Doctor Song, are you married?

Chapter 291 291. Preparing for Emergency Surgery

While Song Qi breathed a sigh of relief, the system page appeared in front of him.

One is to remind him that he has completed the pre-hospital first aid task, and the other is a temporary command task.

This patient's airway obstruction is a big problem.

There is a foreign body in the airway. This foreign body is most likely a tumor!

Moreover, foreign matter occupies the main air duct, leaving only a small gap for air to enter and exit for breathing.

If there is obstruction of secretions or phlegm, the patient will be in danger of suffocation at any time.

Once suffocation occurs, the tracheal intubation cannot be inserted, and the tracheotomy cannot be easily performed. At that time, I am afraid that I will only watch the patient die from respiratory distress.

Therefore, the follow-up treatment of this patient must be planned as early as possible.

The sooner the better!

Because you never know when her airway will suddenly become completely blocked!

Song Qi has expert tracheal intubation and tracheostomy, but she is still a little at a loss when facing such a difficult airway.

However, Song Qi still didn't want to give up on such a rare commanding task.

After all, after completing the command task, the system will reward you, which is much more cost-effective than completing a regular task.

At this time, a look of horror appeared on the face of the woman who was originally indifferent.

Song Qi had never experienced the feeling of respiratory distress, but she had seen it clinically. They described the feeling as if someone was holding their throat with their hands.

I wonder if the cleaner was frightened by this feeling.

In short, she who was silent at first suddenly grabbed Song Qi's sleeve.

"Doctor, doctor, I, I don't want to die"

The patient's voice is hoarse, and the airway leaks, making it difficult to speak.

"Don't worry, we will try our best to save you, please stop talking."

Song Qi stopped her. After all, every more word she spoke would consume more oxygen, and all the oxygen came in through the needle of the 20ml syringe on the airway.

The patient did not stop, but pointed to his neck and said with great effort: "Cancer, cancer, thyroid cancer."

"Thyroid cancer?" Song Qi was shocked!
"You mean you have thyroid cancer?" Song Qi asked again.

The patient nodded desperately.

Song Qi suddenly felt a little scared!
If I had used a little too much force during the tracheal intubation just now, I might have punctured the tumor!
Apart from being frightened, Song Qi also began to worry about the current situation.

Such a large tumor is blocking the airway,

Once the tumor ruptures, the consequences are simply disastrous.

The current situation definitely requires surgery as soon as possible!

But how to deal with this airway obstruction problem?

Surgical removal?

Although surgical resection is the ultimate problem that needs to be solved for foreign bodies in the airway, there is no way to do it!

because!Surgery still requires ensuring a clear airway.

Endotracheal intubation is required.

In other words, this patient is currently trapped in a strange cycle.

The tumor in the neck blocked the airway, making it impossible to breathe smoothly.There is no way to intubate the trachea!
If you want to remove the tumor through surgery, you need to maintain ventilation with tracheal intubation!

So what to do?Song Qi's brain was running rapidly.

Or choose electronic bronchoscopy?

But what about the specific operations?
First is the issue of anesthesia, local anesthesia or general anesthesia?
General tracheal examination or exploration basically requires local anesthesia!
Because local anesthesia keeps people awake.This will reduce the risk of damage to the endotracheal tube and side effects of the general anesthesia medication.

But, can this patient have local anesthesia?

Song Qi quickly made an assessment of her.The answer is that the risk factor is very high!
What should I do if there is airway contracture or complete airway obstruction?
Moreover, the patient's restlessness while awake will accelerate the degree of hypoxia.

Therefore, it is necessary to choose a stable plan.

And prepare all rescue medicines and equipment!
These equipment include argon ion electrocoagulation, electric snare, cryotherapy, laser and other interventional bronchoscopy equipment.

In this way, both exploration and, if necessary, direct tracheal interventional surgery can be performed to eliminate intratracheal tumors in one step.

However, he certainly cannot handle such a huge project alone.

Song Qi hesitated.

However, when he saw the sudden desire for survival in the cleaner's eyes, he suddenly couldn't bear it.

Do it!

Song Qi took a deep breath and clicked the receive button.

After receiving the task, Song Qi was not so entangled.

"Inform Brother Da and prepare for emergency surgery!"

"What kind of surgery?" Wang Xiaosong was a little confused and asked quickly.

"It's just not life-threatening for the time being. If you want to open the airway, you will definitely need further surgery." Song Qi explained.

"That's none of our business. We're only responsible for delivering them safely. As for whether they receive surgical treatment or conservative treatment, it's none of our business." Wang Xiaosong shrugged and picked up the phone again.

"The patient's situation is quite special. She has an airway tumor and is currently suffering from severe hypoxia and respiratory failure. She must undergo surgery as soon as possible. Although I did a simple puncture here, it can only temporarily maintain her breathing."

Xu Dali knew Song Qi well and knew that he would never give up on something he had decided.

"Let me make a call!" Xu Dali said and dialed Li Da's number.

"Brother Da, there is a patient with a special situation. He may need emergency surgery immediately. Let Song Qi tell you the specific situation."

Xu Dali said, pressing the hands-free button on his phone.

"Brother Da, I have something that I'm afraid I'm going to trouble you about."

When Li Da on the other end of the phone heard Song Qi's voice, his heart skipped a beat.

This Song Qi always gives him "surprises", but I don't know what level of "surprise" it is this time!

"There is a patient who is still in the ambulance. Her situation is more urgent and special. She may need to arrange an emergency surgery."

Song Qi Balabala explained the patient's condition.

Li Da's scalp felt numb again!
Before, the cricothyroid membrane puncture was done in the observation room, but now it’s better, it can be done directly in the ambulance!
This is nothing, after all, he has done outdoor fruit knife surgery.

However, the surgical plan has been decided before he even arrives at the hospital. This is not a trouble for him, but a task for him!

Li Da complained in his heart, but since the patients were almost here, everything centered on the patient's health.

That's all, don't bother with him.

"By the way, Brother Da, there is another situation. This patient is a cleaner. He may not be able to raise enough for the surgery at the moment. I may need to trouble you to apply for a green pass."

Li Da resisted scolding him, but in the end he couldn't help but complained: "Song Qi, Song Qi, why don't you stop wherever you go!"

(End of this chapter)