Let the second senior sister have a good rest, Xie Wanying and Liu Jingyun only chat with the patient for a while before going back to school.
It was Monday afternoon in a blink of an eye.
The old lady on bed 8 will have surgery tomorrow. Considering the critical and severe rescue that this patient may need after surgery, she is ready to do a central venous puncture and catheterization. The advantage of central venous puncture and catheterization is that during infusion, the drug is injected from the central vein to the heart faster than the surrounding veins, which is very important for patients who need rescue.
Generally speaking, doctors will choose subclavian vein for puncture among various central venous puncture options. Because the subclavian vein catheterization is compared with the external jugular vein and femoral vein, it is easier to fix and provide post-care.
If the patient needs chemotherapy later, then catheterization is performed. This is a peripheral vein insertion into a central vein catheter. In clinical practice, the main choice is the important vein in the forearm.
Subclavian venous puncture is a relatively difficult technical activity. Once the puncture is not successful and errored, it may enter the artery and cause an arterial fistula. If it is accidentally punctured into the lung apex, it will cause such terrible complications as pneumothorax.
The anatomical location of this place is complex, with various important blood vessels and tissues mixed together. The left subclavian vein has more thoracic catheter than the right side. This is the longest lymphatic catheter in the body. The surrounding tissue is more complex, and it is even worse to mistakenly penetrate into a chylothra. So the doctor chooses the right subclavian vein puncture as much as possible.
Medical students should either take out their notebooks to review them temporarily, or try to find out the key points of knowledge in their memory.
Every time there is such a high-tech operation in clinical practice, medical students need to seize the opportunity to observe and learn, because the opportunity is rare.
Ordinary wards are not IICUs, and patients need to be rescued at all times, and there are fewer opportunities for central venous puncture.
It has been almost two weeks since Xie Wanying had the opportunity to observe such operations with her classmates for the first time, and the classmates were all very excited.
Compared to the students, Dr. Sun Yubo, the teacher who had to puncture the patient, was a little uneasy.
Senior Brother Liu was not here, so he went to the operating room for surgery. This time, he accompanied him to the ward to watch him perform, and it was impossible for Tan Klin himself to be busy. For this kind of thing, the main subject is watching the hospitalization.
National Association of Nationalities Hospitals, surgery, and talents are abundant. There are always deputy seniors who need to take action personally. The ability to take the lead is high.
Therefore, the person responsible for watching the resident doctor was Dr. Shi Xu, another attending physician in the group. Compared to Dr. Liu, Dr. Shi was thin and gentle, wearing a pair of small black-framed glasses and long fingers. It is said that he is a little older than Dr. Liu and his skills are better. Therefore, tomorrow the old lady's surgery will be Dr. Shi Xu, not Dr. Liu Chengran.
On weekdays, he didn't get along much with Dr. Shi Xu, who had just returned, so Xie Wanying noticed the uneasiness on Teacher Xiao Sun's face and wondered what was going on.
Luo Yanfen touched her ear and gave her gossip: "Teacher Shi is more boring than Teacher Tan. However, once he gets anxious, it's scary."
In this way, there is a reason why Sun Yubo likes to be with Senior Brother Liu the most.
Chapter completed!