BXBX NOVEL Chapter 1651: 【1651】Team cooperation
Finally saw her back.
Shen Youhuan stared at her head and preached: "Yingying, your brain is smart, so don't imitate this young brother Cao to be brave and fearless."
When did I get brave in this kind of thing? Cao Yong absolutely disagreed with this, and turned his eyes back to the other party with a slightly dissatisfied look.
Senior Shin's character is like an ever-changing cloud, with occasional showers and occasional sunshine. In a blink of an eye, after educating her, Shen Youhuan went on to comfort her: "You senior brother Huang is not good, let's talk about him. Besides, with you senior brother Cao, is it your turn to be a non-neurosurgery? You can rest assured. Go. Watch us operate next door."
"Yes." Xie Wanying nodded.
In terms of neurosurgery expertise, she is definitely not as good as her brothers and Dr. Song. Leave the professional affairs to the specialists.
Surgery is about to begin. In addition to the surgeon, everyone else entered the control room and watched the operation.
In the hybrid operating room, the surgical team can be divided into two situations, one is the cooperation between the internal medicine and the surgical department, and the other is that the surgical department works alone and directly does the work of the internal medicine interventional surgery. The latter requires surgeons to understand by analogy and to accumulate considerable experience in interventional procedures. This is not easy to achieve. Because surgeons may be able to get started quickly with ordinary angiography, when it comes to more complicated interventional procedures such as thrombectomy and thrombolysis, doctors also need enough operations to accumulate technical strength, and surgeons may not be able to adapt quickly if they do not perform enough. Therefore, in Mr. Zhang's conception, it is best to do better in the future with the composition of this type of surgery and the collaboration of the Department of Surgery and Internal Medicine.
Today's operation can be said to be promoted intentionally by Zhang Huayao, to see the situation after the combination of internal medicine and surgery.
After that meeting that night, the teachers of medicine and surgery met again many times to study. Now the surgeons and surgeons are in their respective positions.
The physician comes first. Shin Woo-hwan went into the operating room fully armed and went into battle in person. Today, the operation process of this patient is complicated, and there is a surgeon who has to take over the second half of the operation. The progress of the operation requires the doctor to move quickly, and do not give the next doctor a dawdling attempt.
Local anesthesia, puncture of the right femoral vein, placement of a pig tail tube, and placement of a filter in the inferior vena cava. A series of existing routine surgical steps is inevitable for a deputy senior who has already mastered the basic skills in one go.
The catheter placed after the puncture is the same as other interventional procedures, and the contrast agent is brought to the designated location.
Like coronary angiography, due to the short pulmonary arterial circulation time, only 2 to 4 seconds, CT imaging is not as technically difficult as an angiography machine, which can capture the instantaneous dynamics of blood vessels directly and at a glance. The advantages of the imaging machine are once again reflected. Clinically, high-risk PE patients are the first choice for pulmonary angiography and thrombolytic thrombectomy has been recognized. Therefore, the previous CT scan results of the blood vessels of the lungs and heart are rough scans, which do not have diagnostic significance, and can only be provided to doctors for preliminary judgment.
Whether the patient can do the next surgery or not depends on the results of the interventional surgery in the first half.
Similarly, as with coronary angiography, even if it is only for intervention, for patients who are not at high risk of PE, interventional surgeons must be cautious and cautious about the medical methods that patients need to perform, and there is no need to over-medicate.
Thank you for your support! ! ! Good night dears~
(end of this chapter)