The medical team routinely conducts case discussions before surgery.
A group of people gathered in the operating room, discussing the case and observing the new machine.
Dr. Song began to assemble the machine.
Seeing Song Lazy Cat doing odd jobs is a very rare sight, equivalent to the Seven Wonders of the World. ——That's what the people of Guoxie and Beidu thought, everyone touched their noses and secretly praised: Xie Juanwang is awesome, only Xie Juanwang can spur Lazy Cat to work.
Having said that, it is impossible for King Xie Juan to just sit there and do nothing.
While everyone was waiting and watching, Dr. Xie Wanying was the first to rush forward to help and learn.
By the time everyone else had reacted, Xie Juanwang had learned the basic loading and unloading process of the new machine.
It’s fine that the specialists in other departments didn’t learn it, but the doctors in the respiratory department wanted to slap themselves on the head: this was their department’s equipment, and the doctors in the neurosurgery department got there first. What a big deal.
This time, the National Association did not send a respiratory medicine expert, but the capital did. The group first asked Dr. Li, a respiratory expert at the capital: Do you know what to do next?
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Doctor Li waved his hand: I don’t know.
Everyone: You don’t even know the things related to your department?
Doctor Li: Hey, can I compare to Xie Juanwang?
The terrifying thing about King Xie Juan is that he can always get tens of thousands of miles ahead of others and gain the advantage of rebirth.
People with high IQs, such as Dr. Li, have long recognized this and do not compete with the top scorer.
Everyone asked something else: Dr. Li, does your country have this new machine?
Although Dr. Li was a bit slow, he is now actively making up for it. After careful observation, he has made a preliminary conclusion: as Dr. Xie said, machines with the same function should be similar in operation.
So this machine may be similar to other soft bronchoscopes. Since Dr. Li cannot remember all the brands in the world, maybe he has heard of this brand. In any case, it should be better than the bronchoscopes in the local hospital. The local doctors here took out the hard bronchoscopes in their department.
The anesthesiologist was invited to participate in the discussion and asked the surgeon: "What is the patient's condition? What kind of anesthesia is required?"
Endoscopy is generally performed under intravenous short-acting anesthesia, such as digestive endoscopy, which is sufficient for this bronchoscopic surgery.
After listening to this, everyone confirmed that Dr. Xie Wanying believed that bronchoscopy could be performed on the patient to try to treat refractory pneumothorax.
In our previous bronchoscopy cases, we mentioned that bronchoscopy can be used for respiratory tract biopsy or foreign body removal, which is obviously similar to digestive endoscopy. Digestive endoscopy can be used for hemostasis and occlusion, and it is reasonable to think that the operation function of bronchoscopy is similar to that of digestive endoscopy.
Doctor Li was the first to understand and told everyone: "Dr. Xie may want to put an occluder in the patient's airway."
Does the occluder block the fistula?
The fistula of pneumothorax is usually in the pleura, unlike the gastric fistula in gastroenterology which is directly on the stomach.
It is impossible to use bronchoscopy to reach the pleura and block the fistula. That is something that only surgeons can do.
So where should the occluder that Dr. Li mentioned be used?
This is to say that the reason why pleural fistulas have a great impact is because of their linkage with the lungs. The air in pleural fistulas escapes from the bronchial tubes of the lungs. If this principle is understood, we can know that we can try to prevent the air from pleural fistulas by blocking the bronchial tubes of the lungs.
This blockage does not really block the fistula and can only be a temporary measure. The "occluder" used must be removable after the patient's fistula heals on its own or be naturally absorbed by the human body.
"It doesn't sound easy." Dr. Cui Shaofeng said on behalf of everyone.
Even those who are not specialists know that the lungs are like a big tree with luxuriant branches and leaves, with many large and small branches. Can the doctor find the appropriate bronchus to block?
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