Chapter 1565: 【1665】Key reminder
Teacher's two sentences hit the key point, and it was the rhythm that made the students tremble twice.
Dr. Yang took the syringe handed by the nurse and prepared a local subcutaneous injection of anesthesia.
The patient is conscious and needs to apply an anesthetic near the puncture site, otherwise he will feel pain. At this time, the skin of the patient's contralateral thigh and groin has been prepared and disinfected, in case the puncture fails on this side, it needs to be replaced to the opposite side.
If you inject anesthesia, you must start around the femoral artery at the puncture point. In addition to injecting on both sides of the femoral artery, it is best to inject it below the femoral artery, so that the femoral artery can be raised for better puncture. Only now the femoral artery pulse point can not be felt.
The intercom in the control room spoke to the people in the operating room. It was Shin Woo-hwan's voice: "Give the patient a perspective."
Xie Wanying stood behind Senior Brother Shen and thought to himself: Senior Brother Shen is a very good person, kindly reminded him at the critical moment.
Can't remember the anatomical map, the teacher asked you to see where the patient's bones are, and use the position of the bones to determine where the patient's femoral artery may be.
The clinical seniors have a variety of experience summaries for difficult medical operations, whether in internal medicine or surgery. It is just that the later doctors need to work hard to find knowledge and information to learn by themselves. These latest empirical doctrines cannot be included in medical textbooks that are updated every few years. As for whether or not the clinical teacher will teach you during the internship, most of the clinical teachers will not bother to teach you if they know that you are not a graduate who wants to stay in the hospital.
It is not enough for Dr. Yang to impress the teachers with his earnest efforts.
After Shin Woo-hwan mentioned this sentence, Dr. Yang's eyes seemed to be flickering with a daze. Is it useful to only show bones under fluoroscopy?
Doctor Chen, who was standing opposite, looked at her expression with a little anxiety on his brows. Knowing this situation, even if you teach it by hand, you are afraid that the other party will be blinded. It is estimated that the anatomy is not learned well, which is a common problem of most medical students.
In the control room, Shen Youhuan held the walkie-talkie, and the tip of Feifei's eyebrows tufted twice, seeing that Doctor Yang, who was opposite the lead glass, did not move.
Xie Wanying recalled the expression that Dr. Yang had when she wanted to talk to her beforehand, the look of working hard. As a medical student who is also struggling in medicine, she couldn't bear the other person to be trapped here, and said: "You can first perform an anterior-posterior perspective view on the patient. The femoral artery is at the center of the femoral head. Prepare a hemostatic forceps. It is best to place it in the puncture area. Under the fluoroscopy, place the tip of the hemostatic forceps at the lower edge of the femoral head to help positioning. This place is the needle insertion point. This patient is obese. It is the middle of the femoral head, and it has been documented that the probability of penetrating the femoral artery is about 75% or more."
Her fluent words and unhurried speaking speed ensured that Dr. Yang, who was separated by the lead glass, could hear every point she said clearly. For a moment, Dr. Yang and Dr. Chen, Dr. Li Xiaofeng, who were in the operating room, mistakenly thought that a big boss suddenly came to the scene to give people advice.
This steady tone, this professional academic content, who would believe it if it is not the style of a big guy.
Dr. Chen asked the following residents: "Who was talking just now?"
(end of this chapter)