The key to the operation of the balloon mask ventilation technology was to close and open the airway.
If the ventilation was not satisfactory for a single person, pressure-based ventilation with two people should be considered, and the technique should be used to open the airway, oropedia, or nasophobia at the same time. This technique was mainly used when the patient was at risk of inhaling by mistake or countercurrent. At the same time, it would also apply pressure on the cricoid cartilage.
Even Laryngeal Mirrors and light stick guidance techniques were used, and the basic operation of a single-person Ball Mask had been ruled out by Zheng Ren and was not even considered.
However, when the double bag mask provided low tidal volume and high-pressure oxygen supply, he found that the patient’s chest did not undulate very obviously.
“Laryngeal mask mask!” Zheng Ren roared in a deep voice.
At the same time, he had already put on sterile gloves. His eyes moved back and forth between the electrocardiogram monitor and the patient, but he did not perform tracheotomy immediately.
In the patient’s current condition, tracheotomy was considered a high-risk tracheotomy, and Zheng Ren had tried it in the system operating theater. Even if he had the luck aura, even if he had the surgery completion level +10 bonus, even if this was just a small operation, the final surgery completion level was only 65%.
This meant that the patient’s breathing with the help of a ventilator was likely to be unable to be offline, or even unable to get off the operating table at all.
Zheng Ren had tried many times, but a 65% success rate was already the highest.
In fact, it was not uncommon to see patients with high-risk tracheostomy.
They mainly had a short neck, obesity, sitting position, head leaning back, restlessness, large thyroid Gorge or space-occupying position, high meditative position, crooked trachea, tongue drooping, serious breathing difficulty, unable to insert tracheal tubes through the mouth or oral intubation but unable to breathe on their own, poor blood coagulation function, sudden suffocation before surgery, and unclear marks of the nape, chest, and cartilage bones were all classified as high-risk tracheotomy.
Under normal circumstances, it could be made up for by hand, but the patient in front of him was special. Zheng Ren was helpless. He had encountered a particularly tricky problem this time.
Fortunately, the oxygen supply from the mask was quite effective. He had already tested it in the system operating theater.
An anesthetist quickly opened the laryngeal mask and handed it to Zheng Ren.
Zheng Ren used his left hand to guide the patient’s jaw. Just as he was about to insert the laryngeal mask, he was surprised to see that it was a second-generation laryngeal mask!
That’s strange. The third generation laryngeal mask mask was clearly used in the operating theater of the system. What’s going on?
There was a huge difference between the laryngeal mask mask of a second-generation and third-generation Explorer. Even the final completion rate of the third-generation laryngeal mask was only 98%, so Zheng Ren did not dare to be careless.
“Third generation Explorer!” Zheng Ren said immediately.
Director Xu was stunned for a moment. The third generation Explorer … A throat mask?
The patient’s blood oxygen saturation level had dropped to 70%. Why was boss Zheng still so picky about the second and third generation laryngeal masks …
Just as he was about to explain, Feng Xuhui stood outside the operating room and immediately said loudly,”President Zheng, please wait!”
He held his phone in his left hand and dialed a number. The call was picked up almost instantly. Feng Xuhui said,””Emergency first aid kit!”
As he spoke, Feng Xuhui quickly walked to the door of the operating room.
He opened the door to the operating room, and Liu Xiaojie, who was more than ten meters away, pushed the box over. The heavy suitcase slid across the marble floor and arrived in front of Feng Xuhui almost as soon as he opened the door.
He took the box and closed the door. The whole process took 3.2 seconds.
Department Director Xu had been following Feng Xuhui. He kept calm. After all, he was the Department Director of the Department of Anesthesiology, and he had seen too many similar situations.
It was just that the patient’s condition today was a little special. If it were a normal laryngoscope, it would have been done.
Boss Zheng had not been performing tracheotomy for a long time, and chief Xu knew that this was a high-risk patient. Once tracheotomy was performed, there might be more trouble. This kind of trouble did not only come from the patient’s family members, but also the patient himself.
It was not uncommon for the patient’s condition to worsen after high-risk tracheal incision, so he was also inclined to use the laryngeal mask.
However, the laryngeal mask of the 912 model was not bad. That model had been used for many years, but boss Zheng wanted a third generation Explorer. This type of laryngeal mask had only been heard of in academic conferences. The Department of Anesthesiology in project 912 had not evolved to this stage.
The small medical consumables manufacturer who had been following boss Zheng seemed to be … The manager of the medical consumables manufacturer. What did he just shout? A first aid kit?
When director Xu saw a medium-sized Trolley Case “fly” in, the small consumables seller immediately squatted down and opened the box.
The trolley Case was filled with a dazzling array of emergency medical consumables.
He did not even look at it. He reached his hand in, and it was as if he knew where dozens of consumables were.
Feng Xuhui immediately grabbed a sterile bag. When he saw director Xu standing not far away and looking at him, Feng Xuhui threw the bag in his hand over.
“Director Xu!”
There was no need to be polite during the emergency treatment, and there was no time to be polite. Every minute and every second was extremely precious.
