BXBX NOVEL Chapter 426: 【426】Complicated medical practice
It's Monday afternoon.
The old lady in bed number 8 will have an operation tomorrow. Considering the critical and critical rescue that this patient may need during and after surgery, central venous puncture is prepared. The advantage of central venous catheterization is that during infusion, the drug enters the heart faster from the central vein than the peripheral veins, which is very important for patients in urgent need of rescue.
In general, physicians prefer subclavian vein access among the various central venous access options. Because the subclavian vein catheterization compares with the internal jugular vein and the external jugular vein and the femoral vein, it is easier to fix and carry out post-care.
Later, if the patient needs chemotherapy, picc cannulation will be done. This is a peripheral vein placement of a central venous catheter, and clinically, the main choice is the precious vein, which is located in the forearm.
Subclavian vein puncture is a relatively difficult technique. Once the puncture is unsuccessful, it may enter the artery and cause an arterial fistula, or even mistakenly puncture the apex of the lung, which will cause a terrible complication such as pneumothorax.
The anatomical location of this place is complex, with various important blood vessels and tissues mixed together. The left subclavian vein has more thoracic duct, the longest lymphatic duct in the body, than the right one. The surrounding tissue is more complicated, and it is even worse to mistakenly wear it into a chylothorax. Therefore, the doctor chooses the right subclavian vein puncture as much as possible.
For -related medical knowledge, medical students either temporarily pull out their notebooks to review and review, or try to find out the key points of knowledge in their own memory.
Every time 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.
The general ward is not an ICU, and not all patients need rescue all the time, and there are few opportunities for central venipuncture.
It has been almost two weeks since I came here. It was the first time that Xie Wanying and her classmates had the opportunity to observe such an operation, and the classmates were very excited.
Compared with the students, the little teacher Sun Yubo, who was going to puncture the patient, felt a little uneasy.
Brother Liu is not here, so he went to the operating room for surgery. This time it was impossible for Tan Kelin himself to accompany him to the ward to watch him operate. Tan Kelin was busy. This kind of thing, the attending doctor is watching the hospital and doing it.
The National Association of Health Hospitals, surgery, and a wealth of talents. Where there is always a need for the deputy high to personally go out. The ability to govern is at a high level.
Therefore, the one in charge of watching the operation of the resident physician is another attending physician in the group, Dr. Shi Xu. Compared with Dr. Liu, Dr. Shi is thinner and more literate, wearing a pair of small black-rimmed glasses and long fingers. It is said that he is a little older than Dr. Liu, and his skills are more powerful. Therefore, the first assistant of the old lady's operation tomorrow will be Dr. Shi Xu instead of Dr. Liu Chengran.
We don't get along much with Dr. Shi Xu, who just came back not long ago. Xie Wanying noticed the unease on Teacher Xiao Sun's face and wondered what was going on.
Luo Yanfen stuck to her ear and gave her gossip: "Mr. Shi is more boring than Mr. Tan. But once you get anxious, it's scary."
There is a reason why Sun Yubo likes to be with Brother Liu the most.
Resident physicians are actually only a little better than medical students. They have not graduated for a long time. They have not enough clinical experience. Encountering this kind of complicated and seldom done practical exercises, the seniors let the juniors practice hands, and the psychology of the juniors is not much different from that of medical students.
(end of this chapter)