Rescue the indoor doctor forcibly intubation, the family members are puzzled, I know the truth, thank you
Author:Anesthesia Medical Group Time:2022.08.11
In recent years, many emergency departments have been able to carry out tracheal intubation independently. In terms of management, it is unqualified if the emergency department does not have the ability to insert completely.
However, due to some historical reasons, the emergency department of some hospitals still relies on the anesthesiology department.
If it is just helping the intubation, it is fine. Sometimes, it is even troublesome.
Not long ago, Dr. Liu of the Department of Anesthesiology received a call from the emergency department requesting support.
At the scene, the patient had not yet arrived. I asked the patient's condition and said that it was transferred from other hospitals.
As soon as he heard the Department of Highness, Dr. Liu had a little worried in his mind. This is because most of the patients in the Department of Respiratory Medicine are serious. The most important thing is that basically the respiratory failure. What is the significance of such patients?
More importantly, at this time, the family members still have to rescue, and no one can predict the real mentality of the family: Is it really filial? Don't give up? Or for money?
During the analysis, the patient had "shouted".
Seeing that the rhythm has been completely abnormal, the respiratory doctor who comes with the car asked: Do you need to interact?
Dr. Liu immediately said: Insert!
The nurse turned and ran to get the medicine.
The nurses are familiar with the process. Before the intubation, you need to push some anesthetic. Otherwise, patients may have resistance and cannot complete the intubation.
Dr. Liu said: There is no use of anesthesia.
During the talk, picked up the laryngeal mirror. One hand raised the patient's jaw and inserted the tracheal catheter in.
Facing Dr. Liu's operations, everyone admires more surprises.
What everyone admires is that Dr. Liu's intubation technology is really high. In fact, this is a basic technology in the anesthesiology department. Even the housekeeping skills are not considered, at most, even the basic technology. The real technology of anesthesiology is how to ensure the safety of patients.
What everyone is surprised is that they can be intubated without medicine? Will patients resist? Isn't it conscious?
Dr. Liu explained: As soon as he came in, he found that the patient's breathing rhythm was completely abnormal. Moreover, the breathing amplitude is not right. In this case, the probability is the manifestation of respiratory failure, and the breathing at that time was seriously unable to meet the body's needs.
Hearing Dr. Liu's explanation, everyone also noticed that the patient did not have any resistance, and seemed to have no consciousness. It is vaguely remembered that the blood oxygen value on the monitor is only 60%.
When an emergency doctor and family explained that they were intubated without anesthesia, their family members also questioned. However, when I heard that blood oxygen was only more than 60%and very dangerous, she also expressed her gratitude and praised the medical skills.
After such rescue, the emergency department once again realized the intubation level of the anesthesiology department. The emergency doctor did not forget to ask: Isn't the jaw tight?
Dr. Liu said: Most of the patients have unclear consciousness and hypoxia. In the case of lack of oxygen, not only does the jaw have no strength, but many muscles will relax. At this time, interpolation is comparable to the effect of using muscle pine intubation.
One rescue was over, and everyone had their own gains.
[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~
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