Department Director Xu caught the sterile package, and he was surprised to see a third generation laryngeal mask mask for explorers.
“……”
“F * ck!” Director Xu felt his face burning.
But he didn’t have time to think about it. He turned and ran, tearing off the outer packaging of the laryngeal mask as he ran.
Zheng Ren took over the laryngeal mask mask mask and placed it in using the conventional blind exploration method.
He used his left hand to guide the lower jaw to widen the oral gap while his right hand held the laryngeal mask. The mask faced the patient’s jaw and was inserted along the median line of the tongue along the posterior walls of the swallow until it could not be pushed any further.
After the laryngeal mask mask was inserted, positive pressure ventilation was applied. Zheng Ren observed the degree of chest rise and fall to return to normal. He grabbed a stethoscope and listened to the symmetrical and clear breathing sounds on both sides. There was no sound of air leakage in the anterior neck area.
Even though he had performed more than ten operations in the system operating theater, and even though he was enveloped by the lucky Halo after coming out, Zheng Ren was still very careful to check if there were any mistakes in the operation.
After the laryngeal mask was removed, Zheng Ren placed the gastric tube under the guidance of the laryngeal mask to solve the problem of the diaphragm muscles rising and lung capacity decreasing due to the expansion of the stomach due to a large amount of gas.
“40mg of morphine!”
“Midazolam, 2mg!”
“Dexxamethasone 10mg!”
Zheng Ren looked at the patient’s ECG monitor and continuously gave instructions to administer the medicine.
“An intravenous infusion of 0.25 g of amintea and 250 ml of 5% glucose!”
The patient’s blood pressure fluctuated between 184 – 110mm HCG/98 – 55mm HKG, and his heart rate fluctuated between 60 – 98 beats per minute.
“Nitroglycerin 0.05mg, uradil 15mg.” Zheng Ren said in a deep voice.
The air in the operating theater eased a little when he saw the blood pressure and heart rate blood oxygen saturation level rising continuously.
Boss Zheng’s medical advice was carried out perfectly without any doubt, even by director Xu.
If he wasn’t there, the next step for director Xu would be to remove the laryngeal mask. But with boss Zheng standing there, director Xu felt at ease for no reason. He didn’t feel that his authority was being challenged when his position in the emergency rescue Department was taken away.
At this time, with technology in mind and the laryngeal mask of the otherworldly third-generation Explorer, director Xu no longer had any thoughts about it.
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The key to the operation of the balloon mask ventilation technology was to close and open the airway.
If the ventilation was not satisfactory for a single person, pressure-based ventilation with two people should be considered, and the technique should be used to open the airway, oropedia, or nasophobia at the same time. This technique was mainly used when the patient was at risk of inhaling by mistake or countercurrent. At the same time, it would also apply pressure on the cricoid cartilage.
Even Laryngeal Mirrors and light stick guidance techniques were used, and the basic operation of a single-person Ball Mask had been ruled out by Zheng Ren and was not even considered.
However, when the double bag mask provided low tidal volume and high-pressure oxygen supply, he found that the patient’s chest did not undulate very obviously.
“Laryngeal mask mask!” Zheng Ren roared in a deep voice.
At the same time, he had already put on sterile gloves. His eyes moved back and forth between the electrocardiogram monitor and the patient, but he did not perform tracheotomy immediately.
In the patient’s current condition, tracheotomy was considered a high-risk tracheotomy, and Zheng Ren had tried it in the system operating theater. Even if he had the luck aura, even if he had the surgery completion level +10 bonus, even if this was just a small operation, the final surgery completion level was only 65%.
This meant that the patient’s breathing with the help of a ventilator was likely to be unable to be offline, or even unable to get off the operating table at all.
Zheng Ren had tried many times, but a 65% success rate was already the highest.
In fact, it was not uncommon to see patients with high-risk tracheostomy.
They mainly had a short neck, obesity, sitting position, head leaning back, restlessness, large thyroid Gorge or space-occupying position, high meditative position, crooked trachea, tongue drooping, serious breathing difficulty, unable to insert tracheal tubes through the mouth or oral intubation but unable to breathe on their own, poor blood coagulation function, sudden suffocation before surgery, and unclear marks of the nape, chest, and cartilage bones were all classified as high-risk tracheotomy.
Under normal circumstances, it could be made up for by hand, but the patient in front of him was special. Zheng Ren was helpless. He had encountered a particularly tricky problem this time.
Fortunately, the oxygen supply from the mask was quite effective. He had already tested it in the system operating theater.
An anesthetist quickly opened the laryngeal mask and handed it to Zheng Ren.
Zheng Ren used his left hand to guide the patient’s jaw. Just as he was about to insert the laryngeal mask, he was surprised to see that it was a second-generation laryngeal mask!
That’s strange. The third generation laryngeal mask mask was clearly used in the operating theater of the system. What’s going on?
There was a huge difference between the laryngeal mask mask of a second-generation and third-generation Explorer. Even the final completion rate of the third-generation laryngeal mask was only 98%, so Zheng Ren did not dare to be careless.
