Chapter 2233 Broken Reinforced Endotracheal Tube

"Do you suspect that it's blocked by phlegm?" Su Yun asked, he didn't look like it, and he was a little confused.

Zheng Ren didn't speak. He took the suction tube and tried it twice. The tube was unobstructed, and then it was sent to the patient's endotracheal tube.

The suction tube made a hissing sound, and only a small amount of secretion was sucked out. It seemed that the sputum was not the cause of the blockage of the trachea.

As he continued to push the suction tube in, Zheng Ren suddenly froze for a moment.

"Boss, what's the matter?"

"There's something inside, the suction tube can't get it in," Zheng Ren said.

"..." Su Yun and the inpatient in the ICU were stunned for a moment, and Lin Yuan stood behind, unable to understand the meaning of Boss Zheng's words for a moment.

This situation is beyond anyone's imagination.

Su Yun immediately recalled the patient's preoperative chest X-ray and chest CT.

There can be no problem. If there is something wrong before the operation, the ventilator will also alarm during the operation.

"What did you do with it?" Su Yun looked at the ICU hospital manager seriously and asked.

ICU admissions are always confused.

Nothing was given. The patient was sent back after surgery with slight agitation, and no treatment was given at first. According to the suggestion of the anesthetist Lao He, he was observed for 6 hours and prepared for extubation.

But as time went by, the patient's agitation became more and more severe, and the last few people couldn't hold it down, so they gave propofol in desperation.

Continuing to calm down will prolong the time of weaning off the tube, but the restlessness of the patient will not work.

The hospital in the ICU always thought about it carefully, and then called the nurse over to ask about it, but at this moment, Zheng Ren suddenly said in a deep voice, "No! It's the endotracheal tube that was broken!"

"Uh..." Su Yun glanced at the tracheal intubation tube, which is of the enhanced type. broken? impossible.

The hospital in the ICU was always stunned, and she immediately explained: "Boss Zheng, the enhanced endotracheal intubation..."

"Prepare the fiberoptic bronchoscope and bedside chest X-ray!" Zheng Ren didn't discuss with them, and gave the doctor's order directly.

"Okay." Without any hesitation, Su Yun dragged the hospital manager from the ICU to push the X-ray machine.

Pushing the bedside X-ray machine over, Zheng Ren began to take pictures of the patient.

After arranging the body position, putting the film box, and filming, Lin Yuan was asked to carry the film box to the radiology department to have the film developed.

At this time, the hospital always has a fiberoptic bronchoscope ready.

Zheng Ren turned off the ventilator and pulled out the endotracheal tube.

During extubation, it was found that the endotracheal tube was disconnected, and only about 12 cm of the tail stump of the tube remained, and the rest must remain in the patient's trachea.

The foreign body in the trachea indicated by the big pig's hoof turned out to be a part of the enhanced tracheal intubation!

After seeing this situation, not only Zheng Ren, but also Su Yun and the hospitalization in the ICU were stunned.

What the hell is going on? Can the reinforced endotracheal tube be broken? ! How did it break? Misuse when moving patients? How hard it is to break the reinforced endotracheal tube.

The resident in the ICU carefully checked the broken position of the endotracheal tube, and whispered: "Boss Zheng, Brother Yun, it doesn't look like a quality problem."

Zheng Ren had already seen the incomplete condition of the broken end of the tracheal intubation tube, and he had a guess in his heart, so he said in a deep voice, "It didn't break the trachea on its own, it was broken by the patient's teeth."

"..."

"Urge Lin Yuan, tell the radiology department to upload the film quickly." Zheng Ren squinted his eyes to watch the patient's ECG monitoring.

Although there is a foreign body in the trachea, the endotracheal intubation itself is a pipe, which only causes severe irritation, and will not directly block the lumen, causing the patient to suffocate and die.

Soon, the bedside X-ray was uploaded, and Zheng Ren saw the patient's first-hand information.

The X-ray showed that the anterior endotracheal tube had entered the right bronchus...

Looking at the video on the computer, several people sighed.

This "medical accident" came out of nowhere and caught people off guard. If you find it, take out the tube, and I hope there will be no further disturbances.

"Boss, do you still remember what the patient's family said that day?" Su Yun asked suddenly.

Zheng Ren recalled, remembering the man squatting on the curb crying bitterly, remembering that he talked about the situation of some patients, and remembering that he said that the patients refused to be treated.

During the operation, the patient's face was very ugly, and he entered the operating room only after the persuasion of the patient's family and Chang Yue.

It should be that after waking up from general anesthesia, the obsession in the patient's subconscious is at work-he refuses to spend money, and it is better to die directly than to spend money for surgery.

I didn't expect to be so obsessed, and Zheng Ren didn't understand anything. As a doctor for so many years, I have seen many strange patients.

But the patient in front of him is strangely obsessed with this.

Generally speaking, patients have a strong desire to survive. Those old people who usually say that they will die when they are old and do not burden their children, when it comes to this day, almost no one will do what they say.

There is great terror between life and death. Before that moment, few people can feel how terrifying the threat of death is.

Ordinary patients are not at the end of the mountain, or there is no one at home, and very few people have such a firm belief that they only want to die.

"Ask Chang Yue...call her directly... Forget it, take out the tube first. The patient can go offline and watch. After waiting, let the patient's family and Chang Yue do his work again." Zheng Ren Said very helplessly.

Su Yun nodded. Facing such a patient who wanted to die, no one could do anything.

Zheng Ren didn't feel much about the vicissitudes of life and the impermanence of the world, so he began to take out the broken front half of the reinforced endotracheal tube from the trachea with a fiberoptic bronchoscope under propofol anesthesia.

Comparing the broken positions of the endotracheal tube with each other, it is more certain that the patient broke it with his own teeth after waking up from anesthesia.

Zheng Ren couldn't laugh or cry when such a commotion happened in the end after a good operation. However, it also proved the success of the operation from the side - the patients all broke the reinforced endotracheal tube with their teeth.

Contact Linge and the medical office, and bring Chang Yue and the patient's family to clarify the matter.

The operation was successful, and it was said that he would be able to go to the field tomorrow, and he was discharged from the hospital a week later. The family members of the patient were overjoyed. But after seeing the intubated endotracheal tube broken by teeth, he was stunned for a long time, and apologized to Zheng Ren with tears in his eyes.

This was handed over to Chang Yue. Zheng Ren was afraid that the patient would do something wrong again, so he simply set up a chair and sat on the bedside of the patient, staring at him without blinking.

Postoperative endotracheal tube rupture is extremely rare, especially the rupture of the reinforced endotracheal tube has not been reported clinically. This case is very special. It can be confirmed that the catheter was broken by the patient's teeth repeatedly through the stump of the catheter.

This is discovered early, if it is later, there will probably be more twists and turns.

Two echocardiograms were performed intermittently, and the patient's left ventricular ejection fraction increased to about 60%, and the surgical effect was completely beyond imagination.

After 4 hours, the patient was fully awake. Seeing that all indicators were satisfactory, Zheng Ren transferred the patient out of the ICU, and the patient's family and Chang Yue did the counseling work.

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Note: The real thing, I heard from a teacher, it happened many years ago. Regarding the rupture of the reinforced endotracheal tube, I heard and encountered such a case.