The laryngeal mask is used to rescue newborns, and most practitioners can think of it. The problem with the baby in front of him is not a problem of establishing artificial airways.
A newborn child has a slow heart rate and no breathing. There is basically only one reason, and the airway is blocked. The blockage may be mucus, meconium, or others.
Since the baby's heart rate is almost at risk, the doctor has to do a newborn cardiopulmonary resuscitation before rescuing the baby. Next, he will solve the airway problem by choosing the right time.
Positive pressure ventilation establishes artificial airways and uses laryngeal masks, which are best done on the basis of unobstructed airways. Otherwise, each ventilation may push the blocked objects into the airway. Therefore, they are very careful when using the breathing airbag. At the beginning, Song Xuelin did not use the breathing airbag, but used his mouth to blow air. In fact, he was trying to suck it out to see if he could suck out the things in the baby's airway.
The obstetrician did it when he cleared the mouth and nose blockages. When he caught the baby, Song Xuelin performed a quick check when he took over the hand. There was indeed no blockage in the baby's mouth and nose for the time being. This showed that the situation was helpless. The blockage was expected to be blocked deeper in the child's trachea and it was difficult to get out, causing the current dangerous situation for the child.
To put it bluntly, if you want to use a laryngeal mask to intubate, it is better to use a tracheal intubation. If the tracheal intubation is successful, at least make sure that the tube is in the tracheal tube, you can place a suction tube in the tracheal catheter and connect the negative pressure suction device, and carefully suck it to see if you can suck out the blockage in the tracheal tube.
This is not a place where there is no negative pressure suction device on the hospital. The National Association of Tracheal Intubation Ambulance and Emergency Department for neonatalization will not be available. The technology of neonatal intubation is very difficult. The emergency doctor on duty in tertiary hospitals is not a professional pediatric hospital doctor. If you do not have the technical ability to perform tracheal intubation for such a young child, you can only send it back to the hospital to find a neonatalist.
What to do? It is right to try to resuscitate your baby's heartbeat. The pressure of CPR is carried out on the chest, which to some extent is equivalent to rushing the trachea.
However, these rescue measures seem to be insufficient to work hard until now, and the doctor may need to take a gamble. The rigor of medicine makes the doctor choose gentle measures first, and if the patient and the child do not do it, they will take further risks. Any invasive medical operation is a double-edged sword, both good and bad. If it can save your life when it is good, it will cause life to fall faster.
Faced with gambling, the doctor had to calculate the previous measures and try to give the human body enough time to react. Song Xuelin looked up and asked the time: "How many minutes have we done?"
After receiving his question, Lin Hao and Li Qi'an looked at the clock and tried their best to recall and estimated: "It may be seven or eight minutes--"
"I've been involved for four minutes now. Doctor Song, you took the child out for five minutes. In total, it is expected to be about nine minutes and ten seconds." Xie Wanying said.
Lin Hao and Li Qi'an heard every precise time point she vomited, and sighed in their hearts: It turns out that time passes so quickly. As anyone said, Xie is the same as the old doctor, and this makes them look at it.
A flash of light flashed through Song Xuelin's slightly narrowed brown eyes. It was the most comfortable to partner with Dr. Xie. Dr. Xie can always live up to expectations at critical moments.
Chapter completed!