Back to 1999: From Operating Surgeon to Becoming a Top Doctor

Chapter 317

"Director Xiao, can we go see the patient?"

"Don't worry, I will only watch from a distance, not touch the patient, not interfere with the treatment, and not affect their operation."

Liu Xiaoxiao had no interest in visiting the emergency room, but when she heard that there were critically ill patients, or patients who had been rescued by emergency surgery after multiple injuries, she immediately became interested.

But Liu Xiaoxiao also knew that it would be annoying to go see the patient rashly. After all, she worked in the ICU and could understand the thoughts of her colleagues.

"It's okay, change into isolation clothes and you can go in. It just so happens that I also need to go to the ICU to see the patient's condition."

Faced with Liu Xiaoxiao's request, Xiao Chenguang quickly agreed.

He was very familiar with the ICU, and the patient was his responsibility. In addition, Liu Xiaoxiao himself was a critical care professional, so he had good suggestions and could help the patient recover faster.

Seeing that the two were going to the ICU, Qi Tiancheng followed them.

He also wanted to know how Xiao Chenguang treated such a serious patient.

Seeing the three of them leave the emergency room, the nurses who were preparing to go off work were a little curious.

"The two people that Director Xiao brought seem to be from the Central Hospital, right?"

"Yes, they are indeed from the Central Hospital. I saw the man when he came to deliver the patient this morning."

"They look like they are here to visit and learn. I never thought that one day, our Shengli Hospital would be able to invite people from the Central Hospital to come and learn."

"Yes, it's not easy."

The nurse's words immediately resonated with everyone.

In recent years, compared with the Central Hospital, they have indeed lived a little worse.

Every time they participated in a competition or a technical competition, they were a little ashamed.

Now, it is rare to be able to invite people from the Central Hospital to come and learn.

"Director Xiao is still good at coordinating. If it weren't for him, I guess we would still be like this in a few years."

"Yes, not long after Director Xiao came, the emergency department has undergone a tremendous change. Even when I go to other departments to send patients, everything goes smoothly."

"No problem. I have also felt it during this period. In the past, when I called for a consultation, the other party would always complain. Now, when I call, they will come immediately and greet me with a smile. It is indeed different."

Gu Ting, who works the night shift, mentioned this and was instantly recognized by everyone.

It seems that as soon as Xiao Chenguang took office, the status of the emergency department has risen like a rocket.

This has never happened before.

……

At this time, the three of them have arrived at the small intensive care unit on the eighth floor.

Among them, Qi Tiancheng discovered another detail when he was riding the elevator.

There is an elevator with a blue paper saying "Elevator for emergency surgery" on it.

Just now, Xiao Chenguang said that if there are many people waiting for the elevator during the day, someone will be waiting by the elevator.

As long as there is an emergency surgery, it will be passed as soon as possible, and the elevator will be controlled by the key to wait on the first floor.

Escort emergency surgery.

"The emergency department of Shengli Hospital has a very high status in the hospital. Even the elevators are controlled by someone."

Qi Tiancheng was secretly shocked.

He knew how many people took the elevator to see a doctor during the day.

It is not an exaggeration to describe it as overcrowded.

Sometimes, the elevators are full one after another, and you have to wait for several trips before you have a chance to go up.

Some people who are anxious and can't wait can climb the stairs, but most emergency patients need to be transported by flat cars and can only take the elevator.

This makes the already crowded elevators even more congested.

For this reason, there have been disputes and complaints, and the emergency department has also made suggestions to the hospital.

But the inpatient buildings were designed and built in the 1970s and 1980s. At that time, there was no concept of emergency, and there were only a few elevators. If you want to add elevators later, the cost, personnel and technology are not up to standard.

This matter can only be dragged on.

"I didn't expect to see a dedicated elevator for the emergency department in Shengli Hospital today. Director Xiao's methods are really powerful."

As he got to know more, Qi Tiancheng was more and more surprised.

At the same time, a faint sense of frustration also surged in my heart.

It is obvious that their central hospital has developed better, but the hospital leaders have never paid attention to the issue of emergency.

Alas...

At this rate, it will not be long before the emergency department of Shengli Hospital will become the leader of the emergency profession in the entire Yingcheng area.

"Director Cai, I'm sorry to bother you again."

The three people who changed into isolation gowns walked into the ICU.

"Director Xiao is here."

"Director Xiao!"

The nurse on duty tonight is Wang Jia. At this moment, she is standing by the patient's bed with Director Cai, calculating the patient's intake and output.

"How is the patient?"

"Very good, as you said, the dose of sedatives is gradually decreasing, antibiotics have been upgraded, and infection indicators are also under control."

Cai Tianming was making a report. The perioperative period and the recovery of the first day after surgery are the most important.

As long as the condition is under control, the patient will only get better and better.

"The lung function is indeed much better than this morning, and you can consider extubation."

After auscultation, Xiao Chenguang reduced the ventilator parameters by a few more and prepared for the patient's extubation.

It has to be said that young people recover quickly.

Compared with a few hours ago, Han Xiaoxiao's right lung has completely expanded, the accumulation of fluid and blood is getting less and less, and the lung compression area has also dropped from the original 60% to 0%.

Removing the tracheal tube is not a problem.

"Serious car accident injury, the tube is removed on the same day after the operation?"

Qi Tiancheng was stunned when he heard Xiao Chenguang's words.

The same expression as him, and Liu Xiaoxiao who was beside him.

She was even more surprised.

After all, as a major in critical care, whether in previous internships or current ICU work, she encountered only critically ill patients.

For a car accident injury like the one in front of her, even in their central hospital, they would wait at least four or five days before removing the tube for safety reasons.

Otherwise, if the tube is removed too early, the condition will be unstable, and it will be troublesome to reinsert it.

They had encountered a patient before, who seemed to have recovered well, but when the tube was removed, he couldn't breathe and almost suffocated the patient to death.

Since then, as long as the patient in the ICU has a tube, it will be delayed for a few days before removing the tube.

Just to prevent accidents.

But now, Xiao Chenguang actually removed the tube so early, isn't he afraid that the patient will have problems?

Facing the puzzled eyes of everyone, Xiao Chenguang said slowly.

"Early extubation of patients helps postoperative recovery. Literature shows that early extubation can reduce the risk of airway obstruction and epiglottal edema, and reduce the incidence of ventilator pneumonia."

"According to the SBT tracheal intubation extubation process, the patient can be extubated according to the patient's ideology, respiratory status, muscle strength recovery and cooperation."

Because he often takes care of patients in the ICU, Xiao Chenguang's knowledge of critical care is not bad, and even some commonly used practical theories in later generations can be used directly.

With the experience of his predecessors, Xiao Chenguang knew the benefits of early extubation and spoke directly.

At the same time, he combined the ventilator and spontaneous breathing experiments, and after skillfully operating according to a set of standard procedures, the tracheal intubation in the patient's mouth had been pulled out by Xiao Chenguang.

Chapter 317/514
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Back to 1999: From Operating Surgeon to Becoming a Top DoctorCh.317/514 [61.67%]