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Chapter 183 Tracheostomy(1/2)

Although Liu Dongfang continued to perform emergency debridement, he kept observing the rise and fall of the patient's chest out of the corner of his eye.

But just now!

The patient stopped breathing!

"Director Liu, what happened to him?!" Sun Linlin asked anxiously.

Apparently!

She also noticed something unusual about the patient!

"It's probably airway obstruction caused by strong irritating gas!" Liu Dongfang judged.

"What should we do?"

"Prepare for tracheal intubation and ventilator-assisted ventilation!"

Liu Dongfang gave the order, and Sun Linlin quickly prepared the supplies!

As the tracheal tube connected to the guide wire was handed over to Liu Dongfang, Sun Linlin assisted the patient in opening the airway.

at this time!

A sharp sound similar to a rooster's crow came from the patient's airway!

"director?"

Sun Linlin looked startled, and then her expression suddenly changed!

"Laryngeal edema?!"

Liu Dongfang's face darkened, and a bad premonition came over him.

He quickly took the video laryngoscope from Sun Linlin's hand and inserted it into the patient's mouth!

Suddenly!

A piece of gray tissue comes into view!

The crystal clear film is even more flushed!

Edema!

Extensive edema!

The entire throat was squeezed into a gap by swollen tissue!

And the opening of the epiglottis is even harder to detect!

Liu Dongfang took the intubation tube and tried several times, but all failed!

At this time, the epiglottis cartilage is like a copper wall, preventing anyone from invading!

"how so?!"

Sun Linlin is extremely anxious!

At this time, the injured person's airway is blocked and the pulmonary ventilation function is lost. It only takes a few minutes to cause severe hypoxemia!

By the time it causes secondary ischemic-hypoxic encephalopathy, there will be no way to save it!

"Director, do you think it's okay to change the endotracheal tube to a size 6?"

Facing the inquiry, Liu Dongfang shook his head helplessly.

In the current situation, let alone the No. 6 catheter, even the No. 5 catheter for children will not help!

This is a protective measure taken by the injured person's body to detect external dangers!

After all, strong acids are severely corrosive!

In order to prevent the strong acid from burning the airways, the body reactively closes the airways!

This resulted in Liu Dongfang being unable to perform tracheal intubation!

Time is passing minute by minute!

The condition of the injured has not improved at all, but is gradually getting worse!

Looking at his livid face, his purple lips and nail beds, Liu Dongfang knew he couldn't wait any longer!

"Prepare for tracheotomy!"

"Lidocaine 5mg, accessory kidney 1mg, tracheotomy bag, iodophor, oil gauze, gauze!"

Hearing this, Sun Linlin read it back and prepared the supplies according to Liu Dongfang's requirements!

"Lie on your back, put a pillow under your shoulders, and tilt your head back!"

Liu Dongfang and Sun Linlin quickly positioned the injured person in position!

Looking at the protruding trachea in the middle of his neck, Liu Dongfang took iodophor and quickly disinfected it!

Until the entire neck was covered with iodophor, Liu Dongfang injected the anesthetic prepared by Sun Linlin into the front and center of the injured person's neck to perform subcutaneous infiltration anesthesia!

At this point, Liu Dongfang took out the small silver box from his arms and took out the crystal clear scalpel!

"Now cut open and prepare for negative pressure suction!"

"OK!"

After that, Liu Dongfang fixed the wounded man's throat with his left thumb and middle finger to prevent the trachea from shifting left and right!

Press the index finger on the Adam's apple, hold the knife in your right hand, and make a midline incision from the lower edge of the cricoid cartilage to the upper edge of the sternum.

As the tip of the knife penetrated the skin, Liu Dongfang narrowed his eyes slightly and felt the subcutaneous tissue and fascia.

"right here!"

A gleam flashed in Liu Dongfang's eyes!

The strength in his hand does not decrease, and he cuts it open!

Suddenly, a light white tracheal ring appeared in front of my eyes!

However, due to the obvious edema of the wounded, the tracheal ring was looming!

Seeing this, Liu Dongfang said in a deep voice: "Hemostatic forceps!"

"good!"

Hearing this, Sun Linlin opened the tracheotomy bag, took out a small hemostat, and handed it to Liu Dongfang!

"Separate the sternohyoid bones and thyroid muscles on both sides to expose the trachea!"

The index finger and ring finger of Liu Dongfang's right hand used the hemostatic forceps to quickly squeeze the muscle tissue to both sides!

"Linlin, I need your help!"

After blunt separation, it’s time to perform the most critical tracheotomy!

However, because the patient was stimulated for too long, the muscles were always in a state of tension.

Liu Dongfang needs someone to help him pull the hook!

Fortunately!

Sun Linlin had already put on disposable surgical gloves.

"Director, what do you want me to do?"

Facing the inquiry, Liu Dongfang glanced at the thyroid retractor not far away.

The latter understood and directly placed it on Liu Dongfang's separate organization.

"Keep this position, don't move, I will be there soon!"

"kindness!"

Sun Linlin blushed slightly, this posture was a bit difficult for her.

After all, hook pulling tests a person's accuracy and willpower!

At this time, Sun Linlin bent over and her upper body began to tremble.

Seeing this, Liu Dongfang didn't dare to delay, he pushed hard, and the tip of the knife immediately penetrated the tracheal ring!

Hoo ho ho!

As a strong air flow spurted out, the impurities contained in it splashed all over them!

But now!

The two people in the room didn't feel the slightest disgust, but were extremely excited!

Because this airflow means that the patient's airway is open again!

The wounded man, who had his eyes closed and was about to faint, suddenly opened his eyes.

Along with the rising and falling of the chest again, a coolness penetrated into the wounded lungs, making him feel like he was reborn!

"Director Liu, that's it!"

Sun Linlin's eyes sparkled, and she was extremely happy at the scene before her!
To be continued...
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