Chapter 2053 【2053】Which Method to Use
"Otherwise, insert a tube?" Li Qi'an's brain started, and he had an idea, and suggested.
Did this guy stay in the obstetrics department before, did he know it was time to intubate the child? Lin Hao hurriedly looked at Li, and asked, "What kind of tube is it inserted?"
You need to know what to insert, so you can run to the ambulance and find the first aid equipment.
There are several options for intubation in children, just as there are options for intubation in adults. Oropharyngeal ventilation tube, or endotracheal intubation through laryngoscopy?
"This, this—" When he was anxious, Li Qi'an felt his brain froze again, digging for knowledge points in his memory, "That thing doesn't look like an oropharyngeal ventilation tube for adults, it has a mask, it seems to be used in surgery Have you seen it in the room?"
"There is a mask and a tube for endotracheal intubation. Are you talking about a laryngeal mask?" Lin Hao wanted to give Li a kick in the ass. Remember what this thing is called.
"That's right, it's a laryngeal mask." Li Qi'an nodded sharply, "They said that the laryngeal mask can be inserted blindly without a laryngoscope. We can definitely try it."
The laryngeal mask refers to the laryngeal mask airway, which belongs to the artificial airway established by doctors like the oropharyngeal ventilation tube and tracheal intubation. It is mainly used in emergency resuscitation and operating room anesthesia. Although the laryngeal mask is connected to the endotracheal tube on one side and is similar to the endotracheal intubation tube, it is not an endotracheal tube. Its endotracheal tube length is short, and the depth of insertion is not as deep as the endotracheal intubation into the trachea, it only needs to enter the throat cavity to reach the upper end of the esophagus.
The gas entering and exhaling from the laryngeal mask endotracheal tube is aimed at the glottis, which can also play the role of artificial airway. As for the mask connected to the other end of the laryngeal mask, it can act as a sealing ring on the patient's larynx, sealing the airway around and maintaining a more effective ventilation effect. This is the unique design feature of the laryngeal mask itself.
Since the catheter design of the laryngeal mask is short enough for the oropharyngeal ventilation tube, bold blind insertion can be performed clinically, unlike the blind insertion of the tracheal intubation, which is afraid that the tube will not enter the trachea but go into the esophagus.
The newborn baby in front of me is too small, weighing only about six catties at full term. It is conceivable that it is difficult to use endotracheal intubation through laryngoscopy. It is more difficult for the child to take into account the difficulty of endotracheal intubation during CPR. Sounds like an artificial airway could be tried with a laryngeal mask if needed.
Lin Hao asked: "Yingying, what do you think? You think it's okay, we'll go find a laryngeal mask right away. If there's no one in the ambulance, we'll go to the hospital to get it."
Perhaps Lin Hao had just gone to the ambulance to search for things, and he knew that there might not be a laryngeal mask in the ambulance.
Xie Wanying did not immediately respond to her classmates, her eyebrows were tight because her attention continued to be in a certain line of thought.
I know that once student Xie gets stuck, his thoughts will not come back. Lin Hao had no choice but to look at Song Xuelin reluctantly, to see if this talented man from the northern capital agreed with their proposal.
Not without surprise, Song Xuelin's brown eyes seemed to want to be completely speechless to the two guys around him again.
Using your own brain to give advice to others is not just random thinking. When you are in trouble to think of a way, first think about whether what you are thinking is clinical common sense. If so, what the clinician will think of is that there is no need for a group of students to mention it. This is also why some clinician teachers often remain silent when they hear students' comments, because the teachers have already considered these opinions of the students.