【3476】The importance of showing off skills

Do you think the boss is asking you this to test your courage in doing things?

Believe it or not, if you say you are not afraid, patting your chest is like a righteous man saying you are not afraid. Soon you will be sprayed by Mr. Zhang and buried on the spot.

What the big boss wants is never bragging, but how much confidence you have and how many specific methods you can implement to protect yourself.

Zhang Huayao, who was sitting there, soon discovered that the person in front of him could not be as weak as the man who gave himself a drink to embolden him to say he was not afraid, but he was actually holding a lot of treasures in his arms and was ready to sprint with all his strength.

It can only be said that she understands what his boss Zhang wants and not what he wants.

There is never a 100% absolute success in clinical practice. Whether or not to do it depends on what the doctor thinks.

Under the command of Boss Zhang, Xie Wanying said slowly and steadily: "I believe that for teachers, the first concern is definitely not about simple operations, such as tube placement."

Membrane lung is similar to the artificial heart-lung machine used in the operation. The puncture catheter is usually placed in the femoral vein, internal jugular vein, femoral artery or femoral vein artery. For experienced surgeons, after having performed so many difficult surgeries, they cannot be afraid of these punctured blood vessels.

The surgeons present nodded.

Regarding the connection of the machine, this kind of operation is the most basic after the machine comes. I don’t know how many times I have practiced it, and it will definitely be easier if it does not involve the human body.

The difficulty is that, like a ventilator, a series of problems that may occur after the machine is turned on require doctors to deal with it. This is because the machine interferes with the operation of the human body. It is said that the machine is used to support the human body's functions. However, the machine is a single support and the human body is a complex structure integrating various functions, which will inevitably have additional effects on the human body.

How to minimize this impact is a profound topic, and clinical research reports of this kind are flying all over the world.

Xie Wanying tried to give an example: "The most common complications after starting membrane lung are bleeding, thrombosis, plasma infiltration, pulmonary embolism, barotrauma, and other accidental injuries that may be caused by improper installation of the machine pipeline."

The doctors on site nodded again.

"Anticoagulation during membrane lung use is very important. To monitor ACT, it is recommended to maintain it at about 1.5 times the normal value. At the same time, refer to the APPT value, platelet level, etc. to adjust the machine operation. This is written in many research reports This thing sounds a bit confusing. Why don’t we first talk about what this membrane lung is like.”

As she spoke, Xie Wanying took out the notes and pen she always carried and put them on the table.

As others watched, she was drawing, and this time she drew a very dazzling human anatomy diagram, which looked like a machine diagram, which was equally eye-catching.

Zhang Huayao, who was opposite him, couldn't help but stretched his neck and looked at her in astonishment: She actually drew a machine. Could it be that she had really seen a machine?

After rebirth, she actually saw the original machine before her rebirth. With the development of the national economy, in the future, all ICUs in big hospitals in small cities will be equipped with membrane lungs. It’s just that there are more wealthy hospitals and fewer poor hospitals.

The reason why she has seen it is simple. Before switching to pathology, she was a laboratory doctor and went to a relatively large hospital for further training. When she is studying the use of membrane lung in a hospital, if she follows a class to learn to be on duty, it is inevitable that the test items will involve patients using membrane lung. As long as she is interested in this, it is not difficult to take this opportunity to go to the ICU and have a look at the machines. There are many opportunities.

(End of chapter)