2234 Broken reinforced tracheal intubation
“Do you suspect it’s a blocked phlegm?” Su Yun asked. He didn’t think so and was a little confused.
Zheng Ren did not say anything. He took the phlegm-sucking tube and tried it twice. The tube was clear. Then, he placed it into the patient’s tracheal tube.
The tube made a hissing sound, and only a small amount of secretion was sucked out. It didn’t seem to be because of the phlegm blocking the trachea.
As he continued to push the suction tube in, Zheng Ren suddenly froze.
“What’s wrong, boss?”
“There’s something inside, and the spit tube can’t send it in. ” Zheng Ren said.
“…” Su Yun and the chief resident of the ICU were stunned for a moment. Lin Yuan stood behind them and didn’t understand what boss Zheng meant.
This situation was beyond everyone’s imagination.
Su Yun immediately recalled the patient’s chest X-ray and CT scan before the operation.
It was impossible for there to be a problem. If something happened before the operation, the ventilator would also give an alarm during the operation.
“What punishment did you give him?” Su Yun looked at the chief resident of the ICU and asked in a serious tone.
The chief resident of ICU was dumbfounded.
They didn’t give him anything. This patient was slightly restless after he was sent back after the surgery, so they didn’t give him any treatment at first. According to the suggestion of the anesthetist, old he, the patient was observed for six hours before the catheter was removed.
However, as time passed, the patient’s restlessness became more and more intense. In the end, a few people could not hold it in anymore, and they had no choice but to give him anyway.
If he continued to calm the patient down, it would prolong the time for the tubes to leave the patient’s body, but he had to give the patient some time to recover from the agitation.
The ICU chief resident thought about it carefully and called the nurse over to ask her about it. However, Zheng Ren suddenly said in a deep voice,””Something’s wrong! It’s a windpipe that broke!”
“Uh …” Su Yun took a look at the tracheal intubation. It was a reinforced type. It broke? That’s impossible.
The chief resident of ICU was also stunned. She immediately explained,””Boss Zheng, a reinforced tracheal tube …”
“Prepare a firbotomy tube and chest x-ray!” Zheng Ren didn’t discuss with them and directly gave medical advice.
“Alright,” he said. Su Yun did not hesitate and dragged the chief resident of the ICU to push the X-ray machine.
He pushed the X-ray machine over and started to scan the patient.
She arranged the body position, placed the film box, took the scan, and let Lin Yuan carry the film box to the radiology department to develop the film.
At this time, the chief resident had already prepared a firbotomy tube.
Zheng Ren took off the ventilator and pulled out the tracheal tube.
When he exhaled the patient’s tracheal tube, he found that the tracheal tube was severed, and only about 12 cm of the end of the tube was left. The rest of the tube was definitely in the patient’s trachea.
The foreign object in the trachea indicated by the big pork trotter was actually part of a reinforced tracheal tube!
Not only Zheng Ren, but even Su Yun and the ICU chief resident were stunned when they saw the situation.
What the f * ck was this situation? Even a reinforced tracheal tube could be broken? How did it break? Did he make a mistake while moving the patient? How much strength did he need to break the reinforced tracheal tube?
The chief resident of ICU carefully checked the position of the windpipe rupture and whispered,””Boss Zheng, big brother Yun, it doesn’t look like there’s a quality problem.”
Zheng Ren had already seen the condition of the windpipe’s ruptured end and had a guess in his heart. He said in a deep voice,””The windpipe didn’t rupture on its own. The patient broke it by grinding his teeth.”
“……”
“Hurry Lin Yuan and ask the radiology department to upload the scan quickly.” Zheng Ren squinted as he looked at the patient’s electrocardiogram.
Although there was a foreign object in the trachea, the tracheal intubation itself was a tube. It would only cause severe stimulation, but it would not directly block the tube and cause the patient to suffocate to death.
Soon, the X-ray scan was uploaded by the bedside, and Zheng Ren saw the patient’s first-hand information.
The X-ray scan showed that the front tracheostomy tube had entered the right trachea …
Looking at the images on the computer, they all sighed.
This ‘medical mishap’ came out of nowhere and caught everyone off guard. If he found it, he would take out the tube. Hopefully, there would be no more trouble.
“Boss, do you still remember what the patient’s family said the other day?” Su Yun suddenly asked.
Zheng Ren thought back and remembered the man squatting on the curb crying bitterly. He remembered the man talking about the patient’s condition and saying that the patient refused treatment.
During the surgery, the patient’s expression was very ugly. He only entered the operating room after the patient’s family and Chang Yue persuaded him.
It should be that after waking up from general anesthesia, the patient’s subconscious obsession was causing trouble and he was unwilling to spend money. Instead of spending money on surgery, it was better to just die.
Zheng Ren did not expect her to be so obsessed, but he could understand. He had been a doctor for so many years, and he had seen many strange patients.
However, the strange thing about the patient in front of him was that he also had this obsession.
Generally speaking, patients had a very strong desire to live. Those elderly people who usually said that they would die when they were old and not burden their children would not do what they said when the day came.
There was great Terror between life and death. Until that moment, very few people could feel how terrifying the threat of death was.
Unless ordinary patients were at the end of their rope or had no one to take care of them at home, there were very few people who would have such a firm belief that they only wanted to die.
“Ask Chang Yue … Just call her … Forget it, let’s take out the tubes first. The patient can be treated off-line, so keep an eye on him. Let the patient’s family members and Chang Yue do his work after we leave. ” Zheng Ren said helplessly.
Su Yun nodded her head. No one had any good ideas when facing a patient who wanted to die.
Zheng Ren did not lament about the vicissitudes of life and the fickleness of the world. He began to remove the first half of the broken reinforced tracheostomy tube from the trachea with a firbotic tracheostomy tube under the influence of anyway’s anesthesia.
When they compared the locations of the windpipe ruptures with each other, they were even more certain that the patient had broken it with his teeth after he woke up from the anesthesia.
Zheng Ren didn’t know whether to laugh or cry at how such a huge commotion had happened in the end. However, it also proved that the surgery was a success, and the patient had the strength to break the reinforced tracheal intubation with his teeth.
He contacted Lin Ge and the hospital administration Department, then called Chang Yue and the patient’s family to explain the matter clearly.
The surgery was a success, and the patient was said to be able to walk tomorrow and be discharged in a week. The patient’s family was overjoyed. However, when he saw the windpipe that had been broken by his teeth, he was stunned for a long time before he apologized to Zheng Ren with tears in his eyes.
Zheng Ren was afraid that the patient would do something funny again when he handed this side to Chang Yue, so he simply made a chair and sat on the patient’s bed, staring at him without even blinking.
Postoperative tracheostomy tube ruptures were extremely rare, especially reinforced tracheostomy tubes ruptures, which had not been reported in the clinical world. The situation in this case was extremely special. Through the broken end of the catheter, it could be confirmed that the catheter had been repeatedly broken by the patient’s teeth.
This was because he had discovered it early. If he had been any later, there would probably have been more twists and turns.
After two consecutive ultrasound scans, the patient’s left ventricular ejection fraction had increased to about 60%. The surgical effect was completely beyond his imagination.
After four hours, the patient was fully awake. Zheng Ren saw that all the indicators were satisfactory, so he transferred the patient out of the ICU. The patient’s family and Chang Yue were in charge of counseling.
……
……
[Note: it’s true. I’ve heard a teacher mention it before. It happened many years ago.] He had heard and encountered such a case of reinforced tracheal intubation rupture.