MTL - Doctor’s Life Simulator-Chapter 14 Head iron, overthrow the dressing plan of the attending physician in person
Soon the entire operation is completed, and the next step is to carry out the postoperative treatment of the patient.
Wu Youtu gave Peng Yun an order directly:
"After that, Jia Qing will have you to manage the bed. After the operation, pay attention to the patient's limbs being properly elevated to avoid long-term pressure."
"Okay, Chief Wu."
Peng Yun still recognized Wu Youtu's technology very much, and then asked:
"Mr. Wu, what kind of dressing is used for the patient?"
Hearing Peng Yun's question, Qin Lang also came up with an excellent dressing plan in his mind, but he was still going to listen to Wu Zhuzhi's plan first.
"Wet functional dressings using my previous modified hydrocolloids and hydrogels."
Wu Youtu gave the order very confidently. As a subordinate doctor, Peng Yun naturally trusted the attending doctor's plan very much.
In fact, hydrocolloid dressings, wet functional dressings of debridement gel, have been proposed by WINTER since 1962, and a large number of studies have confirmed that wounds are more conducive to healing in a certain humidity environment.
This theory is also known as: Wet Healing Theory.
The dressing modified by Wu Youtu is unique in the burn department of the First Hospital of the City.
"Mr. Wu, can you tell me the specific ratio of this dressing?"
As Wu's subordinate doctor, Peng Yun naturally would not miss this opportunity to learn.
Qin Lang frowned slightly. In his clinical experience in the simulated world, of course, he also learned this wet functional dressing, but he did not understand a little.
Because, in his mind, there is obviously a better dressing plan.
At this moment, Wu Youtu had already begun to explain to Peng Yun, and of course, he also said to Qin Lang: "Qin Lang, listen to you too."
"The overall hydrocolloid dressing is a light yellow translucent hydrocolloid dressing, the outer layer is a polyurethane backing component, and the inner layer is hydrogel particles..."
In Wu Youtu's explanation, Peng Yun, as a scholar of Union Medical College, naturally thinks quickly and draws inferences from one case.
"If I'm not wrong, such a formula acts on the hydrogel particles behind the wound, which can absorb a large amount of wound exudate, and is also conducive to timely debridement of wound secretions. At the same time, the hydrogel layer expands to form a layer of gel. It can maintain the humidity and temperature of the wound, thus providing a good healing environment for the wound!"
Hearing Peng Yun's analysis, Wu Youtu was naturally very satisfied:
"Yes, Peng Yun, your theoretical foundation is indeed solid. It can be said that you are second to none among the resident physicians of this generation!"
Hearing Wu Youtu's compliment, Peng Yun was naturally overjoyed, and he glanced at Qin Lang, intentionally or not, as if he wanted to regain his face during the director's rounds that day.
After praising Peng Yun, Wu Youtu tried his best to add some advantages of this hydrogel dressing:
"However, in addition to this, the hydrogel dressing can also make the pH of the wound slightly acidic, which can inhibit the growth of Pseudomonas aeruginosa and Staphylococcus aureus, and reduce the bacterial load of the wound, while the polyurethane back on the outer layer of the dressing can block the outside world. Moisture and bacterial invasion, ultimately reducing wound infection..."
It has to be said that the city's first hospital, a top-three hospital, can be a senior attending physician, not an easy generation, and every one of them is a favorite of heaven.
Wu Youtu really spent a lot of thought on this dressing plan, and it is also the result of many years of hard work.
For this, Qin Lang was also very impressed.
Wu Youtu continued to teach two young doctors.
In addition to being straight-minded and following the rules, Wu Youtu is indeed a good teacher who is very responsible for lower-level doctors, and does not hide anything at all:
"In addition, after the hydrocolloid dressing seals the wound, the local microenvironment is in a hypoxic state. Studies have shown that under the hypoxic environment, fibroblasts grow the fastest, which is conducive to the proliferation, differentiation and crawling of the epithelium, and can improve the speed of wound closure."
