Chapter 2782： 【2782】Understand is surgical anatomy

Chapter 2782 [2782] Understand surgical anatomy

Little Junior Sister's words were like pouring cold water, Liu Jingyun's hand finally stopped shaking.

Actually, this young anesthesiologist surnamed Liu can do it. The concentration of sevoflurane used is just right, and it does not irritate the baby to cough.

Ye Sujin is very discerning. If the other party is really not good, he will directly grab the job and do it himself.

After induction of anesthesia, tracheal intubation is required.

Ye Sujin first called his son to prepare for work: "Come and listen."

Neonatal airways are short and shallow, and unlike adults, the left and right bronchi are almost as straight, and the catheters are more likely to slip out of the child's airway or be inserted into the left and right bronchi.

After receiving the mother's order, Cao Zhao picked up the stethoscope and hung up the earplugs, put the earpiece on the child's chest, listened to the breath sounds, and checked whether the catheter was inserted in the correct position.

When others saw it, this fairy brother had never been obedient. Thinking that the anesthesia boss is really good, he commanded the deputy chief physician and deputy chief such as Brother Shenxian in one sentence.

It's just collaborative work, don't think too much. I don't believe that I will see the scene of my son commanding my mother during the operation later. Another manifestation of the official business of the Cao family.

When Liu Jingyun was about to be intubated, the problem came.

"What tube are you going to insert?"

After being interrogated by Big Brother Ye again, Liu Jingyun became nervous again and said, "The catheter is not air-filled."

The narrowest part of the larynx of a newborn baby is the cricoid cartilage, which is round, and the tracheal tube is also round. After inserting it, the breathing machine is controlled by the ventilator, and it will automatically stick to the wall and will not leak, so there is no need to add a sleeve like an adult. The tube airbag is fixed.

Senior Sister answered half of this, Xie Wanying reminded: "Nasal cavity."

Ye Sujin heard her hint and praised again in her heart: This child really understands anesthesiology.

The younger children are better to use nasal endotracheal intubation than laryngotracheal intubation, the reason is that the former is easier to operate and the latter is difficult. Physicians with experience in anesthesia for neonatal infant surgery are more likely to use nasal endotracheal intubation.

Cao Yong Cao Zhao caught a glimpse of his mother's expression: Don't be complacent.

This operation cannot be said to be very related to anesthesiology but to surgical anatomy. Because there is no anesthesia, the child needs to be intubated as well.

The larynx of the newborn is high, the tongue is large, and the epiglottis droops to cover the glottis. Doctors can only use direct laryngoscope to intubate.

In the case of nasal intubation, the size of the nostril is roughly the same as that of the cricoid cartilage. As long as the endotracheal tube can be inserted into the nostril, it can generally enter the trachea smoothly. It is easy for the doctor to insert it, but it is necessary to pay attention to sucking the secretions from the nasal cavity.

After being reminded by Mr. Ye and the younger sister, Liu Jingyun changed to intubate the child through the nasal cavity and trachea, which is simple and easy to accumulate experience.

The anesthesia is done.

Cao Zhao gave instructions to the students standing opposite: "Go brush your hands."

Someone was stunned for a moment, and the chief swordsman only named one person to brush his hands?

Xie Wanying immediately realized what was going on when she came back, and went out to wash her hands.

Don't look at Dr. Cheng Yuchen and the nurses to help her with preparations such as disinfection of the sheets before the operation. But when it came to wearing the surgical gown, only the chief surgeon and she put on the surgical gown and went on stage.

The hopes of Pan and Lin Hao, who were thinking about whether they could be the second and third assistants, were completely lost. They didn't understand why the main surgeon only had one assistant for such an important operation.

Lin Hao, they have never experienced it. Unlike her, Xie Wanying, who had been on the operating table for a three-year-old child with Teacher Nie, she had already realized what the child's operation was all about.