Do you think the boss asked you this question to test your courage to do things?
Believe it or not, just answer that you are not afraid and pat your chest like a hero saying you are not afraid. You will be sprayed by Boss Zhang and buried on the spot.
What the bosses want is never bragging, but how much confidence you have and how many specific methods you can implement to protect yourself.
Zhang Huayao, who was sitting there, soon discovered that the man in front of him was not like the one who drank to give himself courage and said he was not afraid but was actually very weak inside. Instead, he had many treasures in his arms and was ready to sprint with all his strength.
All I can say is that she knows very well what Boss Zhang wants and what he doesn't want.
There is no such thing as 100% success in clinical practice. Whether to do it or not depends on what the doctor thinks.
At Zhang's request, Xie Wanying said slowly and steadily: "I believe that for the teachers, the first concern is definitely not about those simple operations, such as catheter placement."
Membrane lung is similar to the artificial heart-lung machine used during surgery. The catheter is usually inserted into the femoral vein, internal jugular vein, femoral artery or femoral vein. For experienced surgeons, since they have performed many difficult operations, they are unlikely to be afraid of these punctures.
The surgeons present nodded.
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As for the connection of the machine, this kind of operation is the most basic after the machine arrives. I don’t know how many times I have practiced it. It is definitely easier if it does not involve the human body.
The difficult part is that after the ventilator is activated, a series of problems may occur and need to be dealt with by doctors. This is because the machine interferes with the operation of the human body. It is said that the machine is used to support human functions, but the machine is a single support and the human body is a complex structure with various functions integrated into one, which will inevitably cause some additional impact on the human body.
How to minimize this impact is a profound topic, and there are clinical research reports flying all over the world.
Xie Wanying tried to give an example: "The most common complications after using the membrane lung are bleeding, thrombosis, plasma infiltration, pulmonary embolism, barotrauma, and other possible accidental injuries caused by improper installation of the machine pipeline."
The doctors on the scene nodded again.
"Anticoagulation is very important during the use of membrane lungs. We monitor ACT and recommend maintaining it at about 1.5 times the normal value. At the same time, we refer to APPT values and platelet levels to adjust the operation of the machine. This is what is written in many research reports, and it sounds a bit unrealistic. Let's first talk about what this membrane lung is like."
As she spoke, Xie Wanying took out the notebook and pen she always carried with her and placed them on the table.
As the others watched, she was drawing. This time she was not drawing a human anatomy diagram that was usually dazzling, but a diagram of a machine, which was equally eye-catching.
Zhang Huayao on the opposite side couldn't help but stretch his neck and looked at her with a hint of surprise in his eyes: She actually drew a machine, could it be that she had really seen a machine?
She had really seen the original machine before she was reborn. With the development of the national economy, in the future, all ICUs in large hospitals in her small city will be equipped with membrane lungs, but there will be more in rich hospitals and fewer in poor hospitals.
The reason why she had seen it was simple. Before she switched to pathology, she was a laboratory doctor and had been to a relatively large hospital for further training. When the hospital used membrane lungs, if she was on duty, the test items would inevitably involve patients using membrane lungs. As long as she was interested in it, she could take this opportunity to go to the ICU and take a look at the machines. There were plenty of opportunities.
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