He came to ask his younger brother for advice, so Cao Zhao listened quietly to what his younger brother said first.
Cao Yong knew what his second brother was thinking.
Maybe Cao Zhao had a patient who needed an organ transplant, otherwise he wouldn't have suddenly asked him about this brain-dead patient. Doctors don't like their patients dying the most. From this perspective, it's normal for Cao Zhao to be anxious about his patient and want Zhu Xing to survive.
Similarly, Cao Yong hoped that Xiaoyu's child could survive. After all, he was the one who treated the child on the spot, and he advocated sending the child to Fang Zebo to see if he could save the child.
It was just an academic issue, and doctors should only communicate with each other based on facts and not be influenced by emotions. Cao Yong said to his brother righteously: "You know what the general rules for organ transplantation are internationally. Let's not talk about the diagnostic criteria. The attending physician of the organ transplant patient, that is, the attending physician of the recipient, must take the initiative to avoid determining the brain death of the organ donor."
"I know that." Cao Zhao said.
Not everyone can accept the concept of brain death, and there are rumors of illegal organ trading internationally, which makes this matter a sensitive issue in society. The general rule my brother mentioned is to avoid touching the sensitive nerves of the general public.
If he wanted to ask, he couldn't ask Fang Ze's doctor. If the media knew and exposed that he had contacted the child's attending doctor under Fang Ze, the result would be disastrous and would cause an uproar. By then, public opinion would be rampant and it would be a foregone conclusion that he had colluded with Doctor Fang Ze to determine the child was brain dead for the sake of his own patient so that he could donate his organs.
In that case, I can only ask my brother.
...
...
As Zhu Xing's attending physician, he was certainly anxious, seeing that the window period for the child's transplant was passing day by day. The example of the heart assist device that Xie used to comfort the patient was really just a comforting remark.
The first thing that is referred to as a cardiac assist device is definitely not ECMO, which is a modified artificial heart-lung machine. A cardiac assist device generally refers to a ventricular assist, which includes left ventricular assist, right ventricular assist, biventricular assist, and a total artificial heart. At this stage, most of the research is on adult applications. The more mature pediatric ventricular assist is in the clinical trial stage abroad, so how can it be approved for use in children in China?
If it really doesn't work, I want to use ECMO, but there is no ECMO in the hospital, only the artificial heart-lung machine used in the operating room. That day, Wei thought the device installed on the child in the next bed was very advanced. In fact, it was because Wei had never been to the cardiology department or the cardiac surgery department for internship, and didn't know that it was IABP. Xie, who had seen and participated in the IABP operation before, was not surprised at all.
In pediatrics, IABP is mostly used in children with low cardiac output after congenital heart disease surgery, and in a few children with myocarditis and cardiomyopathy and those waiting for heart transplantation. Why did Xie emphasize the use of cardiac assist devices that day but not IABP? This is because we have learned about the principle of IABP before. It cannot actively assist the heart and is very dependent on the contraction of the patient's own heart. Zhu Xing suffers from severe cardiomyopathy, and the heart's contraction ability itself is very problematic. The effect of using IABP is very limited.
From the above analysis, we can know that once the child’s heart contractility weakens beyond repair, the doctor may be completely helpless.
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