"I just learned about this." Wu Xiangdong didn't say much on this issue. His purpose was very simple, which was to help the patient get the ventilator.

However, Wan Zhihua shook his head decisively: "This ventilator has just arrived and has not been debugged yet. Besides, our department has regulations that prohibit loaning out valuable equipment. I cannot satisfy your request."

Although Wan Zhihua refused decisively and had a firm attitude, Wu Xiangdong only smiled: "Teacher Wan, you know that you are the only one in the hospital who has this portable ventilator, and its synchronous intermittent command

The ventilation mode is also newly installed, whether it is the positive end-expiratory pressure or pressure support, it is of great help to the treatment of pregnant women today."

Wan Zhihua was just about to turn around and leave, but Wu Xiangdong's explanation made his body suddenly pause, and then he looked at Wu Xiangdong with a surprised expression: "You actually know about synchronized intermittent mandatory ventilation?"

"Yes, the SIMV mode on the ventilator is, of course, also called gap-on-demand ventilation on some ventilators. This mode means that the ventilator operates according to the preset breathing parameters (respiratory frequency, tidal volume, respiratory ratio, etc.) every minute.

) gives patients mandatory ventilation, and its biggest feature is that it has a trigger time window."

Wu Xiangdong's eloquent talk completely made Wan Zhihua unable to walk. He seemed to have discovered a new world and couldn't wait to ask Wu Xiangdong: "Yes, I also discovered this ventilator. Although its unique trigger time window can bring benefits to patients,

There are benefits, but improper setting can also cause severe man-machine confrontation, and even lead to alveolar damage and pneumothorax due to barotrauma."

This problem has troubled Wan Zhihua for many days, and he searched all the information but could not get the results he wanted. After all, there are very few articles about ventilator ventilation in this era, and it involves the specific modes and specific problems of ventilators.

There are even fewer solutions.

Although Wan Zhihua didn't know where Wu Xiangdong learned from, but considering that he graduated from a prestigious school and was a top student, it might be much easier for him to acquire knowledge than Wan Zhihua.

"Want to know?" Wu Xiangdong couldn't help but feel a little funny when he saw that the fish had taken the bait. This kind of knowledge would not be worth mentioning twenty years later, but it has become valuable knowledge now.

"Oh, don't you just want to borrow a ventilator? Why do you need to tempt me like this?" Seeing him playing hard to get, Wan Zhihua cursed anxiously. As an experienced anesthesiologist, he would never do it.

Allow blind spots in your own profession.

Seeing that Wan Zhihua showed signs of relenting, Wu Xiangdong chose to pursue the victory and began to draw the cake directly: "Teacher Wan, as long as you are willing to lend me the ventilator, I can answer you whatever you want to ask."

Wan Zhihua struggled for a while, and finally gave in. He sighed: "You kid has caught my life, but I want to explain one thing in advance. Only a few of us know about this matter, and the ventilator

I have to return it as soon as possible after using it, otherwise it won’t be good if someone finds out.”

Wu Xiangdong raised his eyebrows when he heard this. Anyway, it would be fine if he borrowed the machine, so he followed Wan Zhihua's words and continued: "No problem, after all, such expensive equipment will be bad if it gets bumped into in the emergency room."

"Bullshit, it doesn't matter to me whether it's expensive or not. The reason why I didn't lend it to you just now is because you have to fill out a form and register. It's too troublesome." Wan Zhihua muttered a few words, and then said: "Yes.

"Yes, I don't know much about some of the features of this ventilator. If it cannot be used by then, don't mess around with it to avoid causing harm to the patient."

At this point, Wu Xiangdong suddenly realized that Wan Zhihua refused to borrow his feelings just now because he was not skilled enough and was afraid of being embarrassed.

"I really want to save face and suffer." Wu Xiangdong looked at the back of Wan Zhihua leaving quickly and couldn't help curling his lips.

After borrowing the ventilator, Wu Xiangdong felt much more relaxed. He returned to the consulting room unhurriedly, took a look at the patient who was in relatively good condition, then came to the consulting table and sat down on the wooden chair.

Not to mention that the wood at that time was indeed much thicker than today's compression boards. Although it was harder, it was quite comfortable.

He took out a pen from the pocket of his stained white coat, opened the case book that the man had placed on the table, and began to record the patient's entire process from emergency treatment to emergency treatment.

At that time, there was no such thing as electronic medical records in 1999, and all medical records were handwritten in both outpatient and emergency departments and inpatient departments.

At that time, medical records cost 2 cents each, and anyone who didn’t have a few copies at home was embarrassed to come to the hospital for medical treatment.

As for the later electronic medical records system, that was all in the early 21st century. In some places, even ten or twenty years later, handwritten medical record books are still used in outpatient and emergency departments, but the price has increased from 20 cents per book to 1 yuan per book.

Book.

"Mother, female, 20 years old, 30 weeks postmenopausal, found her blood pressure was high for 1 day, with the highest blood pressure 260/ 140mmhg. After several measurements, she was basically diagnosed with pregnancy-induced hypertension.

On the night of emergency admission, the family requested transfer to the hospital for treatment due to special circumstances. Later, the pregnant woman developed severe preeclampsia, no signs of labor, and a grand epileptic seizure lasting 2 minutes. After recovery, she developed severe choking and coughed up a large amount of pink foam.

Sample sputum, consider acute pulmonary edema accompanied by apnea, heart rate 120 beats/min, blood pressure 180mmhg/100mmhg, inform family members of the situation and possible risks, and perform emergency tracheal intubation to ensure patient safety.

The procedure of tracheal intubation is as follows:

Under ECG monitoring, after three inverse ventilations using a simple breathing balloon, tracheal intubation was performed in the supine position with no pillows. The intubation went smoothly, with no pneumothorax or lung damage..."

Wu Xiangdong sighed while writing. It was not that this case was difficult to write, but that he had not written like this for a long time. Wu Xiangdong couldn't help but sigh as he shook his sore hand from writing.

After all, when he was an academician, every time he worked on a national-level Natural Science Foundation project, there was a group of doctoral students around him. He only had to make a key point, and there would be a group of people rushing to do it, not to mention the monthly hospital rounds.

Medical records.

Just as Wu Xiangdong was recalling the past, the nurse's uneasy voice brought him back to reality.

"Dr. Wu, can you come and see her? I feel that her heart rhythm on the monitor has changed. The ST segment has moved downward and the T wave has been inverted. Is there possible myocardial ischemia? Do you want to call a cardiologist?

Come and take a look?" At this time, the nurse was staring at the ECG waveform on the display screen, seeming to be calculating the patterns.

"Are you a nurse transferred from the cardiology department?" Seeing her more professional analysis, Wu Xiangdong put the pen back in his pocket, got up from the chair and walked straight over.

Seeing Wu Xiangdong coming, the nurse looked away from the screen and turned to look at him: "Yes, the hospital nursing department considered that I am a nurse from the Department of Cardiology and have the ability to handle emergencies, so they transferred me to
Chapter completed!