Chapter 83 Are you going to use laughing gas?
The third dressing surgery required preparation before dressing change, so it was scheduled in the afternoon.
Lin Jia followed Tang Lou, recording the medicines and preparation conditions he needed for the third dressing change, and asked:
"Dr. Tang, how do you know such a clever method? Our department has never tried it before."
Dressing changes are usually done by interns, and naturally they are handled according to routine. Unless the boss of the department is ready to study or improve a certain dressing change method, he will personally participate and propose new methods.
Therefore, it is rare to see such a special method designed for specific symptoms during dressing change.
Naturally, Tanglou could not say that he was taught by the system, so he could only answer inscrutably: "I was in the emergency department of the county hospital before. The county hospital had few staff. I have experienced many battles and have some knowledge about dressing changes.
Moreover, the county hospital does not have as many medicines as the city hospital, so the department director and the attending physician will use some improvised methods. I learned these from my superior doctor, Li Fan."
"This is not trivial at all. If it is really effective, I think it can be promoted in various departments. Li Fan? It turns out that the county hospital is also Crouching Tiger, Hidden Dragon."
Lin Jia sighed, there is a saying that the experts are among the people, and the county hospital is among the nurses in their city hospital. Those doctors are not just wandering doctors.
It’s not surprising that there are some unique tricks.
The county hospital cannot handle serious diseases well, but some common diseases have more folk remedies than the city hospital!
"Dr. Tang's burn patient this afternoon, you won't have a new way to change dressings."
Lin Ga was a little hopeful, but also a little disbelieving. After all, it was amazing to propose three specific dressing changes in one day.
This is not an intern from the county hospital. He is clearly an old professor from the provincial hospital.
Tanglou ignored Linga's tone and said seriously:
"The illness in the afternoon was more serious. I don't think the little girl would be able to bear the conventional dressing change method, so I am going to use a more cutting-edge dressing change method."
"Cutting-edge? You mean rarely used before?"
Lin Ga's little heart was hung up. This doctor Tang was not only handsome, but also a treasure boy.
No wonder he was able to charm Cheng Sisi.
"Yes, if the dressing change in the afternoon is to be successful, your work is extremely critical. I need you to arrange for the patient to fast, drink, and lie on his back 2 hours before the dressing change."
Lin Jia saw that the tenement building was very serious. He was not joking and started recording seriously.
"Next, I will explain the entire dressing change procedure to you in the afternoon. Remember not to make any mistakes in one step."
"Um."
Lin Jia's hand holding the pen trembled and she was a little excited. She was attracted by Dr. Tang's confidence and unfathomable erudite charm, and she unconsciously crossed her legs.
Tanglou did not notice anything unusual about Linga and calmly gave the order:
"...Inhale 100% oxygen for 2 to 3 minutes, and then inhale the laughing gas/oxygen mixed gas according to the titration method. The initial laughing gas concentration is 20%, and the laughing gas concentration increases by 10% to 20% every 1 to 2 minutes...
After routine burn debridement and dressing change, the laughing gas/oxygen mixture is stopped, and 100% oxygen inhalation is given for more than 5 minutes until the patient feels back to normal..."
After listening to Tanglou's introduction to the entire process, Lin Jia's eyes widened in disbelief.
"Dr. Tang, are you sure you want to use oxygen/laughing gas mixture?"
Laughing gas, scientific name: Nitrous oxide.
Colorless and sweet gas, it is an oxidant with the chemical formula N2O. This gas was used for anesthesia in dental surgery in the early days, and is now used for anesthesia and analgesia in surgery and dentistry.
But among the people, laughing gas has a very bad reputation.
The origin of laughing gas is that inhaling it will make people feel euphoric and make people laugh.
Many news have seen that many international students put laughing gas from small cylinders into balloons and then inhaled it. Some people have spent millions of yuan on it, and some have even been paralyzed for life.
It is easy to become addicted to laughing gas. We know it is not good, but we cannot control it. It makes many young people self-destruct their future.
Therefore, when Tanglou planned to use laughing gas in dressing change, Lin Ga was not shocked.
"Don't worry, I understand your concerns. Pure laughing gas will naturally affect the patient's nervous system, but when mixed with oxygen, it will only make the patient feel relaxed and achieve an analgesic effect. Once the dressing change process is completed,
By inhaling 100% oxygen for more than 5 minutes, the patient can return to normal, safely and reliably. It has a very good analgesic and sedative effect when used for dressing changes in burns."
Tanglou said confidently that this was a specially customized plan for Xiaoyun after he changed his dressing skills to three stars, and it was naturally safe and reliable.
"I understand, but Dr. Tang, I will go to Dr. Ma to confirm. After all, you are still just an intern."
Lin Ga looked at the tenement building apologetically.
"Yes, but don't delay the preliminary work."
Tanglou gave instructions.
Lin Ga nodded and ran to Ma En's office.
Ma En is writing the case in front of the computer, especially focusing on the two dressing changes in Tanglou in the morning. He plans to sort it out and print it out for Dr. Qing to take a look at. If it is suitable, it can really be promoted.
Dr. Qing attaches great importance to new surgical techniques and various improvements, and will definitely be happy. Of course, Ma En will not take the credit from Tanglou, but he can still get some credit.
After Lin Ga ran over: "Doctor Ma, I have something to confirm with you regarding the dressing change in the afternoon."
"You said that for the dressing change of the fever patient, did Tanglou ask you to prepare supplies and reagents?"
"How do you know? That's right, and the plan proposed by Dr. Tang is very novel. I'm a little unsure, so I'm here to ask you."
Linga took out his notebook.
Ma En was immersed in typing. He already trusted Tang Lou. Naturally, he was not too worried about the burn patient in the afternoon. He probably used some clever medicine. Without thinking, he said, "It's okay. Just prepare as Dr. Tang arranged."
To be honest, Dr. Tang is quite accomplished in dressing changing technology. Although I have practiced for a few more years than him, I still admire him very much."
Ma En typed on the keyboard again: "It's okay. Just go and do it. Dr. Qing Qing's surgery is over. I will go see it with Wang Daquan and the others. There will be no problem."
After all, just changing the dressing will at most cause the patient some pain and may cause trouble.
Lin Jia looked at Ma En who was typing in a hurry and frowned. He was right. Doctor Tang must have done it with confidence.
It’s hard to say that this is another clever trick I learned at the county hospital. I want to surprise Dr. Qing and the others, so I won’t spoil it.
"Okay, I'll make the arrangements according to Dr. Tang's instructions. You must come and see me in a while. It's best to call Dr. Qing together."
Lin Jia thought for a while and added that Qing Ping should also come, in case there were problems with the Tanglou plan.
Chapter completed!