The temperature is in place. The second step is the bed where the newborn is lying. Just like the adult patient bed, it is best to adjust the height of the head and foot of the bed. For children with ARDS like this, the head of the bed needs to be raised slightly.
Yes, when the time comes, the patient will be connected to a high-frequency ventilator and the gas will be infused to the bottom of the lungs to help open the alveoli.
For example, to diagnose whether a child has ARDS, it is best to take an X-ray to assist the doctor in making a clear diagnosis. It is impractical to take the child to the
You can choose an X-ray machine next to the bed. The neonatal rescue table can be equipped with such equipment, so that the child can take X-rays directly without leaving the rescue table, which is fast and good.
Now, let’s take a picture first.
After taking the film, Nie Jiamin hung up the earplugs of the stethoscope and placed the head on the child's chest wall for auscultation. Many capable doctors would not dare to make a diagnosis directly by looking at the auxiliary examination report without giving the patient a physical examination. No, that would never be possible.
This is not the spirit of caution and truth-seeking in medicine.
An adult's hearing head looks very big compared to that of a young child, and it requires the doctor to listen attentively. Nie Jiamin listened very attentively and at a very fast speed. After just listening for a moment, he immediately gave instructions, contrary to the normal behavior of a slow person: "
Put on a ventilator.”
None of the big guys are really chronic. Only the priority of the patient's condition can allow the doctor to allocate how much time to arrange the medical measures. If there is no rush, the doctor can slowly consider the patient's treatment plan and find measures. If the patient's condition does not allow it,
The only thing to do is to save lives first.
Regarding the current child's lungs, the alveolar breath sounds have almost weakened to the point where they seem to disappear, so we can't wait.
High-frequency ventilator is too important for children with ARDS. It is more important than medication. So hurry up and get it first.
The ventilator prepared in advance was rolled over. The child was able to breathe spontaneously without intubation for the time being. As mentioned before, the nasal cannula was used to connect to the ventilator. How to adjust the parameters of the ventilator. Xie Wanying remembered the summary made by teacher Xin Yanjun in the Department of Respiratory Medicine.
, the best parameter to always adjust the ventilator is to adjust it at the patient's bedside. The doctor carefully and slowly adjusts the ventilator to the best value according to the patient's condition changes. All other guidelines and dogmas can only be used as a reference.
All patients have individual differences. No matter how powerful the machine is, it cannot calculate the experience as well as the human brain. The fool mode of the machine cannot deal with the individual differences of patients, so we can only rely on doctors.
Now, Nie Jiamin is standing next to the ventilator, helping the child adjust the parameter values step by step.
How quickly the appropriate parameters can be adjusted depends on the doctor's technical ability.
The boss was the boss, bang bang bang, just pressed a few buttons. Others quickly noticed that the child's little chest rose and fell regularly.
Xie Wanying was watching how the teacher adjusted the parameters, and then learned from Brother Luo how to prescribe medicine.
Classmate Xie reported the number before, and Luo Jingming glanced at the child's weight before calculating the dosage of medicine. There was a scale under the newborn rescue table, and the child's weight was directly measured to be 2205g, which was almost the same as what classmate Xie Wanying had measured visually.
"Should we take Guersu?" Luo Jingming asked his boss for his opinion so that he could finalize the medication plan.
Children should not inject medicine into their veins casually.
Gursu is an imported drug with the trade name, and the drug ingredient inside it is exactly the PS, alveolar surfactant that many premature babies lack after birth.