing this.He knew very well that Song Qi's power had nothing to do with him!
"Our trainees are very good. Look, I only took him with him for two days, and now he can do tracheal intubation independently. He was the one who inserted the tube in this patient before, but then the tube became blocked. There is no way to pull it out again," Cheng Weiye said, pointing at Chi Haoran who was helping the patient position himself through the small window of the CT room!
Cheng Weiye would rather praise Chi Haoran than praise Song Qi!
That kid just doesn't look pleasing to the eye, so what if the intubation is done well?Can you be better than me?
"That's not to say that Dr. Cheng, you are a good teacher. Not only you are young, you have mastered a unique skill, but you can also bring out such an outstanding apprentice. It is really a blessing for the patients to have you in the emergency department. After all, they are sent to Those in the emergency room are all critically ill patients. If you can do a good job of endotracheal intubation, that student will save someone's life. You can go out first." The CT doctor waved his hand to Chi Haoran on the other side of the glass window, and then he was ready to start. .
Chi Haoran hurriedly walked out of the lead door. He originally planned to wait at the door, but then he thought about it and entered the CT doctor's office.
"Dr. Cheng, let me tell you, you are a rare young talent. You have mastered unique skills at a young age. Your future development prospects must be immeasurable." The CT doctor is also a good talker. While controlling the CT machine, he Speaking to Cheng Weiye.
Cheng Weiye also heard it quite pleasantly.
"No, why is there so much gas in this patient's digestive tract from the esophagus down?" the CT doctor exclaimed.
Hearing this, Cheng Weiye hurried over to take a look.
Although he couldn't understand CT images, he had learned a little bit about imaging in college. As the slices continued to change, he could clearly see that the patient's esophagus was full of gas!
Cheng Weiye was shocked at the moment!
"Show me your medical records!"
It happened that Chi Haoran was still holding the patient's medical record in his hand. After reading it to Director Guo, Chi Haoran kept holding it in his hand. He was about to do a CT scan, and he didn't bother to put the medical record down.
Chi Haoran didn't know why and hurriedly handed over the patient's medical records.
Cheng Weiye rummaged around inside and soon found the film taken by the patient in the primary hospital!
When I opened it, I saw that the chest X-ray taken before did not contain so much gas at all!
Obviously, these gases only appeared after arriving at the People's Hospital.
Thinking of the tracheal intubation done by Chi Haoran, Cheng Weiye suddenly understood!
At this time, when the CT doctor saw Cheng Weiye looking through the medical records, he also stood up and came over to look at the patient's previous chest X-ray.
"There was not so much gas in the chest X-rays before this. Dr. Cheng, this could not be the case." The CT doctor did not continue.
Cheng Weiye cursed in a low voice: Damn it!
Chi Haoran didn't know why, so he had to raise his head and ask Cheng Weiye, "Teacher Cheng, why is there so much gas in this person's esophagus?"
When Cheng Weiye heard that Chi Haoran didn't notice such an obvious problem, and still asked such an innocent question, he was immediately furious!
"You still ask me, I want to ask you too! When you intubated his trachea, did you confirm whether it was inserted into the trachea?"
Chi Haoran was even more innocent, "Of course it was inserted, I saw it clearly!"
"You can still see clearly. Don't go out and say that I taught you how to intubate your trachea. You've already put the tracheal intubation tube into your stomach!"
(End of this chapter)
"Director Guo, this patient is very strange. His blood oxygen saturation did not rise even after being intubated. I just auscultated him and found that the breath sounds in both lungs were very low." Cheng Weiye said.
"It should not be blocked by phlegm. By the way, after intubation, the patient aspirated multiple times and food residue was sucked out of the endotracheal intubation tube." The nurse also added.
Director Guo of the Thoracic Surgery Department was not in a hurry to express his opinion. He first took the medical record and looked at it carefully, then picked up the stethoscope and auscultated the patient's chest.
"With such low breath sounds, has the patient's condition worsened?" Director Guo said, immediately opening the patient's chest strap.
"Logically speaking, the patient has a chest trauma on the right side. He has already had closed chest drainage and a tube inserted. This shouldn't happen!" Director Guo said, waving to the nurse, "Bring it to me. A suction tube."
The nurse quickly brought a suction tube over.
Director Guo inserted the sputum suction tube into the tracheal intubation port and found that no sputum could be suctioned out at all, and the suction tube seemed to be unable to enter smoothly!
"The resistance is so great! Could it be that the endotracheal intubation tube is blocked by aspirated food residue?" Director Guo said, took a balloon from the side and manually pressed and supplied air, but it couldn't go in at all!
Is the endotracheal tube completely blocked? !
At this time, Director Gong also rushed over to watch the fun, "Hey, Director Guo, what gust of wind brought you here?"
Director Guo shook his head, "It's not like you came to me from the emergency department. Everyone in the department is busy, so I came over to take a look. This patient's condition is not right. I think it's better to remove the tracheal intubation and reinsert it." .”
Director Guo said, and pulled out the tracheal intubation smoothly.
"Weiye, you are great at intubation. Come and re-insert it. In addition, I suggest that the patient be reviewed with a CT scan later to see if there is anything else going on in the chest."
Cheng Weiye quickly put on gloves and re-inserted the patient's tube in a few clicks.
