Seeing Tanglou pushing Xiaoyun to the medicine changing pharmacy, Wang Daquan was a little unbelievable. Such a well-behaved and quiet little girl was really the Xiaoyun he knew who was extremely resistant to dressing change?

"What exactly did he say to Xiaoyun?"

Tian Linsheng looked at Tanglou's handsome figure with some envy and admiration. He said softly: "Maybe it's just because he is handsome?"

Wang Daquan: "..."

Several people quickly followed him.

While changing the pharmacy, Tanglou and Lin Jia were fully prepared. After Xiaoyun was sent in, they also completed the disinfection and put on masks and gloves.

"...100% oxygen inhalation..."

Lin Jia looked at the time and followed Tanglou's instructions, first giving Xiaoyun 3 minutes of oxygen inhalation.

Outside the pharmacy, watching all this through the transparent glass, Wang Daquan and Tian Linsheng looked confused.

"What is he doing? Giving oxygen to the patient? Is it okay to do this when changing dressings?"

Tian Linsheng asked Ma En in confusion, and Ma En was also a little unable to understand.

However, Xiaoyun's expression now becomes more and more relaxed, as if she is sleeping peacefully.

"...Titration method for inhaling the laughing gas/oxygen mixed gas, the initial concentration of laughing gas is 20%, and the concentration of laughing gas is increased by 10% every 2 minutes..."

Lin Jia looked at his notes and started operating according to Tanglou's instructions.

"Nurse Lin is adding laughing gas?"

Tian Linsheng was a little suspicious of his ears. Naturally, he had heard about laughing gas. It was an addictive and harmful gas that ordinary people avoided.

"Dr. Ma, what is the effect of inhaling laughing gas on patients?"

Wang Daquan licked his lips and was puzzled. He looked at Ma En, the most experienced person in the field.

Ma En's face was solemn. He knew a little bit about laughing gas. He was always cautious and found that the operation of Tanglou was a bit out of control. He ignored Wang Daquan and Tian Linsheng and went directly to the microphone in the observation room and shouted:

"Tanglou, stop inhaling laughing gas immediately! You are violating the rules! Linga, are you following his nonsense? Stop it now!"

Ma En was very nervous, even a little angry. What was going on in the Tanglou?

Lin Jia looked at Ma En in the observation room with some grievance. You obviously agreed to it yourself, but you didn't know whether to stop or continue, and you were frozen there.

"Nurse Lin, you continue."

Tang Lou ordered calmly. Lin Ga looked at Tang Lou's serious face, nodded slightly, and continued to inhale laughing gas as planned.

"Tanglou, don't you understand what I say?"

When Ma En saw that Tang Lou was still going on, he started to scream. After all, Tang Lou was nominally his intern. If a medical accident really happened, he, the superior doctor, would also have to bear the responsibility.

Of course, the most important thing is that if laughing gas is inhaled improperly, it will damage the patient's nervous system.

This is very serious matter!

"Dr. Ma, I know what I'm doing."

Tanglou walked to the microphone in the dressing room, which was used to communicate with the observation room. The equipment of the Municipal First Hospital was naturally first-class.

While Tanglou asked Lin Jia to continue changing the dressing preparation, he explained in a neither humble nor overbearing manner:

"...Patients will feel strong pain during the dressing change process of burn wounds. Effective analgesia must be given when necessary to alleviate the patient's fear of dressing changes. However, currently in China, appropriate care is taken during wound dressing changes for severely burned patients.

Analgesic treatment has not been popularized and taken seriously, so patients often do not cooperate with treatment because they are afraid of the pain when changing dressings on the wound, resulting in worsening of the condition."

"Dr. Ma, why is Xiaoyun so resistant to dressing change? It's because there is a lack of necessary analgesia during the dressing change process."

Ma En frowned when he heard Tanglou's explanation. What he said was correct, but he was not sure: "But, is your laughing gas really safe?"

