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¡¾1186¡¿Teacher let go

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    Going back to medical school to make up for your shortcomings is just the first step.  In medical school, we dissect dead people, but in clinical practice, we deal with living people. We also need to do more cases to accumulate clinical experience.

    This requires the doctor to be bold and careful.  Female doctors have always been less courageous, which makes them generally inferior to male doctors in such operations.  A female doctor who has the courage to take action is definitely outstanding.

    ????????????????????????????????????????????????????????????? Teacher Xin smiles all the time, he smiles so gently, his true identity is a general under Director Li.  In his twenties, he dared to take a student to play bronchoscopy alone, which shows that his personality and skills should be outstanding among doctors of the same age.

    "Come on, put on your hat and clothes." Xin Yanjun said to the students grandly.

    Teachers and students put on disposable surgical gowns and sterile gloves.

    The patient is lying on the treatment bed, supine.

    Before the operation, the nurse gave the patient a topical anesthetic to numb the throat, like a gastroscopy.

    This patient has high blood pressure. For safety reasons, the patient is connected to an ECG monitor and the blood pressure monitoring frequency is adjusted to once every three minutes in order to observe the patient's condition.

    As an assisting doctor, Xie Wanying needs to help the teacher apply sterile paraffin oil to the fiber bronchoscope to lubricate the lens body, so that the friction between the lens body and the patient's tracheal wall can be reduced when entering the patient's airway.

    everything's ready.

    Xin Yanjun lowered her head, talked to the patient, and calmed the patient's emotions: "Sister, I will do this examination later. Please cooperate with me. When I tell you to inhale, just inhale. Don't be nervous. It's just that the tube is a little bit when it goes into your throat.  I'm not feeling well, please bear with it, it won't be too long."

    The patient nodded, looking as calm as the doctor but it was impossible.

    The nurse then gave a bottle of drip medicine to the doctor¡¯s hand.

    "Yingying, take it and put it into her big nostril. It's chlorine anesthetic solution." Xin Yanjun said to the student.

    The cooperative nurse hesitated for a moment, then reluctantly gave the medicine to Xie Wanying, and told her: "If you don't understand anything, remember to ask the teacher first."

    I am afraid that this intern has never been exposed to fiberoptic bronchoscope operation and does not know how to do it without asking himself.  Once Xin Yanjun starts operating, she will never take care of the students. She must focus entirely on the patient.

    Fiber bronchoscopy is an operation that invades the human body. Improper operation can harm the human body, and the complication rate is as high as 0.3%.  The most common type of bleeding is occasional massive bleeding that can be fatal.  Other complications such as hypoxia and infection are very troublesome.

    Knowing the pros and cons of medical operations, Xie Wanying would not have any objection to the nagging of the nurse sister and nodded.

    Holding the dropper bottle in hand, Xie Wanying first observed the patient's nasal cavity according to the teacher's instructions.

    There are three paths for the fiberoptic bronchoscope to enter the airway, through the nasal cavity and through the oral cavity. If the patient has a tracheotomy, it can be inserted through the incision cannula.  Clinically, the preferred route by most doctors is transnasal.

    The reason is simple. If the tube passes through the mouth, it will easily be interfered by the patient's mouth and tongue.  If it is through the nasal cavity, no matter how much you move your nose, there is nothing in the nose that can make big movements, so it is bound to be difficult to disturb the tube.  For example, if today's 21-bed patient is connected to a ventilator via oral tracheal intubation, the doctor will first place the scope into the airway through the intubation tube in the mouth.

    In a nutshell, whichever way is easier to enter is the one to enter.

    Carefully compare the size of the patient's two nostrils to see which nostril is larger and does not obstruct which nostril the tube enters from.  (Remember the website address: www.hlnovel.com
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