Chapter 1186： 【1186】Teacher let go

Chapter 1186 [1186] Teacher let go

Going back to medical school to make up for the shortcomings is only the first step. The medical school dissects the dead, and the clinical face is the living, and the case also needs to be done to accumulate clinical experience.

This requires the courage and care of the doctor. The courage of female doctors has always been relatively small, which leads to the fact that they are generally inferior to male doctors in such operations. A female doctor who has the courage to act is absolutely outstanding.

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

"Come on, put on a hat and clothes." Xin Yanjun said to the students in a grand manner.

Teachers and students put on disposable surgical gowns and sterile gloves.

The patient is lying on the treatment table, supine.

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

This patient has high blood pressure. To be safe, connect the patient with an ECG monitor, and adjust the blood pressure monitoring frequency to once every three minutes to observe the patient's condition.

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

everything's ready.

Xin Yanjun lowered her head, spoke to the patient, and calmed the patient's emotions: "Eldest sister, do this examination later, please cooperate with me, and when I tell you to inhale, just inhale, don't be nervous. It's just that when the tube goes into your throat, it's a little bit awkward. It's uncomfortable, you bear with it, it won't be too long."

The patient nodded, but it was impossible to look as calm as the doctor.

The nurse gave a bottle of drip medicine to the doctor's hand.

"Yingying, take it and put it on her big nostril. It's chlorine anesthesia." Xin Yanjun said to the students.

The cooperating nurse thought for a while, and was reluctant to give the medicine to Xie Wanying, and told her: "If you don't understand anything, remember to ask the teacher first."

I was afraid that this intern had never been exposed to the operation of fiberoptic bronchoscopy and would not ask himself to mess around. Once Xin Yanjun starts to operate, she will never take care of the students, and she must focus on the patients.

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

Well aware of the benefits and benefits of medical operations, Xie Wanying of course would not have any objection to the nagging of the nurse sister and nodded.

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

There are three routes for the bronchoscope to enter the airway, through the nasal cavity, through the oral cavity, and if the patient has a tracheotomy, it can be inserted through an incised cannula. Clinically, the preferred route for most physicians is through the nasal cavity.

The reason is very simple, if the tube is passed through the mouth, it is easy to be interfered by the patient's tongue. If it is through the nasal cavity, no matter how much the nose moves, there is nothing in the nose that can make big movements, and it is destined to be difficult to harass the tube. Another example is that today's 21-bed patients are connected to the ventilator through orotracheal intubation.

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 obstruct the passage of the tube from which nostril.

(end of this chapter)