Wang Daquan on the side also looked a little ugly. Tanglou said that he lacked awareness of analgesia, which was not just describing him, but this is how dressing is changed for burn patients in China. Pain is always unavoidable for patients, as long as they have enough willpower

, this pain is still bearable.

After all, in order to be cured, shouldn’t patients cooperate with doctors for treatment?

Moreover, Wang Daquan was a little unconvinced. Apart from pain, the traditional dressing change method at least had no hidden dangers.

Faced with doubts, Tanglou continued to explain:

"Dr. Ma, your description of laughing gas inhalation is very inaccurate. To be precise, I use laughing gas/oxygen mixed gas.

As we all know, laughing gas is an inert gas with an anesthetic effect. When patients inhale the appropriate concentration of laughing gas, it can achieve anti-anxiety and sedative effects."

"In addition, laughing gas is a two-pronged method of sedation and analgesia. It has a quick onset of action. It quickly loses its sedative and analgesic effects after stopping inhalation, and the patient can be revived quickly. Its application is very safe. At the same time, the mixing of oxygen does not affect the patient's cognition.

Function.

So with these remarkable characteristics, I think there is a theoretical basis for the application of laughing gas/oxygen inhalation analgesia technology in burn debridement and dressing change."

"Furthermore, in order to ensure the safety of the input concentration, I asked Nurse Lin to gradually increase it and monitor the patient's heart rate (HR) and pulse oxygen in real time 10 minutes before debridement and dressing change, during and 10 minutes after debridement and dressing change.

Saturation (SpO2).”

After Tanglou finished speaking, he ignored whether Ma En agreed or disagreed and went directly to the patient.

Xiaoyun's burns were almost all over her body, so it took a long time to remove and reapply the medicine. Tanglou didn't have much time to talk nonsense with them.

"..Small gauze strips...0.1% chlorhexidine solution cotton balls..."

Tanglou began to issue instructions, and Linga stood aside and provided assistance at the same time and earnestly.

Ma En looked at Tang Lou in the dressing room with an unclear expression. There was a voice in his heart telling him that what Tang Lou said was right, but he was rational and convinced that this was against the rules.

He hesitated.

"Doctor Ma?"

Wang Daquan and Tian Linsheng looked at Ma En who fell into silence, and were a little unsure. Looking at Tanglou who went his own way, they felt indescribable admiration. It was a bit cool!

After all, Tang Lou's explanation was reasonable and well-founded, at least the two of them were completely speechless.

Ma En fought in his heart for a while, and finally resorted to the last resort, the scapegoating method.

When the front-line resident doctors are unable to handle the situation, the last resort is to call the second-line attending physician. Of course, sometimes they will be scolded, but it is always better than taking responsibility themselves.

After thinking through the solution, Ma En immediately said: "Tian Linsheng, Wang Daquan, I am here to watch Tanglou. You immediately go to Dr. Qing and ask him to come to the dressing room. Just say that Tanglou uses a rare

I'm a little unsure about how to change the dressing, so I asked him to check it immediately!"

"Okay, okay."

Wang Daquan and Tian Linsheng understood immediately and quickly ran to find Qingping.

Soon the two found Qingping in the corridor in front of Director Cheng's office.

"Doctor Qing, Doctor Qing, there's something going on with Doctor Ma, and I need you to go take a look."

Wang Daquan shouted out immediately.

As the two people walked, Qingping described the operation methods of the Tanglou in detail.

"Doctor Qing, does the laughing gas/oxygen mixed gas really have an analgesic effect? ​​Will there be any problems?"

Tian Linsheng asked naively.

After Qingping listened, he was a little surprised. He had really done some research on the use of laughing gas/oxygen in dressing changes for burn patients, but he was not too mature. This Tanglou really gave him a little surprise.

.

Qingping speeded up his pace unconsciously.

Seeing Dr. Qing's excited and expectant expression, Wang Daquan, who is very good at observing words and expressions, realized.
Chapter completed!