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AliNovel > Sleepless Doctor > Chapter 260

Chapter 260

    They walked out of the door of the intensive care unit. In a spacious small conference room next to them, President sun was talking to Zheng Qingmu. The door was half open, and director Sun seemed to be persuading something.


    Worried, Chen houkun knocked on the door and walked in quickly.


    "Here you are, please sit down." President sun gave Chen houkun a deep look.


    "How about Lin Kai?" Zheng Qingmu asked.


    "Prince Zheng had laryngeal edema and tried endotracheal intubation twice, but in the end he failed." Prince Liang said truthfully.


    "Mr. Zheng, if you can''t, you''d better have a tracheotomy. After all, there are still means. I believe Lin Kai will get better soon after tracheotomy." President Sun said.


    "Tracheotomy?" Zheng Qingmu''s face was covered with rain clouds, and even his expression could not be seen clearly.


    "Yes, Mr. Zheng, there''s nothing particularly good to do now." President Sun said, "because it''s Atlas surgery, there may be many situations after surgery. The existing medicine can''t fully explain it. I also regret Lin Kai''s situation, but we always have to face it positively."


    "Existing medicine?" Zheng Qingmu said in a deep voice instead of losing his temper. "How''s the poor boy?"


    "..." Sun Ximing felt as if he had been kicked in the stomach again when he heard this sentence. He was very uncomfortable.


    "Before Lin Kai''s operation, he had only one breath! What about now? He said he would be transferred out of the intensive care unit early tomorrow morning. Now tell me about the existing medicine?" Zheng Qingmu said coldly, "don''t worry. Maintain Lin Kai''s current state. I''ve contacted Yongzhi to find the doctor."


    There''s nothing to say this time.


    If ordinary people, nursing homes and hospitals can still bully customers, put on one, two, three, four, five, and even threaten to leave the hospital without treatment.


    But in the face of such a big real estate developer as the Zheng family, President sun is really afraid to say anything. I''m a gold master. I can bully a poor boy without money, but the Zheng family is an uncle. Just don''t bully myself.


    Watching Zheng Qingmu walk out of the small conference room, President sun asked, "guys, do we have any other way?"


    "Dean, I can try cricothyroid membrane puncture, retrograde..."


    "Hurry up and try." President Sun said in a little hurry.


    Settle the matter before Wu Mian comes. The less you deal with him, the better. President sun has already made up his mind.


    He''s really a bad star. He''s doing some surgery in the nursing and hospital. He can''t get down. Originally, Zheng Linkai''s condition was just an ordinary postoperative complication. It was serious trauma of atlas and laryngeal edema. Shouldn''t it be.


    However, Wu Mian''s patients made a comparison and made a judgment.


    President sun was a little confused. He came to the intensive care unit again with Wang Ziliang and Chen houkun. Wang Ziliang prepared things and wanted to puncture Zheng Linkai''s cricothyroid membrane by hand. The steel wire was retrograde and guide endotracheal intubation.


    Because the patient was restless, propofol 80mg was given before puncture. After local disinfection, 2ml lidocaine was given. After cricothyroid membrane puncture with epidural puncture needle, the guide wire for central venous catheterization was inserted into the head.


    Laryngeal edema is generally serious near the head end, and the steel wire from top to bottom may not be able to get in.


    The retrograde wire feeding is much more likely to succeed.


    But Prince Liang tried. No matter where the steel wire went, there was a dead end ahead. The resistance is particularly large. He dare not operate violently for fear that local bleeding will enter the respiratory tract and lead to the death of the patient.


    Another doctor observed the head with a visual laryngoscope. He remained silent and the steel wire did not appear in the field of vision at all.


    Really... Shit, why not! Wang Ziliang was in a hurry.


    But the more anxious this meticulous work is, the less it can be done. The more anxious it is, the more disobedient the steel wire will be.


    The steel wire is not the thickness of the finger usually seen. The diameter of the retrograde puncture steel wire is only a few millimeters. Firmness is firmness, but toughness is, but hardness is not enough. With a little force, the steel wire will bend and discount.


    Everything can only be done by hand feeling. It is conceivable that it is very difficult.


    After trying for nearly 10 minutes, the patient''s oxygen saturation has been decreasing. Wang Ziliang has been paying attention to the value. Every time he drops a percentage point, he feels that the weight on his shoulder is heavier.


    He took a deep breath. Through the surgical mask, what he inhaled was hot and turbid air. Wang Ziliang let his mind relax as much as possible and tried to feel the toughness of the steel wire in his hand.


    It was an emergency first aid meeting five years ago. As the lecturer, Mr. Wu Mian showed a "small means", that is, the cricothyroid membrane puncture in front of him, and the steel wire was retrogradely led to the endotracheal intubation.


    At that time, it was not difficult to see Wu Mian do it, and the principle was well understood. Prince Liang remembered it, but he didn''t think it was such an unnatural operation.


    Now it feels completely different to operate by yourself.


    How can this be successful? It''s a lie! It''s all a lie!


    "Hold your hand a little more firmly, place your middle finger on your right hand, and twist your thumb and index finger gently." a voice came from behind.


    Prince Liang was stunned. He looked back and saw Wu Mian standing behind him, wearing a sterile mask and dark blue sterile clothes.


    It should be Miss Wu Mian. I really can''t recognize him without sunglasses. Unexpectedly, the face under Sunglasses looks like a top stream. Is this why he wears sunglasses?


    Wang Ziliang was lost in thought.


    "Operation, the patient''s blood oxygen saturation is not high, fight for time," Wu Mian said.


    "Er... Wu... Teacher, why don''t you come?" Wang Ziliang counseled directly.


    "OK, take a good look." Wu Mian nodded and picked up a pair of sterile gloves from the console. "I used a simulator to show this technology at a meeting in New York five years ago. There are few actual operations, and it''s necessary to be unskilled."


    Wu Mian put on his gloves and took the steel wire in Wang Ziliang''s hand.


    The middle finger pad of the right hand is stable below, and the thumb and index finger gently twist the steel wire. Wang Ziliang looked at Wu Mian''s movements carefully. They were very common. There was no amazing magic operation.


    Is that all right? Wang Ziliang was puzzled. He had just tried for a long time and failed.


    "Miss Wu, I see the steel wire!" said the doctor who observed the mouth with a visual laryngoscope excitedly.


    "In the intensive care unit, keep your voice down." Wu Mian narrowed his eyes and said softly.


    It seemed that everything was logical. Everything was very simple. He didn''t see it. The steel wire went retrograde from the edema part of the larynx, entered the nasal cavity from the mouth, and even didn''t use the doctor''s guidance of laryngoscope observation.


    The steel wire came out 10cm from the patient''s nasal cavity, and Wu Mian stopped the operation.


    He stood up and saw no one moving around. He asked strangely, "don''t you want to intubate?"
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