It's not that hard to open a hospital in another world, right?

Chapter 358 Let me give the deer lungs some water too?

"Shh!"

Gretel told him softly not to speak.I'm intubating a deer, please be quiet!
In his previous life, he had worked in the emergency department for more than ten years. Of course, Gretel couldn't be troubled by things like intubation.The problem is...he is a human doctor, not a veterinarian.What does the deer's airway look like, where and where do you need to turn, and what maneuvers are needed to complete the endotracheal intubation?
Gretel has no experience.The only thing he knows about the airways of deer (sika deer? reindeer? elk? doesn't matter, he can't recognize them anyway) is:

I have dissected many sheep before...

Gretel did everything in his power.Magic B-ultrasound, magic X-ray, just cut it open and take a look.Then, he picked up the seeds and cast a spell to spawn them. Thin vines grew silently and burrowed into the deer's left nostril.

The live deer has been given a sleep technique, and at the moment it is fast asleep, motionless.Gretel squinted his eyes and lay beside its mouth, concentrating his mind, directing the emerald green vine to grow, enter, and turn...

Damn!

It came out of my mouth!
The turn was too early, and it should be a little lower to reach the trachea!
Let the vine retract a little bit, and keep going.The vine grows, grows, grows...

Uh, it got inserted into the esophagus...

Gretel frowned.Master Hemond sat beside his knees, looked at his constipated face, raised his hand with a smile, and threw the secret magic eye ring into his arms.

"Take it, someone gave it to me anyway. If you feel sorry, tell me, why do you put vines in its nose?"

Gretel thought for a while, but he didn't refuse the kindness after all.Whether it is the trachea or the bronchi, having a bronchoscope is much better than blind insertion.He triggered the secret magic eye, wrapped it with vines and stuffed it in, while explaining it to Master Hemond.The first sentence made Master Mage jump up:
"I want to fill its lungs with water..."

"What???"

If it wasn't for the high ceiling of the barbarian's carriage, Master Hemond's jump would have bumped his head properly.Even so, when he jumped and fell, when he fell, he still groaned and covered his butt with his backhand.The other hand impatiently grabs Gretel's shoulder:

"What are you doing? Do you want to drown it? This is too inefficient! Or do you want to poison it? Assassinate? Torture? Torture? Listen to me, this method is too troublesome. Spells, don't bother with this..."

Gretel: "..."

Do you believe me when I say that I want to save people?

Gretel had long wanted to do this.Instead of putting tubes into deer lungs, they put tubes into human lungs; instead of pouring water into deer lungs, they pour water into human lungs after they are proficient in animal experiments...

Ever since he set off to the Dwarf Kingdom, or in other words, since he was assigned the task of increasing Mithril production and came into contact with a large group of dwarves, Gretel has been thinking about a problem.What do dwarves need most?With your professional skills, what can help them the most?
After Gretel made contact, out of the ten dwarves—or in other words, out of the ten dwarves working in the forging area, eight or nine of them coughed. B-ultrasound, X-ray, and sputum bacterial culture are checked. There are two most common diseases.

One is tuberculosis. Out of ten people, about two or three suffer from this disease. I have to sigh that the dwarves are so strong that they have not all fallen down after such close contact.But Gretel hadn't got the streptomycin out yet, and couldn't do anything about it;

The other is pneumoconiosis.Out of ten dwarf men Gretel knew, there were seven or eight cases of pneumoconiosis; the prevalence rate of elders over 200 years old was basically [-]%.As for the treatment of pneumoconiosis, Gretel has some ideas.

Medication, Gretel couldn't take the medicine.Lung transplantation is out of the question.Tell the dwarves not to mine... You will probably be killed if you say this.After much deliberation, there is only one treatment method that was widely carried out in the 90s in the previous life and has a significant effect:
Lung washing.

Or, to use its medical name, it is called large-volume whole lung lavage.

Under general anesthesia, perform one-lung ventilation, infuse a large amount of lavage fluid into the alveoli on the other side, suck it out under negative pressure, and repeat it repeatedly until the aspirated lavage fluid becomes clear.Then, switch to the other side and continue douching...

This treatment method can remove a large amount of dust, dust-eating macrophages, inflammatory factors, fibrosis factors and other harmful substances, so that symptoms such as dyspnea, chest tightness, chest pain, cough, and expectoration are significantly improved or disappeared. reduce.After treatment, the patient's lung function improved significantly, and his physical strength increased significantly.

There is the magic version of anesthesia, the simplest ventilator (air pump), the vine version of endotracheal intubation, and the magic that can be used anytime, anywhere. Gretel thinks that he should be able to try it.

At least do an animal test first?
Master Hemond looked at him with extreme suspicion.Gretel smiled at him and continued to operate.With mystical eyes—well, with a visual version of the bronchoscope, endotracheal intubation is much more convenient, and you can turn left and right without even stumbling.

"Hey, there's a hole on the left! Left!"

"That's the mouth, thank you."

"Why don't you move?"

"The epiglottis cartilage has to be lifted, otherwise the tube won't go in. - Then, this is the piece, all right!"

"Oh, why didn't you move again?"

"Waiting for the glottis to open..."

Master Hemond stared at the light screen opened by the secret magic eye, and kept asking.While answering every question, Gretel concentrated on staring at the light screen and manipulating the vines.The four vines go hand in hand, moving forward in an orderly manner:

Solid vine A, transporting light source;
Solid vine B, control the arcane eye;

Hollow vine C, folded to the left at the first bifurcation, and then expanded at the end, firmly attached to the tracheal wall;
Hollow vine D, bent to the right at the same fork, deep, deep, into the bronchi—

Fill water, let's go!
Clear gas bubbling into the alveoli.For the first experiment, Gretel chose the green right third lung—yes, the deer’s left and right lungs have three lobes each, and a middle lobe...

Even though it was just an animal experiment and the deer would be killed tonight at the latest, Gretel still solemnly used sterile saline.The liquid was pushed into the alveoli along the hollow vine, and soon, a 50ml syringe was pushed from the top to the bottom.

Gretel's operation was calm and smooth.After all, he had performed bronchoalveolar lavage sampling countless times during that special period in his previous life, and he was very familiar with it.After a short pause, the pushed sterile saline was sucked into a negative pressure bottle under Master Hemond's surprised gaze.

"It can really pour water into it! It really won't kill you!...Can you let me try?"

Gretel graciously handed over the syringe.Master Hemond played with it curiously, pushing one, then another, and another...

"Aww—"

There was a deep deer cry.There was no movement just now, and the live deer, lying under the magic hypnosis, kicked on the shield propped up by Simond.

****
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Come on, good night.

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(End of this chapter)