After raising a cat, the goddess doctor became popular in the interstellar

Tao Le could hear it now, and Deputy Director An didn't know what to do.

So now is not the time to be humble at all.

"Don't worry, leave it to me." Her voice was not high, but gentle and powerful.

Director An nodded and said nothing, because the operating room had already arrived.

The family members were right outside the operating room, and the mother was already in tears. For some reason, she refused to agree to a tracheotomy.

"Now there is another plan. There is no need for tracheotomy or general anesthesia. Our doctor Tao is proficient in acupuncture and can achieve local anesthesia, and then we can perform fiberoptic bronchoscopy non-invasively."

Deputy Director An placed the informed consent form for the operation in front of the family members: "Time is urgent, if you don't sign it, there is no need to sign it."

I don't know whether it was the magic of acupuncture and anesthesia, or the last words of Deputy Director An moved the family members. They quickly signed the agreement, and there was no longer the previous embarrassment.

Tao Le entered the operating room, brushed his hands, and changed into surgical gowns.

The preparations for the operation were ready. Director Shen Suqian of the Pediatric Department, Director Wen Xiaoyu of the Pediatric Outpatient Clinic, and Xin Feng, the head of the hospital, were all present, plus the head nurse Chen, the equipment nurse, and the roving nurse in the operating room.

Tao Le opened the golden finger, the interface was already endangered purple, and every value was shocking:

Age: 4 years old.Health value: 18.

Etiology: inflammatory plastic bronchitis 55%, severe pneumonia (Acinetobacter baumannii infection) 45%.

Body temperature 39.4 degrees Celsius, blood pressure 110/90, respiration 65 times/min, heart rate 166, blood oxygen saturation 60%,

Complications: respiratory failure, right lung atelectasis, hypoxemia, sepsis.

Below the interface is a holographic image of the child from the trachea to the right lung.

The image shows that the entire bronchial tree of the right lung of the child is full of jelly-like sputum plugs.

This is why plastic bronchitis is a rare critical illness in children.

Foreign matter such as sputum secreted in the trachea solidifies to form a sputum plug, which will tightly block the entire bronchi.

In the golden finger space, Tao Le also performed many such operations.

The sputum plug taken out with the help of the biopsy forceps and aspirator under the bronchofiberscope can be completely pieced together into a bronchial tree structure, just like shaping with a mold, hence the name.

Plastic bronchitis is a dangerous condition, develops rapidly, and is easily misdiagnosed as lobar pneumonia, so the mortality rate is extremely high.

"Tao Le, you come for acupuncture anesthesia." Director Shen signaled Tao Le to come on stage: "Get ready, if the anesthesia fails, you must perform a tracheotomy immediately, and use a bronchial fiberscope from the incision."

The situation is urgent.Tao Le didn't even bother to speak, and directly stood at the upper right side of the child's head, and quickly and accurately inserted the needle that was just taken out and sterilized into the relevant acupoints.

She recognized the acupoints quickly and accurately, and her technique was like flowing clouds and flowing water, which moved all the onlookers.

Although I don't know the effect yet, judging from the technique, it has the posture of an old Chinese doctor, which makes people unconsciously convinced.

But after a short time, Tao Le withdrew the needle.

"The anesthesia was successful." She said, and gave up the position to Director Wen, who was the first assistant.

"Three minutes and 12 seconds." Second assistant Xin Feng reported the anesthesia time.

The child fell into a coma, which proved the effect of Tao Le's acupuncture.

"Let's start." Director Shen stood on the head of the child, and received a fiberoptic bronchoscope with an inner diameter of 5 mm from Director Wen, who was the first assistant.

Tao Le did not leave the operating table, but stood aside consciously, serving as the third assistant.

She has dealt with each of the next steps and possible problems many times, and she knows everything clearly.

The mirror body of the fiberoptic bronchoscope has been coated with lubricant, and the tip of the objective lens has been coated with a layer of warm soapy water to prevent fogging.

Director Shen held the mirror with his left hand, and with his right hand, passed the fiberoptic bronchoscope lens through the oral cavity, along the posterior pharyngeal wall to the larynx, and then through the lower part of the epiglottis cartilage to the glottis, followed by breathing, and quickly inserted into the trachea from the rear of the glottis.

The effect of acupuncture anesthesia was shown during this process, and the child did not respond at all, and still slept deeply and soundly, but the blood oxygen saturation still could not be raised.

Whether it was Director Shen, Director Wen and Xin Feng, they all nodded secretly in their hearts.

In pediatrics, there are actually many examinations and treatments that require anesthesia, but parents are not willing to do so. Tao Le is very useful here!

Director Shen's hand was very steady, and the bronchoscope was quickly lowered to the opening of the right main bronchus.

Everyone can see clearly from the external display screen that this opening is almost impossible to find, and it is filled with a light yellow jelly-like substance.

Director Shen immediately realized that this was an extremely rare pediatric disease - plastic bronchitis.

It turned out to be it.No wonder hypoxemia cannot be corrected even with ventilator-assisted ventilation.

The bronchi in the entire right lobe of the lung were blocked, and no matter how hard the ventilator tried, oxygen could not come in.

Wen Xiaoyu also realized this, and immediately handed over the suction device.

Director Shen slowly pushed the suction device down the fiberoptic bronchoscope and found that it couldn't suck.

The phlegm plug is composed of mucus protein and cellulose, just like jelly, the suction power has been raised to 0.04MPA, and the colloid is still motionless.

"We can't increase the pressure any more, or the tracheal mucosa will be damaged." Director Shen stretched out his hand, but it was empty.

She raised her head and looked at the slightly stunned Director Wen who was about to speak when Tao Le handed him something.

It was a syringe full of saline.

"Well done." Director Shen glanced at her and nodded appreciatively.

Although what he did was insignificant, Tao Le was still in a very happy mood.

Some people's beauty has surpassed the boundary between men and women, even a smile and a wink can make people feel refreshed.

Seeing Tao Le's actions, Director Wen also quickly understood what Director Shen was going to do.

He immediately handed over a very thin plastic tube he found in the accessories of the fiberoptic bronchoscope.

Director Shen inserted the thin plastic tube along the opening of the jaws, took the syringe, and injected about 5ml of normal saline.

Negative pressure back suction is indeed much better than dry suction.Visible to the naked eye, a milky yellow jelly-like object was sucked out.

The opening of the opening of the right main bronchus is just the beginning.

Then Director Shen repeated the previous process, injecting normal saline, sucking back with negative pressure—reinjecting, and sucking back again.

There was also a particularly stubborn sputum plug in the middle, which was blocked inside the bifurcation of the bronchi, and could not be sucked out no matter what, so Director Shen used biopsy forceps to take it out directly.

The operation lasted for nearly two hours, and the child in the middle showed signs of waking up. Tao Le quickly rushed over to fix the needle, which ensured the normal progress of the operation.

The sputum plug in the right lung was completely removed, and the child's blood oxygen saturation rose to 90% visibly.