Doctor's Life Simulator

Chapter 14 Head iron, face-to-face overthrow of the attending physician's dressing plan

Soon the entire operation was completed, and the next step was to perform postoperative treatment on the patient.

Wu Youtu directly issued an order to Peng Yun:
"Afterwards, Jia Qing will have you in charge of the bed. Pay attention to the proper elevation of the patient's limbs after surgery to avoid long-term pressure."

"Okay, Wu is in charge."

Peng Yun still recognized Wu Youtu's technology very much, and then asked:
"Wu is in charge, what kind of dressing is used for the patient?"

Hearing Peng Yun's question, Qin Lang on the side also conceived an excellent dressing plan in his mind, but he was still going to listen to Wu's plan first.

"Moist functional dressings using my previously modified hydrocolloids and hydrogels."

Wu Youtu gave the order very confidently, and Peng Yun, as a subordinate doctor, naturally had great trust in the plan of the attending physician.

And in fact, hydrocolloid dressings, debridement gel wet functional dressings, since WINTER proposed wet healing technology in 1962, after a large number of studies have confirmed that wounds are more conducive to healing in a certain humidity environment.

This theory is also known as: Moist Healing Theory.

And the dressing improved by Wu Youtu is unique in the burn department of the city's first hospital.

"Wu Zhizhi, can you tell me more about the specific ratio of this dressing?"

As Wu's junior doctor, Peng Yun naturally would not miss this opportunity to learn.

Qin Lang on the side frowned slightly. In his clinical experience in the simulated world, of course he also learned this wet functional dressing, but he didn't understand it a little bit.

Because, in his mind, there is obviously a better dressing plan.

At this moment, Wu Youtu has already started to explain to Peng Yun, and of course, he also said to Qin Lang: "Qin Lang, listen to it too."

"The whole hydrocolloid dressing is light yellow translucent hydrocolloid dressing, the outer layer is polyurethane backing composition, and the inner layer is hydrocolloid particles."

During Wu Youtu's explanation, Peng Yun, as the top student of Peking Union Medical College, naturally had quick thinking and drew inferences about other cases from one instance.

"If I'm not wrong, this formula acts on the hydrocolloid particles after the wound, which can absorb a large amount of wound exudate, and is also conducive to timely debridement of wound secretions. At the same time, the hydrocolloid layer expands to form a layer of gel. It can maintain the humidity and temperature of the wound, thus providing a good healing environment for the wound!"

Hearing Peng Yun's analysis, Wu Youtu was naturally very satisfied:

"That's right, Peng Yun, your theoretical foundation is indeed solid. It can be said that you are second to none among the residents of this generation!"

Hearing Wu Youtu's praise, Peng Yun was naturally overjoyed, and looked at Qin Lang intentionally or unintentionally, as if he wanted to regain the face he had during the director's rounds that day.

After praising Peng Yun, Wu Youtu tried his best to add some advantages of this water gel dressing:
"However, in addition to this, the hydrogel dressing can also make the pH of the wound surface slightly acidic, which can inhibit the growth of Pseudomonas aeruginosa and Staphylococcus aureus, and reduce the bacterial load of the wound, while the polyurethane backing of the outer layer of the dressing can block the outside world. Moisture and bacterial invasion, ultimately reducing wound infection."

It has to be said that it is not easy for a tertiary hospital like the First Hospital of the City to be a senior attending physician, and each of them is the pride of heaven.

Wu Youtu really put a lot of thought into this dressing plan, and it is also the brainchild of many years.

For this, Qin Lang also admired it very much.

Wu Youtu continued to teach two young doctors.

Apart from being straight-tempered and following rules and regulations, Wu Youtu is indeed a good teacher who is very responsible for junior doctors, and he has no secrets at all:
"In addition, after the hydrocolloid dressing seals the wound, the local microenvironment is in a hypoxic state. Studies have shown that in a hypoxic environment, the growth rate of fibroblast tissue is the fastest, which is conducive to the proliferation, differentiation and crawling of the epithelium, and can improve the speed of wound closure."

