Original title: the "air cutting team" of "fighting for severe cases" and "fighting for people with death": wearing 4-layer gloves for precise knife operation
"When the scalpel is lowered, the chest air stream will carry the new coronavirus and eject. Doctors first need to cut the inferior edge of thyroid cartilage to expose the trachea; then cut the front wall of the trachea, quickly insert the tracheal tube, implant and fix the silica gel inner tube from the tube, and connect the ventilator... " This series of precise operations needs to be 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.
This is the scene novel coronavirus pneumonia in the Eastern District Hospital of Wuhan University.
"Tracheotomy team" of East Hospital of Wuhan University People's hospital is carrying out tracheotomy for patients. Source: East Hospital of Wuhan University People's Hospital
Novel coronavirus pneumonia (www.thepaper.cn) was informed by the eastern courtyard of Wuhan University people's Hospital in February 28th. On the afternoon of 28, in the war of death with the God of death, the 3 Party member of the Department of ENT director of the Department of ENT, Zhu Ting, "the air cutting unit" (new crown pneumonia patients tracheotomy surgery sub unit) won another victory. As of February 28th, novel coronavirus pneumonia unit had completed 5 tracheotomy operations for new crown pneumonia critical patients.
For novel coronavirus pneumonia patients who have undergone endotracheal intubation, tracheotomy is necessary if they can not be extubated within 7-10 days. During the operation, a large amount of secretion aerosol will be ejected, and the virus particles deposited in the patient's lungs will also be directly exposed to the air. A little carelessness is a fatal threat to medical staff.
Before each operation, the members of the "gas cutting team" should have three levels of protection, including two layers of protective clothing, N95 masks, goggles and foot covers Unlike other colleagues, they also wear positive pressure headgear and 4 layers of gloves.
"Tracheotomy team" of East Hospital of Wuhan University People's hospital is carrying out tracheotomy for patients. Source: East Hospital of Wuhan University People's Hospital
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. After a series of precise percutaneous tracheotomy operations, such as positioning, laying treatment towel, evaluation, anesthesia, tracheotomy, etc., and connecting the ventilator again, the patient's airway risk will be reduced and the comfort will be 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! "