“Third generation Explorer!” Zheng Ren said immediately.
Director Xu was stunned for a moment. The third generation Explorer … A throat mask?
The patient’s blood oxygen saturation level had dropped to 70%. Why was boss Zheng still so picky about the second and third generation laryngeal masks …
Just as he was about to explain, Feng Xuhui stood outside the operating room and immediately said loudly,”President Zheng, please wait!”
He held his phone in his left hand and dialed a number. The call was picked up almost instantly. Feng Xuhui said,””Emergency first aid kit!”
As he spoke, Feng Xuhui quickly walked to the door of the operating room.
He opened the door to the operating room, and Liu Xiaojie, who was more than ten meters away, pushed the box over. The heavy suitcase slid across the marble floor and arrived in front of Feng Xuhui almost as soon as he opened the door.
He took the box and closed the door. The whole process took 3.2 seconds.
Department Director Xu had been following Feng Xuhui. He kept calm. After all, he was the Department Director of the Department of Anesthesiology, and he had seen too many similar situations.
It was just that the patient’s condition today was a little special. If it were a normal laryngoscope, it would have been done.
Boss Zheng had not been performing tracheotomy for a long time, and chief Xu knew that this was a high-risk patient. Once tracheotomy was performed, there might be more trouble. This kind of trouble did not only come from the patient’s family members, but also the patient himself.
It was not uncommon for the patient’s condition to worsen after high-risk tracheal incision, so he was also inclined to use the laryngeal mask.
However, the laryngeal mask of the 912 model was not bad. That model had been used for many years, but boss Zheng wanted a third generation Explorer. This type of laryngeal mask had only been heard of in academic conferences. The Department of Anesthesiology in project 912 had not evolved to this stage.
The small medical consumables manufacturer who had been following boss Zheng seemed to be … The manager of the medical consumables manufacturer. What did he just shout? A first aid kit?
When director Xu saw a medium-sized Trolley Case “fly” in, the small consumables seller immediately squatted down and opened the box.
The trolley Case was filled with a dazzling array of emergency medical consumables.
He did not even look at it. He reached his hand in, and it was as if he knew where dozens of consumables were.
Feng Xuhui immediately grabbed a sterile bag. When he saw director Xu standing not far away and looking at him, Feng Xuhui threw the bag in his hand over.
“Director Xu!”
There was no need to be polite during the emergency treatment, and there was no time to be polite. Every minute and every second was extremely precious.
Department Director Xu caught the sterile package, and he was surprised to see a third generation laryngeal mask mask for explorers.
“……”
“F * ck!” Director Xu felt his face burning.
But he didn’t have time to think about it. He turned and ran, tearing off the outer packaging of the laryngeal mask as he ran.
Zheng Ren took over the laryngeal mask mask mask and placed it in using the conventional blind exploration method.
He used his left hand to guide the lower jaw to widen the oral gap while his right hand held the laryngeal mask. The mask faced the patient’s jaw and was inserted along the median line of the tongue along the posterior walls of the swallow until it could not be pushed any further.
After the laryngeal mask mask was inserted, positive pressure ventilation was applied. Zheng Ren observed the degree of chest rise and fall to return to normal. He grabbed a stethoscope and listened to the symmetrical and clear breathing sounds on both sides. There was no sound of air leakage in the anterior neck area.
Even though he had performed more than ten operations in the system operating theater, and even though he was enveloped by the lucky Halo after coming out, Zheng Ren was still very careful to check if there were any mistakes in the operation.
After the laryngeal mask was removed, Zheng Ren placed the gastric tube under the guidance of the laryngeal mask to solve the problem of the diaphragm muscles rising and lung capacity decreasing due to the expansion of the stomach due to a large amount of gas.
“40mg of morphine!”
“Midazolam, 2mg!”
“Dexxamethasone 10mg!”
Zheng Ren looked at the patient’s ECG monitor and continuously gave instructions to administer the medicine.
“An intravenous infusion of 0.25 g of amintea and 250 ml of 5% glucose!”
The patient’s blood pressure fluctuated between 184 – 110mm HCG/98 – 55mm HKG, and his heart rate fluctuated between 60 – 98 beats per minute.
“Nitroglycerin 0.05mg, uradil 15mg.” Zheng Ren said in a deep voice.
The air in the operating theater eased a little when he saw the blood pressure and heart rate blood oxygen saturation level rising continuously.
Boss Zheng’s medical advice was carried out perfectly without any doubt, even by director Xu.
If he wasn’t there, the next step for director Xu would be to remove the laryngeal mask. But with boss Zheng standing there, director Xu felt at ease for no reason. He didn’t feel that his authority was being challenged when his position in the emergency rescue Department was taken away.
At this time, with technology in mind and the laryngeal mask of the otherworldly third-generation Explorer, director Xu no longer had any thoughts about it.
If you find any errors ( broken links, non-standard content, etc.. ), Please let us know so we can fix it as soon as possible.
Tip: You can use left, right, A and D keyboard keys to browse between chapters.