Although I learned about this dressing formula in the simulator world and used it many times, Qin Lang learned a lot from hearing the design ideas of the improver.

As for Peng Yun, he memorized it more carefully, for fear of making mistakes.

"Then Wu is attending, what is the specific formula of the debridement gel?"

Peng Yun continued to ask questions.

Wu Youtu smiled lightly, and this recipe was his painstaking effort for many years, so he naturally introduced it very proudly:
"Debridement gel is a sterile gel made of natural polysaccharide polymers dispersed in water, the main components of which are guar gum (strongly hydrophilic), propylene glycol (humectant), purified water"

While talking, Wu Youtu also had the intention of investigating the two of them, and after speaking, he looked at Peng Yun: "You can speculate again, why such a formula is made."

After thinking about it for a while, Peng Yun smiled, fully showing his academic demeanor, and also intending to compete with Qin Lang to let him know that he is not a mediocre person like Qian Liang!
"According to this formula, after the debridement gel acts on the wound, it can continuously release water molecules, hydrate with necrotic tissue, soften and remove necrotic tissue, and give full play to the body's own autolytic debridement process."

Hearing Peng Yun's understanding, Wu Youtu was very pleased.

It has to be said that this is the purpose of the construction of a hospital echelon, which is to inherit and carry forward. Generations of medical professionals work together to promote the development of medical technology in order to enable patients to obtain better treatment experience.

After saying this, Wu Youtu taught the main ingredients of Moist Burn Ointment to two people:

"As for MEBO, it uses Coptis chinensis, Phellodendron phellodendri, Scutellaria baicalensis, Earthworm, poppy shell, etc., which have the effects of clearing away heat and detoxification, promoting muscle growth and relieving pain."

After finishing speaking, Wu Youtu looked at Qin Lang: "Xiao Qin, tell me your understanding of this moist burn ointment!"

Peng Yun also took a quick look at it. This moist burn ointment can be said to be a traditional and classic medicine for treating burns. The general mechanism of action can be answered by ordinary training doctors, but to give a comprehensive and detailed answer, you need to see Skill.

For this, Qin Lang is naturally not at all afraid:
"First of all, MEBO can effectively keep the wound surface moist and improve the blood circulation of the wound surface. The necrotic tissue can be debrided by autolysis, thereby promoting the growth of granulation tissue and wound healing."

Both Wu Youtu and Peng Yun nodded slightly, which most medical students can answer.

"Secondly, MEBO has an anti-infective effect. Studies have shown that MEBO can change the morphological structure, colony characteristics, and pathogenicity of some bacteria, thereby exerting an antibacterial effect."

Hearing this, Peng Yun was slightly surprised, but Qin Lang was standing opposite, so she could accept it, if only the two little doctors she brought were so powerful.

However, Qin Lang's performance is not over yet. After many times of clinical experience, and from the real reflections of recovered patients, he came to the conclusion:

"In addition, after using this moist burn ointment, the patient can obviously feel that the pain is much less than before, so I speculate that it can act on the wound with less stimulation to the nerve endings, reduce the degree of tissue regeneration damage, and have The damage is small and the pain is mild."

Hearing Qin Lang's last point, Wu Youtu's eyes lit up. He came to this conclusion after comparing dozens of cases back then. Qin Lang had mastered it at such a young age.

"Amazing."

Wu Youtu nodded repeatedly: "Very good, Qin Lang, you are not bad!"

However, before Wu Youtu finished speaking, Qin Lang's untimely voice sounded:
"Although Wu's improved dressing has various advantages, I don't think this dressing is the best choice for Jia Qing. I think we should use nano-silver dressing for him!"

This is the best choice that Qin Lang has mastered in the clinical experience of the simulated world, and it is also the plan that can make Jia Qing's wounds recover most perfectly and leave the least scars.

Hearing this voice, Peng Yun on the side was obviously taken aback. This brat actually contradicted the attending physician face to face.

In addition, how come she didn't see Wu attending use the nano-silver dressing?
(End of this chapter)