Auto chess in the operating room

Chapter 86 Tang Lou's Dressing Theory

Seeing Tang Lou pushing Xiaoyun to the medicine changing room, Wang Daquan couldn't believe it. Such a well-behaved and quiet little girl was really Xiaoyun whom he knew who was extremely resistant to changing medicines?
"What did he say to Xiaoyun?"

Looking at Tang Lou's handsome figure, Tian Linsheng felt a little envious and admiring, and said softly, "Maybe it's just because he's handsome?"

Wang Daquan: "."

Several people hurriedly followed.

In the pharmacy changing room, Tang Lou and Ling Jia had already made all the preparations. After Xiaoyun was sent in, the two of them also finished disinfection and put on masks and gloves.

".100% Oxygen Inhalation"

Linga looked at the time, followed Tang Lou's instructions, and first gave Xiaoyun 3 minutes of oxygen inhalation.

Outside the changing pharmacy, Wang Daquan and Tian Linsheng looked at all this through the transparent glass, with confused expressions on their faces.

"What is he doing? Giving the patient oxygen? Is it okay to change the dressing?"

Tian Linsheng asked Ma En suspiciously, but Ma En was also a little incomprehensible.

It's just that Xiaoyun's expression is becoming more and more relaxed now, as if she really fell asleep peacefully.

".Titration method inhales nitrous oxide/oxygen mixed gas, the initial concentration of nitrous oxide is 20%, and the concentration of nitrous oxide increases by 2% every 10 minutes"

Linga looked at his notes and began to operate according to Tang Lou's request.

"Nurse Lin is adding laughing gas?"

Tian Linsheng doubted his ears. He had heard about laughing gas, which is a harmful gas that makes people addicted, and ordinary people can't avoid it.

"Doctor Ma, what effect does the patient inhale laughing gas?"

Wang Daquan licked his lips, also fell into confusion, and looked at Ma En, who had the most experience in the field.

Ma En's face was serious, he knew a little bit about laughing gas, and he, who was always cautious, found that Tang Lou's operation was a bit out of control. He ignored Wang Daquan and Tian Linsheng, walked directly to the microphone in the observation room, and stopped:

"Tang Lou, stop inhaling laughing gas immediately! You are violating the regulations! Linga, are you messing with him too? Stop!"

Ma En was very nervous, even a little angry, what the hell is going on in Tang Lou?

Linga looked at Ma En in the observation room with some grievances. You obviously agreed with yourself, but you didn't know whether to stop or continue, and froze there.

"Nurse Lin, you continue."

Tang Lou calmly ordered, Ling Jia looked at Tang Lou's serious face, nodded slightly, and continued to inhale the laughing gas as he had prepared before.

"Tang Lou, don't you understand what I'm saying?"

When Ma En saw that Tang Lou was still going on, he was already hoarse. After all, Tang Lou was his intern in name. If there was a medical accident, he, the superior doctor, would also be responsible.

Of course, the most important thing is that if the laughing gas is inhaled improperly, it will damage the patient's nervous system.

This is serious business!

"Doctor Ma, I know what I'm doing."

Tang Lou walked to the microphone in the dressing room to communicate with the observation room. The equipment in the city's first hospital is naturally first-class.

While Tanglou asked Lin Jia to continue changing the dressing preparation, he explained in a neither humble nor overbearing manner:

".Patients will have a strong sense of pain during the process of changing dressings on burn wounds. If necessary, effective analgesia must be given to alleviate the patient's fear of dressing changes. Pain treatment has not been popularized and valued, so patients often do not cooperate with the treatment because they are afraid of the pain when the wound dressing is changed, which leads to aggravation of the disease."

"Doctor Ma, why Xiaoyun is so against changing the dressing is because there is no necessary analgesia during the dressing change."

Ma En frowned listening to Tang Lou's explanation. What he said was right, but he was not sure: "But, is your laughing gas really safe?"

