Sleepless Doctor
Chapter 256: There is no harm without comparison (below)
The two walked out the door of the intensive care unit. In a spacious small meeting room next to it, Dean Sun was talking to Zheng Qingmu. The door was half open, and Dean Sun seemed to be persuading something.
Chen Houkun was worried, knocked on the door and walked in quickly.
"The two are here, please sit down." Dean Sun gave Chen Houkun a deep look.
"How is Lin Kai's situation?" Zheng Qingmu asked.
"Zheng Gongzi has swelling in his larynx. He tried tracheal intubation twice but failed in the end." Wang Ziliang said truthfully.
"Mr. Zheng, if it doesn't work, let's do a tracheotomy. After all, there are methods. I believe that after a tracheotomy, Lin Kai will get better soon." Dean Sun said.
"A tracheotomy?" Zheng Qingmu's face seemed to be covered with rain clouds, and even his expression could not be seen clearly.
"Yes, Mr. Zheng, there is no particularly good way now." Dean Sun said, "Because it is an atlas surgery, there may be many situations after the operation. The existing medical sciences cannot explain all of them, and I also said to Lin Kai's situation. Unfortunately, but we always have to face it positively."
"Existing medicine?" Zheng Qingmu did not lose his mind, but said in a deep voice, "How is that poor boy?"
"..." When Sun Ximing heard these words, he felt like he was kicked again in his stomach, especially uncomfortable.
"Before Lin Kai went to surgery, he had only one breath! What about now? I said he could be transferred out of the intensive care unit early tomorrow morning. Are you telling me about the existing medicine now?" Zheng Qingmu said coldly, "Don't worry about it. To maintain Lin Kai's current status, I have contacted Yongzhi and asked the doctor to take a look."
There is nothing to say this time.
If it's an ordinary person, the Sanatorium and Hospital can still bully its customers and show one, two, three, four, five, or even threaten to leave the hospital if they don't want to be treated.
But in the face of big real estate developers like the Zheng family, Dean Sun really dare not say anything. He is a gold master and he can bully a poor boy who has no money, but the Zheng family is an uncle, so he just asks not to bully himself.
Watching Zheng Qingmu walk out of the small meeting room, Dean Sun asked, "Two, do we have any other way?"
"Dean, I can try cricothyrocentesis, retrograde..."
"Hurry up and try it." Dean Sun said a little anxiously.
Hurry up to settle the matter before Wu Mian comes. The less you deal with, the better. Dean Sun has already made up his mind.
is a real evil star. It's so easy to do an operation at the Sanatorium and Hospital, so I can't get off the stage. Originally, Zheng Linkai's condition was just a normal postoperative complication, but it was a serious trauma to the atlas and throat edema shouldn't be right.
But when compared with Wu Mian's patients, the judgment was made.
Dean Sun was a little confused. He went to the intensive care unit again with Wang Ziliang and Chen Houkun. Wang Ziliang prepared things and had to personally perform cricothyrocentesis for Zheng Linkai, and the steel wire was retrograde to guide the tracheal intubation.
Because the patient is agitated, 80 mg of propofol was given before the puncture. Local disinfection was performed, lidocaine 2ml was given, and after cricothyrocentesis with an epidural needle, a guide wire with a central venous catheter was inserted into the head.
Laryngeal edema is generally more serious near the head, and the wire may not be able to be sent in from top to bottom.
While sending the steel wire retrogradely, the possibility of success is much greater.
But Wang Ziliang tried, no matter where the steel wire is, there is a dead end ahead. The resistance was extremely high, and he did not dare to operate violently, for fear of local bleeding that would enter the respiratory tract and cause the patient's death.
Another doctor observed his head with a visual laryngoscope. He remained silent, and the steel wire did not appear in his field of vision.
Really... Damn it, why not! Wang Ziliang was a little anxious.
But the more anxious this kind of meticulous work, the more difficult it is.
The steel wire is not the finger-thick steel wire that is usually seen. The diameter of the steel wire for retrograde puncture is only a few millimeters. Strong is strong, but there is toughness but not enough hardness. With a little effort, the steel wire will bend and be discounted.
Everything can only be done blindly by the feel of the hand. The difficulty is conceivable.
After trying for nearly 10 minutes, the patient's blood oxygen saturation has been declining. Wang Ziliang has been paying attention to the value, and every time it drops by one percentage point, he feels that the heavier the weight on his shoulders.
took a deep breath, and through the surgical mask, all he breathed in was warm and foul air. Wang Ziliang let his mind relax as much as possible, trying to sense the toughness of the steel wire in his hand.
It was an emergency first aid conference 5 years ago. As the main doctor, Ms. Wu Mianwu showed a "small method", which is the cricothyrocentesis in front of him, and the steel wire is retrogradely guided to the tracheal intubation.
It was not difficult to see Wu Mian doing it at the time, and the principle was well understood. Wang Ziliang remembered this, but he didn't think it was such an unbelievable operation.
Now I do it myself, and I feel completely different.
How can this special retrograde success, deceive! It's all a lie!
"Stay steady with your hand, pad your right middle finger, twist your thumb and index finger lightly." A voice came from behind.
Wang Ziliang was startled, he turned his head and saw Wu Mian standing behind him, wearing a sterile mask and dark blue sterile gown.
It should be Ms. Wu Mianwu. You can’t recognize him without sunglasses. Unexpectedly, the face under the sunglasses looks like a top stream~www.wuxiaspot.com~ Is it because of this reason that he wears sunglasses?
Wang Ziliang thought for an instant.
"Operation, the patient's blood oxygen saturation is not high, buy time." Wu Mian said.
"Uh... Wu... Teacher, would you like to come?" Wang Ziliang persuaded directly.
"Alright, you take a good look." Wu Mian nodded, and picked up a pair of sterile gloves from the operating table. "I had a meeting in New York five years ago and I demonstrated this technology with a simulator. The actual operation. It should be less and unskilled."
Wu Mian put on his gloves and took the wire from Wang Ziliang's hand.
The right **** pads underneath for stability, and the thumb and index finger gently twist the wire. Wang Ziliang watched Wu Mian's movements carefully. They were very ordinary, without any magical operations that made people stunned.
Is this all right? Wang Ziliang was a little confused, he just tried for a long time, but he didn't succeed.
"Mr. Wu, I saw the wire!" The doctor who observed the oral cavity with a video laryngoscope said excitedly.
"In the intensive care unit, be quiet." Wu Mian narrowed his eyes and said softly.
It seemed that everything was logical, everything was simple, he didn't even see it, the wire went retrograde from the swollen larynx, from the mouth to the nasal cavity, and was not even guided by a doctor who was observing with a laryngoscope.
The wire came out 10cm in the patient's nasal cavity, and Wu Mian stopped the operation.
He stood up, saw that no one was moving around, and asked a little strangely, "Aren't you going to have a tracheal intubation?"
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