Chapter 1994 【1994】Urgent

The temperature is in place. The second step is the bed on which the newborn is lying. Like the adult patient bed, it is best to adjust the height of the head and tail of the bed. For children with ARDS like this, the head of the bed needs to be raised slightly, and then the high-frequency ventilator will be connected to the air to infuse the air to reach the bottom of the lungs to help open the alveoli.

For example, to diagnose whether a child has ARDS, it is best to take an X-ray to assist the doctor in making a clear diagnosis. It is unrealistic to take the child to the X-ray room and run back again. After all, even adult X-ray machines now have the option of moving to the bedside. The newborn rescue station can be equipped with such equipment, so that the baby can take a film directly without leaving the rescue station, which is fast and good.

Now, let's make a film.

After filming, Nie Jiamin hung up the earplugs of the stethoscope and put the earpiece on the child's small chest wall for auscultation. No matter how capable the boss is, he dare not give the patient a physical examination and directly read the auxiliary examination report to make a diagnosis. No, that is by no means the spirit of prudence and truth-seeking in medicine.

The big ear of an adult is very big compared to a young child, and it requires the doctor's full attention to listen. Nie Jiamin listened very intently and at a very fast speed. After listening for a while, he immediately gave instructions, contrary to his usual slowness: "Put on the ventilator."

None of the bosses is really slow. Only the priority of the patient's condition can allow the doctor to allocate time to arrange medical measures before and after. If you are not in a hurry, the doctor can slowly think about the patient's treatment plan and find measures. If the patient's condition does not allow, the only way to save lives is to save lives first.

Regarding the lungs of the current patient, the alveolar breath sounds almost weakened to the point of disappearing, so we cannot wait.

High-frequency ventilator is too important for children with ARDS, more important than medication, so hurry up and get it first.

The ventilator prepared in advance was pushed over, and the child temporarily had spontaneous breathing without intubation, and the nasal catheter was used to connect to the ventilator as mentioned before. How to adjust the parameters of the ventilator. Xie Wanying remembered the conclusion that Xin Yanjun said when she was in the Department of Respiratory Internal Medicine. The best parameter to always adjust the ventilator is to adjust it at the patient's bedside. The doctor carefully and slowly adjusts the patient to the best according to the patient's condition, and other guidelines and dogmas can only be used as a reference.

All patients have individual differences. No matter how powerful the machine is, it cannot do the empirical calculation of the human brain. The fool mode of the machine cannot cope with the individual differences of patients. Only doctors can rely on it.

Now, Nie Jiamin is standing next to the ventilator, helping the child adjust the parameter values ​​step by step.

The speed at which the appropriate parameters are adjusted depends on the technical ability of the doctor.

The boss is the boss, snapping, just pressing a few buttons. Others soon noticed that the baby's small chest rose and fell with regularity.

Xie Wanying watched how the teacher adjusted the parameters, and then learned how to prescribe medicine from senior brother Luo.

Classmate Xie reported the number before, and Luo Jingming scanned the child's weight to calculate the dosage. There is a weighing scale under the newborn rescue platform, and the direct measurement of the child's weight is 2205g, which is almost the same as that of Xie Wanying's visual inspection.

"Do you want to go to Guersu?" Luo Jingming asked his boss for his opinion to finalize the medication plan.

Children can't just inject medicine into the veins casually.

Cursu is an imported drug with a trade name, and the drug ingredients in it are exactly the PS and alveolar surfactant that many premature babies lack after birth.