The little junior sister's words were like pouring cold water, Liu Jingyun's hands finally stopped shaking.
In fact, this young anesthesiologist surnamed Liu can do it. The concentration of sevoflurane used is just right, and it didn't irritate the baby to choke.
Ye Sujin was perceptive. If the other party really can't do it, they will directly take the job over and do it themselves.
After induction of anesthesia, endotracheal intubation was performed.
Ye Sujin first called her son to get ready for work: "Come and listen."
Neonatal airways are short and shallow, and unlike adults, the left and right bronchi are almost equally straight, and the tubes are equally likely to slip out of the child's airway or be inserted into the left and right bronchi.
After receiving the mother's order, Cao Zhao picked up the stethoscope and put the earplugs on it. He put the earpiece on the child's chest to listen to the breathing sounds, and checked whether the catheter was inserted correctly.
When the others saw it, this fairy brother was more obedient than ever before. Thinking that the anesthesiologist is really good, he commanded the deputy chief physician and deputy director like Brother Shenxian with one sentence.
Just work together, don't overthink it. If you don't believe it, you will see the scene where the son directs the mother during the operation later. It's just another manifestation of the Cao family's official business.
When Liu Jingyun was about to be intubated, a problem arose.
"What tube are you going to insert?"
After being interrogated temporarily by Mr. Ye, Liu Jingyun became nervous again and said, "There is no air bag in the catheter."
The cricoid cartilage is the narrowest part of the neonatal baby's throat, which is round, and the endotracheal tube is also round. After it is inserted, the ventilator controls breathing and it will automatically stick to the wall without air leakage, so there is no need to add a sleeve like an adult The tube airbag is fixed.
The elder sister answered half of this question, Xie Wanying reminded: "Nasal cavity."
Ye Sujin heard her hint, and praised again in her heart: This child really knows anesthesiology very well.
The younger the child, the nasotracheal intubation is better than the laryngeal endotracheal intubation. The reason is that the former is easier to operate and the latter is more difficult. Nasotracheal intubation is more commonly used by experienced doctors in anesthesia for neonatal infant surgery.
Cao Yong and Cao Zhao caught a glimpse of his mother's expression: don't be complacent.
In this operation, it cannot be said that it is very related to anesthesiology but has a lot to do with surgical anatomy. Because there is no anesthesia, the child needs to be intubated for rescue.
The newborn's larynx is high, the tongue is large, and the epiglottis is drooping to cover the glottis. Doctors can only use direct laryngoscopy for intubation.
For nasal intubation, the size of the nostril is roughly equal to that of the cricoid cartilage. As long as the endotracheal tube can be inserted into the nostril, it can generally enter the trachea smoothly. The doctor inserts it effortlessly, but needs to pay attention to sucking up the secretions in the nasal cavity.
After being reminded by Brother Ye and Junior Sister, Liu Jingyun changed to intubating the child through the nasal cavity and endotrachea, which was simple and easy to accumulate experience.
Anesthesia is done.
Cao Zhao gave instructions to the students standing opposite: "Go and brush your hands."
Someone was stunned, and the chief surgeon only named one person to brush his hands
Xie Wanying immediately understood what was going on when she came back, and went out to wash her hands.
Don't look at Dr. Cheng Yuchen and the nurses helping her with preparations such as disinfecting the bed sheets before the operation. But when it came time to put on the surgical gown, only the chief surgeon and she put on the surgical gown and went on stage.
The wishes of students Pan and Lin Hao, who were thinking about whether they could have two assistants and three assistants, were completely frustrated. They didn't understand why only one assistant was appointed as the chief surgeon for such an important operation.
Students Lin Hao and the others have never experienced it. Unlike her, Xie Wanying, who had been on the operating table of a three-year-old child with Teacher Nie, she had already experienced what it was like to operate on a child.