Then, a percutaneous dilator is inserted along the guidewire to dilate from small to large. Finally, the catheter is slowly inserted until the tip reaches the designated position, and the position of the catheter tip is confirmed by a bedside ultrasound machine.
During the process, heparin saline should be used to fill the top tube to remove bubbles. It should be connected to the prepared ECMO pipeline. During the connection process, the assistant will help pour heparin saline to prevent air from entering the pipeline.
After he finished speaking, there was no time to catch his breath. The straightforward Brother Shen was already eager to try it out.
Help my senior brother hold the ultrasound probe to measure and locate the patient's femoral vein.
Shin You-hwan, who was standing opposite her, soon discovered that she was concentrating on her work and didn't think about who was lying on the sick bed at all. Moreover, her manual operation skills were obviously becoming more and more proficient.
In other words, other people holding the probe can only make a rough estimate because they don’t know the location of the blood vessels inside, and they have to move the probe several times to try to find the correct position. She doesn’t need to do that. Like the most experienced ultrasound doctors, she can find the right position with one probe.
The ultrasound doctor standing next to him was stunned.
"This point. Senior brother, please insert the needle at a flatter angle." Xie Wanying suggested to the surgeon.
Shin You-hwan was inspired and teased her, "Yingying, are you exerting your full strength? Have you had a warm-up match?"
...
...
Really. She had just assisted Brother Huang in doing interventional puncture this afternoon, also entering the femoral vein.
When operating, the surgeon needs to relax and adjust his mood occasionally to avoid being too nervous and making mistakes. Xie Wanying would not mind cooperating with the surgeon's light-hearted conversation.
Xie Wanying nodded to Senior Brother Shen in a pragmatic manner.
Shin Yoo-hwan: I was wrong!!!
He could have teased anyone else but Junior Sister Xie, he is asking for trouble and is really embarrassed.
When a doctor is like this, it is impossible to rest after rescuing one patient and rushing to the next one.
Holding the ultrasound probe, it was a rare opportunity to observe Senior Brother Shen's operation up close. Xie Wanying secretly glanced at Senior Brother Shen's hands.
Compared to Brother Huang who was very demanding and precise in every movement in the afternoon, Brother Shen's hands were much more free and unrestrained, and could be called flexible. The confident big guys who do hand exercises are like Brother Cao, who is not afraid of the slightest mistake because his fingertips are flexible and can be retracted and adjusted to the right position at any time by feeling.
It is very important to accumulate tactile experience.
According to Shen Youhuan who was sitting opposite, the speed at which Junior Sister Xie was accumulating clinical experience was probably even faster than others, as fast as a rocket.
For example, when he entered the femoral vein and artery, he didn't need to press the arterial point to prevent blood spurting out. She quickly pressed it into place for him with one hand.
Another assistant came to help them lift the end of the catheter to make it easier for the surgeon to insert it into the patient's body.
The two operators turned around and saw the figure of Boss Zhang serving as their servant, and they couldn't help but tremble all over.
"Are you ready, Director Wang?" Zhang Huayao called the ECMO machine, and victory seemed within his grasp.
Director Wang hurriedly handed over the connecting pipe head.
As Xie Wanying had said before, she picked up the large syringe and helped the surgeon cast two pipe joints.
She watered carefully, without flooding the surgical area with water. In fact, when she watered, hardly a drop of water landed on the surgical towel.
Such a magical scene amazed everyone around who saw it.
For a good surgeon, every operation he performs is like a pleasing painting.
After the ECMO machine is connected, there is no need to rush. Start by adjusting the flow from a low level to give the patient time to adapt.
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