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¡¾2054¡¿Double-edged sword

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    The laryngeal mask has many uses in neonatal rescue, and most practicing doctors can think of it.  The problem with the baby in front of me is not at all a problem with establishing an artificial airway.

    When a newborn baby has a slow heart rate and is unable to breathe, there is basically only one reason: airway obstruction.  The blockage could be mucus, it could be meconium, it could be something else.

    Because the baby¡¯s heart rate quickly dropped to the dangerous limit, the doctor had no choice but to perform neonatal cardiopulmonary resuscitation to maintain the baby¡¯s heart beat during the rescue.  Next, choose the opportunity to solve the airway problem.

    Positive pressure ventilation to establish an artificial airway using a laryngeal mask, etc., is best done on the basis of a smooth airway. Otherwise, each ventilation may push obstructions into the airway.  Therefore, they are very careful when using breathing bags.  At first, he, Song Xuelin, did not use the breathing bag and blew air with his own mouth. In fact, he was trying to suck it in to see if he could suck out the contents of the baby's airway.

    ? Clear the blockage in the mouth and nose. The obstetrician did it when he received the baby for the first time.  When Song Xuelin took over, he quickly checked and found that there was indeed no blockage in the baby's mouth and nose.  It shows that the situation is very helpless. The blockage is expected to be blocked in a relatively deep place in the child's trachea and is difficult to come out, resulting in the dangerous situation of today's children.

    To put it bluntly, if you want to perform intubation, it is better to use a laryngeal mask than to use a tracheal intubation.  If tracheal intubation is successful, at least make sure that the tube is in the trachea. You can put a suction tube in the tracheal tube and connect it to a negative pressure suction device, and carefully suction to see if the blockage in the trachea can be sucked out.

    This is not a hospital where there is no negative pressure suction device.  The national ambulance and emergency department will not have spare tracheal intubation equipment dedicated to neonatology.  Neonatal intubation is technically difficult.  The emergency doctor on duty at a tertiary hospital was not a professional pediatrician and did not have the technical ability to perform tracheal intubation on such a young child, so he had to be sent back to the hospital to find a neonatologist.

    You want to ask what to do.  It is right to try to revive the baby's heartbeat.  CPR compressions are performed on the chest, which is equivalent to giving force to the trachea to a certain extent.

    However, these rescue measures seem to be insufficient so far, and doctors may need to take a gamble.  The rigor of medicine makes doctors first choose mild measures, and only take further risks if the patient's condition fails.  Any invasive medical procedure is a double-edged sword, with good and bad aspects. When it is good, it can save lives, but when it is bad, it can make life disappear faster.

    Faced with gambling, the doctor first needs to calculate whether the previous measures will give the human body enough time to react. Song Xuelin raised his head and asked the time: "How many minutes have we been doing?"

    After receiving his question, Lin Hao and Li Qian looked at their watches and clocks and tried their best to recall and estimate: "Maybe seven or eight minutes¡ª¡ª"

    ¡°It¡¯s been four minutes since I participated, and it was five minutes before Dr. Song when you took the baby out. The total is estimated to be about nine minutes and ten seconds.¡± Xie Wanying said.

    Lin Hao and Li Qian heard every precise time point she spit out, and sighed in their hearts: It turns out that time flies so fast.  As someone said, classmate Xie is no different from the old doctor, which makes them just behind him.

    Song Xuelin's slightly narrowed brown eyes flashed with light. He felt most comfortable partnering with Dr. Xie. Dr. Xie could always live up to expectations at critical moments.

    "Doctor Song, let's change hands and I'll give it a try." Xie Wanying suggested on her own initiative.  (Remember the website address: www.hlnovel.com
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