Junior sister's words were like a bucket of cold water, and Liu Jingyun's hands finally stopped shaking.
In fact, this young anesthesiologist named Liu was quite good. He used sevoflurane and adjusted the concentration to just the right level, so it did not cause the baby to choke and cough.
Ye Sujin was very observant. If the other party was really incompetent, she would just take the job away and do it herself.
After induction of anesthesia, endotracheal intubation is required.
Ye Sujin first called her son to get ready to work: "Come and listen."
The airway of a newborn is short and shallow, and unlike adults, the left and right bronchi are almost the same straight. The catheter is likely to slip out of the child's airway or be inserted into the left and right bronchus with equal probability.
After receiving the mother's order, Cao Zhao picked up the stethoscope, put on the earplugs, placed the head on the child's chest to listen to the breathing sounds, and check whether the catheter was inserted in the correct position.
When the others saw this, they were surprised that this fairy brother was more obedient than ever before. They thought that the anesthesia boss was really amazing, commanding the deputy chief physician and deputy director like the fairy brother with just one sentence.
It's just collaborative work, don't think too much about it. If you don't believe me, you will see the son directing his mother during the operation. It's just another manifestation of the Cao family's impartiality.
...
...
When Liu Jingyun was preparing to intubate, problems arose.
"What tube are you going to put in?"
Being interrogated by Boss Ye again, Liu Jingyun became nervous again and said, "The catheter does not have an air bag."
The narrowest part of the larynx of a newborn baby is the cricoid cartilage, which is round. The tracheal tube is also round. After insertion, the ventilator controls the breathing and the tube will automatically stick to the wall without leaking. Therefore, there is no need to add a cannula or air bag to fix it like adults.
The senior sister was halfway through her answer when Xie Wanying reminded her, "Nasal cavity."
Ye Sujin heard her hint and praised her again in her heart: This kid really knows a lot about anesthesiology.
For younger children, nasal intubation is better than translaryngeal intubation because the former is easier to operate than the latter. Doctors who have experience in anesthesia for neonatal and infant surgeries tend to use nasal intubation more often.
Cao Yong and Cao Zhao glanced at their mother's expression and said: Don't be so proud.
This operation is not closely related to anesthesiology but rather to surgical anatomy, because even without anesthesia, the child still needs to be intubated for rescue.
The larynx of a newborn is high, the tongue is large, and the epiglottis droops and covers the glottis, so doctors can only use direct laryngoscopy for intubation.
For nasal intubation, the size of the nostril is roughly equal to the cricoid cartilage. As long as the tracheal tube can be inserted into the nostril, it can generally enter the trachea smoothly. The doctor can insert it effortlessly, but only needs to pay attention to sucking out the nasal secretions.
After being reminded by Boss Ye and Junior Sister, Liu Jingyun changed to intubating the child through the nasotracheal cavity, which was simple, convenient and helped her accumulate more experience.
Anesthesia is done.
Cao Zhao gave instructions to the student standing opposite: "Go wash your hands."
Someone was stunned. The surgeon only named one person to wash his hands?
Xie Wanying immediately realized what was going on and went out to wash her hands.
Although Dr. Cheng Yuchen and the nurses helped her with the pre-operative preparations such as draping and disinfection, when it came to putting on surgical gowns, only the surgeon and she put on surgical gowns and went on stage.
The wish of Pan and Lin Hao, who had hoped to get a second or third assistant, was completely dashed. They didn't understand why only one assistant was assigned to the surgeon for such an important operation.
Lin Hao and his classmates had never experienced this. Unlike Xie Wanying, she had followed Teacher Nie to the operating table for a three-year-old child and had already experienced what child surgery was like.
Continue read on readnovelmtl.com
