The junior sister's words were like pouring cold water on her, and Liu Jingyun's hands finally stopped shaking.
In fact, the young anesthetist named Liu was able to do it. The sevoflurane he used was adjusted to just the right concentration without irritating the baby to choke.
Ye Sujin is very aware of every detail. If the other party is really incompetent, she will directly take the job away and do it herself.
After induction of anesthesia, tracheal intubation is required.
Ye Sujin first called her son to get ready to work: "Come and listen."
The airway of newborns is short and shallow, and unlike adults, the left and right bronchi are almost as straight. The tube is prone to slipping out of the child's airway or being inserted into the left and right bronchi with equal probability.
After receiving the mother's order, Cao Zhao picked up the stethoscope, hung up the earplugs, put the listening head on the child's chest, listened to the breathing sounds, and checked whether the catheter was inserted in the correct position.
When other people saw this, they were more obedient than ever before. They thought that the anesthesia boss was so awesome, he could command deputy chief physicians and deputy directors like the immortal brother with just one sentence.
It’s just collaborative work, don’t overthink it. If you don’t believe it, you will see your son commanding your mother during the operation later. It’s just another example of the Cao family’s business-oriented approach.
When Liu Jingyun was about to be intubated, a problem arose.
"What tube are you going to insert?"
Being interrogated again by Boss Ye, Liu Jingyun became nervous again and said: "The catheter does not have an air bag."
The narrowest part of the neonatal larynx is the cricoid cartilage, which is round. The endotracheal tube is also round. After being inserted and controlled by the ventilator to control breathing, it will automatically stick to the wall without leaking, so there is no need to add a cuff like adults.
The tube balloon came to fix it.
The senior sister was half-way through her answer when Xie Wanying reminded her: "Nasal cavity."
Ye Sujin heard her hint and praised in her heart again: This child really knows anesthesia very well.
For younger children, it is better to use transnasal tracheal intubation than translaryngeal tracheal intubation. The reason is that the former is easy to operate and the latter is difficult to operate. Doctors experienced in neonatal and infant surgical anesthesia are more likely to use transnasal tracheal intubation.
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Cao Yong and Cao Zhao caught a glimpse of his mother's expression: Don't be complacent yet.
This operation cannot be said to be closely related to anesthesiology but to surgical anatomy. Because without anesthesia, tracheal intubation is required for resuscitation of children.
The larynx of newborns is high, the tongue is large, and the epiglottis droops to cover the glottis. Doctors can only use direct laryngoscope for intubation.
For nasal intubation, the size of the nostril is roughly the same as that of the cricoid cartilage. As long as the endotracheal tube can be inserted into the nostril, it can usually enter the trachea smoothly. The doctor can insert it effortlessly, but only needs to pay attention to sucking out the secretions from the nasal cavity.
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After being reminded by Mr. Ye and the junior sister, Liu Jingyun changed to intubating the child through the nasal cavity and trachea, which was easier and easier to gain experience.
Anesthesia is done.
Cao Zhao gave instructions to the students standing opposite: "Go and wash your hands."
Some people were stunned for a moment. The surgeon only named one person to brush his hands?
Xie Wanying immediately understood what was going on and went out to wash her hands.
Don't look at what Dr. Cheng Yuchen and the nurses were doing next to help her with the draping, disinfection and other preparations before the operation. But when it came time to put on the surgical gown, only the surgeon and her put on the surgical gown and went on stage.
Students Pan and Lin Hao, who originally thought about whether they could have two assistants and three assistants, were completely disappointed. They didn't understand why the surgeon only arranged one assistant for such an important surgery.
Classmate Lin Hao and others have never experienced it. Unlike Xie Wanying, who has been on the operating table of a three-year-old child with Teacher Nie, she has already experienced what a child's surgery is like.
