Without neglect, Xie Wanying carefully went back and forth on the patient's two nostrils to observe all aspects.
Time passed by and she didn't make any move.
The people standing around looking at the people waiting for her were a little anxious.
Could it be that this intern can't tell which of the two nostrils is bigger and which is smaller? If the two nostrils are about the same size, it would be fine to just choose one. The nurse thought anxiously.
Xin Yanjun kept calm. Clinical teachers need to know how to be patient and wait for students slowly like nurturing flowers, waiting for students to bloom and bear fruit naturally like flowers.
Finally, Xie Wanying took action, dripping chlorine anesthetic solution into the patient's left nasal cavity with her steady right hand.
Insertion of fiberoptic bronchoscopy begins.
Xin Yanjun stood at the head of the patient's bed, holding the operating part of the fiberoptic bronchoscope with her left hand, and holding the mirror body with her right hand, slowly inserting the tube into the patient's left nasal cavity. At the same time, she rotated left and right to adjust the angle of the lens.
No matter how gentle the doctor's movements are, the feeling of a foreign body intruding into the human body is always there. Sure enough, the moment she senses the invasion of a foreign body, the female patient's body immediately makes a move to resist. Her struggling and twisting body seems to be unable to control her behavior without thinking.
.
Seeing this, the nurse wanted to hold down the patient's head.
Xie Wanying took the lead and turned the patient's head slightly to the left.
The nurse looked at her: What are you doing?
Turning the patient's head sideways may allow the tube to enter more smoothly, but the side angle must be just right, consistent with the angle at which the tube enters the patient's nasal cavity. Otherwise, turning the wrong angle will make things worse.
What is being rotated is a three-dimensional angle, not a plan view. All up, down, left and right must be taken into consideration. The perfect operation path has always existed only in theory. The nurse has seen many doctors operate and knows that even the experienced doctors cannot do it.
This intern didn't have a teacher to direct her actions. Did she cause chaos as she wanted?
Xie Wanying understood the look from the nurse sister and did not respond for the time being. The teacher needed to be quiet when doing important operations. Anyway, she would know the answer by looking at the results to see if she did it right or not.
The nurse turned her head and suddenly found that the patient's head was no longer twisting. Not only that, the fiberoptic bronchoscope entered the patient's nasal cavity quickly and smoothly.
this?
The nurse blinked and looked back. This time she noticed that Xie Wanying was holding the patient's head at an unusual angle.
Xie Wanying not only turned the patient's head, but also raised the patient's chin at an angle.
The nurse took a breath: Did this intern really challenge the angle problem in the perfect theory?
It may be true, because the fiberoptic bronchoscope encountered resistance from the patient when it entered the nasal cavity from the beginning. After the angle was adjusted by Xie Wanying, the angle should have cooperated with the fiberoptic bronchoscope operated by Xin Yanjun, allowing the tube to enter the widest channel smoothly.
.Sure enough, the monitor screen showed that the mirror body was inserted into the patient's inferior nasal passage.
The nasal cavity looks like a hole from the outside. People think of a nasal passage inside. In fact, there are three passages in the nostril, the upper nasal passage, the middle nasal passage and the inferior nasal passage. The inferior nasal passage is generally the largest and is most suitable for the passage of fiberoptic bronchoscopy.
After passing the first level, you will soon reach the second level. At this time, the fiberoptic bronchoscope will reach an anatomical position that is like being surrounded by all sides, which is the throat.
The place here is narrow and the structure is a bit complicated. Among them, there are two anatomical locations that give doctors the most headaches. One is the epiglottis, which is located in the patient's hypopharynx.