MTL - Doctor’s Life Simulator-Chapter 46 The magic of laughter

Hearing Qin Lang's words, Wu Youtu was a little surprised, but at this time, treating the patient was the first priority: "Tell me about it?"

Qin Lang said calmly: "In the airway flushing and suctioning method, in addition to the conventional holding forceps and suction tube, you also need to prepare a pair of syringes with a capacity of 20ML, and about 15ML of airway moisturizing fluid."

Qin Lang glanced at the equipment nurse, who immediately began to prepare.

"...wetting fluid formula: 100ML normal saline, 1ML isoproterenol, 5MG dexamethasone and gentamicin, chymotrypsin 80,000U, 1500U respectively..."

While the little nurse was preparing at the same time, Qin Lang continued to explain the detailed operation to Wu Youtu:

"In the process of flushing, two people are required to operate at the same time and cooperate with each other. One of them prepares for sputum suction, helps the patient adjust the state, reminds the patient to take a deep breath, and the other removes the injection needle and humidifies the prepared in advance. The liquid is drawn into the syringe, and the humidified liquid is injected into the airway at the timing of the patient's inhalation, and waits for a few seconds, but when the patient coughs, **** it out as soon as possible..."

"During the suction operation, a suction tube should be inserted at the airway of the cannula, the negative pressure should be turned on, and then the suction tube should be rotated in the left and right directions to withdraw while suctioning..."

In Qin Lang's introduction, with Wu Youtu's experience, he naturally understood the advantages of the airway flushing and sputum suction method:

"Compared with the conventional sputum suction method, it can more thoroughly absorb the secretions and sputum produced by the airway, and the airway moisturizing liquid can effectively prevent the accumulation of secretions and sputum, which can make the airway of the patient more effective. The viscosity of the sputum is reduced, and the suction effect is naturally very ideal.”

"As for the operation of rotating the suction tube in the left and right directions, it is similar to Director Wei's improved suction method. It is indeed a suction method that is more suitable for Ling Sheng's condition."

Wu Youtu agreed with Qin Lang's plan after a little analysis: "Qin Lang, the plan you proposed is indeed more appropriate and suitable than what I imagined. Let's start, I will be your assistant."

Qin Lang nodded, and at this time, the equipment nurse, who was urged by Qin Lang, had already prepared various items.

"...During the process of rinsing the patient with Dr. Wu, we recorded and sucked the total number of sputum, and at the same time observed and recorded the shape of the sputum in the Yellow River..."

"okay!"

Being able to make Wu Youtu willing to be an assistant, Qin Lang's authority in the operating room was further enhanced.

Qian Liang on the side was also shocked: "Qin Lang, this kid, this is too powerful. If Wu Zhuzhi can be my assistant, then I can knock my tail into the sky."

"Write it down, write it down, Director Wei's improved sputum suction method, and Qin Lang's airway flushing suction method."

With these two skills by his side, next time he encounters such a situation, he will be able to show his might!

With the tacit cooperation of Qin Lang and Wu Youtu, it was natural that this suctioning was completed very quickly.

"Dr. Qin and Dr. Wu, the sputum suction effect is very significant. The patient's previous sputum sound and phlegm accumulation have disappeared. His breathing has begun to return to a stable state, and his blood oxygen saturation is within the normal range."

The itinerant nurse on the side reported various data such as the ECG monitor as soon as possible, and the tone was full of admiration and joy.

"I really did not expect that the airway flushing method is so effective in clearing the airway."

Looking at the unexpected results, Wu Youtu was also in a good mood: "Qin Lang, your airway flushing method is very good, and it can be promoted in future treatment. After this rescue operation is over, I will work with Wei Wei. The director suggested that the phlegm suction method should be promoted and taught in the department, and you will be the lecturer at that time!"

For Wu Youtu's consideration, the first reason is that this phlegm suction method is really good, and the other reason is to create opportunities for Qin Lang to show himself and build an advanced model image in the department, which is beneficial to the operation of Director Wei in the future.

Although this kid tends to act on his own, he is truly innovative and has a convincing and reassuring clinical level.

"Qin Lang, the number of patients this time is indeed very large. Our department is very short of manpower. From now on, you will be the same as Qian Liang and Peng Yun. I will judge the patient's situation and arrange an independent operation for you. You will be the main surgeon. Escharotomy, debridement, debridement, and tracheostomy.”

After Wu Youtu rescued the patient, he looked at Qian Liang aside:

"Qian Liang, you have almost rested between this operation. Now go to rescue the rest of the patients with me immediately."

"okay."

Qian Liang nodded solemnly. Now that time was really racing, he also waved at Qin Lang:

"Qin Lang, you are welcome to be officially authorized to join the rescue. I believe that with your support, we can save more lives."

Wu Youtu also looked at Qin Lang: "Qin Lang, you have just completed two surgeries. Take a break and I will arrange your next surgery."

Surgery is a big project that consumes a lot of physical strength and energy. When Xiang Wu Youtu performs some major operations, it often lasts for more than ten hours, and he has long been used to it without eating or drinking.

However, Qin Lang is only a newcomer after all. Although he is young, he does not know how to distribute his physical strength, adjust his energy, and take fragmented rest.

"It's okay, Doctor Wu, I'm fine."

Qin Lang shook his head with a firm tone.

Wu Youtu looked at Qin Lang, and felt a little touched. This little guy is humble, hard-working, and can be calm and calm in times of crisis. It is a good material. The evaluation of Qin Lang in my heart was a little higher.

"Okay, then we'll go to treat the next batch of patients now."

Soon, Qin Lang was assigned a new patient, a little girl in her early twenties. Her back was severely burned, and her whole face was painful and anxious.

Qin Lang was going to give her the first debridement.

"Doctor, UU reading www.uukanshu.com I'm in so much pain, so uncomfortable, can you take it lightly?"

The little girl turned her head to the side, lying on the flat car, dripping tears from time to time.

Qin Lang thought about it and thought of a debridement method that could further relieve the patient's pain.

[Ding, new task: use nitrous oxide oxygen inhalation sedation and analgesia technology to relieve Liu Nini's debridement pain and reduce the patient's anxiety. Mission reward: 1 life simulation point. 】

Hearing the system's voice, when Qin Lang looked at Liu Ni again, he seemed to see an experience baby.

Burn pain is a constant pain throughout the whole healing process, which often brings obvious anxiety to the patient, and the use of nitrous oxide is a very safe and perfect analgesic method.

Laughing gas is also widely used in the fields of stomatology, obstetrics, emergency department, and endoscopy-assisted examination in the United States because of its near-perfect safety. It has strong analgesic and anti-anxiety effects.

However, in the burn department of Hecheng No. 1 Hospital, the clinical application is still relatively small, so unknowingly, Qin Lang made another amazing move.

In the operating room, after Qin Lang gave the order, the equipment nurse and itinerant nurse were also a little surprised, but now Dr. Qin has won their trust.

"...First inhale 100% oxygen for 5 seconds, start adding 10% nitrous oxide for 5 minutes, and then increase the concentration of nitrous oxide by 5% every 5 minutes..."

After Qin Lang gave the order, he closely observed Liu Ni's reaction during the entire operation.

After another 5 minutes, when the nurse asked Liu again, the other party's previous anxiety and crying were significantly relieved, and his complexion also recovered a lot.

"...I feel much better, and the pain is really reduced, thank you doctor!"