Chapter 226 Venous blood!(1/2)
"My name is not Lao Huang!!"
Huang Sen turned red in the face and expressed his dissatisfaction with Liu Dongfang's call for making opinions.
"Oh, I got it, Lao Huang, the installation is fine, hurry up and install the loop!"
Liu Dongfang used prepared heparin saline and pulse-locked the tube to confirm the patency of the femoral vein again.
Seeing that the protest was ineffective, Huang Sen felt very helpless.
However, I am disgusted, but the speed in his hands is not slow.
As you open the sterile material package, you will see a variety of red and green pipeline markings inside.
Upon seeing this, Liu Dongfang said casually: "After the ECMO is started for a while, the surgery will be performed directly in V-A mode!"
"So you need to connect the femoral vein first, then run the blood pump, membrane lungs, and finally connect the ascending aorta to form a closed circulatory system!"
"Have you learned it?!"
Liu Dongfang's words caused an uproar in Huang Sen's heart!
He didn't expect that Liu Dongfang was so proficient in ECMO!
Didn’t it mean that Shengbei Hospital doesn’t have one?!
You know, in the entire Zhongdao City, only their city’s Traditional Chinese Medicine Hospital has the qualifications for ECMO!
After all, this is a manifestation of great medicine!
It is a double affirmation of the hospital’s financial and material resources!
But!
Before Huang Sen could realize this feeling of being superior to others, Liu Dongfang was met with disgrace!
"Hey, Lao Huang, I'm having heart surgery. Why are you installing a rolling pump and a silicone membrane lung for respiratory assistance?!"
A scolding startled Huang Sen, who had not yet calmed down.
Only then did I realize that I had pressed the wrong pipe.
Suddenly!
An old face is red!
"Do you need me to educate you on the difference between cardiac assistance and respiratory assistance?"
Liu Dongfang's tone gradually became cold when he saw that Huang Sen hadn't moved for a long time.
You know, Linlin's muscle relaxants have already started to take effect!
Now is the best time for surgery!
But now, due to Huang Sen's personal reasons, the progress of the entire operation has been delayed!
This kind of mistake is unacceptable to Liu Dongfang!
"The centrifugal pump and hollow fiber membrane lung next to it are the auxiliary devices for the heart!"
“Perform machine self-test and loop preheating before connecting!”
"If you don't even know this, I doubt who you learned your ECMO knowledge from."
If you don't show any mercy, Huang Sen will be taught a lesson until his face turns red.
"The hospital spent a lot of money to send me to the highest level tertiary general hospital in the southwest for further training!"
Huang Sen muttered in dissatisfaction.
"That's it?!"
Liu Dongfang raised his eyebrows slightly, his words full of disdain.
"Then let me ask you, how much heparin sodium should be given for local anticoagulation before indwelling the ECMO deep venous catheter?"
"this……"
Huang Sen was startled by the sudden question.
Before his head could turn around, Liu Dongfang asked again.
"Let me ask you again, how many seconds should the patient's ACT be maintained to achieve the best therapeutic effect for the patient undergoing anticoagulation surgery?"
"ACT?"
Huang Sen was completely panicked.
"Whole blood clotting time!"
Duan Kailiang on the side added abruptly.
This is the most important indicator for extracorporeal blood circulation and the most important indicator that doctors need to pay attention to.
It is an important link in whether the heart surgery goes smoothly.
As a qualified surgeon, you should know this!
But!
What is going on with this old doctor who claims to have rich clinical experience in front of him?!
Faced with doubts, Huang Sen felt ashamed.
At this moment, I just want to find a crack in the ground and crawl into it!
Seeing this, Liu Dongfang shook his head helplessly.
He turned his gaze to Duan Kailiang, who was silent at the side.
"Although I understand that doctors don't heal themselves, the current situation is special and I need your help!"
As soon as these words came out, Duan Kailiang was slightly startled.
But he still instinctively asked: "What do you need me to do?"
"Follow my instructions and operate this ECMO!"
As soon as he finished speaking, everyone suddenly broke into a cold sweat.
Obviously they knew that Duan Kailiang was just a novice when it came to this machine!
"No, I don't agree!"
Liu Dongfang's words immediately aroused Huang Sen's opposition!
Despite his limited surgical knowledge, as a senior emergency physician, he still has a certain say in the ECMO in front of him!
but!
Huang Sen's obstruction made Liu Dongfang curl up his lips.
He squinted his eyes, a sharp flash in his eyes.
"Huang Sen, it's not that I look down on you."
"Before, at the city's Traditional Chinese Medicine Hospital, Zhang Lin had kidney failure and needed emergency catheterization. Did you forget that you didn't see any blood returning from the injection?"
"Now that I'm facing inquiries and can't answer every word, what qualifications do I have to stand here?!"
Liu Dongfang's every word, Huang Sen's education was completely covered!
"I……"
Huang Sen has nothing to say!
He suddenly realized that what he was proud of was useless in front of Liu Dongfang!
He recalled the few contacts he had with Liu Dongfang, whether it was car accident rescue or on-site medical treatment.
He all came back in vain, not worth mentioning!
And now!
Even the ECMO, which he is proud of, is required to leave people and leave them alone!
Thinking of this, Huang Sen lost all his aura, and he seemed to have aged ten years again.
"Okay, I'm leaving!"
"But if you need me, you can always..."
Before he finished speaking, Huang Sen looked back worriedly.
But the scene before him made his heart completely freeze.
I saw that Duan Kailiang, under the guidance of Liu Dongfang, had already begun to operate the machine.
Whether it’s installation or self-test, it’s all at your fingertips!
This can only be done if you are extremely familiar with ECMO!
"Hey, I am getting old after all!"
Huang Sen's face showed the vicissitudes of life, with melancholy in his eyes. He was like a deflated ball, and he left the operating room dejectedly.
To be continued...