Yubu: The role of anesthesia in the treatment of coronary pneumonia.

In order to further improve the public's understanding and response to the outbreak of the new coronavirus, and strengthen the popularization of knowledge related to the new coronavirus, 14 members of the Chinese Medical Association and the Shanghai Medical Association in the relevant disciplines of Ruijin Hospital, in response to the concerns of the public at different stages of the development of the epidemic, through micro-video to make authoritative answers, carefully produced the launch of the "New Crown - Ruijin Main Committee said" series of interviews.
Today, the third issue, the grand launch of the Chinese Medical Association Anesthesiology Credit Committee of the 10th Chairman, the Chinese Physicians Association Anesthesiology Credit Committee President-designation, the Chinese Medical Education Association Anesthesiology Credit Committee Chairman, Ruijin Hospital Anesthesiology Professor, Chief Physician Yu Bu to answer your questions.
01 Question: Professor Yu, talking about this outbreak of the new coronavirus.
we often hear about two departments: one is the respiratory department and the other is the infection department.
so what does your anesthesiology department have to do with the outbreak? Answer: The most important role of our anesthesiology department is tracheal intestoration.
intitation of the trachea is an important means to save the critical condition of neo-coronavirus pneumonia.
's the good of using an anesthesiologist to do this? We are on the basis of general anaesthetic to do tracheal intestion, the human respiratory tract is a long-term - evolved structure, unusually sensitive to foreign bodies to the outside world, drinking water coughing or eating food residue, will cough for half a day, in order to discharge foreign bodies.
If a catheter is to be placed in the tracheal tube, it is a huge foreign object to the respiratory tract, without anaesthetic, patients will develop severe, reflexive cough, each cough has hundreds of millions or even billions of viruses spewed out, may spray the medical staff face.
Then we anesthesiologist gave him a general anaesthetic, so that patients without resistance to the tracheal intestor, one can greatly shorten the intestor time, two can improve the success rate of intestoration, the most critical point is to protect our medical staff.
02 Question: Before we usually have surgery, the anesthesiologist will say to us, "Anesthesia is risky, there may be a problem, sign it."
", but for such a new coronavirus pneumonia patients, the situation itself is already very serious, to their general anaesthetic will not cause a certain risk? Answer: We used to say that anesthesia is risky, mainly because in the past technology is not good, drugs are not good, equipment is not good, such as our laryngoscope can not.
On the drug side, if the anesthesia is inexperienced, the dose is not appropriate, the drug may be overdose;
that's how the risk comes about.
but now it's all basically settled.
because we have a visual laryngeal mirror, we can look directly through the screen at the path of the catheter through the nose and mouth, and we can see where the "sound door" is, it's easy to plug in.
so the risk of anesthesia itself is very small now.
you mentioned another question.
a new crown patient or even a critical new crown patient, his heart, lungs, liver, kidneys have some damage, how to do this situation? Our current anaesthetic ensures that patients survive the operation safely and smoothly.
03 Question: You introduced us to the benefits of anaesthetic for treatment.
most of what you just talked about was the large number of related applications made during SARS in 2003, is there a lot of application in this new crown outbreak (anesthesia technology)?" Answer: There are not many applications yet.
we have a process of understanding neo-coronavirus pneumonia, the first feature of which is that the incubation period is relatively long, it is difficult to find, which is why so many people are infected.
Second, it has a more special feature than SARS, that is, at first the symptoms are very light, we will feel like a cold, just a little weakness, headache and muscle soreness and other symptoms, khat symptoms are not heavy, just dry cough.
these patients are still jumping around, playing cards to eat and buy food, everything's OK.
early images of their lungs have shown a change in the grinding glass, which is very special.
so I told some anaesthetic-born medical captains or ICU doctors sent from Shanghai very early on that you must pay special attention to this situation.
circulation system of the lungs is simply a river, the artery system is very narrow, just like the Yellow River Hukou waterfall, the impact is very strong.
to the "yellow pan area" completely dispersed, the flow is very large but no pressure, if the human body in the resistance to the invasion of the virus when the sensory nerve overexcited, capillaries sphides on the extreme contraction, blood flow will not pass.
it is also a low-pressure system, cell connections are very fragile, once broken, plasma flow out, leakage into the lungs.
the alcups and hair vessels would have been close together, the exchange of gas molecules is very convenient, here the gas can not be exchanged, people can not breathe.
04 Question: Can anesthesia alleviate the condition? Answer: First, anesthesia can relieve excessive contraction of capillaries network, and second, the arterial flowers used in Chinese medicine anesthesia can itself promote the flow of microcirculation, lift the obstruction, reopen the closed, ruptured capillaries network, and then flow up.
fresh plasma collosus penetration pressure is relatively high, after the flow will bring back the interpulmonary water, slowly improve the breathing condition, improve the breathing patients to survive.
't say our anesthesiology department can cure the disease, but we have a way to keep the patient alive.
05 Question: At the very least, the patient's condition can be alleviated, and even the heavy patient can be transformed into a light patient, the light patient is transferred to an asymptomatic patient, without the performance of the lung grinding glass image, it can be restored.
So we must correctly understand the response of this disease to the human body, should not blindly find something to fight it, kill it, inactivated it, through the dredging microcirculation first to save people, maintain, and so on the patient's body resistance recovery, the virus slowly lost life, people will survive.
blocking and fighting is one way.
answer: through anaesthetic dredging, soothing down, is another effective method.
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