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【2053】Which method to use?

"Otherwise, insert a tube?" Li Qian's mind started to work, and he had an idea and suggested.

Did this guy have been in the obstetrics ward and knew that it was time to intubate the child? Lin Hao looked at classmate Li hurriedly and asked: "What kind of tube is it?"

You need to know what tube to insert so you can run to the ambulance and find the first aid equipment.

There are several options for intubation in children, just like intubation for adults. Is it better to insert an oropharyngeal ventilation tube or perform tracheal intubation through a laryngoscope?

"This, this -" When he was anxious, Li Qi'an felt that his brain was stuck again, and he tried hard to dig out knowledge points in his memory, "That thing doesn't look like an oropharyngeal ventilator used by adults. It has a mask, and it seems to be during surgery.

Have you seen it in the room?"

"There is a mask and a tracheal intubation tube. Are you talking about a laryngeal mask?" As he said this, Lin Hao wanted to kick Classmate Li's butt. He had been doing it for a long time. He, who had never been to an obstetrics and gynecology department, needed the first step.

Remember what this thing is called.

"Yes, yes, it's a laryngeal mask." Li Qian nodded fiercely, "They said that the laryngeal mask can be inserted blindly without a laryngoscope. We can definitely give it a try."

Laryngeal mask refers to the laryngeal mask airway, which is an artificial airway established by doctors like the oropharyngeal airway and tracheal intubation. It is mainly used in emergency resuscitation and operating room anesthesia. Although the laryngeal mask is connected to the tracheal tube and tracheal intubation on one side

The tube is similar, but it is not an endotracheal tube. The length of the endotracheal tube is short, and the insertion depth is not as deep as the endotracheal intubation into the trachea. It only needs to enter the throat cavity and reach the upper end of the esophagus.

The exhaled gas entering from the laryngeal mask endotracheal tube is aligned with the glottis, which can also function as an artificial airway. As for the other end of the laryngeal mask connected to the mask, it can act as a sealing ring in the patient's larynx, sealing the airway around the

Tighter sealing to maintain more effective ventilation is a unique design feature of the laryngeal mask itself.

Since the tube design of the laryngeal mask is biased towards a short enough length of the oropharyngeal airway, clinical blind insertion can be carried out boldly, unlike the blind insertion of tracheal intubation, which is afraid that the tube will not enter the trachea but go into the esophagus.

The newborn baby in front of me is too small, weighing only about six pounds at full term. It is understandably difficult to intubate the child through laryngoscopy. It is even more difficult for the child to take into account the tracheal intubation during cardiopulmonary resuscitation. Listen.

If you need to establish an artificial airway, you can try using a laryngeal mask.

Lin Hao asked: "Yingying, what do you think? If you think it's OK, we'll go find the laryngeal mask right away. If there's not one in the ambulance, we'll run to the hospital to get it."

Perhaps Lin Hao had just been to the ambulance to look for things and knew that there might not be a laryngeal mask in the ambulance.

Xie Wanying did not immediately respond to her classmates. Her eyebrows were solemn because her attention was focused on a certain train of thought.

Knowing that once Xie was distracted, Lin Hao had no choice but to look at Song Xuelin reluctantly to see if this talented man from Beijing agreed with their suggestion.

Not surprisingly, Song Xuelin's brown eyes seemed to want to be completely speechless to the two guys next to him.

Use your own brain to give others suggestions and come up with ideas, not random thoughts. When you are thinking of ideas, first think about whether what you are thinking of is clinical common sense. If so, clinicians will think of things that do not require a group of students to come up with ideas.

.This is also why some clinician teachers often remain silent when they hear students’ opinions, because the teachers have already considered these opinions of the students.

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