Chapter 3318 [3318] Advantages of Machines
Laymen watch the excitement, while experts watch the doorway.
Xie Changrong, who is proficient in auto repair, is interested in equipment. Looking at the equipment unloaded from the ambulance, he will inevitably be curious and ask his daughter: "What machines are these?"
There are ECG monitors, emergency car ventilators, infusion pumps, etc. As an insider, I am no stranger to the names of these medical equipment. Just as her father paid more attention to lubricating oil and more concerned about the cost-effectiveness of lubricating oil brands, Xie Wanying's focus fell on a deeper level of local tyrant brands of medical equipment.
It is said that medical care burns money, and medical equipment burns the most money. In this era, such as car ventilators for ECG monitors, it is temporarily impossible to produce excellent domestic products. Some of the good hospitals are local tyrants who are not afraid to spend money in this area, and all they use are imported goods.
As I said before, the southern provincial capital of her hometown is the capital of a large import and export foreign trade province. It is easy to import with a lot of money, and the advantages of equipment are obvious. The equipment brought out by Grandma Zheng's unit today should prove this point.
For example, the on-board emergency ventilator that she and others can see now. She had never seen this kind of equipment during her internship in the capital for more than a year. It stands to reason that she has been in the famous top three ambulances in the capitals of the National Association, Beidu, and other capitals, and participated in the first aid and transfer of many emergency patients. If these hospitals really have this equipment, it is unlikely that she will not see it.
She can't see it, so it can't be concluded that all hospitals in the capital don't have this kind of ventilator configuration. It is not ruled out that there are hospitals that cherish the equipment and hide it. Under normal conditions, they do not take it out for patients to use for fear of being worn out. The localization of medical equipment is imperative to benefit the people in the country who cannot afford high medical expenses.
Where is the car emergency ventilator? Think about the time when the patient was transferred from the plane, with this equipment instead of human hands, Dr. Shi Lei didn't have to sweat all the way.
Advanced medical equipment does not simply reduce the workload of medical staff, but more importantly, it is difficult for human hands to match the fatigue resistance of machines. People get tired, machines don't. This alone gives machines a huge advantage in medical treatments that require precision over long periods of time.
On the current surgical site, the reason for using the emergency ventilator can also be based on this, instead of manpower to give the patient the greatest respiratory support.
This is to say that amputation requires general anesthesia. Patients under general anesthesia need respiratory function support due to respiratory depression caused by anesthetics. For this reason, the anesthesiologist usually puts the patient on an anesthesia machine in the hospital.
The biggest difference between an anesthesia machine and a ventilator is that there are parts in the anesthesia machine that can be put in inhalation anesthetics, which are specially provided for patients to use inhalation anesthesia so as not to numb the surrounding people. The ventilator does not have this part, it is not the sealed circuit of the anesthesia machine. The inhaled anesthetic used in the ventilator will volatilize the drug into the surrounding air to endanger others when exchanging with the outside air.
In terms of respiratory support for patients, the ventilator is more comprehensive. It is very expensive for a good anesthesia machine to be fully functional as a ventilator. General hospitals can't afford it and don't need it.
It is theoretically feasible to exclude inhalation anesthesia, use only intravenous anesthesia for general anesthesia, and use a ventilator instead of an anesthesia machine to support the patient's breathing. In practice, when there was a shortage of anesthesia machines in China, many old anesthesia doctors survived with ventilators in this way.
In view of the fact that there is no portable anesthesia machine at present, this kind of emergency transport ventilator can only be used in the emergency scene. If it doesn't work, let the medical staff pinch the breathing airbag manually if you want to save costs.
Since other hospitals have provided rare equipment for use, it means that they want to show off the software and hardware capabilities of their hospitals.