The closer we get to late autumn, the colder the weather becomes. For seriously ill patients, temperature is always a fatal factor. It is normal to keep the doors and windows of the wards closed in the cold winter, especially in the north.
For some infectious diseases, the normal positive pressure wards are not up to standard. Xie Wanying recalled the disaster a few years later, and the fact that a well-known tertiary hospital in her hometown had to demolish the wall of the ICU and temporarily change to the necessary ventilation conditions with windows. Fortunately, it was summer instead of winter, otherwise people would have frozen to death.
The ICU in Guozhi is also a positive pressure ward. It should be said that at present, there are almost no negative pressure wards in domestic hospitals. The conditions of domestic ICUs have gradually developed due to needs. Domestic medicine is always a step behind and can't get ahead. Money is a big problem after all.
That day, after I finished writing the detailed bill for the donors, I somehow got inspired to write a short paragraph about the significance of negative pressure wards and attached it to the bill.
The bill needs to be reviewed by Zhang Da Lao before being handed over to the donor. After the donor agrees, the money is transferred to the hospital's finance department. It can be said that Zhang Da Lao is not a doctor who likes to take the donor's money.
Donate the actual amount of money spent by the patient, rather than just making up a random number and asking people to transfer a huge amount of money and spend it endlessly. Medical charity should be pragmatic, otherwise it will seriously damage the reputation of medicine and waste the public's love.
To hand it over to Zhang Da Lao, they had to wait until Zhang Da Lao led the team to make rounds in the morning, or directly send it to Zhang Da Lao's personal office. So Zhang Da Lao was not an iron man, but just a person. At night, after the patient's condition stabilized in the early morning, he would rest and let other people take over.
In fact, each of the teachers has important tasks to do, and it is impossible for them to be by the patient's side all the time. The priority of taking care of patients is still the responsibility of young doctors.
Zhang Desheng and several other students finally had the day off. With the teacher's approval, they overcame all difficulties and were able to work with Xie to look after the patient.
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In addition to her and several classmates, Director Wang and his team from the ICU and the nephrology team led by Dr. Liu are the inevitable main force. The team that protects patients is always full of people.
According to what squad leader Yue and classmate Geng said when they comforted classmate Wei: the medical service Fan Yunyun is currently receiving is a seven-star service, and there is no need to worry too much.
After a few days, the patient's condition was improving. Not only did he urinate, his dependence on the membrane lung was gradually decreasing, and his heart rate became stable, indicating that the patient's own lung function was recovering. Zhang's saturation rescue was very effective.
Perhaps in a few days, as long as no other unexpected events occur, we can consider removing the ventilator.
This morning, a group of doctors and patients were discussing the issue of removing the ventilator during their ward rounds.
The conditions for ECMO weaning are known according to the principle of ECMO life support. If it is in VV mode, the machine can be weaned when the patient's lung function recovers. If it is in VA mode, it is necessary to wait for the patient's cardiopulmonary function to fully recover.
The patient's most recent bedside X-ray showed that lung inflammation had subsided, and a lung recruitment strategy could be adopted at this time to promote the patient's recovery of spontaneous breathing function.
Do you think this requires the doctor to adjust the membrane lung or blood filter machine?
No, the patient's mechanical breathing support is a function of the ventilator. The ventilator is one of the three major life support technologies.
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