Wang Daquan on the side also had an ugly face. Tang Lou said that he lacked analgesic awareness, but he was not describing him, but it is the same way to change the dressings of burn patients in China. Pain is always inevitable for patients, as long as there is enough willpower , this pain is still tolerable.

After all, in order to be cured, shouldn't patients cooperate with doctors for treatment?

Moreover, Wang Daquan was a little unconvinced. The traditional way of changing dressings, apart from pain, at least has no hidden dangers.

Faced with doubts, Tang Lou continued to explain:
"Doctor Ma, your description of the inhalation of nitrous oxide is very inaccurate, to be precise, I used a mixed gas of nitrous oxide/oxygen.

As we all know, nitrous oxide is an inert gas with an anesthetic effect. When patients inhale an appropriate concentration of nitrous oxide, it can achieve anti-anxiety and sedative effects. "

"In addition, nitrous oxide sedation and analgesia are two-pronged, and the effect is fast. After the inhalation is stopped, the sedative and analgesic effects are quickly lost, and the patient can recover quickly. The application safety is very high. At the same time, the mixing of oxygen does not affect the patient's cognition. Function.

Therefore, with these remarkable features, I think there is a theoretical basis for the application of nitrous oxide/oxygen inhalation analgesic technology in burn debridement and dressing change. "

"Moreover, in order to ensure the safety of the input concentration, I asked Nurse Lin to increase gradually, and monitor the patient's heart rate (HR) and pulse oxygen in real time 10 minutes before debridement and dressing change, during debridement and dressing change, and 10 minutes after debridement and dressing change. Saturation (SpO2)."

After Tanglou finished speaking, he didn't care whether Ma En agreed or disagreed, and went directly to the patient.

Xiaoyun's burns were almost all over her body, so it took a long time to remove and reapply the medicine. Tang Lou didn't have much time to talk nonsense with them.

"..Small gauze. 0.1% chlorhexidine liquid cotton ball"

Tang Lou began to issue instructions, and Linga was serious and provided assistance simultaneously.

Ma En looked at Tang Lou in the dressing room with a confused face, and a voice in his heart told him that what Tang Lou said was right, but he was convinced rationally that this was not in compliance with the rules.

He hesitated.

"Doctor Ma?"

Wang Daquan and Tian Linsheng looked at Ma En who fell into silence, a little uncertain, looking at the tenement house doing its own way, and a little indescribable admiration, a bit cool!
After all, Tang Lou's explanation was well-founded, at least the two of them were completely speechless.

Ma En fought in his heart for a while, and finally resorted to the last move, throwing the pot away.

When the first-line resident doctors can't figure it out, the last resort is to call the second-line attending physician. Of course, sometimes they will be scolded, but it is much better than taking responsibility by themselves.

After thinking about the solution, Ma En immediately said: "Tian Linsheng, Wang Daquan, I am here to watch Tanglou. You immediately go to Dr. Qing and ask him to come to the dressing room. He said that Tanglou used a rare medicine. I am a little uncertain about the way to change the dressing, so let him check it out, immediately!"

"Good good."

Wang Daquan and Tian Linsheng understood immediately, and ran to Qingping quickly.

Soon the two found Qingping in the corridor outside Director Cheng's office.

"Doctor Qing, Doctor Qing, there is something wrong with Doctor Ma, I need you to go and see."

Wang Daquan shouted out immediately.

As the two walked, they described Tanglou's operation method and Qingping in detail.

"Doctor Qing, the nitrous oxide/oxygen mixture really has an analgesic effect? ​​Will there be any problems?"

Tian Linsheng asked naively.

After listening to Qingping, he was a little surprised. He really did research on the use of laughing gas/oxygen in dressing changes for burn patients, but he was not too mature. This tenement really gave him a little surprise .

Qingping speeded up his pace unconsciously.

Seeing Doctor Qing's excited and expectant expression, Wang Daquan, who is very good at observing words and expressions, realized.

Maybe Tang Lou made the right bet.

(End of this chapter)