The closer to late autumn, the colder the weather becomes. For seriously ill patients, temperature has always been a fatal factor. The doors and windows of the ward are closed, which is the norm in the cold winter season, especially in the north.
For some infectious diseases, the positive pressure ward used under normal conditions is not up to standard. For this reason, Xie Wanying remembered the catastrophe a few years later, and how a well-known tertiary A hospital in her hometown had to smash the wall of the ICU and temporarily changed it to
Opening windows is a must for ventilation. Fortunately it was summer and not winter, otherwise we would have frozen to death.
Guozhi's ICU is also a positive pressure ward. It should be said that at this stage, almost all domestic hospitals do not have negative pressure wards. The conditions for domestic ICU are gradually developed due to needs. Domestic medicine is always slow to advance.
Money is a big issue after all.
That day, after I wrote out the detailed bill for the donor, I accidentally wrote a short paragraph about the significance of the negative pressure ward and appended it to the bill.
The bill needs to be handed over to Mr. Zhang for review, and then handed over to the donor. After the donor agrees, the money will be transferred to the hospital's finances. It can be said that Mr. Zhang is not a doctor who likes to covet donors' money.
Ask people to donate how much money they actually spend on patients, rather than randomly saying the amount and letting people spend huge sums of money to spend endlessly. Medical charity must pay attention to a pragmatic attitude, otherwise it will seriously damage the credibility of medicine and consume the public's love.
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To deliver it to Mr. Zhang, he has to wait until Mr. Zhang leads a team to check the ward in the morning, or directly deliver it to Mr. Zhang's personal office. So Mr. Zhang is not an iron man, just a human being, and he will stay until the early hours of the night.
After the patient's condition stabilized, he rested and let others take over the shift.
In fact, a group of teachers all have important things to do, and it is impossible to say that they are always watching over the patients every day. The important thing to watch over the patients is, as always, placed on young doctors.
Zhang Desheng and several other classmates finally managed to survive. With the teacher's approval, they were able to overcome all difficulties and work with classmate Xie to protect the patients.
In addition to her and several classmates, Director Wang and his team in the ICU and the nephrology team led by Dr. Liu are the inevitable main force. The team protecting the patients is always full of people.
According to what monitor Yue and classmate Geng said to comfort classmate Wei: The medical service Fan Yunyun currently receives is a seven-star service, so there is no need to worry too much.
As a few days passed, the patient's condition was improving. Not only was he urinating, but his reliance on membrane lung was gradually decreasing, and his heart rate became stable, indicating that the patient's own lung function was recovering. Mr. Zhang's saturation rescue was very effective.
Perhaps in a few days, as long as no other unexpected events occur, we can consider withdrawing the aircraft.
This morning, a group of doctors and patients were discussing the issue of weaning off the machine during ward rounds.
The conditions for ecmo weaning are based on the principles of ecmo life support. If it is in vv mode, the patient can be weaned when the patient's lung function recovers. If in va mode, the patient needs to wait for the patient's cardiopulmonary function to fully recover.
Today's patient's latest bedside X-ray shows that the lung inflammation has subsided. At this time, lung recruitment strategies can be adopted to promote the recovery of the patient's spontaneous breathing function.
Do you think this requires the doctor to adjust the membrane lung or blood filtration machine?
No, the patient's mechanical respiratory support is a function of the ventilator. The ventilator is one of the three major life support technologies.