Not all patients need surgery.
Surgeons stay here, usually doing assisting work.
For example, when putting a patient on a ventilator and intubating the patient, an anesthesiologist may be needed to help if the internist is unable to do it. When performing a tracheotomy, a surgeon may be needed to do it.
Du Yeqing did not deny: "Change to tracheotomy."
There are indications for changing from tracheal intubation to tracheotomy. Generally speaking, doctors cannot just cut open the patient's trachea casually, and tracheal intubation is the first choice whenever possible. What are the specific indications for changing to tracheotomy?
For example, in the child rescue case that happened in the dental hospital before, the child had an obstruction and could not breathe even after tracheal intubation, so a tracheotomy was required.
Did Fan Yunyun have airway obstruction? Obviously not.
Another common clinical situation in which a tracheotomy is performed is when the patient is on an invasive ventilator and the doctor can foresee that the patient will not be able to leave the ventilator for a while.
Here we have to mention the advantages of tracheotomy over endotracheal intubation. First, tracheotomy can better maintain the patency of the patient's airway. Second, endotracheal intubation can easily damage the patient's throat and mouth if it is inserted for a long time. Third, most of the patients who cannot leave the ventilator for a long time have neurological symptoms. Those with brain problems will have symptoms such as coughing, expectoration, and difficulty swallowing. Tracheotomy is undoubtedly more conducive to suctioning the patient's sputum to prevent airway obstruction.
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After hearing this, people who understand medicine can more or less understand the patient’s condition.
The brain seems to be in bad shape for now, and we need to be prepared for the patient to be in a long-term coma and unable to take care of himself. The doctor had to perform a preventive tracheotomy and connect him to a ventilator.
Is that the case? Fire can cause damage to much more than just the nervous system.
"It is said that she is on the seventh floor and has not been burned by the fire for the time being." Du Yeqing said this while looking at Dr. Shi Lei who had been to the scene of the fire beside him, to verify whether the information he heard about the fire scene was correct or not.
Doctor Shi Lei is as quiet as a stone and nodded to indicate yes.
"But," Du Yeqing continued, "her lungs are already in a very serious condition due to inhaling large amounts of carbon monoxide and other chemical irritants."
It's the lung burn I just mentioned.
If the lungs are burned, cerebral edema is inevitable.
Du Yeqing admitted: "Dr. Cao Yong was there, and he diagnosed it as acute cerebral edema."
This may sound strange to you. How can there be brain edema when there is no head injury or burn?
Just think about how a lack of oxygen from a heart problem can directly lead to brain death. It has long been proven that once the human body lacks oxygen, it is closely related to the brain. Severe lung damage makes it difficult to inhale and supply nutrients to the human body. The brain, which is most sensitive to oxygen, is naturally directly implicated and "seriously injured" again.
For such patients, if conditions permit, they should be sent to a hyperbaric oxygen chamber for treatment as soon as possible, which is good for brain and lung rehabilitation. But now, the patient is on a ventilator and cannot be sent at all. It should be said that the doctor has no consideration for the patient's future recovery stage at this stage, and it is even a question whether the patient can be saved.
"Is her heart condition unstable, Teacher Du?" Xie Wanying asked.
It is very common for carbon monoxide poisoning to cause myocardial damage, especially for critically ill patients like this who have acute cerebral edema and will most likely have severe myocardial damage.
The heart and brain are the two most vulnerable organs in the human body.
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