Although I knew this dressing formula in the simulator world and used it many times, Qin Lang learned a lot from hearing the design ideas of the improvers.
As for Peng Yun, he remembered it more carefully, for fear of making mistakes.
"Then Chief Wu, what is the specific formula of the debridement gel?"
Peng Yun continued to ask questions.
Wu Youtu smiled lightly, and the recipe was also his many years of hard work. Naturally, it was a very proud introduction:
"Debridement gel is a sterile gel made of natural polysaccharide polymers dispersed in water, the main components of which are guar gum (strong hydrophilicity), propylene glycol (humectant), purified water..."
While saying that, Wu Youtu also had the intention to investigate the two of them. After speaking, he looked at Peng Yun: "You can speculate on why such a formula."
Peng Yun thought about it for a while, then smiled slightly, fully showing his academic tyranny, and also intending to compete with Qin Lang, let him know that he is not a mediocre person like Qian Liang!
"According to this formula, after the debridement gel acts on the wound, it can continuously release water molecules, hydrate with necrotic tissue, soften and remove necrotic tissue, and give full play to the body's own autolytic debridement process..."
Wu Youtu was very relieved to hear Peng Yun's understanding.
It has to be said that this is the purpose of building a hospital echelon, which is to inherit and carry forward. Generations of medical professionals work together to promote the development of medical technology in order to enable patients to obtain a better treatment experience.
After saying this, Wu Youtu taught the two people the main ingredients of MEBO:
"As for MEBO, it uses Coptis chinensis, Phellodendron rhizome, Scutellaria baicalensis, Dilong, poppy shell, etc., which have the functions of clearing away heat and detoxifying, promoting muscle and relieving pain..."
After speaking, Wu Youtu looked at Qin Lang: "Xiao Qin, tell me your understanding of this MEBO!"
Peng Yun also glanced at it. This MEBO can be said to be a traditional and classic drug for the treatment of burns. The general mechanism of action can be answered by ordinary regular doctors, but to answer comprehensively and carefully, it depends on power.
For this, Qin Lang is naturally not at all frightened:
"First of all, MEBO can effectively keep the wound surface moist, improve the blood circulation of the wound surface, and debride the necrotic tissue through the body's autolysis, thereby promoting the growth of granulation tissue and wound healing."
Both Wu Youtu and Peng Yun nodded slightly, which most medical students could answer.
"Second point, UU reading www.uukanshu.com, MEBO has anti-infective effect, studies have shown that MEBO can change the morphological structure, colony characteristics and pathogenicity of some bacteria, so as to play an antibacterial effect. ."
Hearing this, Peng Yun was slightly surprised, but standing opposite Qin Lang, she could accept it, if only the two little doctors she brought with her were as powerful.
It's just that Qin Lang's performance is not over yet. After many clinical experiences and from the real reflections of patients who have recovered, he has come to the conclusion:
"In addition, after using this MEBO, the patient can obviously feel that the pain is much lighter than before, so I speculate that it can act on the wound and stimulate less nerve endings, which can reduce the degree of tissue regeneration damage. The damage is small and the pain is mild..."
Hearing the last point added by Qin Lang, Wu Youtu's eyes lit up. He had compared dozens of cases to this conclusion back then and came to the conclusion that Qin Lang had mastered it at such a young age.
"Amazing."
Wu Youtu nodded again and again: "Very good, Qin Lang, you are not bad!"
However, before Wu Youtu's voice fell, Qin Lang's inappropriate voice sounded:
"Although Wu's modified dressing has various advantages, I don't think this dressing is the best choice for Jia Qing. I think we should use nano-silver dressing for him!"
This is the best choice that Qin Lang has mastered in the clinical experience of the simulated world, and it is also the plan that can make Jia Qing's wounds recover the most perfect and leave the least scars.
Hearing this voice, Peng Yun on the side was obviously taken aback. This stinky boy actually contradicted the attending physician in such a face to face.
In addition, nano silver dressing, why didn't she see Wu Zhuzhi use it?
