The femoral vein and femoral artery run together. Once the femoral vein is damaged, a venous fistula will form, which is troublesome.
The teacher's two sentences hit the point directly, making the students tremble.
Dr. Yang took the syringe handed to him by the nurse and prepared the anesthetic for local subcutaneous injection.
If the patient is conscious, anesthesia needs to be injected near the puncture point, otherwise pain will be felt. At this time, the skin of the patient's opposite thigh groin has also been prepared and disinfected in case the puncture fails and needs to be switched to the opposite side.
If you inject anesthesia, you must start around the femoral artery at the puncture point. In addition to injecting on both sides of the femoral artery, it is best to inject below the femoral artery, so that the femoral artery can be lifted up for easier puncture. But now I can't feel the pulsation point of the femoral artery.
The intercom in the control room spoke to the people in the operating room. It was Shin Youhuan's voice: "Perform X-ray on the patient."
Xie Wanying stood behind Senior Brother Shen and thought: Senior Brother Shen is a very good person. He kindly gave me a reminder at the critical moment.
If you can't remember the anatomical diagram, the teacher asks you to use X-ray to see where the patient's bones are, and use the position of the bones to determine where the patient's femoral artery might be.
Clinical predecessors have a variety of experience summaries for difficult medical operations, whether in internal medicine or surgery. It is just that the doctors who come after them need to work hard to find knowledge and learn by themselves. These latest experience theories cannot be included in medical textbooks that are updated only once every few years. As for whether the clinical teachers will teach you during internship, most clinical teachers will not bother to teach you step by step if they know that you are not a graduate who will stay in the hospital.
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It is not enough for Dr. Yang to impress the teachers with his hard work.
After Shen Youhuan said this, a trace of confusion seemed to flicker in Doctor Yang's eyes. Is it useful to only show bones under X-ray?
Doctor Chen standing opposite her looked at her with a little anxiety between his brows. He knew that even if he taught her step by step, she would still be confused. It was probably because she didn't learn anatomy well enough, which was a common problem for most medical students.
In the control room, Shin You-hwan was holding the intercom, and Fei-fei's eyebrows twitched twice as she saw that Dr. Yang, who was sitting on the other side of the lead glass, didn't move.
Xie Wanying recalled the expression of Dr. Yang when he wanted to talk to her beforehand, the expression of trying very hard. As a medical student who was also struggling in medicine, she couldn't bear to see him being trapped here, so she said, "You can first do an anteroposterior X-ray of the patient. The femoral artery is at the center of the femoral head. Prepare a hemostat and place it in the puncture area. Under X-ray, place the tip of the hemostat at the lower edge of the femoral head to help locate the needle. This patient is fat, so the needle should be inserted at a 55-degree angle with the needle hole beveled upwards. The puncture direction is the middle of the femoral head. Literature records that the probability of puncturing the femoral artery is about 75% or more."
Her fluent words and unhurried speaking speed ensured that Dr. Yang could hear every key point she said clearly through the lead glass. For a moment, Dr. Yang and Dr. Chen and Dr. Li Xiaofeng in the operating room mistakenly thought that some big shot had suddenly arrived to give advice.
Who would believe that this steady tone and professional academic content are not the style of a big boss?
Dr. Chen asked the resident doctor below: "Who was talking just now?"
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