The temperature is right. The second step is to adjust the height of the bed head and foot of the newborn, just like the bed for adult patients. For ARDS patients like this, the head of the bed needs to be slightly raised, so that when the high-frequency ventilator is connected, the gas can be infused into the lung bottom to help open the alveoli.
For example, if you want to diagnose whether a child has ARDS, it is best to take an X-ray to assist the doctor in making a clear diagnosis. It is impractical to carry the child to the X-ray room and then run back. After all, even for adult X-rays, there are now X-ray machines that can be moved to the bedside. The neonatal rescue table can be equipped with such equipment, so that the child can be taken directly without leaving the rescue table, which is fast and good.
Now, let’s film first.
After taking the X-ray, Nie Jiamin put on the earplugs of the stethoscope and placed the stethoscope head on the child's chest wall for auscultation. No matter how capable a big shot is, he would not dare to make a diagnosis directly based on the auxiliary examination report without examining the patient. No, that is definitely not the spirit of medical prudence and truth-seeking.
An adult's big head is much bigger than a child's, so the doctor needs to listen attentively. Nie Jiamin listened very attentively and very quickly. After just a moment's listening, he immediately gave instructions, contrary to his usual slowness: "Put on a ventilator."
None of the big guys are really slow-tempered. It's only the severity of the patient's condition that allows the doctor to allocate time to arrange medical measures. If it's not urgent, the doctor can slowly think about the patient's treatment plan and find measures. If the patient's condition does not allow, the only thing to do is to save his life first.
Regarding the child's lungs, upon listening, the alveolar breath sounds have almost weakened to the point of disappearing, so we cannot wait.
High-frequency ventilator is extremely important for children with ARDS, more important than medication, so use it immediately.
The ventilator prepared in advance was pushed over. The child was breathing on his own for the time being without intubation. As mentioned before, a nasal cannula was used to connect the ventilator. How to adjust the parameters of the ventilator. Xie Wanying remembered the summary of Xin Yanjun, a teacher in the respiratory department, that the best parameters for adjusting the ventilator are always adjusted at the patient's bedside. The doctor carefully and slowly adjusts the patient to the best according to the changes in the patient's condition. All other guidelines and dogmas can only be used as references.
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All patients have individual differences. No matter how powerful the machine is, it cannot achieve the empirical calculation level of the human brain. The machine's fool mode cannot cope with the individual differences of patients, so we can only rely on doctors.
Now, Nie Jiamin stands next to the ventilator, helping the child adjust the parameter values step by step.
The speed of adjusting the appropriate parameters depends on the doctor's technical ability.
The boss is a boss, and he only pressed a few buttons. The others soon noticed that the child's chest rose and fell in a regular pattern.
While Xie Wanying was observing how the teacher adjusted the parameters, she was also learning from Brother Luo how to prescribe medicine.
Xie reported the number before, and Luo Jingming took another look at the child's weight to calculate the dosage. There was a scale under the neonatal rescue table, and the child's weight was directly measured to be 2205g, which was almost the same as Xie Wanying's estimate.
"Take Gulsu?" Luo Jingming asked his superior for his opinion so as to finalize the medication plan.
Children should not be given intravenous medications at will.
Cursu is an imported drug under the trade name. The drug ingredient in it is exactly the PS, alveolar surfactant, which is what many premature babies lack after birth.
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