Wu Xiangdong's fingers suddenly paused. He was afraid that there would be a perception error due to his long-term pressing, so he changed a finger and placed it on the baby's sternum again.

Plop, plop...

This time the feeling was even stronger, and the originally weak heart began to beat rapidly, and bulging fluctuations could even be seen through the intercostal space.

"The fetal heartbeat has recovered. If everyone works hard and don't give up, they will be fine."

The words of encouragement lifted everyone's spirits, especially the beating heart of the fetus, which was like a shot in the arm. Wu Xiangdong wrapped the baby tightly in a quilt to prevent his skin from being frostbitten in the long-term cold environment.

Then Wu Xiangdong picked up the sterile scissors on the side and came to Wan Zhihua: "Give me the endotracheal tube."

"What are you doing with the scissors?" Wan Zhihua's eyes were filled with confusion, but he still handed over the endotracheal tube.

Wu Xiangdong was unambiguous and directly reshaped the passed tracheal tube and used sterile scissors to cut a triangular gap at the front end of the tube.

"Can it still be done like this?" Wan Zhihua was confused at once. He had worked as an anesthesiologist all his life and had never thought that the endotracheal tube could be shaped by himself with scissors.

"I have been observing when you were operating just now. Although the tracheal tube of newborns is very thin, only as thick as a normal person's little finger, the development of newborns is relatively unsound, and the epiglottis and glottis are basically in a semi-closed state, so

Even with the thinnest endotracheal tube, it is difficult to intubate.”

Wu Xiangdong held the reshaped catheter in his hand and used the same method to open the baby's epiglottis, revealing the milky white glottis inside. Through the light refracted by the laryngoscope, he found that the baby's glottis was just like a fingernail.

As he expected, "If the diameter of the catheter is not shaped and trimmed in advance, it will be impossible for a diameter of much more than 2cm to pass through the glottis and enter the baby's trachea."

Wu Xiangdong held the catheter with his thumb and index finger, and guided the front end of the catheter along the oral cavity to the front of the baby's glottis. The diameter of the modified catheter happened to match the diameter of the glottis. He saw the right moment and pressed his wrist, and the catheter passed smoothly through the glottis.

The doorway comes to the baby's main trachea.

Wu Xiangdong took another look at the baby's walnut-sized head. After calculation, the baby's weight was less than 1,000g. According to the newborn weight classification standards, it fell into the category of ultra-low-birth-weight infants. Therefore, the trachea was very short, so he advanced the catheter only 6 centimeters and stopped.

Come down.

"Negative pressure suction, be careful that the child is too young and the pressure cannot be opened too high, otherwise it will damage the child's tracheal mucosa." Wu Xiangdong stimulated the baby's cough reflex while guiding the suction tube to clear the amniotic fluid in the baby's lungs.

As the negative pressure started, Wu Xiangdong turned the slender suction tube to clean the baby's lungs bit by bit. A stream of light yellow liquid was sucked out along the suction tube until there was no more liquid in the entire tube.

After the liquid was drawn out, Wu Xiangdong took out the suction tube from the baby's catheter.

"Okay, get ready for extubation." After Wu Xiangdong finished processing the amniotic fluid in both lungs of the baby, the closed alveoli began to work under the stimulation. Looking at the regular rise and fall of the chest, Wu Xiangdong finally breathed a sigh of relief.

"Remove it now, don't wait any longer?" Seeing that he was about to remove the tube now, Wan Zhihua felt a little uneasy. After all, it would be a pity to remove the tube that was finally inserted just because it was said to be removed.

However, Wu Xiangdong doesn’t think so. “Of course the tube must be extubated as soon as possible after the condition is treated. Even though he is just a newborn baby, he has five senses after he is delivered from the mother’s belly. As doctors, besides

You must be able to treat diseases, and you must be patient-centered, alleviate their pain, and consider their future lives.”

It is not unreasonable for Wu Xiangdong to say this. Due to the restrictions on the development of medicine in that era, almost everyone's research direction was on how to solve the problem of the disease itself, but ignored the needs of the patients themselves.

Wu Xiangdong's words made Wan Zhihua fall into deep thought, and he murmured: "Should we be patient-centered?"

This view completely overturned Wan Zhihua's cognition. In the past, he only knew how to hone his skills. As long as he could complete the intubation task no matter how difficult the airway was, he considered it a success.

But Wu Xiangdong’s words made him realize that completing the intubation task was only the first step, and the most important thing was to develop personalized treatment according to the patient’s own situation. Just like the saying goes, there are a thousand readers in the eyes of a thousand.

Hamlet, everyone is different, and long-term intubation of newborns will definitely cause damage to the vocal cords and throat, and there may even be a risk of voice loss.

After understanding this, Wan Zhihua suddenly became enlightened, as if a brand new door was opening to him, and the road inside would require him to spend his whole life fighting for it.

"The tube is extubated." At this time, Wu Xiangdong checked the baby's lungs again with a stethoscope. After ensuring that there was no lung murmur, he used a syringe to loosen the air bag at the front end of the tube used to fix it, and then inserted the tube into the baby's mouth.

Brought it out.

Immediately afterwards, a loud cry sounded in the clinic. The swaddled baby grinned and cried, and his face seemed to be a little purple from crying. Wan Zhihua next to him worriedly asked: "Is he okay? Does he still have any shortcomings?"

Regarding the oxygen situation, I see that his skin is also a little hard, so he might have cold injury syndrome."

Wan Zhihua's worries are not unreasonable. After all, premature babies are different from ordinary full-term babies. They are relatively weak and have undergone peri-mortem cesarean section. It is a miracle that they can survive. As for whether they can grow up healthily in the future, it is really a miracle.

It's hard to say.

At this time, Wu Xiangdong had already held the baby in his arms. He was very confident in his operation, because it was handled promptly and there would be no postoperative sequelae. As for the cold injury syndrome, it is indeed a bit tricky now, and he does not know when the equipment in the neonatology department will be available.

Able to……

"Teacher Wan, help me call the neonatology department to tell them when the equipment will arrive."

"No problem, you can call me Lao Wan or Hua Ge from now on." The title "teacher" can be said to be a common title in hospitals. If the relationship is better, it is usually called brother or sister.

"Okay." Wu Xiangdong smiled. At this moment, there was a rush of footsteps outside the house.

"What's going on? Didn't we agree to send the incubator to the operating room? Why did the pager call us to come to the emergency room halfway?"

The nurse from the neonatal department rushed over in a hurry, but when she saw the situation in the clinic, she was shocked.

Before she could recover, Wu Xiangdong had already walked over with the baby in his arms, "A baby boy was successfully delivered in the emergency room at 2:32 on May 5, 1999. He was a seven-and-a-half-month-old premature baby. He has just completed cardiopulmonary surgery."
Chapter completed!