medical road high rise

Chapter 214 Pediatric Surgery
Chapter 214 Pediatric surgery
"Doctor, is the operation dangerous?" the patient's mother asked, wiping her tears.

Qin Feng said: "Yes, and the danger is very high. You still need to sign a critical illness notice. I can't guarantee that you will be rescued. I can only do my best."

The patient's mother's legs softened, but fortunately, the patient's father who was on the side quickly supported her.

"Don't waste time, let's do the preoperative preparation first, and take the child back to the ward as soon as possible." Qin Feng directed.

"Doctor, will there be any sequelae after the operation?" the patient's father asked.

"Yes, if the patient's body is really a battery, the chemicals in the battery can easily cause burns to the patient's blood vessels and esophagus. It is very difficult to repair this kind of chemical burn." Qin Feng explained, "These things will be recovered later. Let me explain to you, I'm going to prepare for the operation first."

Qin Feng handed over the scene to the doctor in the CT room, and then called Zhao Qi, Lu Shan, and Lin Xue.

The speed of the three of them was also very fast. After answering the phone, they put down what they were doing and ran towards the operation. Qin Feng also told them the key to the operation, and let them prepare by themselves.

It is impossible for Qin Feng to do the preparation work himself. Qin Feng has gradually become accustomed to this cooperation method and can save his working time as much as possible.

"How old is the patient?" Lu Shan asked in a muffled voice wearing a mask.

"3 is old."

"So young?" Lu Shan was stunned for a moment, and then fell into thinking, "Since the patient is so young, I think the main anesthesia for surgery is sedation with dexmedetomidine, combined with anesthesia with intravenous lidocaine to suppress stress." , and then do nasal endotracheal intubation under the guidance of sedative fiberoptic bronchoscope."

After listening, Qin Feng nodded, "Yes, let's use your anesthesia plan."

Children are not like adults, their stress behavior is more sensitive than adults, so there will be less local anesthesia and more sedation.

After going to the dressing room and changing clothes, Qin Feng went directly into the operating room.

The operating room here belongs to the pediatric operating room, and the arrangement of instruments and items is different from other operating rooms. Qin Feng first familiarized himself with the instruments and the instruments prepared by Lin Xue.

Such as anesthesia machines, monitors, finger pulse saturation clips for children, artificial noses for children, 2.8mm electronic soft mirrors, etc.

Lu Shan was groping on the anesthesia machine, taking advantage of nothing, Qin Feng went over to take a look.

Although the anesthesia machine is small, Lu Shan's operation seems to be quite cumbersome. The first step is to check the pipeline problems, and then the drugs inside. The anesthetic drugs for adults and children are also different.

After watching for a while, Qin Feng withdrew his gaze and began to think about the details of the operation and how to do it.

Lin Xue began to cooperate with Lu Shan, getting busy and preparing propofol, lidocaine, epinephrine and other drugs.

Half an hour later, the dean changed into a surgical gown and walked in.

"Xiao Qin, alas, the couple had a fight with the old leader, so they came late." The dean sighed.

Every family has its cupboard.

Qin Feng nodded. Although the patient's condition is critical, delaying a little time is not a big problem. As for family conflicts, Qin Feng doesn't really want to know.

"Have you coaxed the child well?" Qin Feng asked.

To perform an operation on a child, we must first prepare the child psychologically. Otherwise, the oppressive environment in the operating room will bring fear to the child. In addition, the doctors are all strangers. Once they cry and refuse to intubate, it will lead to anesthesia. time delay.

"After coaxing you, you can go out and pick up the child now," the dean said.

Qin Feng followed the director out of the operating room, and saw that the patients in the waiting area had fallen asleep in their mother's arms, with a few crystal tears in their eyes.

Lin Xuebing leaned against the window with his back to the crowd, and the patient's parents were also sitting quietly aside, the atmosphere was somewhat dignified.

"The patient is in a stable mood and was given intravenous infusion of dexmedetomidine 15ug + 5% glucose 100ml." Lu Shan reported to Qin Feng in a low voice while connecting the sedative medicine.

The movement was very light. When delivering the medicine, the child struggled for a while, but quickly calmed down again. After observing for 5 minutes, Qin Feng asked Lu Shan to carry the patient directly to the operating room.

When Qin Feng and others turned around and headed towards the operating room, Lin Xuebing slowly turned around, looked at their backs, and twitched the corners of his mouth, wanting to say something, but he couldn't.

The door of the operating room was closed, and the red light was on, and Lin Xuebing's heart was also tugged at once.

operating room.

"After the intravenous injection, the patient fell asleep normally, and his physical signs were normal." Lu Shan said.

"Okay, just lie on the right side." Qin Feng and Zhao Qi moved to adjust the child's position.

Glancing at the data on the monitor, he was breathing steadily and his blood oxygen saturation was 98%.

"Will you come for intubation or should I come?" Qin Feng looked at Lu Shan.

"Come on." Lu Shan handed the tray to Qin Feng, then turned around and came to the right side of the patient, holding his head with both hands.

Qin Feng picked up the 2.88mm electronic soft scope and passed it through the left nostril and slowly pushed it to the pharynx. Qin Feng checked the glottis and found that the condition was stable.

After waiting for 5 minutes, the bronchoscope was directly pushed into the trachea, then connected to the catheter and fixed.

A series of operations flowed smoothly.

Qin Feng worriedly reconfirmed that the tracheal tube was fixed, and then asked Lu Shan to connect to the ventilator, adjust the breathing parameters, and check whether the patient had cough, snuff cavity or hemorrhage and edema in the trachea.

Fortunately, everything is going well.

After finishing all this, Qin Feng returned to the sink, began to brush his hands, and put on sterile clothes and gloves.

While Qin Feng was operating, a figure squeezed into the operating room.

"Dean, a doctor in the emergency department, can you perform pediatric surgery? This is not a child's play." The director of the pediatrics dissatisfied in the surgical gown.

The dean frowned and said, "If you can do this operation, I will ask Qin Feng to come down and you go up to do it. If you can't, just shut up."

"This..." The head of the pediatrics department looked a little ugly.

Although the cause of this operation was found, the battery is known to be highly corrosive. If it caused corrosion to the digestive tract or esophagus, he, the director of pediatrics, could not solve it.

He was about to continue speaking, but found that the operation on Qin Feng's side had already started.

Qin Feng directly opened the chest, started one-lung ventilation, freed the mediastinum, and separated the esophagus.

"You directly separate the esophagus like this? Don't you even check it? What if it leaks?" The director of the pediatrics questioned.

Qin Feng didn't pay attention to him, but pinched the hemostat which was one size smaller, and did blunt dissection little by little.

"With your operation, can you find blood vessels?" The director of pediatrics even disdainfully asked.

Where did the pediatric surgery do it? In his opinion, Qin Feng's movements, he couldn't even put his fingers in. If he didn't touch it, how could he find the blood vessel just by clamping it blindly with the hemostat.

(End of this chapter)