After Zhao Heng removed the fiberoptic tube from the newborn's airway, he quickly went over the airway structure he had just memorized, and combined with the three-dimensional structure forming rapidly in his mind, Zhao Heng visualized a plan for intubation.
This plan not only ensures maximum ventilation effect of the airway but also minimizes the damage caused by intubation.
Next, Zhao Heng carefully supported the newborn's head, exerting slight force to keep the head in a reclining position, aligning the mouth, throat, and trachea in the same vertical axis.
Throughout this process, Zhao Heng had to be extremely cautious, as even the slightest movement had to be gentle.
The newborn before him seemed as fragile as porcelain in Zhao Heng's eyes, requiring exceedingly careful handling.
After positioning, Zhao Heng held the laryngoscope with his left hand and gently inserted it along the tongue's curvature shown in the three-dimensional imaging in his mind, reaching the tongue root, lightly lifting the epiglottis cartilage, instantly exposing the glottis.
Next, waiting for the newborn to inhale, the glottis opens, allowing the endotracheal tube to be quickly inserted into the trachea.
This process relies on capturing a fleeting moment.
Were it a standard patient, Zhao Heng wouldn't need to tread so carefully, like walking on thin ice.
But this newborn, curled into a small bundle, has an airway space no wider than a chopstick.
Under these conditions, even the slightest quiver during intubation could harm the already swollen airway.
The newborn's breathing was already very weak, and without mechanical ventilation, suffocation could occur soon.
Therefore, intubation was urgently needed.
Zhao Heng steadied himself, focusing on the newborn's faint breathing.
Between each breath lies a moment when the glottis opens, which is the window for intubation.
Zhao Heng was ready, and everyone present held their breath, afraid that even a slight breath might affect Zhao Heng's procedure.
Truth be told, except for Gu Jia, everyone present was accustomed to newborns and intubating newborns was routine here.
But intubating a 1.5kg newborn with severe airway edema and pulmonary infection was a first for everyone!
In the stillness, Zhao Heng felt his heartbeat align with the newborn's faint breath.
Yes!
This is the moment!
Zhao Heng hesitated not a bit, swiftly inserting the endotracheal tube with his right hand, navigating the simulated three-dimensional anatomical structure in his mind, meticulously avoiding all bulges and swollen areas, precisely delivering it into the airway.
Then Zhao Heng confirmed it briefly before injecting air into the cuff at the front end to seal the gap between the tube and tracheal wall.
Seeing Zhao Heng complete such a challenging procedure so swiftly, accurately, and safely, everyone present was struck by Zhao Heng's commanding presence.
This totally exhibits the demeanor of an expert!
"Dr. Fang, the intubation is complete, I'll leave the rest to you."
Zhao Heng removed his gloves, approached Fang He, and spoke calmly.
"Yes, yes, thank you for your hard work, Dr. Zhao."
Fang He nodded repeatedly.
Today's performance by Zhao Heng indeed impressed her, leading Fang He to ponder whether Zhao Heng could be consulted in similar future scenarios.
With intubation complete, Zhao Heng left the neonatal care unit.
Outside the neonatal unit, sitting on a bench, Gu Jia remarked to Zhao Heng, "Old classmate, I never thought you'd do so well now."
They're all college classmates; she was still thinking about completing her monthly sales quota, fearing dismissal.
Whereas Zhao Heng had become quite the young expert.
"Just a bit of progress recently, luckily."
Zhao Heng replied calmly.
"This isn't just a bit of progress, old classmate. I recorded your procedure earlier, can I take it back as company promotional material?"
Gu Jia asked.
This video could easily be taken to her company, displaying how well the latest medical equipment was utilized and its tremendous impact, likely pleasing the company greatly.
Even the headquarters might hear about it.
Gu Jia mused.
"Sure, just don't disseminate it."
Zhao Heng thought for a moment and nodded.
The procedure earlier could be considered perfect, with no mistakes. Every step was standard, potentially serving as a textbook example of perfect execution.
"Old classmate, how come you're in anesthesia now? I heard the anesthetist certificate is hard to obtain."
Gu Jia asked curiously.
During college, she had feelings for Zhao Heng, so she's been keeping an eye on his recent activities.
For a college heartthrob like Zhao Heng, it was impossible for Gu Jia to have no thoughts at all.
However, due to certain reasons, Gu Jia never expressed them.
Of course, many girls in the class and even in the department liked Zhao Heng.
"It's okay, not that difficult."
Zhao Heng replied.
"How's your work going?"
Zhao Heng asked casually.
"Just so-so, you know the sales field isn't easy."
Gu Jia sighed.
With fierce competition and such intensity, the sales industry, especially medical device sales, is extremely competitive now.
Gu Jia, besides being attractive, isn't particularly exceptional otherwise.
And being attractive honestly just opens doors in sales.
"Will today's deal help you?"
Zhao Heng suddenly asked.
"Of course, I couldn't complete my sales targets this month, but today's deal will at least cover it."
Gu Jia replied happily.
Today was a complete surprise for Gu Jia.
Seeing someone she once liked and securing a deal to fulfill her quota made her very happy.
It made the air feel fresh and the sky blue.
"Thank you, old classmate."
Gu Jia said again.
"I didn't expect you to be the one who came."
Zhao Heng said, slightly surprised.
In college, among all the pretty girls, Gu Jia stood out noticeably.
Zhao Heng did feel somewhat drawn to Gu Jia, but for guys, such feelings towards pretty girls are commonplace.
Isn't there a saying?
A man's aesthetic standard never changes; they always like pretty girls in their early twenties.
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