The junior sister's words were like pouring cold water on her, and Liu Jingyun's hands finally stopped shaking.
In fact, the young anesthetist named Liu was able to do it. The sevoflurane he used was adjusted to just the right concentration without irritating the baby to choke.
Ye Sujin knows everything clearly. If the other party is really incompetent, they will directly take the work away and do it themselves.
After induction of anesthesia, tracheal intubation is required.
Ye Sujin first called her son to get ready to work: "Come and listen."
The airway of newborns is short and shallow, and unlike adults, the left and right bronchi are almost as straight. The tube is prone to slipping out of the child's airway or being inserted into the left and right bronchi with equal probability.
After receiving the mother's order, Cao Zhao picked up the stethoscope, hung up the earplugs, put the listening head on the child's chest to listen to the breathing sounds, and checked whether the catheter was inserted in the correct position.
When other people saw him, they were more obedient than ever before. Thinking that the anesthesia boss is really awesome, he can command deputy chief physicians and deputy directors like Brother Shenxian with just one sentence.
It’s just collaborative work, don’t overthink it. If you don’t believe it, you will see your son commanding your mother during the operation later. It's just another manifestation of the Cao family's business ethics.
When Liu Jingyun was about to be intubated, a problem arose.
"What tube are you going to insert?"
Being interrogated again by Boss Ye, Liu Jingyun became nervous again and said: "The catheter does not have an air bag."
The narrowest part of the neonatal larynx is the cricoid cartilage, which is round. The endotracheal tube is also round. After being inserted and controlled by the ventilator to control breathing, it will automatically stick to the wall without leaking, so there is no need to add a cuff like adults. The tube balloon came to fix it.
The senior sister was halfway through answering, and Xie Wanying reminded her: "Nasal cavity."
Ye Sujin heard her hint and praised in her heart again: This child really knows anesthesia very well.
For younger children, it is better to use transnasal tracheal intubation than translaryngeal tracheal intubation. The reason is that the former is easier to operate and the latter is more difficult to operate. Doctors experienced in surgical anesthesia for neonates and infants tend to use transnasal tracheal intubation.
Cao Yong and Cao Zhao caught a glimpse of his mother's expression: Don't be complacent yet.
This operation cannot be said to be closely related to anesthesiology but to surgical anatomy. Because there is no anesthesia, tracheal intubation is required for resuscitation of children.
The newborn's larynx is in a high position, the tongue is large, and the epiglottis droops covering the glottis. Doctors can only use direct laryngoscope for intubation.
For nasal intubation, the size of the nostril is roughly the same as 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 inserted it effortlessly, but he only had to pay attention to sucking out the secretions from the nasal cavity.
After being reminded by Mr. Ye and his junior sister, Liu Jingyun changed to intubating the child through the nasal cavity and trachea, which was easier and easier to gain experience.
Anesthesia is done.
Cao Zhao gave instructions to the students standing opposite: "Go and brush your hands."
Someone was stunned for a moment. The 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 what Dr. Cheng Yuchen and the nurses were doing next to help her with preparations such as draping and disinfection before surgery. But when it came time to put on surgical gowns, only the surgeon and she put on surgical gowns and went on stage.
Students Pan and Lin Hao, who originally thought about whether they could have two assistants and three assistants, were completely disappointed. They didn't understand why the surgeon only arranged one assistant for such an important surgery.
Classmate 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 a child's surgery was like.
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