Chapter 1663: Expensive Critical Care Medicine



Such a machine that is related to the patient's life is not a simple monitoring instrument. It requires professionals to keep an eye on the machine at all times, perform professional operations, prevent machine errors, and adjust machine parameters in time to suit the patient's condition changes. Professional positions have emerged. Professionals responsible for extracorporeal circulation are called extracorporeal circulation specialists.

Extracorporeal circulation technicians were first born in cardiac surgery, so they are usually selected from the cardiac surgery team. In some small hospitals, when there is a shortage of people, only surgical anesthesiologists or operating room nurses can do this job part-time after simple training. It can be imagined that extracorporeal circulation technicians in China seem to be a position that is not valued. This is not the case in developed countries abroad. Extracorporeal circulation technicians must undergo strict special internships and training and certification before they can take up their posts.

In some ways, domestic medical education is lagging behind that of foreign countries, mainly in some systems, which is always a step behind. This has led to the lack of channels for some medical students who want to study specialized medical fields and find employment.

The fact that foreign countries attach great importance to extracorporeal circulation is closely related to the advanced critical care medicine technology in developed countries. Cardiopulmonary rescue is the most important part of critical care medicine. Human death is ultimately caused by exhaustion, basically death from heart and lung failure. Extracorporeal circulation happens to be one of the most effective means of rescuing the heart and lungs.

In China, ordinary people don't have money to go to the ICU, so hospitals dare not set up more ICU beds, which will lose money. For example, the ECMO extracorporeal membrane oxygenation technology, which is a modified extracorporeal circulation machine commonly used abroad, has not been studied and used in China for the time being. This thing costs money. People in developed countries can afford it, but ordinary people in our country generally can't.

Because Guozhi was rich and had a large number of patients with rich business, it was able to set up the first independent extracorporeal circulation department in the country, and later the extracorporeal circulation center. There are many benefits to further subdividing the specialty of a specialized hospital. Guozhi's extracorporeal circulation specialists are managed and led by the director of the extracorporeal circulation department, and a large group of colleagues in the same profession brainstorm to give the surgeons the greatest support, allowing the surgeons to focus more on the operation. Therefore, it has become the leader in this specialty field in the country.

To put it bluntly, cardiovascular disease is also a disease of the rich.

Guoxie is different from other hospitals. They have to train their own extracorporeal circulation specialists by drawing doctors from their own departments. There is no independent extracorporeal circulation department, and the surgeons need to lead and worry about these things. There is no special department for professional cardiopulmonary resuscitation, so the professional ability must be half a step behind that of Guozhi. If the teacher of Guoxie thinks of this, he will probably be heartbroken again.

Dr. Pang works in the Extracorporeal Circulation Department as an extracorporeal circulation technician. He takes care of critically ill patients who need extracorporeal circulation support in the department's ward on a daily basis. At the same time, he will be responsible for the extracorporeal circulation operation in today's cardiac surgery and support the surgical team.

...

...

This was such a rare learning opportunity that Xie Wanying immediately walked over to become his disciple.

Dr. Pang took her to the operating room next door to prepare.

Teacher Pang is a very nice person. While busy working, he briefly introduced her: "This is an extracorporeal circulation machine, or an artificial heart-lung machine."

There is a difference between an artificial heart-lung machine and ECMO. The artificial heart-lung machine is basically used in surgical operations.

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