Chapter 1186 【1186】Teacher Let Go

Going back to medical school to make up for shortcomings is only the first step. What the medical school dissects is the dead, but what it faces in the clinic is the living. Cases also need to do more to accumulate clinical experience.

This requires the courage and carefulness of the doctor. Female doctors have always been less courageous, so they are generally inferior to male doctors in such operations. A female doctor who is courageous and daring is definitely outstanding.

So don't look at Mr. Xin smiling all the time, his smile is so gentle, his true identity is a general under Director Li. In his twenties, he dared to take the students to play bronchoscopy alone, which shows that his personality and skills should be outstanding among doctors of the same age.

"Come on, put on your hat and clothes." Xin Yanjun said grandly to the students.

Both the teacher and the student put on disposable surgical gowns and sterile gloves.

The patient is lying on the treatment table, supine position.

Before the operation, the nurse swallowed a topical anesthetic like a gastroscope to numb the patient's throat.

This patient has high blood pressure. To be on the safe side, the patient is connected to an ECG monitor, and the blood pressure monitoring frequency is adjusted to once every three minutes in order to observe the patient's condition.

As an assisting doctor, Xie Wanying needs to help the teacher apply sterile paraffin oil to lubricate the mirror body of the bronchoscope, so that when entering the patient's airway, the friction between the mirror body and the patient's tracheal wall can be reduced.

everything's ready.

Xin Yanjun lowered her head, talked to the patient, and calmed down the patient's emotions: "Sister, you will do this test later, please cooperate with me, and you can inhale when I tell you to inhale. Don't be nervous. It's just that the tube enters your throat a little It's uncomfortable, you bear with it, it won't be too long."

The patient nodded, but it was impossible to look calm like a doctor.

The nurse then gave a bottle of drip medicine to the doctor.

"Yingying, take it. Give her a drip on the big side of the nostril. It's chlorine anesthesia." Xin Yanjun said to the students.

The cooperating nurse thought about it, and reluctantly gave the medicine to Xie Wanying, and told her: "If you don't understand anything, remember to ask the teacher first."

I'm afraid that this intern who has never been in contact with bronchoscopic operation does not know how to do it without asking himself. Once Xin Yanjun starts the operation, she absolutely doesn't care about the students, she has to focus all her attention on the patients.

Bronchoscopy is an operation that invades the human body. Improper operation will harm the human body, and the incidence of complications is as high as 0.3%. The most common type of bleeding is occasional hemorrhage that can be fatal. Other hypoxia, infection, every complication is very troublesome.

Knowing the pros and cons of medical operations, Xie Wanying of course would not object to the nurse sister's nagging, so she nodded.

Holding the medicine drop bottle in hand, Xie Wanying observed the patient's nasal cavity first according to the teacher's instructions.

There are three paths for bronchofiberscope to enter the airway, through the nasal cavity and through the oral cavity. If a tracheotomy is performed, the patient can be inserted through the incised cannula. Clinically, the preferred route of most doctors is transnasal.

The reason is simple, if the tube passes through the mouth, it is easily interfered by the patient's tongue. If it goes through the nasal cavity, no matter how much the nose moves, there is nothing in the nose that can make large movements, and it is bound to be difficult to disturb the tube. Another example is that today's 21-bed patient is connected to a ventilator through an orotracheal intubation. Doctors will first choose to insert the mirror body into the airway through the intubation tube in the oral cavity.

In a word, which way is easy to enter, which way to enter.

Carefully compare the size of the patient's two nostrils to see which nostril is larger and does not hinder which nostril the tube enters from.