"If I use this thing in the future, the first thing Mr. Zhang and other teachers will ask me about is this parameter."
Xie, what are you talking about?
The faces of the teachers and seniors around immediately revealed quite complicated emotions.
The teachers' expressions were so obvious at this moment that the students who couldn't squeeze in and had to watch the scene from outside finally figured out what was going on and couldn't help but look at each other in surprise.
It seems that these teachers have never heard of this knowledge point that Xie has talked about before? Doesn't it mean that Xie is just like a teacher giving a lecture to a group of big guys?
Zhang Huayao coughed and cleared his throat twice.
Xie Wanying quickly raised her head and looked at Zhang Da Lao for instructions.
What Zhang Huayao could think of at this moment should be what everyone else could imagine except her: there were ten thousand alpacas running in Zhang Huayao's mind.
What instructions are you waiting for?! I have never come across or heard of what you are talking about.
...
...
Shin You-hwan touched his nose, turned around and took a breath to avoid laughing out loud.
"Please continue." Zhang Huayao said.
After hearing Zhang's instructions, Xie Wanying lowered her head and continued, "Adjust the pump parameters. The higher the speed, the faster the flow rate, and the lower the speed, the slower the flow rate. Generally, when Professor Zhang and others come for clinical guidance, they will ask me to increase the flow rate to the value they want. I need to adjust it slowly, little by little, while observing, to prevent any sudden accidents. Under normal circumstances, the flow rate will not change if the speed remains unchanged, which is also the importance of monitoring. When the flow rate drops significantly, it may be that the pipeline is blocked, and the most likely reason is that the membrane lung behind is blocked. The worst case is that the patient is in severe shock and has insufficient blood volume."
Everyone saw that Boss Zhang grabbed a blank paper on the table and wrote on it with a pen. It seemed that Boss was taking notes on the spot.
This is a rare opportunity. There are no hospitals in China that use the specific operation of membrane lungs, so there is no chance for you to learn. Sending people to foreign hospitals to learn this requires time, space, money and other conditions. Now there is someone who is very familiar with these processes and gives on-site lectures. Even the big guys know that you should cherish it.
In the industry, there is no distinction between who must learn from whom. As long as someone is better than someone else, anyone can be anyone else's teacher.
"The membrane lung is the most important part of the entire machine. It is very expensive, needs to be replaced regularly, and has no adjustable parameters," said Xie.
ECMO is simply called membrane lung because all doctors believe that the most important part of the whole machine that can support the patient's life is the membrane lung. However, it is different from what outsiders think. This most important part is not adjustable by you, and it depends on other parts to assist in adjusting it.
If you have to observe the use of membrane lung:
"You can shine a flashlight inside to see if there is a blood clot."
There were many sounds of pen hitting the papers in everyone's hands.
"The heater is a water tank that is used to warm the blood in the membrane lung. It is usually set to 37 degrees and rarely needs to be changed."
So just imagining the parameter adjustment of ECMO may make you think that this machine is very complicated and there are too many parameters to adjust. In fact, there are very few parameters that can be adjusted on the entire machine.
It is difficult to adjust because other machines need to be adjusted in coordination with it. The parameters of the ventilator are much more complicated to adjust. For patients who need sedatives, how to check whether the sedatives are used properly depends not on the ECMO parameter display but on the ventilator.
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