This situation is common in many hospitals in China. On the one hand, the hospital wants to save costs, and on the other hand, the staff come to study and learn, and if they are not assigned to work, they will not learn anything. This point has been mentioned before.
Tonight's case, Norwood's surgery, was also performed by a doctor on duty at the Seoul Children's Hospital who had never done it. When the doctor at the hospital was busy with other surgeries, Liu Jingyun was asked to take charge:
How can your official anesthesiologist from the National Association be bad?
Xie Wanying helped Senior Sister recall some knowledge points: "In fact, the most important thing about this operation is the deep hypothermic circulatory arrest technique DHCA. DHCA is mainly the work of the extracorporeal circulation doctor. You don't need to be too nervous, Senior Sister."
DHCA deep hypothermic circulatory arrest technology is to suspend the extracorporeal circulation after lowering the body's core temperature to a certain temperature. The advantage of this is that during the suspension of extracorporeal circulation, the surgeon's operation process is in a similar "bloodless" state, the doctor's surgical field clarity is doubled, and the heart and large blood vessel surgery can be completed as soon as possible. After that, the extracorporeal circulation and body temperature are restored, and finally the extracorporeal circulation is terminated.
This technique was used in the surgery of Yaxi's mother last time. This technique has a disadvantage, which was mentioned in the surgery of Yaxi's mother last time. It can damage the brain nerves, so the surgery time must be controlled and brain perfusion protection must be done well.
After hearing her words, Liu Jingyun recalled these concepts and didn't panic, saying, "I just came here and asked them, who is responsible for the extracorporeal circulation during the operation?"
When the senior sister said this, Xie Wanying suddenly remembered that the extracorporeal circulation doctors at Shouer Hospital and Guoxie Guozhi Hospital seemed to be different. She had never seen an extracorporeal circulation doctor walking around in the Second Department of Pediatric Cardiology at Shouer Hospital. Shouer Hospital did not have an extracorporeal circulation department.
In those days, there was no profession called extracorporeal circulation specialist in China. People like Guozhi Guoxie who specialized in this field were either internists, anesthesiologists or nurses who had been trained through retraining.
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Shouer was a part-time anesthesiologist, which was something Xie Wanying had not understood clearly before. A complex operation sometimes required two or more anesthesiologists, one to monitor the anesthesia machine and one to monitor the extracorporeal circulation, which was fine.
After Liu Jingyun inquired about the situation, he came back with a big head and said to his junior sister, "They said that if there is no one, I have to bring nurses to watch both sides by myself. I have never done extracorporeal circulation work in the National Association."
"Sister, don't worry. Dr. Cheng and the others are aware of the special situation of the anesthesiologist tonight, and they will call someone back to help." Xie Wanying said this and subconsciously turned her head back.
Originally, she was eavesdropping on other people's conversations, but somehow it became Brother Shenxian and Senior Brother Cao who were standing there listening to her talking on the phone for a long time.
The situation was so embarrassing that she wanted to find a hole to hide in.
In any case, after listening to her practical technical analysis, Cao Zhao and Cao Yong knew in their hearts that it probably wouldn't work to find anyone else.
Norwood also used DHCA technology, but since the patients in the Norwood surgery were newborns, it was too easy for them to die. This is one of the reasons why the mortality rate of the Norwood surgery was high.
What are the reasons? Let's see why the extracorporeal circulation specialists used by Seoul Children's Hospital are anesthesiologists. To put it simply, extracorporeal circulation is done during surgery, and it requires the cooperation of anesthesia and medication. Not only Seoul Children's Hospital, but most hospitals like to let anesthesiologists be extracorporeal circulation specialists.
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