"Hey, Weiye is still awesome. This intubation speed is faster than Lao Qiu from the anesthesiology department." Director Guo said with a smile, and then looked at the patient's monitor.
"The blood oxygen saturation seems to be slowly rising, but to be on the safe side, let's get a CT scan."
"Wei Ye, you and Xiao Chi will take the patient for a CT scan. Director Guo, it's rare for you to come to Devil's Emergency Department. Please come to my office and sit down. I have good coffee beans here. I'll grind a cup for you."
Director Guo laughed loudly, "Lao Gong, Lao Gong, you are the most sentimental in the whole hospital. You also have freshly ground coffee. I am so busy in the Department of Thoracic Surgery that my feet never touch the ground. Let alone freshly ground coffee, it is instant coffee." I have to take a sip, I have a rare break today, so I must enjoy your freshly ground coffee."
"Director Guo is joking again. That's a knife for thoracic surgery. I'm just an errand boy. My business has long been abandoned."
"Director Gong, please don't be modest. I heard that if Lao Hu retires next year, the position of director of the emergency department will be yours. By then, I guess you won't be able to have any leisure time even if you want."
"Director Guo, don't you dare say such nonsense."
The two of them chatted and laughed all the way into the director's office.
CT room.Cheng Weiye asked Xiao Chi to push the patient into the room, and he himself went directly into the CT doctor's operating room.
"Dr. Cheng, I heard that you have a very good emergency department trainee. They said that the ICU asked you for emergency consultation, but your trainee immediately killed them?"
The news that Song Qi went to the ICU to intubate Mr. Wang's trachea soon spread in the hospital.
Of course, there are various versions. Some say that the apprentice brought out by Cheng Weiye is amazing!
Some people say that this graduate student was already very good before he came to the graduate school, and he was a star doctor, and so on.
Cheng Weiye was a little unhappy after hearing this.He knew very well that Song Qi's power had nothing to do with him!
"Our trainees are very good. Look, I only took him with him for two days, and now he can do tracheal intubation independently. He was the one who inserted the tube in this patient before, but then the tube became blocked. There is no way to pull it out again," Cheng Weiye said, pointing at Chi Haoran who was helping the patient position himself through the small window of the CT room!
Cheng Weiye would rather praise Chi Haoran than praise Song Qi!
That kid just doesn't look pleasing to the eye, so what if the intubation is done well?Can you be better than me?
"That's not to say that Dr. Cheng, you are a good teacher. Not only you are young, you have mastered a unique skill, but you can also bring out such an outstanding apprentice. It is really a blessing for the patients to have you in the emergency department. After all, they are sent to Those in the emergency room are all critically ill patients. If you can do a good job of endotracheal intubation, that student will save someone's life. You can go out first." The CT doctor waved his hand to Chi Haoran on the other side of the glass window, and then he was ready to start. .
Chi Haoran hurriedly walked out of the lead door. He originally planned to wait at the door, but then he thought about it and entered the CT doctor's office.
"Dr. Cheng, let me tell you, you are a rare young talent. You have mastered unique skills at a young age. Your future development prospects must be immeasurable." The CT doctor is also a good talker. While controlling the CT machine, he Speaking to Cheng Weiye.
Cheng Weiye also heard it quite pleasantly.
"No, why is there so much gas in this patient's digestive tract from the esophagus down?" the CT doctor exclaimed.
Hearing this, Cheng Weiye hurried over to take a look.
Although he couldn't understand CT images, he had learned a little bit about imaging in college. As the slices continued to change, he could clearly see that the patient's esophagus was full of gas!
Cheng Weiye was shocked at the moment!
"Show me your medical records!"
It happened that Chi Haoran was still holding the patient's medical record in his hand. After reading it to Director Guo, Chi Haoran kept holding it in his hand. He was about to do a CT scan, and he didn't bother to put the medical record down.
Chi Haoran didn't know why and hurriedly handed over the patient's medical records.
Cheng Weiye rummaged around inside and soon found the film taken by the patient in the primary hospital!
When I opened it, I saw that the chest X-ray taken before did not contain so much gas at all!
Obviously, these gases only appeared after arriving at the People's Hospital.
Thinking of the tracheal intubation done by Chi Haoran, Cheng Weiye suddenly understood!
At this time, when the CT doctor saw Cheng Weiye looking through the medical records, he also stood up and came over to look at the patient's previous chest X-ray.
"There was not so much gas in the chest X-rays before this. Dr. Cheng, this could not be the case." The CT doctor did not continue.
Cheng Weiye cursed in a low voice: Damn it!
Chi Haoran didn't know why, so he had to raise his head and ask Cheng Weiye, "Teacher Cheng, why is there so much gas in this person's esophagus?"
When Cheng Weiye heard that Chi Haoran didn't notice such an obvious problem, and still asked such an innocent question, he was immediately furious!
"You still ask me, I want to ask you too! When you intubated his trachea, did you confirm whether it was inserted into the trachea?"
Chi Haoran was even more innocent, "Of course it was inserted, I saw it clearly!"
"You can still see clearly. Don't go out and say that I taught you how to intubate your trachea. You've already put the tracheal intubation tube into your stomach!"
(End of this chapter)
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