Chapter 3493        【3493】This scene

I said before that the internal jugular vein cannot be selected. If it is in the vvecmo mode, it may be necessary to choose the left and right femoral veins. In the vaecmo mode, you can choose one side of the femoral artery and femoral vein for puncture.

Arteriovenous puncture is at risk.

In order to ensure the success rate of puncture, such as in the interventional operating room, use a contrast machine for assistance.

What should I do if I have a bedside puncture without a symptomer?

Xie Wanying suggested to the teacher: "Use ultrasound equipment to help, which can detect the patient's blood vessel diameter, allowing doctors to better choose which side of the blood vessel to puncture and locate."

The teachers followed her advice and thought about it first.

It is a bit troublesome to push the ultrasound machine to the hospital bed, and it makes people need to think about whether it is necessary. Logically speaking, there are many doctors who are familiar with such punctures, and it is not necessary to use machines to assist their doctors in vascular positioning.

Xie Wanying raised another technical question: "If femoral artery cannula is performed, blood circulation at the distal lower limbs is required. Once there is a situation and the conditions of timely investigation by ultrasound equipment, problems can be discovered in time to avoid perfusion of the distal lower limbs.

Complications occur.”

After hearing what she said, Zhang Huayao, who took the initiative to change the mode, had to look up at her, his eyes were about to be shocked. It can be seen that he really didn't consider this issue just now.

It’s not his fault, even if he is a big shot and has never used a machine, he is not very familiar with all possible clinical complications.

Since Teacher Zhang wants to switch to the vaecmo mode, Xie Wanying must make another suggestion: "The membrane lungs and pumps used in the vaecmo mode and vvecmo mode can be slightly investigated if the patient needs to be moved first aid is excluded. The vaecmo mode involves cardiac assistance.

, it is best to use a centrifugal pump and hollow fiber membrane lung. Simple respiratory assistance can use a rolling pump and silicone membrane lung lung.”

This time, it was Director Wang's turn to listen to her words and quickly turn around and check if the machine was installed incorrectly. He seemed to have never seen these in the manual. Director Wang touched his body and took out his notebook to make records.

The doctors around had been silent for a long time, and the two leaders were repeatedly guided by the stubborn Teacher Xie. This scene made people speechless.

"I listen to you all." Zhang Huayao waved his hands to give instructions.

It can be seen that the boss really doesn’t mind how many mistakes he pointed out by Teacher Xie.

Shin Youhuan quickly called the ultrasound department to notify the machine, because he or Du Ye Qing should be here to do the puncture later.

In fact, there are other benefits of having an ultrasound machine. For example, the punctured femoral vein should go to the junction of the right atrium and the inferior vena cava, and the length is 40 to 55 cm. If an ultrasound machine is using a probe to probe it.

, it is possible to know more accurately whether it is inserted into place.

The machines are in place one by one.

The ultrasound doctor pushed the ultrasound machine, and the nephrologist pushed the blood filter machine.

After Dr. Liu from the Nephrology Department arrived, he admitted to Mr. Zhang: "I haven't done it before, I don't know how to do it. I don't know that our hospital used to have an ecmo machine."

Boss Zhang pointed his hand at Teacher Xie opposite him: "You can ask her."

"Where did she come from the teacher?" Dr. Liu asked the same question as Director Wang, what is the identity of the young boss in front of him.

If it weren't for being stared at by Boss Zhang and not saying it, Xie Wanying would have wanted to reveal that she was not a teacher.

"You can hear what she said first." Mr. Zhang said.

It doesn’t matter what identity it is, what matters is that you can save someone by asking about technical information.
Chapter completed!