(Fighting new crown pneumonia) Interview with the deputy captain of the Tongji "renal protection team": "Inflammation storm" should be early warning and early intervention
China News Agency, Wuhan, March 2nd, title: Interview with the deputy captain of Tongji "renal protection team": "Inflammation storm" should be early warning and early intervention
China News Agency reporter Ran Wenjuan
"Inflammation storm" changed color. It is an important node in the conversion of patients with new coronary pneumonia from mild to severe and critically ill, and it is also a cause of death in severe and critically ill patients.
How to deal with the "inflammatory storm"? He Fan, deputy director of the Department of Nephrology of Wuhan Tongji Hospital and deputy captain of the "Kids Support Team" of Guanggu Hospital, introduced the team's "solving the problem" method to remove inflammatory factors in the body through blood purification and alleviate disease progression. This treatment is also written in the sixth edition of the New Coronary Pneumonia Diagnosis and Treatment Program.
Early warning and early intervention for "inflammatory storm"
He Fan introduced that the "Kidney Team" consists of 4 nephrologists and 20 hemodialysis specialist nurses. Due to the relatively small number of nephrologists in each medical assistance team, the early stage of the "renal protection team" mainly provides treatment guidance for patients with renal impairment caused by neocoronary pneumonia.
"After clinical practice, we have found the role of blood purification treatment in blocking the" inflammatory storm "," said He Fan. In some patients, the immune system "backs the water" at any cost after infection, and a large number of inflammatory factors aggregate to produce an "inflammatory storm", which leads to Multiple organs are rapidly injured. "Intervening in advance through blood purification treatments such as plasma exchange, hemoperfusion, and plasma adsorption can effectively remove these inflammatory factors and gain time for subsequent treatment."
"Early warning and early intervention should be done for 'inflammatory storms'," said He Fan. The "Kidney Team" has monitored cytokines and lymphocytes in all critically ill patients in the hospital. "We believe that when the inflammatory factors in the patient's body reach the early warning value and it is possible to start an 'inflammatory storm', we must choose the right time to intervene and develop a targeted blood purification program to avoid as many irreversible injuries as possible in the later stages."
"There are more than 30 patients in the hospital who have undergone blood purification treatment, and most of them are planned treatments. At present, more than 10 patients have recovered and discharged." He Fan believes that blood purification treatment also requires "advancement of the barrier, early intervention."
Multi-disciplinary cooperation in fine management
He Fan believes that when treating critically ill and critically ill patients, it is necessary to closely track the changes in the condition, timely study and adjust the adjustment plan, and reduce the mortality rate through refined management.
"Our patients receive 8 to 10 hours of blood purification treatment every day," said He Fan. The team adopted a "one-on-one" nursing program, where a nurse is responsible for a dialysis patient, and monitors the indicators throughout the treatment process. Avoid major complications.
He Fan also talked about the importance of multidisciplinary teamwork in treatment. "Severely ill patients are often affected by multiple systems. There are 7 specialized clinical support teams in the Optics Valley Hospital. Everyone discusses the cases together and uses their strengths to treat patients. This undoubtedly improves the cure rate."
He used an example from a patient in the ICU ward. "The patient had respiratory failure when he was admitted to the hospital. His condition was still progressing after the ventilator and intubation, and his heart and kidney function was impaired. After the multi-disciplinary team discussed, the patient was given ECMO immediately and blood purification treatment was started. 24 hours later, The patient's inflammatory factors decreased. "He Fan said that after follow-up treatment, the patient's inflammatory factors dropped to normal values, and the cardiopulmonary function gradually recovered, and has now been transferred to the general ward.
The greatest sense of honor in healthcare comes from patient rehabilitation
"Considering the treatment needs of critically ill patients, our team is an elite soldier." He Fan said that in order to facilitate meetings and discussions, members of the "renal protection team" live in the hospital and have been working under high load for more than two weeks.
"Every evening, we have a short meeting to review the situation on the day of the review, such as how many patients have been done and how to optimize the process." He Fan said that after completing these tasks, he would still do some research at his desk. "I hope to summarize the experience and lessons in the treatment process in a timely manner and share the good practices in practice with other medical staff to improve the cure rate of patients."
He Fan remembered that when the first patient involved in the "renal care team" was discharged, a nurse on the team said, "I must take this grandma's hand to send her out of the hospital." "The greatest honor for medical workers The feeling comes from the rehabilitation of the patients. Despite the high intensity of work, everyone's morale is high, and they are motivated to overcome the epidemic. "He Fan said.
In fact, He Fan was also infected with new coronary pneumonia in his early work. Fortunately, he controlled his symptoms in a short time and healed quickly. After the quarantine period expired, he signed up to return to work. "I feel proud to be able to use my expertise to treat patients. In addition, the opportunity to fight alongside colleagues from all over the country is an unforgettable experience in my career." (End)