The surgical teachers love to joke around. Xie Wanying listened and knew that Teacher Nie would not just ask other doctors to come over. He must have a reason to do so. After all, colleagues from other departments also need to be busy with their work.
For example, we all know that both the cardiothoracic and respiratory doctors will use bronchoscopes, so why was the cardiologist called in? Senior Brother Jin is a well-known cardiovascular intervention expert. Teacher Nie called Senior Brother Jin to come, and he must want to use cardiovascular intervention to solve the child's problem.
This brings me to a little-known fact: besides the commonly heard bronchoscopy and necessary cardiothoracic surgery for bronchial foreign body removal, what is less seen and heard is the use of cardiovascular interventional methods to remove bronchial foreign bodies.
As for how cardiovascular interventional technology is achieved, it can be said that it is all about removing foreign bodies, and the principles are similar.
The fiberoptic bronchoscope uses a micro-instrument on the body of the scope to remove foreign objects, and uses lights and cameras to guide the doctor's operation.
Similarly, the catheter used in cardiovascular interventional technology can be inserted into the bronchus with a guide wire, and can also be equipped with micro-instruments such as capture forceps to grab foreign objects. If there is no camera, X-ray guidance can be used.
Since it seems to be similar to bronchoscopy, why should we consider interventional surgery?
The reason is that some foreign bodies are stuck too deep in the bronchi, but the fiberoptic bronchoscope is not long enough to inspect and treat level 3 and 4 airways, unlike the interventional guidewire which can be placed longer.
The diameter of the pediatric fiberoptic bronchoscope is between 2.2 and 4.9 mm. Based on the diameter of the pediatric fiberoptic bronchoscope, clinicians can easily choose the catheter size required for intervention.
...
...
Now from the X-ray of the child, we can see that the foreign body is in the child's left lower lung lobe. There are signs of bronchial dilatation and inflammation, and the location of the blockage is relatively deep.
According to the routine, we first ask the respiratory department to try bronchoscope. If that doesn't work, we use the technology of cardiovascular intervention department. If that doesn't work, we ask the cardiothoracic department to perform surgery to remove the lung lobe. Basically, there is only one possibility for foreign bodies that cannot be removed by bronchoscope and intervention. This thing is probably stuck to the trachea and can only be removed with a scalpel.
Nie Jiamin's decision to call the doctors from these departments together was right. In the case of a child with this condition, how could we continue to call each department one by one? Let's quickly discuss and contribute all the technical tricks.
Saving the child's life is important.
Doctors from several departments put their heads together and began to analyze each case specifically.
"It's better to let the people in the cardiothoracic surgery department try the bronchoscopy themselves. They have the feel for it. If they can test it and find out that it is sticky, we in the interventional department don't need to try it and can go straight to surgery." Jin Tianyu looked at the film on the light board, pondered for a long time, and expressed his opinion.
His words are based on facts.
Everyone in the hospital knew that the cardiothoracic surgeon was better than the respiratory surgeon in this operation. It was unclear why Nie Jiamin called the respiratory surgeon over. It might be that Nie Jiamin had just arrived and did not have enough information about the various departments in the hospital. If so, the people around him should have reminded him.
After being looked at by the cardiologist, Luo Jing, who was following Nie Jiamin, became very silent. People guessed correctly that as people close to Nie Jiamin, they would definitely remind the professor of some precautions, but the final decision could only be made by the professor himself. Therefore, it was not that he had not mentioned to Nie Jiamin that breathing inside was not strong outside.
Continue read on readnovelmtl.com
