In recent years, many emergency departments have been able to perform endotracheal intubation independently. From a management perspective, emergency departments that do not have full intubation capabilities are also disqualified.
However, for some historical reasons, emergency departments in some hospitals still rely on anesthesiology intubation.
It’s okay if it’s just to help with the intubation. Sometimes, even get into trouble.
Not long ago, Dr. Liu from the Department of Anesthesiology received a call from the Emergency Department for support.
At the scene, the patient has not yet arrived. I probably asked about the patient’s condition and said that he was transferred from the respiratory medicine department of another hospital.
As soon as he heard about the Department of Respiratory Medicine, Dr. Liu had a hint of worry in his mind. This is because most patients in respiratory medicine are very serious. The most important thing is that basically they are left with respiratory failure. How important is the rescue of such a patient?
What’s more critical is that at this time the family members need to be rescued, and no one can predict the real state of mind of the family members: is it really filial? Reluctant? Or for the money?
Patients are already “galloping” into the analysis room.
Seeing that the rhythm of breathing is completely abnormal, the respiratory physician who came with the car asked: Should I use an intubation?
Dr. Liu said immediately: Plug in!
The nurse turns and runs to get the medicine.
This emergency intubation is familiar to nurses. Before intubation, push some anesthetic. Otherwise, the patient may resist and be unable to complete the intubation.
Dr. Liu said: No need for anesthesia.
While speaking, the laryngoscope has been picked up. He lifted the patient’s jaw and inserted the endotracheal tube.
Faced with Dr. Liu’s actions, everyone admired and was more surprised.
What everyone admires is that Dr. Liu’s intubation skills are really high. In fact, this is a basic technique in anesthesiology. Even housekeeping skills are not considered, at most basic skills. The real technology of anesthesiology is how to ensure the safety of patients’ lives.
Everyone is surprised that it is possible to intubate without medication? Will the patient resist? Not conscious?
Dr. Liu explained: As soon as he came in, he found that the patient’s breathing rhythm was completely abnormal. Also, the breathing rate is not right. In this case, there is a high probability that it is a manifestation of respiratory failure, and the breathing at that time has been seriously unable to meet the needs of the body.
Hearing Dr. Liu’s explanation, everyone also noticed that the patient really had no resistance and seemed to have no consciousness. I vaguely remember that the blood oxygen value on the monitor is only over 60%.
When the emergency doctor and family members explained that the tube was intubated without anesthesia, the family members were also skeptical at first. But when I heard that the blood oxygen was only over 60%, which was very dangerous, they also expressed their gratitude and praised the superb medical skills.
After such rescue, the emergency department once again saw the level of intubation in the anesthesiology department. The emergency doctor did not forget to ask: No anesthesia, is the jaw not tight?
Dr. Liu said: In such a breathing condition, most patients are unconscious and cerebral hypoxia. In the case of cerebral hypoxia, not only the jaw has no strength, but many muscles will relax. Intubation at this time is comparable to the effect of intubation with muscle relaxants.
One rescue is over, everyone has something to gain.
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