Once this area is touched by the bronchoscope, it can easily cause severe symptoms in the patient, such as vomiting, nausea, and pain, which will cause the patient to resist strongly, resulting in the failure of the doctor's operation.
The glottis below the epiglottis is also a tricky place for doctors. The glottis is like a gate, opening and closing to make sounds. If the patient does not hold his breath and closes the gate tightly, the doctor and the bronchoscope will get lost. If the glottis is not passed, the bronchoscope cannot enter the trachea.
The monitor continued to show that the bronchoscope suddenly slid down and passed through the inferior nasal meatus, confirming that it had a beautiful posture and was hollow.
What is hollow? It is like when you shoot a basketball, the basketball hits the center of the basket without touching the surrounding basket, and passes through silently. It is the most wonderful thing.
It is about to reach the throat.
According to routine operation, the doctor here will spray lidocaine to numb the epiglottis and glottis to prevent nausea in the patient. This way, the patient can relax the glottis at the same time, opening the door to allow the fiberoptic bronchoscope to pass smoothly.
However, Xin Yanjun did not have time to apply the anesthetic. The monitor screen also showed that the bronchoscope suddenly slid down, without touching the epiglottis, and slipped through the widest area below the glottis like a snake.
It was amazing. The nurse was a little stunned by this amazing operation.
Now that I recall, Xin Yanjun didn't seem to ask the patient to take a deep breath. How did the patient's glottis cooperate so well to allow the bronchoscope to open smoothly and pass through? All kinds of questions exploded in the minds of the bystanders.
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It is hard to understand, and one can only sigh that it is a miraculous skill.
While operating the machine, Xin Yanjun felt an unprecedented sense of comfort, freedom and smoothness in her hands, which made her feel pleasantly surprised.
Out of the corner of her eye, she glanced at Xie Wanying who was holding the patient's head.
As the operating teacher, she knew better than the nurse that all this was brought to her by Xie Wanying.
Moreover, the angle adjusted by Xie Wanying does more than just allow the bronchoscope to pass through these checkpoints smoothly.
The doctor's operation of the bronchoscope is like manipulating a rope through a cave. If you want to freely push the rope inside, you must always maintain the best position for entry. As long as the tube is always in the hollow of the patient's cavity and does not stimulate the patient, and the patient does not move, it will be much easier for the doctor to push the bronchoscope to the end of the trachea to explore.
Xie Wanying's action was equivalent to opening the entrance of the cave to the rope, allowing it to pass freely.
It seemed that Xie Wanying had just observed the patient's nostrils for a long time. She was not only observing the patient's nostrils, but also observing and deducing the patient's related anatomical structures. Just as the legend goes, this student's brain can produce anatomical images that ordinary people cannot imagine.
Xin Yanjun's mouth corners turned up.
What teachers hope most is to meet a treasure student, which means that teachers can be even more powerful. Whether it is internal medicine or surgery, it is even more difficult to meet a treasure medical student who is good at operation. It is simply precious.
She was so happy that this student could come to her and talk to her.
The teacher didn't say anything, but Xie Wanying caught his gaze. Teacher Xin had high expectations for her, which made her nervous. She focused her eyes on the monitor screen connected to the bronchoscope, not daring to move her eyes, and her mind was fully focused, not daring to take it lightly.
It is very important to leave a good impression on the teacher on the first day of internship here.
The previous step was just the first step in assisting Teacher Xin. After the bronchoscope enters the patient's airway, the doctor has to check as many as 28 checkpoints.
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