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Chapter 1039: 【1039】Intraoperative difficult debate



  Clinically, only medical operations that reduce costs can be effectively promoted. The surgeons heard the voices of anesthesiologists from different departments, and they deeply felt the importance of today's operation to the exploration of cutting-edge technology.

   One by one, they were eagerly waiting for Tao Zhijie to come to give a lecture, and the atmosphere seemed to make Tao Zhijie a god.

   A row of teachers from the Second General School of the National Association looked at the ceiling.

  Think about what if this group of people finally learned that Tao Zhijie did not do it.

   Having said that, there is a reason why these people are suddenly chasing "Tao Zhijie". Because even if they came up with the idea that "Tao Zhijie" might be a transfer operation, it is obvious that they will encounter the biggest problem in surgical practice.

   "You said, how did Dr. Tao analyze and compare based on these values, and how did he come to a conclusion which blood vessel is the best and most suitable for the current patient."

   "We have done a study on the relationship between central venous pressure and CVP flow. Is it true that Dr. Tao is based on this research to make surgical demonstrations."

   "Have you come to a conclusion?"

   "It must be that the lower the central venous pressure, the better, and the less bleeding."

   "Is that the way Dr. Tao is doing in surgery for comparison?"

   "No, it's the statistics of the data after it's done. I hope it can be used as a reference for the next operation."

   "What you said is too simple, is it okay to take a low value?"

"It is a preliminary study, and it is far from how to guide the surgeon. In fact, the Swan-Ganz floating catheter is used for pulmonary artery pressure PAP and pulmonary capillary wedge pressure PCWP, or the direct measurement of inferior vena cava pressure IVCP is the same. In terms of statistics, we have not found a breakthrough point in research.”

   Therefore, the difficulty is probably not which method to use to monitor the patient's intraoperative hemodynamics, but how to calculate and apply it to the operation. Of course, TEE is undoubtedly much simpler and safer than using a Swan-Ganz flotation catheter or a central venous catheter. The problem is that the latter is definitely more difficult than the former two to find research breakthroughs from massive data.

  Everyone was silent, knowing that it is really difficult to put this surgical idea into practice, it is too difficult.

   Maybe it is for this reason that the surgeons of the National Association were silent from the beginning, knowing that the hepatobiliary surgery department of their hospital was doing something that was more difficult than the sky.

   "My head has to explode first." The atmosphere was so depressing that a doctor broke the silence with a candid laugh like a joke.

   No matter what, he can't do it doesn't mean his peers can't do it. It is a doctor, and they all hope that there will be a breakthrough in technology to benefit the world.

  No one would make fun of the doctor's jokes. Because all the values ​​are shown in the live broadcast of the surgery, I am not afraid to show them to my colleagues. Anyone can make calculations and judgments on this.

   As a result, everyone raised the white flag to surrender.

  Who can figure it out, that person who can do it must be God.

   Thank you for your support! ! ! Good night dears~

  

  

   (end of this chapter)


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