This situation is common in many hospitals in China. On the one hand, the hospital wants to save costs; on the other hand, the staff come here to study. If they are not assigned to work, they will not learn anything. This was mentioned before.
Tonight's case involved Norwood surgery under anesthesia, which the doctor on duty at Seoul Hospital also did not perform. When the doctors in our hospital are busy with other surgeries, they simply let Liu Jingyun take charge:
How could your official anesthesiologist from the National Association be so bad?
Xie Wanying helped senior sister recall the knowledge points: "Actually, the most important thing about this operation is the deep hypothermic circulatory arrest technique dhca. DHCA is mainly the work of the cardiopulmonary bypass doctor. You don't need to be too nervous, senior sister."
The dhca deep thermostatic circulatory arrest technology lowers the core temperature of the human body to a certain temperature and then suspends extracorporeal circulation. The advantage of this is that during the suspension of extracorporeal circulation, the surgeon's operation process is in a similar "bloodless" state, and the surgeon's clarity of the surgical field is doubled, and heart and large blood vessel surgeries can be completed as quickly as possible. Then the extracorporeal circulation and body temperature are restored, and finally the extracorporeal circulation is terminated.
This technology was used in Aki's mother's surgery last time. This technique has a disadvantage, which was mentioned in the last surgery of Aki’s mother. It will cause damage to the cranial nerves, so the operation time must be controlled and cerebral perfusion protection must be done.
After listening to her words, Liu Jingyun recalled these concepts without panicking and said, "I just came and asked them, who is responsible for the extracorporeal circulation during the operation?"
When the senior sister said this, Xie Wanying suddenly remembered that Shou'er was different from the extracorporeal bypass specialist at Guoxie Guozhi. In the Second Department of Pediatric Cardiac Surgery at Seoer, she had never seen a cardiopulmonary bypass doctor walking around. There is no cardiopulmonary bypass unit in Shouguang Hospital.
In this era, there is no extracorporeal bypass specialist in China. Those who work in this field full-time like Guozhi Guoxie are either internists, anesthesiologists or nurses who have been trained through retraining.
Shou'er works part-time in the anesthesia team, which Xie Wanying didn't understand carefully before. A complex operation sometimes requires two or more anesthetists. One is responsible for monitoring the anesthesia machine, and the other is responsible for monitoring the extracorporeal circulation. There is no problem.
Liu Jingyun came back with a big head after inquiring about the situation, and said to the junior sister: "They said that if there is no one, I will have to take care of the nurses on both sides. I have never done extracorporeal circulation work in the National Association."
"Senior sister, don't worry. Dr. Cheng and the others have learned about the special situation of the anesthesiologist tonight and will call someone to come back and help." Xie Wanying reached this point and turned back subconsciously.
Originally, she was eavesdropping on other people's conversations, but at some point, she turned into Brother Immortal and Senior Brother Cao, standing there listening to her talk on the phone for a long time.
The situation in front of her was so embarrassing that she wanted to find a hole in the ground to dig into.
In any case, after listening to her down-to-earth technical analysis, Cao Zhao and Cao Yong understood clearly: It is probably impossible to find someone else.
Dhca technology is also used. Since the cases of Norwood's surgery are newly born children, it is too easy to die. This is one of the reasons for the high mortality rate of Norwood surgery.
What are the reasons? Let’s see why the extracorporeal bypass specialist used by Shour is a team of anesthesiologists. As for extracorporeal circulation, to put it bluntly, it is done during the operation, and requires medication and anesthesia. Not only Shouer, most hospitals prefer to let anesthesiologists be cardiopulmonary bypass specialists.
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