Three party members "gas cutting team" led by Zhu Ting, director of Otolaryngology Department, East Hospital, Wuhan University People's Hospital
Jingchu net client - Jingchu net news (reporter Huang Tao correspondent Du Weiwei, Zou Yaqin) shining surgical blade, straight to the patient's throat. Zhu Ting knew that in the next moment, the intense chest air flow would carry the new coronavirus and spray it out. Without any hesitation, he chose to stroke straight.
Cut along the inferior edge of thyroid cartilage to expose the trachea; cut the anterior wall of the trachea and insert the tracheal tube quickly; implant and fix the silica gel inner tube from the tube and connect the ventilator A series of precise operations, completed in 15 minutes.
"65, 80, 97", the arterial oxygen saturation on the bedside monitor soared rapidly, and the vital signs of patients returned to stability. On the afternoon of February 28, in the war of "robbing people" with the God of death, Zhu Ting, director of Otolaryngology Department of East Hospital of Wuhan University People's Hospital, led the three party members "qiche team" to win again. The current score in this long-lasting game is 5-0.
For patients with novel coronavirus pneumonia who have been intubated, if tracheal extubation is not necessary for 7-10 days, tracheotomy is necessary. Tracheotomy is not complicated for otolaryngologists. But for novel coronavirus pneumonia, this kind of severe respiratory infectious disease, tracheotomy should be cautious. A large amount of secretory aerosol is ejected, and the virus particles deposited in patients' lungs will be exposed to the air directly. A little carelessness is a fatal threat to medical staff.
As of February 28, five cases of tracheotomy carried out by the "gas cutting team" in the east hospital area led by Zhu Ting were all for critical patients with high viral load. Before each operation, they should do three levels of protection, including two layers of protective clothing, N95 masks, goggles, foot covers Unlike other colleagues, they wear positive pressure headgear and four layers of gloves at the same time.
Tracheotomy requires a high level of vision and touch. The water vapor on the head cover will block the vision of the surgeon; the 4-layer gloves on both hands make the fingers holding the knife almost feel nothing. In the case of dual "failure" of vision and touch, Zhu ting and his teammates almost complete every operation by experience.
On February 20, the Department of Otolaryngology of Dongyuan district received an emergency call from the Department of critical medicine. A 70 year old novel coronavirus pneumonia critically ill patient had only 60% oxygen saturation after tracheal intubation. "Tracheotomy must be done as soon as possible, or the patient will die of respiratory failure soon." Zhou Chenliang, director of the Department of critical medicine, discussed with Kang Yan, director of the Department of critical medicine of Western China Hospital, and decided to ask the "gas cutting team" to operate the knife for tracheotomy.
Zhu Ting changed his protective clothing with Ding Yongjun and Deng Zhifeng, who were members of the "gas cutting team". He took the gas cutting bag and rushed to the ICU at the first time. He joined hands with Yang Jianzhong, the leader of the ICU group of Xinjiang medical team, who was supported by the ICU. Positioning, towel laying, evaluation, anesthesia, tracheotomy Although they look clumsy in protective clothing, Zhu Ting's movements are gentle and quick. After a series of precise percutaneous tracheotomy operations and re connecting the ventilator, Zou's risk of airway was reduced and his comfort improved immediately. The whole body of the "air cutting team" has been soaked with sweat.
Zhu Ting said that for novel coronavirus pneumonia patients, the tracheotomy has a good effect of adjuvant treatment. "Reducing mortality of novel coronavirus pneumonia in critically ill patients requires multiple disciplines to work together, and Party members and doctors should be more aggressive. As long as the patients have needs, our "gas cutting team" must achieve its mission! "
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Editor: Huang Tao