Is it okay not to circle around?
The trabeculae and other structures of the patient's heart have degenerated. To improve the success rate of electrode landing, the method is to try to make larger circles or multiple circles, just like a fisherman casting a wide net.
The "internal" route of medical interventional surgery must pass through the tricuspid valve, and it seems that it cannot be passed now. Using a puncture needle to directly send the guidewire and electrode into the right ventricle will eliminate the problem of crossing the tricuspid valve barrier.
At this point in the academic debate, it is obvious: Junior Sister Wanwan is the winner.
"There is a problem here. How can she find this problem in patients with chest X-rays?" Zuo Jinmao asked.
This talkative little clever guy brought by Senior Brother Ren, don't think that he is deliberately making things difficult or questioning anyone, or that he is just lying.
The ward at the scene was full of fritters, and a group of big bosses knew it all, and none of them wanted to answer him.
This involves Junior Sister Wanwan’s research topic.
It should be said that during the more than half a year of her doctoral thesis research, Xie Wanying benefited from being attached to many professional experts and obtained the most comprehensive cardiac specimen data in the country at the Capital Heart and Lung Institute and the Guozhi Cardiovascular Research Institute. Having this data adds to her basic database, which is enough to temper her professional vision to become more vicious. She was able to make the above conclusion based on chest X-rays combined with the results of failed interventional surgeries.
Whether her speculation is correct or not depends on clinical verification.
Practice the truth. Now the patient's situation leaves the doctor with no other choice but to give it a try.
"Doctor Ren." Shen Youhuan turned around and entrusted Ren Zhelun carefully, "Sorry to trouble you."
Is Junior Sister Wanwan setting a trap for him? It's an absolute pitfall.
Ren Zhelun used his mind to imagine the veteran junior sister Wanwan muttering his words in her heart: Please put yourself in the urn.
Senior Brother Ren, hurry up and show me your skills. Let me see which path you choose to perform cardiac puncture on this patient. I believe that you, as an expert in surgical robot research, have studied these paths thousands of times, and the choices you make should be unique.
Needless to say, Xie Wanying was lying on the bed in the emergency doctor's lounge, thinking about which position Senior Brother Ren might choose for the puncture point.
The left side under the xiphoid process is a conventional choice, and two centimeters outside the fourth intercostal space on the left edge of the sternum is another choice.
In the ward, preparations for puncture are being made in full swing.
Since he was a VIP customer, Ren Zhelun personally put on a disposable surgical gown and gloves. Two young men, Zuo Jinmao and Yao Zhiyuan, helped him.
Boss Zhang was standing by and watching.
Everyone's focus is on whether this injection will stop the electrodes from falling off as she said.
Shen Youhuan held the cell phone without cutting off the phone line, and continued to keep in touch with his junior sister. While doing the live broadcast in a low voice: "They are going to puncture, Yingying, where do you think the puncture will most likely be?"
The surgeon is doing his job. Unrelated people should trust the surgeon and don't put pressure on him by asking him about everything. He had no choice but to ask the junior sister to relieve his anxiety. It shows that the attending physician's anxiety is no different from that of the family members outside, and he longs for someone to give him professional comfort.
It's okay to give some professional comfort to the family members. It's not just professional comfort to give to Senior Brother Shen, it's a professional discussion with Senior Brother. Xie Wanying thought about it and said carefully: "Senior Brother Ren should have a certain understanding of the patient's heart structure. The puncture point chosen should be a little lower than the conventional point."
(End of chapter)
