Chapter 332 Cricothyroidotomy
The next day, after Wei Ping got up, he made himself breakfast and walked towards the hospital.
It was still early at this time, and looking at people coming and going, I realized that these people were all working hard to make a living.
He didn't walk fast. It had been a long time since he had lived as slowly as he did today.
It seems I need to find some time to have a good rest.
When he arrived at the hospital entrance, he suddenly remembered that Yang Ke would not be here to help him for the next period of time.
I actually felt a little lost.
But without her, my own diagnosis and treatment must continue.
Moreover, if he really goes into surgery in the future, his interactions with Yang Ke won’t be that much.
As we were walking, we were about to enter the hospital.
But he was bumped into by someone.
He was just about to ask how that person could be so reckless.
I saw a middle-aged man holding a boy about three years old in his arms.
At this time, the boy's face turned a little purple.
Wei Ping knew at a glance that this was cyanosis caused by lack of oxygen.
The man apologized first.
"Excuse me, excuse me! Where is the emergency room?"
"What happened to the child?"
"I kept coughing yesterday, and it got worse. I didn't sleep last night, and it's even worse today, so I rushed to the hospital. Are you a doctor?"
The man asked.
Wei Ping looked at the child and turned on the X-ray machine.
I saw that the child's trachea was severely swollen.
This is laryngeal edema in a child!
Laryngeal edema in children is usually caused by acute laryngitis, acute allergies, and inflammatory irritation. Prolonged crying or yelling can also cause laryngeal edema. Initial symptoms are similar to those of a cold, such as fever, runny nose, mild cough, red and sore throat, and can be easily confused with a cold.
If you experience obvious hoarseness, inability to speak, irritability, barking cough, difficulty breathing, etc., you should seek medical attention immediately to prevent mucosal edema from blocking the airway, affecting breathing, or even causing suffocation or circulatory failure.
Kids these days are a bit suffocated.
"I'm a doctor, give me the child now! I'll do it!"
Wei Ping stretched out his hand! He wanted to hold the child!
This is a very urgent situation. If we let the child deal with it, it will probably be too late by the time the child receives treatment.
So, Wei Ping wanted to come directly.
For this type of disease.
He knew he couldn't delay.
If a child's cough becomes increasingly severe, especially if it sounds like a puppy barking, it is likely that the laryngeal edema has occurred. In this case, you should go to the hospital immediately. An experienced doctor will immediately handle the situation and arrange appropriate treatment.
Generally speaking, emergency doctors do not dare to delay when they find that a child has difficulty breathing and will provide treatment as soon as possible. Of course, sometimes the child's condition will deteriorate rapidly, which is more difficult.
Now the child's condition has started to deteriorate in the past few days.
Because even Wei Ping's control is difficult to control.
The child's throat is too fragile.
If he uses too much force, it may cause irreversible damage to the child.
Even if people survive, they will suffer for the rest of their lives.
The man was obviously a little stunned.
"hurry up!"
At this time, a passerby saw Wei Ping.
"Isn't that Doctor Wei? It's rare to see Doctor Wei here!"
When the man heard it was Dr. Wei, he recognized Wei Ping.
"You are Doctor Wei, Doctor Wei..."
"hurry up!"
“Okay, okay!”
The man put the child in Wei Ping's hands.
Wei Ping immediately picked up the child and ran to the emergency room.
He was moving very fast and the man followed behind him.
And Wei Ping had a smooth journey.
He went straight to his destination!
Now there is only one way to save the child.
That's a tracheotomy!
Let air into your lungs.
The child is now suffering from severe hypoxia.
Therefore, a tracheotomy must be performed first!
However, if the surgery is scheduled now, the child might suffocate by the time the surgical instruments are ready.
Tracheotomy is difficult.
Wei Ping ran into the emergency department. Several interns saw him and were greeting him.
Wei Ping shouted, "Give me the cricothyroidotomy needle! Quick!"
Cricothyroidotomy is one of the emergency methods used in clinical practice for patients with airway obstruction and severe breathing difficulties. It can buy time for tracheotomy.
Everyone finally realized what was going on, and someone found a cricothyroidotomy needle and gave it to Wei Ping.
Wei Ping put the child on the bed.
Then have your child lie flat on the bed.
And tell the child: "It's okay, be obedient, it will be fine soon!"
The child seemed to understand and quieted down.
At this time, an intern came over.
"Let me help!"
"yes!"
Keep the child's head in the middle and the neck tilted back. Anesthesia is not needed at this time.
Wei Ping determined the puncture site and used the index finger of his left hand to touch a depression in the middle between the cricoid cartilage and the thyroid cartilage, which is the cricothyroid membrane.
The puncture begins at this time.
The man had just arrived.
He just stood there, staring at the child.
He didn't stop Wei Ping because of trust.
Wei Ping is the best doctor in the First Hospital.
At least that's what people think online.
After the cricothyroidotomy needle entered the trachea, the child's breathing difficulties were relieved, but the cricothyroidotomy needle alone was not enough.
The trachea still needs to be opened.
All Wei Ping did was first aid.
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