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 qualified. For this reason, Xie Wanying thought of the catastrophe a few years later, and how a well-known tertiary hospital in her hometown had to smash the wall of the ICU and temporarily change it to the necessary window opening for ventilation. Fortunately it was summer and not winter, otherwise we would have been freezing 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 have gradually developed due to necessity. Domestic medicine is always slow to advance, and money is a big problem after all.
After I finished writing the detailed bill for the donor that day, I somehow had a sudden impulse and casually wrote a short paragraph about the significance of the negative pressure ward and attached 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 take donors' money.
The patient actually needs to donate as much as he or she spends, instead of just telling the patient a random amount and asking someone to send him a huge amount of money and spend it 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.
To deliver it to Boss Zhang, it has to wait until Boss Zhang leads a team to check the ward in the morning, or it must be delivered directly to Boss Zhang's personal office. Therefore, Mr. Zhang was not an iron man but just a human being. After the patient's condition stabilized that night, he stayed up until the early hours of the morning and then 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 by the patient's side every day. The most important task of caring for patients has always been 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 Xie to protect the patient.
In addition to her and several classmates, Director Wang and his team from the ICU and the nephrology team led by Dr. Liu are the inevitable main force. The team that protects 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 able to urinate again, but his dependence on membrane lung was gradually reduced, and his heart rate became stable, indicating that the patient's own lung function was recovering. Boss 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 the patient's lung function is restored in vv mode, the machine can be weaned. If in va mode, the patient needs to wait for the patient's cardiopulmonary function to fully recover.
The patient's latest bedside X-ray shows that the lung inflammation has subsided. At this time, a lung recruitment strategy 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. Ventilator is one of the three major life support technologies.
(End of chapter)
