Chapter 358: Would You Like Me to Pour some Water Into the Deer’s Lungs?

"Shh!"

Gretel asked him softly not to speak. I'm intubating a deer, please be quiet, please!

In his previous life, he had worked in the emergency department for more than ten years. Of course, it was not difficult for Grete to deal with tracheal intubation and other matters. The problem is...he is a human doctor, not a veterinarian. What does a deer's airway look like, where and where it needs to turn, and what techniques are needed to complete tracheal intubation?

Gretel has no experience. The only thing he knew about the airway of a deer (sika deer? reindeer? elk? It didn’t matter, he couldn’t recognize it anyway) was:

I have dissected many sheep before...

Gretel tried his best. Magic B-ultrasound and magic X-ray, the only difference is that they are not actually cut open to take a look. Then, he held up the seeds and cast a spell to induce growth. Thin vines grew silently and penetrated into the deer's left nostril.

The living deer has been cast a sleep spell, and is now sleeping soundly and motionless. Gretel squinted his eyes and lay next to its mouth, concentrating his mind and directing the emerald green vine to grow, enter, and turn...

oops!

It came out of my mouth!

I turned the corner too early, I should have gone a little further down to reach the trachea!

Let the vine shrink back a little and keep trying. The vines grow, grow, grow…

Uh, it was inserted into the esophagus...

Gretel was confused. Master Ximond hugged his knees and sat next to him. Looking at his constipated look, he raised his hand with a smile and threw the secret eye ring into his arms.

"Take it, it was given to me by someone else anyway. If you feel bad about it, tell me why you stuck a vine in its nose?"

Gretel thought for a while, but after all he didn't refuse this kindness. Whether it's the trachea or bronchus, having a bronchoscope is much better than blind insertion. He triggered the secret eye, wrapped it in vines and stuffed it inside, while explaining it to Master Hemond. The first sentence made the mage jump up:

"I want to pour water into its lungs..."

"What???"

If the roof of the barbarian's carriage hadn't been high enough, Master Hemond would have hit his head when he jumped. Even so, when he jumped and fell, he still let out an ouch and used his backhand to cover his butt. The other hand impatiently grabbed Gretel's shoulder:

"What are you doing? Do you want to drown it? This is too inefficient! Or do you want to poison it? Conspiracy? Torture? Torture? Listen to me, this method is too troublesome. We mages have many people who want to kill one person. Spells, don’t bother with this..."

Gretel: "..."

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

Grete has wanted to do this for a long time. Instead of inserting tubes into deer lungs, we insert tubes into human lungs; instead of filling deer lungs with water, we put water into human lungs after we become proficient in animal experiments...

Ever since he set out to the dwarf kingdom, or in other words, ever 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 question. What do the dwarves need most? What can you do to help them the most with your professional skills?

When Gretel came into contact, eight or nine of the ten dwarves - or rather, the ten dwarves working in the forging area coughed. After a set of B-ultrasound, X-ray, and sputum bacterial culture tests, there are two most common diseases.

One is tuberculosis. Out of ten people, about two or three are suffering from this disease - I have to lament that the dwarves are so strong that they didn't all fall down after such close contact. But Grete had not yet found streptomycin and could do nothing about it;

The other one is pneumoconiosis. Among the ten dwarf men Gretel knows, seven or eight have pneumoconiosis; among elders over 200 years old, the disease rate is basically 100%. As for the method of treating pneumoconiosis, Grete has some ideas.

Medication, Gretel couldn’t get the medicine. Lung transplantation was out of the question. Tell the dwarves not to dig mines... they will probably be beaten to death if they say this. After much deliberation, there is only one treatment method that was widely used in the 1990s and has remarkable effects:

Cleanse the lungs.

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

Under general anesthesia, one lung is ventilated, a large amount of lavage fluid is poured into the alveoli of the other side, and aspiration is performed under negative pressure. Repeat this until the aspirated lavage fluid becomes clear. Then, switch to the other side and continue lavage...

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

There is a magical version of anesthesia, the simplest ventilator (air pump), a vine version of tracheal intubation, and magical magic that can be used anytime and anywhere. Grete thinks that he should try it.

At least do an animal experiment first?

Wizard Hemond looked at him with extreme suspicion. Gretel smiled at him and continued. There is a secret eye - well, there is a visual version of the bronchoscope, which makes tracheal intubation much more convenient. I can turn left and right without even stumbling.

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

"That's the mouth, thank you."

"Why aren't you moving?"

"You have to lift up the epiglottis cartilage, otherwise the tube won't be able to go in. - Then, that's it, that's it!"

"Hey, why don't you move again?"

"Waiting for the glottis to open..."

Master Hemond stared at the light screen of the Mystic Eye and kept asking. Grete answered all questions while concentrating on staring at the light screen and manipulating the vines. The four vines move forward in an orderly manner:

Solid vine A, transports light source;

Solid vine B, controls the arcane eye;

The hollow vine C folds to the left at the first bifurcation, and then expands at the end, firmly sticking to the tracheal wall;

The hollow vine D, turns to the right at the same fork, goes deep, deep, and submerges into the bronchus——

Fill in water and start!

Transparent gas gurgling into the alveoli. For the first test, Grete chose the green third lung lobe on the right side - yes, the deer's left and right lungs each have three lung lobes, and there is also a middle lobe...

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

Grete'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 pausing for a moment, the sterile saline that was pushed in was drawn into a negative pressure bottle under Master Shimond's surprised gaze.

"You can really fill it with water! It really won't kill you!... Can you let me try?"

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

"Aoang——"

A low deer roar. There was no movement just now, and the living deer lying under the magic hypnosis kicked on the shield held up by Ximond.

****

There are still 17 papers to read.

Come on, good night.

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