In the field of critical care medicine, every fight against disease is a life-and-death struggle. Recently, our hospital successfully treated an elderly patient with severe influenza A who was transferred to the emergency department, and his road was full of challenges and hopes.
The anesthesiology department performs endotracheal intubation.
The patient, a 70-year-old male, was admitted to hospital with influenza A and pulmonary infection. The patient was admitted to the hospital in critical condition and in critical condition. In the face of the rapid progress and dangerous condition, the intensive care team of the intensive care department, under the guidance of the experts of the emergency department of the medical alliance, the ICU specialist nursing team worked closely with the vein department of the department, and immediately established a rescue access PICC catheter and ventilator-assisted ventilation for the patient, ensuring the timely delivery of drugs and nutrition. In the process of intensive care, we use CVP, arterial blood pressure monitoring, high lateral decubitus, prone ventilation and other professional operations, how many days and nights, every minute and every second, we guard the patient's side, monitor the patency of each tube, and dare not slack off, just like guarding the flame that is about to be extinguished, to ensure that the patient's vital signs are stable.
The care team performs prone ventilation.
Faced with the risk of contraindications to gastric bleeding, we overcame the technical difficulties caused by gastrointestinal bleeding and placed an indwelling jejunal tube to ensure the nutritional support of the patient during the critical illness and lay a solid foundation for his subsequent recovery.
Jejunal tube implantation The tip of the catheter is located in the upper jejunum.
In addition, we also carried out flexible bronchoscopy and perfusion for the patient, in-depth and intuitive understanding of the root cause of the lesion in the patient and the trachea, maximizing the best lung lesions, promoting the recovery of lung function, making every effort to shorten the time limit of the patient's tracheal intubation and ventilator-assisted ventilation, and carrying out rigorous and efficient medical care intervention to improve the prognosis of the patient. In the process of care, every step of the process fully reflects our empathetic responsibility and superb professional level with our patients.
Tong Fei, director of the respiratory department, did bronchoscopy.
During the patient's hospitalization, we also pay attention to humanistic care and psychological care to help patients establish confidence in overcoming the disease, escort patients to have a faster and higher quality of life, and let patients gradually improve their bodies and souls at the same time. Looking back on more than 30 days and nights, every delicate movement and expression of the patient can be better understood than the family, always care about his feelings, encourage him to face the disease strongly, and give him endless hope and support. In the future, patients may have to face longer training, we will send this blessing to every seriously ill patient who has experienced the edge of life and death, life is precious, the future can be expected, we will work together.
Group photo of the patient at the time of discharge.
The successful treatment of severe pneumonia patients fully reflects the efficient cooperation between the medical alliance mechanism and the intensive care medicine team of Beijing Hepingli Hospital. With the help of the hospital, it will also strengthen the professional training of the medical team, improve the quality of medical care services, improve the level of treatment, and escort the life safety of patients.
*: Beijing Hepingli Hospital.