Unable to outrun the group of top students and teachers, Xie Wanying followed everyone's instructions and followed Senior Brother Cao back.
Finally she's back.
Shen Youhuan stared at her head and said, "Yingying, you are smart, so don't learn from this Junior Brother Cao to be brave and fearless."
When have I ever been brave enough to do something like this? Cao Yong absolutely disagreed with this statement and gave the other person a slightly dissatisfied look.
Senior Brother Shen's personality is like the ever-changing clouds, sometimes it rains and sometimes it shines brightly. In a blink of an eye, after teaching her, Shen Youhuan went on to comfort her: "If your Senior Brother Huang can't cure it, we will talk to him. Besides, with your Senior Brother Cao here, how can you, who is not a neurosurgeon, take your turn? Don't worry. Go next door and watch us perform the operation."
"Yeah." Xie Wanying nodded.
In terms of neurosurgery expertise, she is definitely not as good as her senior brothers and Dr. Song. Let's leave professional matters to the specialist brothers.
The operation was about to begin. In addition to the surgeon, everyone else went into the control room to watch the progress of the operation.
In a hybrid operating room, the surgical team can be divided into two situations: one is the cooperation between internal medicine and surgery, and the other is that the surgery team works alone to do the work of internal medicine interventional surgery. The latter requires surgeons to draw inferences from one instance to another and accumulate considerable experience in interventional surgery. This is not easy to achieve. Because surgeons may be able to get started quickly with ordinary angiography, when it comes to more complex interventional surgeries such as thrombectomy and thrombolysis, doctors also need enough surgeries to accumulate technical strength. Surgeons may not be able to adapt quickly if they do not do enough. Therefore, in Zhang's conception, it would be better for the composition of such surgeries in the future to be done better by the collaboration of surgery and internal medicine.
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Today's operation can be said to be an intentional promotion by Zhang Huayao, who wanted to see what happens after the combination of internal medicine and surgery.
After the meeting that night, the medical and surgical teachers held several more meetings to discuss the issue. Now the medical and surgical teachers have taken their positions.
The internist went first. Shin Youhuan went into the operating room in full gear. The operation for this patient today was complicated, and the surgery department had to take over the second half of the operation. The operation schedule required the doctor to move quickly and not give the doctors below time to dawdle.
Local anesthesia, right femoral vein puncture, pigtail tube insertion, and inferior vena cava filter placement. A series of routine surgical steps, for the associate professor who has already mastered the basic skills, it is inevitable to complete them in one go.
The catheter inserted after puncture carries the contrast agent to the designated location just like other interventional surgeries.
Just like coronary angiography, due to the short circulation time of the pulmonary artery, which is only 2 to 4 seconds, CT imaging is technically difficult and is not as good as the angiography machine, which can capture the instantaneous dynamics of the blood vessels directly and clearly. The advantages of the angiography machine are reflected again. In clinical practice, it is a recognized practice that pulmonary angiography and thrombolysis and thrombectomy are the first choice for high-risk PE patients. Therefore, the previous CT scan results of the blood vessels of the lungs and heart are rough scans, which do not have the significance of diagnosis and can only provide doctors with preliminary judgments.
Whether the patient can undergo the subsequent surgical operation depends entirely on the results of the first half of the interventional surgery.
Similarly, just like coronary angiography, even if it is just an intervention, for patients who are not at high risk of PE, the interventional surgeon must be extremely cautious in the medical measures he or she wants to take on the patient, and there is no need for excessive medical treatment.
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