Vol 3 Chapter 2236: Fractured tracheal intubation

"Do you suspect that the phlegm is blocked?" Su Yun asked. He didn't look like him, a little confused.
仁 Zheng Ren said nothing, took the suction tube, tried it twice, the tube was unobstructed, and then sent to the patient's trachea intubation.
The sputum tube made a hissing sound and only a small amount of secretion was sucked out.
Continue to send the suction tube in, Zheng Ren suddenly stunned.
"Boss, what's wrong?"
"There is something in it, the suction tube can't be sent in." Zheng Ren said.
"..." Su Yun and ICU were hospitalized for a while, Lin Yuan stood behind, and suddenly did not understand the meaning of Boss Zheng's words.
This situation is beyond everyone's imagination.
Su Suyun immediately recalled the chest radiograph and CT of the patient before surgery.
There can be no problem. If there is something before the operation, the ventilator will also alarm during the operation.
"What did you do with it?" Su Yun looked at ICU's hospital admission seriously.
ICU's hospitalization is always asked.
I did n’t give anything. The patient was sent back after surgery, and there was a slight agitation. At first, no treatment was given. Follow the advice of anesthesiologist Lao He and observe for 6 hours to prepare for extubation.
随着 But over time, the patient's agitation became more and more severe. The last few people couldn't hold it, and gave propofol helplessly.
Continued sedation will prolong the time of extubation, but the patient's agitation will not work.
ICU always thought about the hospitalization carefully, and called the nurse again to ask, but at this moment, Zheng Ren suddenly said in a deep voice: "No! It was a tracheal intubation!"
"Uh ..." Su Yun glanced at the tracheal intubation, which was enhanced. broken? impossible.
ICU's hospitalization is always dying, she immediately explained: "Boss Zheng, enhanced tracheal intubation ..."
"Preparing a fiber bronchoscope and a bedside chest radiograph!" Zheng Ren went to the doctor's order without discussing it with them.
"Okay." Su Yun didn't hesitate, pulling the ICU's hospitalization to push the X-ray machine.
Pushed the bedside X-ray machine over, Zheng Ren started filming the patient.
Posing his posture, putting the film box, and filming, and let Lin Yuan run around the film box and go to the radiology department to wash the film.
At this time, the hospital is always ready for fiberoptic bronchoscopy.
Zheng Ren pulled down the ventilator and pulled out the trachea.
When the extubation was found, the tracheal tube was disconnected, and only about 12 cm of the tail of the catheter was left. The rest must be left in the patient's trachea.
The tracheal foreign body prompted by the big pig's hoof turned out to be part of the enhanced tracheal intubation!
After looking at the situation, not only Zheng Ren, but Su Yun and ICU were hospitalized.
What is this special situation? Can the enhanced endotracheal tube be broken? !! How did it break? Mishandling when transporting patients? That's how hard it takes to break a reinforced endotracheal tube.
ICU's hospitalization always carefully checked the location of the tracheal intubation break and whispered, "Boss Zheng, Brother Yun, it doesn't look like a quality problem."
仁 Zheng Ren had seen the incompleteness of the broken end of the trachea intubation, and speculated in his heart, and then Shen Shen said: "It is not the trachea that ruptured by itself, but the patient's teeth."
"..."
"Lin Lin Yuan, let the radiology department upload the film as soon as possible." Zheng Ren squinted at the patient's ECG monitoring.
Although there are foreign bodies in the trachea, the endotracheal intubation itself is a tube, which only causes severe irritation, and does not directly block the lumen, causing the patient to suffocate to death.
Soon, the X-ray film uploaded by the bed, Zheng Ren saw the patient's first-hand information.
X-ray shows that the anterior tracheal tube has entered the right bronchus ...
Looking at the image on the computer, several people sighed.
This "medical accident" came as a surprise and caught people by surprise. If you find it, take out the pipe, and hope that it will not make waves again.
"Boss, do you remember what the patient's family said that day?" Su Yun suddenly asked.
Zheng Ren thought back, remembering that the man squatting on the road was sobbing and crying, remembering that he talked about some patients, and also remembering that he said that the patient refused treatment.
When I was on surgery, the patient's face was not good-looking. After persuasion by the patient's family and Chang Yue, he entered the operating room.
After the general anesthesia was awakened, the patient's subconscious obsession was at work-not willing to spend money, it is better to die directly than to spend money on surgery.
I didn't expect that obsession was so heavy, and Zheng Ren didn't understand anything. After being a doctor for so many years, more strange patients have been seen.
But the strange place in front of the patients is also this obsession, generally speaking, the desire to survive is very strong.
He usually said that he would die when he was old, and those elderly people who did not add burdens to his children would hardly say that until such a day.
There is a great terror between life and death. Before that moment, few people can feel how scary the threat of death is.
Generally speaking, it is impossible to reach the end of the river, or no one cares about it. Few people will have such a firm conviction that they only want to die.
"Ask Changyue ... call her directly ... forget it, take the tube out first. The patient can go offline and look at it. After waiting, let the patient's family and Changyue do his work." Zheng Ren Especially helpless to say.
Wu Suyun nodded, and in the face of such a desperate patient, there was no good way for anyone.
仁 Zheng Ren didn't feel much of the vicissitudes of the world, and he was fickle, and began to take out the first half of the broken and strengthened tracheal intubation from the trachea with fiber bronchoscope under propofol anesthesia.
The location of the tracheal intubation was compared with each other, and it was more certain that the patient had his teeth broken after anaesthesia.
After a good operation, in the end such a wave came, Zheng Ren couldn't laugh or cry. However, it also proved the success of the operation from the side-the patients were able to use teeth to break the enhanced tracheal intubation ~ EbookFREE.me ~ contact Lin Ge and the medical department, and also brought Chang Yue and his family members to talk about Be clear about this.
The operation was successful, and it was said that he would be able to go to the ground tomorrow and be discharged from the hospital after 1 week. The patient's family was overjoyed. But after seeing the tracheal intubation broken by his teeth, he froze for a long time, apologizing with tears and Zheng Ren.
I gave this to Chang Yue. Zheng Ren was afraid that the patient would make no more moths. He simply set up a chair and sat on the patient's bed, staring at him without blinking.
Fracture of tracheal tube after operation is extremely rare, especially for reinforced tracheal tube. This case is very special. It can be confirmed through the stump of the catheter that the catheter was repeatedly bitten and broken by the patient's teeth.
It's early to find out. If it is later, it is estimated that there will be more twists and turns.
I made two echocardiograms intermittently, and the patient's left ventricular ejection fraction increased to about 60%. The surgical effect was completely beyond imagination.
After 4 hours, the patient was completely awake, and Zheng Ren saw that all the indicators were very satisfied, and he transferred the patient out of the ICU. The patient's family and Chang Yue did the guidance work.
Uh ...
Uh ...
Note: The truth, I heard from a teacher, it happened many years ago. Regarding reinforced tracheal intubation rupture, I have heard and encountered such a case.
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