Temperature is in place. The second step is that the newborn is lying on this bed, like the adult patient bed, it is best to adjust the height of the head of the bed and the foot of the bed. For children with ARDS like this, the head of the bed needs to be slightly raised, and the high-frequency ventilator is connected to the bottom of the lungs to help open the alveoli.
For example, to diagnose whether a child has ARDS, it is best to take an x-ray to assist the doctor in making the diagnosis. Carrying the child to the x-ray room and running back is impractical. After all, even adult films now have the option of moving to bedside X-ray machines. The neonatal rescue table can be equipped with such equipment, so that the child does not need to leave the rescue table to take pictures directly, which is fast and good.
Now, take a picture.
After the filming, Nie Jiamin put on the earplug of the stethoscope and placed the earpiece on the child's small chest wall for auscultation. No matter how capable the big guys are, they dare not directly look at the auxiliary examination report to make a diagnosis without giving the patient a physical examination. No, that is definitely not the spirit of medical prudence and truth-seeking.
The big listening head of an adult is very big compared to a young child, and it needs the doctor's full attention to listen. Nie Jiamin listened attentively, and at the same time, at a very fast speed, just after listening, he immediately gave an instruction against his normal state: "Get on the ventilator."
None of the big guys is really slow. Only the priority of the patient's condition can allow the doctor to allocate how much time to arrange before and after medical measures. If you are not in a hurry, the doctor can slowly ponder the patient's treatment plan to find measures. If the patient's condition does not allow it, the only way to save life is first.
Regarding the current patient's lungs, the alveolar breath sounds were almost attenuated to the point of disappearing, so I couldn't wait.
High-frequency ventilator is too important for children with ARDS, more important than medication, so hurry up first.
The ventilator prepared in advance is pushed over. The child is temporarily breathing spontaneously and does not need to be intubated. As mentioned before, the nasal cannula is used to connect the ventilator. How to adjust the parameters of the ventilator. Xie Wanying remembered the conclusion made by Ms. Xin Yanjun in the Department of Respiratory Medicine, that the best parameter to always adjust the ventilator is to adjust it at the patient's bedside. The doctor carefully and slowly adjusts the patient to the best according to the change of the patient's condition, and other guidelines and dogmas can only be used as a reference.
All patients have individual differences. No matter how powerful a machine is, it can't achieve the experience calculation degree of the human brain. The fool mode of the machine cannot deal with the individual differences of patients. It can only rely on doctors.
Now, Nie Jiamin is standing next to the ventilator, helping the patient adjust the parameter values step by step.
The speed of adjusting the appropriate parameters depends on the technical ability of the doctor.
The big guy is the big guy, he just pressed a few buttons. Others soon noticed that the baby's small chest rose and fell regularly.
Xie Wanying watched how the teacher adjusted the parameters, and then learned how to prescribe medicine from Brother Luo.
Xie had reported the number before, and Luo Jingming glanced at the child's weight before calculating the dose. There is a weight scale under the neonatal rescue table, which directly measures the child's weight to be 2205g, which is almost the same as Xie Wanying's visual observation.
"Go to Guersu?" Luo Jingming asked his boss for his opinion to finalize the medication plan.
Children are not allowed to randomly inject medicine into the vein.
Gursu is an imported drug with the brand name, and the drug ingredient in it is the PS and alveolar surfactant that many premature babies lack after birth.