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¡¾426¡¿It¡¯s time to do complex medical operations

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    " Let the second senior sister have a good rest. Xie Wanying and Liu Jingyun only chatted with the patient for a while and then went back to school.

    It¡¯s Monday afternoon in the blink of an eye.

    The old lady in bed No. 8 is going to have surgery tomorrow.  Considering that this patient may need critical and critical care during and after surgery, central venous catheterization was planned.  The advantage of central venous puncture and catheter retention is that during infusion, drugs are delivered from the central vein to the heart faster than from peripheral veins, which is important for patients in urgent need of rescue.

    Generally speaking, doctors will choose the subclavian vein for puncture among various central venous puncture options.  Because subclavian vein cannulation is compared with the internal jugular vein, external jugular vein and femoral vein, it is easier to fix and perform post-care.

    If the patient needs chemotherapy later, picc can be inserted.  This is a peripheral vein insertion of a central venous catheter. Clinically, the basilic vein is mainly selected at the location of the forearm.

    Subclavian vein puncture is a relatively difficult technique.  Once the puncture is unsuccessful and mistaken, it may enter the artery and cause an arterial fistula. Even if the puncture is accidentally inserted into the apex of the lung, it may cause terrible complications such as pneumothorax.

    The anatomy of this place is complex, with various important blood vessels and tissues mixed together.  The subclavian vein on the left side has more thoracic duct, the longest lymphatic duct in the body, than the right side. The surrounding tissue is more complex, and it is even worse to accidentally penetrate it into chylothorax.  Therefore, doctors choose to puncture the right subclavian vein whenever possible.

    Regarding relevant medical knowledge, medical students either take out their notebooks to review them temporarily, or they try to find the key points of knowledge in their own memories.

    Whenever there is such a high-tech operation in clinical practice, medical students need to seize the opportunity to observe and learn.  Because the opportunity is rare.

    General wards are not ICU, patients do not need rescue all the time, and there are few opportunities for central venous puncture.

    It has been almost two weeks since Xie Wanying came here. It was the first time that Xie Wanying and her classmates had the opportunity to observe such an operation. The classmates were very excited.

    "Compared to the students, Dr. Sun Yubo, the junior teacher who had to perform puncture on the patient, felt a little uneasy.

    Senior Brother Liu is not here and has gone to the operating room for surgery.  This time, the person who accompanied him to the ward and watched him operate could not be Tan Kelin himself.  Tan Kelin is busy.  This kind of thing can be done by the attending doctor watching the hospital stay.

    ?The National Association Hospital has a large number of talented people in the Department of Surgery.  There is always a need for the deputy high-ranking officer to take action in person.  The attending abilities are all at a high level.

    Therefore, the person responsible for watching the resident doctors operate is Dr. Shi Xu, another attending physician in the team.  Compared with Dr. Liu, Dr. Shi is thinner and more elegant. He wears small black-rimmed glasses and has long fingers.  It is said that he is a little older than Dr. Liu and has better skills.  Therefore, the old lady's first surgical assistant tomorrow will be Dr. Shi Xu instead of Dr. Liu Chengran.

    On weekdays, she didn¡¯t get along much with Dr. Shi Xu, who had just returned. Xie Wanying noticed the uneasiness on Teacher Xiao Sun¡¯s face and wondered what was going on.

    Luo Yanfen put her ear to her ear and gossiped: "Teacher Shi is more boring than Teacher Tan. But once you get anxious, it's scary."

    Therefore, there is a reason why Sun Yubo likes to be with Senior Brother Liu the most.

    Resident doctors are actually only a little better than medical students. They have just graduated recently and do not have sufficient clinical experience. Most of them have relatively few actual operations and are junior doctors.  When it comes to this kind of complicated practical operation that is rarely done, the senior students let the junior students practice. There is not much difference between the junior psychology students and the medical students. Whoever asks them to do less will not have the confidence.  (Remember the website address: www.hlnovel.com
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