When the machines are used together, it¡¯s like one plus one equals two, the effect is doubled, and it sounds wonderful.
There is definitely no good thing like one plus one equals two in medicine. On the contrary, one plus one may have countless variables and even become zero or negative. To give a simple analogy, in clinical drug combination, it is not certain whether the effect of different types of drugs will be good when used together. Doctors can use combinations for patients based on routine and clinical experience, but occasionally a patient has something unique.
With the same physique, it will usually end in tragedy.
To rule out extreme cases, what doctors need to do is to know in advance what combinations of drugs will have their drawbacks and take preventive measures.
The principle of using two machines together is the same.
Director Wang followed Dr. Liu and expressed his strong stance: "Yes, yes, yes, I want to know too."
Many people pricked up their ears and listened. Obviously this is an important technical point.
"ecmo uses anticoagulation, and crrt basically does not require anticoagulation, unless there are very special circumstances where low-intensity anticoagulation is used. The specific situation is based on the patient's various indicators." Xie Wanying said.
?Same as ecmo, anticoagulants need to be used during crrt treatment, and there is also a fear of various bleeding or blood clots. Therefore, the use of two machines together requires urgent attention. At present, Xie has provided a basic idea, which eliminates the need to double anticoagulation.
Dr. Liu immediately let out a sigh of relief. She could tell that this teacher Xie was really talented and practical, and what he said were all the key points of his work. Having someone like this can undoubtedly give her some technical confidence. Director Wang was also relieved. He was thinking about how to discuss this with Dr. Liu next, but he had never tried it himself and had no clue. He didn't know where to start and was worried. Now, can someone help him think ahead?
First, a major problem between him and Dr. Liu was solved.
"Another focus of Teacher Liu should be to know how to connect the two machines without causing problems." Xie Wanying said.
"Yes. Director Zhang said on the phone that there is a way." Dr. Liu said.
"It's her who has the solution, not me." Boss Zhang immediately clarified to the world. If you have any questions, please ask Teacher Xie again.
She had briefly introduced this to Mr. Zhang before, and she only needed to explain it to the nephrology teacher in person and give a simulation demonstration.
After resolving the two most anxious questions on Dr. Liu's mind, Xie Wanying put on surgical gown and stood on the other side of the hospital bed as an assistant to Brother Shen.
There is a large box that comes with the machine. After opening it, you can see a series of medical tools that match the machine, such as puncture needles and cannulas.
Most of the medical staff on site had never seen or used these things before, including Shen Youhuan, who couldn't help but feel a little confused, so they had to ask the junior sister to help them.
The technique for puncturing the femoral vein and femoral artery is actually the same.
Xie Wanying gave Brother Shen confidence and said, "I will do the preparations and help Brother Shen make the connection. Puncture, catheter placement and interventional surgery are similar." As she said that, she introduced the tool usage process to the chief surgeon and other doctors on the spot. It is not difficult to tell which is the femoral vein tube and which is the femoral artery tube. The longer catheter is for the femoral vein. The femoral artery only needs to be inserted fifteen centimeters
about.
The same puncture tools should be similar in appearance and usage. The operation steps are roughly as follows: After the puncture needle enters the exact position inside the blood vessel, insert the guide wire, withdraw the puncture needle, puncture the subclavian vein, and use a scalpel to expand the skin. (Remember the website address: www.hlnovel.com