For example, when a patient is placed on a ventilator and tracheal intubation is performed, an anesthesiologist may be required to help if the internist is unable to do it. A surgeon may be required to perform tracheotomy when changing the tracheotomy.
Ye Qing did not deny it: "Change the tracheotomy."
Clinically, there are indications for changing tracheal intubation to tracheotomy. Generally speaking, it is impossible for doctors to just cut the patient's trachea casually, and tracheal intubation is the first choice if possible. Specifically, what are the indications for changing tracheotomy?
open.
For example, in the previous rescue case of a child in the dental hospital, tracheal intubation was not possible due to obstruction and tracheotomy was the only option.
Is Fan Yunyun's airway obstructed? Obviously not.
Another common clinical situation where tracheotomy is changed is that the patient is on an invasive ventilator and the doctor can predict that the patient will not be able to leave the ventilator for a while.
This involves the various advantages of tracheostomy over tracheal intubation. First, tracheostomy can better maintain the patency of the patient's respiratory tract. Second, tracheal intubation can easily damage the patient's throat and mouth if left in for a long time. Third, those who have been away from home for a long time
Most patients who do not need a ventilator have neurological symptoms, and those with brain problems may have symptoms such as coughing, phlegm, and difficulty swallowing. A tracheotomy will undoubtedly be more conducive to suctioning phlegm for the patient to prevent airway obstruction.
After hearing this, people who know medicine can somewhat understand the condition of the patient.
The brain seems to be failing for the time being, and the patient may need to be mentally prepared for the patient to be in a long-term coma and unable to take care of himself. The doctor has no choice but to perform a preventive tracheotomy and connect the patient to a ventilator.
Is this just the case? Fire causes damage to the human body that extends far beyond the nervous system.
"It is said that she is on the seventh floor and has not been hit by the fire for the time being." The person who said this, Ye Qing, looked at Dr. Shi Lei who had been to the scene beside him, and then checked whether the news about the fire scene that he heard was correct or not.
Dr. Shi Lei was as quiet as a stone, so he nodded yes.
"But." Du Yeqing continued, "Her lungs are already in a very serious condition due to inhaling a large amount of carbon monoxide and other chemical irritants."
It's the burning lungs I just mentioned before.
Fire burns the lungs, and cerebral edema is unavoidable.
Du Yeqing admitted: "Dr. Cao Yong was here, and the diagnosis he made was acute cerebral edema."
This may sound strange to you. Your head is not injured or burned, so why is there cerebral edema?
As long as you think about heart problems and lack of oxygen, it can directly cause brain death. It has long been proven that once the human body is deprived of oxygen, it has a great relationship with the brain. Severe lung damage, difficulty in inhalation, and difficulty in feeding the human body. The brain, which is most sensitive to oxygen, will naturally directly
Once again, he was implicated in "serious injuries."
For this kind of patient, under normal circumstances, it is necessary to send a hyperbaric oxygen chamber for treatment as soon as possible, which is good for the brain and pulmonary rehabilitation. But now, the patient cannot be sent to the ventilator at all. It should be said that the doctor is fully considering it at this stage.
Until the patient reaches the recovery stage, whether the patient's life can be saved is a question.
"Is her heart condition unstable, Teacher Du?" Xie Wanying asked.
Myocardial damage caused by carbon monoxide poisoning is too common, especially in critically ill patients with acute cerebral edema, who will most likely have severe myocardial damage.
The human heart and brain are the two most vulnerable organs of the human body.