The temperature is in place. The second step is that the bed where the newborn is lying is the same as the adult patient bed. It is best to adjust the height of the head and foot of the bed. For children with ards like this, the head of the bed needs to be raised at a slightly higher angle. At that time, a high-frequency ventilator can be connected to inject gas to the bottom of the lungs to help open the alveoli.
For example, if you want to diagnose whether a child has ARDs, it is best to take an X-ray to assist the doctor in making a clear diagnosis. It is impractical to carry the child to the X-ray room and then run back to the X-ray room. After all, even adult X-ray films now have the option of moving to the bedside. The neonatal rescue table can be equipped with such equipment, so that the child can take pictures directly without leaving the rescue table, which is fast and good.
Now, let¡¯s take the film first.
After taking the film, Nie Jiamin hung up the earplugs of the stethoscope and placed the head on the child's small chest wall for auscultation. . Many capable experts would not dare to make a diagnosis directly by looking at the auxiliary examination report without examining the patient. No, that is not the spirit of caution and truth-seeking in medicine.
The adult's hearing head looks very big compared to that of a young child, and it requires the doctor's full attention. Nie Jiamin listened very attentively and at a very fast speed. After listening for a moment, he immediately gave the instruction, contrary to his normal behavior: "Get on the ventilator."
None of the big guys are really slow. Only the priority of the patient's condition can allow the doctor to allocate how much time he or she needs to arrange medical measures. If there is no rush, the doctor can slowly consider the patient's treatment plan and find measures. If the patient's condition does not allow it, the only option is to save life first.
Regarding the current child¡¯s lungs, the alveolar breath sounds have almost weakened to the point where they almost seem to disappear, so we can¡¯t wait.
High-frequency ventilator is too important for children with ARDs. It is more important than medicine. So hurry up and get it first.
The ventilator prepared in advance was rolled over. The child was able to breathe on his own for the time being without intubation. As mentioned before, a nasal cannula was used to connect to the ventilator. How to adjust ventilator parameters. Xie Wanying remembered what Teacher Xin Yanjun said when she was in the Department of Respiratory Medicine. The best parameter to always adjust the ventilator is to adjust it at the patient's bedside. The doctor carefully and slowly adjusts the patient to the best condition according to the changes in the patient's condition. All other guidelines and dogmas can only be used as a reference.
Patients all have individual differences. No matter how powerful the machine is, it cannot match the experience calculation of the human brain. The fool mode of the machine cannot deal with the individual differences of patients, so we can only rely on doctors.
Now, Nie Jiamin is standing next to the ventilator, helping the child adjust the parameter values ??step by step.
The speed of adjusting the appropriate parameters depends on the doctor¡¯s technical ability.
The boss is the boss, bang bang bang, just press a few buttons. Others soon noticed that the child's little chest rose and fell in a regular pattern.
Xie Wanying was watching how the teacher adjusted the parameters, and then learned from Brother Luo how to prescribe medicine.
Classmate Xie reported the number before, and Luo Jingming glanced at the child's weight before calculating the dosage. There is a scale under the newborn rescue table, and the child's weight was directly measured to be 2205g, which was almost the same as classmate Xie Wanying's visual inspection.
"Should we take Guersu?" Luo Jingming asked his boss for his opinion so that he could finalize the medication plan.
Children should not just inject medicine into their veins.
??Gursu is an imported drug with the trade name, and the drug ingredient inside is exactly the ps, alveolar surfactant that many premature babies lack after birth. (Remember the website address: www.hlnovel.com