Tao Le heard it now, and Deputy Director An didn't feel confident.
So now is simply not the time to be humble.
"Don't worry, leave it to me." Her voice was not high, but gentle and strong.
Director An nodded and said nothing more, because the operating room had already arrived.
The family members were just outside the door of the operating room. My mother had already burst into tears. For some reason, she refused to agree to a tracheotomy.
"Now there is another plan. There is no need for tracheotomy or general anesthesia with drugs. Our Dr. Tao is proficient in acupuncture and can achieve local anesthesia, and then non-invasive fiberoptic bronchoscopy can be performed."
Deputy Director An placed the informed consent form for the operation in front of the family members: "Time is urgent. If you don't sign it, you won't need to sign it."
I don't know whether it was the magic of acupuncture anesthesia or Deputy Director An's last words that moved the family members. They quickly signed and there was no more friction.
Tao Le entered the operating room, brushed her hands and changed into surgical clothes.
Preparations were made for the operation. Director Shen Suqian of the Pediatric Department, Director Wen Xiaoyu of the Pediatric Clinic, and Chief Hospital Officer Xin Feng were all there, as well as Head Nurse Chen, the instrument nurse, and the circulating nurse from the operating room. A large room of people looked at her with burning eyes.
Tao Le opened the golden finger, and the interface was already an endangered purple, and every value was frightening:
Age: 4 years old. Health value: 18.
Causes: inflammatory plastic bronchitis 55%, severe pneumonia (Acinetobacter baumannii infection) 45%.
The body temperature is 39.4 degrees Celsius, the blood pressure is 110/90, the breathing rate is 65 times/min, the heart rate is 166, and the blood oxygen saturation level is 60%.
Complications: respiratory failure, right lung atelectasis, hypoxemia, sepsis.
At the bottom of the interface is a holographic image of the child from the trachea to the right lung.
The image showed that the entire bronchial tree of the patient's right lung was filled with jelly-like sputum plugs.
Plastic bronchitis, as a rare critical illness in children, is frightening.
Foreign bodies such as phlegm secreted in the trachea solidify and form phlegm plugs, which will block the entire bronchus.
In the Golden Finger Dimension, Tao Le has also performed many such surgeries.
The sputum plugs removed using fiberoptic bronchoscope biopsy forceps and aspirator can be completely pieced together into a bronchial tree-like structure, just like shaping with a mold, hence the name.
Plastic bronchitis is a dangerous disease, develops rapidly, and can easily be misdiagnosed as lobar pneumonia, so the mortality rate is extremely high.
"Tao Le, you come for acupuncture anesthesia." Director Shen motioned Tao Le to come on stage: "Be prepared. Once the anesthesia fails, a tracheotomy must be performed immediately, and a bronchial fiberscope must be removed from the incision site."
The situation is urgent. Tao Le didn't even bother to say anything. He stood directly on the upper right side of the child and inserted the newly taken out and sterilized filiform needle into the relevant acupuncture points quickly and accurately.
She recognized the acupuncture points quickly and accurately, and her technique was as smooth as flowing water, which touched everyone watching.
Although we still don’t know how effective it will be, judging from the technique, it has the posture of an old Chinese medicine practitioner, which makes people believe in it unconsciously.
However, after a short while, Tao Le stopped the injection.
"The anesthesia was successful." She said, giving up her position to Director Wen, who was the first assistant.
"Three minutes and twelve seconds." Second assistant Xin Feng reported the anesthesia time.
The child fell into a drowsy state, which proved the effect of Tao Lexing Acupuncture.
"Let's get started." Director Shen stood at the head of the child and took the 5mm inner diameter fiberoptic bronchoscope from Director Wen, who was the first assistant.
Tao Le did not leave the operating table, but consciously stood aside and acted as the third assistant.
She has dealt with every next step and possible problems many times and is fully aware of them.
The body of the fiberoptic bronchoscope has been coated with lubricant, and the tip of the objective lens is coated with a layer of warm soapy water to prevent fogging.
Director Shen holds the scope with his left hand, and with his right hand passes the fiberoptic bronchoscope lens through the mouth, along the posterior pharyngeal wall to the larynx, then passes below the epiglottis cartilage to the glottis, follows the breath, and quickly inserts it into the trachea from the back of the glottis.
The effect of acupuncture anesthesia was revealed during this process. The child had no reaction at all and still slept deeply and soundly, but his blood oxygen saturation still could not be raised.
Director Shen, Director Wen and Xin Feng all nodded secretly in their hearts.
In pediatrics, there are actually many examinations and treatments that require anesthesia, but parents are not willing to do so. Tao Le’s skills are very effective here!
Director Shen's hand was very steady, and the bronchoscope was quickly lowered to the opening of the right main bronchus.
Everyone could clearly see from the external display that the opening was almost impossible to find and was completely blocked by a light yellow jelly.
Director Shen immediately realized that this was an extremely rare pediatric disease - plastic bronchitis.
It turned out to be it. No wonder hypoxemia cannot be corrected even with ventilator-assisted ventilation.
The bronchus in the entire right lobe of the lung was filled up, and no matter how hard the ventilator tried, oxygen could not be sent in.
Wen Xiaoyu also realized this and immediately handed over the attractor.
Director Shen slowly inserted the suction device along the fiberoptic bronchoscope... and then found that it could not be suctioned.
The sputum plug is composed of mucus protein and cellulose, just like jelly. The power of the aspirator has been raised to 0.04mpa, but the colloid is still motionless.
"Can't increase the pressure any more, otherwise it will damage the tracheal mucosa." Director Shen stretched out his hand, but missed it.
She raised her head and looked at Director Wen who was slightly stunned. Just as she was about to speak, she saw Tao Le hand over something.
It was a syringe filled with saline.
"Well done." Director Shen glanced at her and nodded appreciatively.
Although what he did was trivial, Tao Le was still in a happy mood.
The beauty of some people has transcended the boundaries between men and women. Even a smile in their eyes can make people feel relaxed and happy.
Seeing Tao Le's actions, Director Wen quickly understood what Director Shen wanted to do.
He immediately found a very thin plastic tube from the accessories of the fiberoptic bronchoscope and handed it over.
Director Shen inserted the thin plastic tube along the opening of the forceps, took the syringe, and injected about 5 ml of normal saline.
Negative pressure suction is indeed much more effective than dry suction. Visibly to the naked eye, a milky yellow jelly-like object was sucked out.
Opening the opening of the right main bronchus is just the beginning.
Next, Director Shen kept repeating the previous process, injecting normal saline, and sucking back under negative pressure—injecting again, and sucking back again.
There was also a particularly stubborn phlegm plug in the middle, which was blocked inside the bifurcation of the bronchus and could not be sucked out. Director Shen used biopsy forceps to take it out directly.
The operation lasted for nearly two hours. During the operation, the child showed signs of waking up. Tao Le quickly rushed over to refill the needle, thus ensuring the normal operation.
The sputum plug in the right lung was completely removed, and the child's blood oxygen saturation visibly rose to 90%.
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