Chapter 3467        【3467】Specific Situation

Not all patients need surgery.

Surgeons stay here, usually doing assistive work.

For example, if a patient is put on a ventilator and intubation, the doctor needs an anesthesiologist to help him when he cannot do it. When changing the tracheotomy, a surgeon may need to do it.

Du Yeqing did not deny: "Change tracheostomy."

There are indications for tracheal intubation to tracheal incision in clinical practice. Generally speaking, doctors cannot say that patients’ tracheal incision can be casually cut, and tracheal intubation should be the first choice. Specifically, what are the indications that require tracheal incision.

For example, in the previous dental hospital, a child rescue case occurred in the dental hospital, if the tracheal intubation occurs, it will not be able to ventilate.

Is Fan Yunyun's airway obstruction? Obviously not.

Another common clinical situation to change tracheotomy is that the invasive ventilator and the doctor can foresee that the patient will not be able to leave the ventilator for a while.

This involves various advantages of tracheotomy over tracheal intubation. First, tracheotomy can better maintain the patient's respiratory tract smoothness. Second, tracheotomy may easily damage the patient's throat and mouth after being inserted for a long time. Third, most of the patients who cannot leave the ventilator for a long time have neurological symptoms, and those with brain problems will have symptoms such as coughing, sputum and dysphagia. If the tracheotomy is opened, it is undoubtedly more conducive to suctioning sputum to prevent respiratory tract blockage.

After hearing this, people who know medicine can tell a little about what the patient is like.

The head seems to be ineffective for the time being, and it may be necessary to prepare the patient for a long time to be in a coma and cannot take care of himself. The doctor had to prevent the tracheostomy and connect it to a ventilator.

Is this the case? The human damage caused by fire is far more than 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 Ye Qing, who said this, looked at Dr. Shi Lei who had been to the scene beside him, and then asked whether there was any error in the news at the fire scene he had heard.

Dr. Shi Lei is like Shitou and doesn't like talking. He nodded to say yes.

"But." Du Yeqing said, "her lungs are already in a very serious state because they inhaled a large amount of carbon monoxide and other chemical irritants."

It's the burning lungs that I just said before.

Fire burns the lungs and brain edema is inevitable.

Du Yeqing admitted: "Dr. Cao Yong is here, and the diagnosis he made is acute cerebral edema."

You may find it strange if you don’t have any injuries or burns? Why are there any brain edema?

Just think about the lack of oxygen in the heart, which can directly cause the brain to die. It has long been confirmed that once the human body has a lack of oxygen, it has a lot to do with the brain. If the lungs are severe, it is difficult to inhalate, and it is difficult to provide support to the human body. The brain, which is most sensitive to oxygen, will naturally be directly implicated into a "serious injury" again.

For such patients, the hyperbaric oxygen chamber should be sent as soon as possible under the conditions permitted, which is beneficial to brain and pulmonary rehabilitation. But now, the patient cannot be sent to the patient with a ventilator at all. It should be said that the doctor cannot consider the patient's future recovery stage at this stage, and whether the patient's life can be saved is a problem.

"Is her heart unstable? Teacher?" Xie Wanying asked.

Carbon monoxide poisoning causes myocardial damage, especially in critically ill patients, there are almost all serious myocardial damage.
Chapter completed!