"Dead person?" Xu Qiu was startled.

Bronchoscopy is a very routine operation that can be performed by interns as long as they have undergone the most basic training.

Of course, you must obtain relevant operating qualifications.

Not to mention the current clinical doctors, even before Xu Qiu joined, Linhai No. 1 Hospital was only a small top three hospital in the city, and there had never been a serious accident involving a person's death during bronchoscopy.

This is not even an accident... A doctor who can even perform a bronchoscope to kill people is not much different from a butcher.

"Is there such a thing?" Xu Qiu asked.

These days, he is busy building medical forums and supervising the improvement of the reporting center. Apart from outpatient clinics and surgeries, he has no energy to pay attention to anything else.

"Hey, is it that simple... I didn't lie to you, Doctor Xu, look at it!"

Jiang Donger handed over the mobile phone.

Xu Qiu glanced at it with a startled expression.

The director of the Respiratory Department of the Third Hospital was jointly reported by seven doctors. The report materials included the medical records of two deceased patients. The deceased were both in the group of the director of the respiratory department. In theory, the director of the respiratory department would be directly connected and responsible.

However, after bronchoscopy was ordered, the daughter of the director of the respiratory department performed the operation on his behalf, resulting in the patient's death.

After the death of the first patient, the director of the respiratory department forced doctors in the same department to be scapegoats on the grounds that they were not allowed to be promoted. His daughter continued to work in the department without any punishment.

Two months later, the daughter of the department director, who had no operating qualifications, went into battle again, causing the death of the second patient...

Of course, these are only one-sided words in the report letter.

The incident itself is not very popular. It is only circulated in some melon-eating groups on the Internet. It is not even on the hot searches. It is not that Jiang Donger has frequently searched for information related to lung diseases in the past few days, and this news cannot be seen.

"I will verify this matter. You don't have to worry. Bronchoscopy is very safe. There has not been a single patient who died due to this examination in Baiyun Province." Xu Qiu consoled her.

Jiang Donger curled her eyelashes, looked at Xu Qiu and said, "Can you do it for me?"

Xu Qiu paused and looked at the afternoon surgery schedule. A bronchoscopy could be inserted between the two surgeries... He nodded and said, "Okay."

Hearing this, Jiang Donger's panic calmed down, and a relaxed smile appeared on his face.

…

Bronchoscopy is not difficult. It is the most commonly used diagnostic examination in the respiratory department.

Most lung and airway diseases, such as tumors, interstitial lung diseases, granulomatous diseases, and pulmonary infections, can be diagnosed through bronchoscopy.

Including pulmonary tuberculosis suspected by Jiang Donger, it can also be verified by bronchoscopy biopsy.

Traditional bronchoscopy is divided into two types, namely non-X-ray guidance and X-ray guidance.

But no matter which one it is, it will bring a lot of psychological pressure to the patient. After all, few people can watch a tube going straight into the lungs. During the examination, deep breathing is required to assist the penetration and removal of the bronchoscope.

out……

Not only does it cause severe pain, but it also leaves many patients with psychological shadows.

But the good news is that with the development of medical technology, bronchoscopy is now basically painless.

In the afternoon, after finishing an operation.

Xu Qiu glanced at the time and asked, "Are the bronchoscopy patients ready?"

After a bronchoscopy, you must not eat or drink for at least six hours and drink for four hours.

Jiang Donger already has experience. She came to the outpatient clinic hungry this morning.

The main thing to control is drinking water... She has been told not to drink water since the outpatient visit.

In addition, there are also complete chest CT, blood routine, coagulation function, liver and kidney function, pre-transfusion routine and electrocardiogram examinations.

Shi Lian said: "Everything is ready!"

Xu Qiu nodded and came to the ward to reassure Jiang Donger. After a brief conversation with her family, she went to the operating room.

He took a look at the configuration.

Instruments include electronic bronchoscopes, ECG monitors and dual-channel microinjection pumps.

The drugs of choice are lidocaine hydrochloride injection, dexmedetomidine hydrochloride injection and butorphanol tartrate injection.

Jiang Donger was very flustered on the operating bed.

However, seeing Xu Qiu busy beside her with a serious look on her face, she still felt a sense of security.

"Nasal cannula for oxygen..."

"Liquid channel..."

"G……"

Xu Qiu proceeded in an orderly manner. After opening the intravenous fluid channel, he used an ECG monitor to monitor the patient's heart rate, oxygen saturation, and mean arterial pressure.

"Don't you need lidocaine?" Shi Lian was a little surprised.

For painless bronchoscopy, the guideline recommends injecting 5 ml of 2% lidocaine into the trachea for local anesthesia, then injecting 10 ml of normal saline intravenously, and then using a microinjection pump to maintain the physiological flow of 10 ml per hour.

Brine pumping speed until the end of the inspection...

But Xu Qiu's operation is obviously different.

Even the medicine he prepared was different.

Lidocaine was used before Jiang Donger entered the operating room. He asked the patient to atomize lidocaine for ten minutes.

At this time, I actually chose dexmedetomidine.

Xu Qiu shook his head: "Dexmedetomidine is more effective."

He used a microsyringe pump to inject dexmedetomidine. After reaching the loading dose, he diluted butorphanol at a dose of fifteen micrograms per kilogram to ten milliliters and injected it slowly intravenously.

After doing all this and waiting for anesthesia, Xu Qiu said: "Dexmedetomidine combined with butorphanol has safer and more satisfactory analgesia and sedation effects, and has a lower incidence of adverse reactions."

"Where did you get this?" Shi Lian looked surprised.

She had never seen Xu Qiu conduct relevant research.

Bronchoscopy is a first-level minor surgery and is usually performed by doctors of Shi Lian's level. If Xu Qiu had not been scheduled for surgery this time, Jiang Dong'er would not have been able to do it.

Why did you suddenly come to such a shocking conclusion?

Xu Qiu said casually: "The latest results recently seen in domestic journals, "The Application Effect of Dexmedetomidine Combined with Butorphanol in Painless Bronchoscopy," explain in detail the results of dexmedetomidine

Definitely combine the advantages of butorphanol.”

If we say that the improvement of anesthesia level has made traditional bronchoscopy obsolete, painless bronchoscopy has become completely popular.

Then, dexmedetomidine combined with butorphanol is enough to eliminate lidocaine used in painless examinations.

The former can ensure that patients maintain more stable hemodynamics under anesthesia and are less prone to respiratory depression, which greatly improves safety.

"It's actually like this..." Shi Lian was shocked.

How busy are teachers every day? Where do they find time to look at the latest results?
Chapter completed!