Chapter 922 How many people have died in your hands?
When comparing skills with Xu Qiu, no one present dared to speak loudly.
If it were more than the number of patients who had accidents, it wouldn't be so sleepy!
Therefore, many people have considerable experience in this aspect, and even feel that they are slightly better than Xu Qiu.
A doctor who has almost no accidents during surgery and whose patient outcomes often exceed expectations cannot be more impressive than them when it comes to handling complications and intraoperative accidents!
"Doctor Xu, please speak!" Director Qiu from the Temple of Heaven smiled.
Director He from Greentown No. 1 Hospital couldn't help but raise his head.
An accident during the operation?
I'm good at it.
It's not a problem to beat Dr. Xu, who never has any accidents!
…
Xu Qiu glanced around and found that the experts' eyes were a little eager, and their expressions were suddenly speechless.
this……
The situation may be different from what you think.
The accidents that happen to your patients will at most make the surgery a little more dangerous. There are all experts present, and there are actually very few patients who die on the stage.
In the end, basically everything was saved.
But that’s not the case in the simulated operating room...
Xu Qiu's game is a narrow escape.
The patients he sets are basically all suffering from various dangerous diseases. High blood pressure, high blood sugar and high blood lipids are the basic foundation. From time to time, congenital heart disease will appear, and there will also be a little aortic dissection and so on...
The accident during the operation is also set in the direction of the dead person.
Therefore, he may have thirty or forty dead simulated patients in his hands...
In terms of experience in dealing with intraoperative accidents and complications, if anyone could surpass him, he would have to wonder if these experts were secretly killing people...
…
"cough."
Suppressing the expression that was about to break down, Xu Qiu spoke calmly.
“Several acute complications, mainly intracranial hemorrhage, epileptiform seizures, and venous air embolism.
“But before that, let’s talk about anesthesia-related complications.
"Because the patient has two stages of anesthesia, the probability of respiratory and airway-related complications is higher than that of other patients. Moreover, the patient's level of consciousness may be reduced after surgery, which may cause respiratory depression or even loss of airway reflexes. …
"How do you plan to handle this situation?"
Xu Qiu's voice echoed in the operating room.
But this question seems a bit too simple...
"Laryngoscope."
"I encounter this kind of patient a lot. I just use a laryngoscope to open the airway and that's it. It will be easy to deal with later."
Director Qiu and Director He opened their mouths to give answers one after another.
The other experts nodded silently.
As a veteran in the operating room, laryngoscopy is indeed the first choice when encountering this situation.
This is also the simplest and crudest way to relieve suffocation.
But Xu Qiu shook his head.
Director Qiu's expression was startled.
no?
How can it be!
When you're out of breath, insert a laryngoscope and it'll be clear. This is how it's done clinically. Could this be wrong? !
In the eyes of everyone who couldn't understand, Xu Qiu gave the answer.
He glanced at Chen Zhiyao's head, and then asked: "With this thing, how do you make a laryngoscope?"
Following Xu Qiu's line of sight, everyone saw the skull on Chen Zhiyao's head.
Everyone's expressions changed.
Yes, head frame!
Due to the need for surgery, a head frame has been installed on the patient's head. In this case, the patient's neck is completely restricted, and part of the mouth and nose is also covered, making it impossible to perform a laryngoscope.
"what to do……"
"Just do the incision?"
"The ventilator is also difficult to install!"
At this moment, everyone realized why Xu Qiu asked this question.
This brand-new surgery has broken the routine of general brain surgery.
The application of new instruments gives it a different treatment method from other surgeries!
If you continue to deal with it according to the same old experience, you may end up overturning!
Realizing this, everyone put away their previous indifferent attitude, and their expressions gradually became serious.
Seeing this scene, Xu Qiucai nodded gently.
Only then would he dare to leave the surgery to these experts...
Otherwise, with the previous contemptuous attitude and treating the implantation as a normal brain surgery, something will definitely happen to the patient.
"Emergency laryngeal mask!"
Xu Qiu quickly gave the answer.
“In the early stages of respiratory depression, use an emergency laryngeal mask as soon as possible.
"If you still can't control it, use positive pressure ventilation!"
This is one of the results Xu Qiu proposed at the World Championships.
It was previously used on premature infants, but in experiments in a simulated operating room, he found that it was also particularly effective for these patients.
"Is this okay?"
"Holy crap, when Dr. Xu proposed this result, he predicted in advance that this problem would occur during implantation!"
"Is this the big boss's vision? I'm so impressed!"
Experts have many questions in their minds, but what could be wrong with the answer given by Xu Qiu?
Take a small notebook and write it down first. If you encounter this kind of problem later, you can quickly deal with it according to Xu Qiu's request.
You will know when you have used it.
The positive pressure ventilation method is no longer a secret. It is just a respiratory system rescue method, and it cannot be kept secret.
The moment the World Championships were announced, many hospitals were adapting.
It is also gradually becoming popular in China.
So just do it!
"Why do I feel that Dr. Xu is better than us at handling intraoperative accidents and complications?"
"No, it feels like he thought of this problem in advance. I suspect that the positive pressure ventilation method was also thought of when he was studying pulse devices. He just found that both results are important, so he split them into two..."
"I feel it too!"
"None of Dr. Xu's patients have had many accidents. His experience in dealing with other complications is definitely not as rich as ours!"
"..."
Experts shook their heads wildly.
Even Dr. Xu should at least talk about some scientific principles, right?
Top doctors are not all highly skilled, but they are inferior to others in handling intra-operative accidents.
If an accident during the operation can be easily solved, then how can these mediocre experts just mess around!
…
"Then there was intracranial hemorrhage."
Xu Qiu's voice sounded again.
Everyone's expressions changed.
Again?
There really is!
Director Qiu and Director He both had trembling hands.
You can't...you have more experience in dealing with intracranial hemorrhage than they do, right?
After a brief pause, Xu Qiu continued:
“Intracranial hemorrhage is one of the most dangerous intraoperative accidents and postoperative complications of implantation.
“Intracranial hemorrhage can be considered as a sudden change in the patient’s mental state, neurological deficit, or sudden increase in blood pressure during conscious anesthesia.
"Once it occurs, blood pressure needs to be controlled immediately to ensure the airway is open, and then intraoperative CT is performed to quickly determine the bleeding site..."
Listening to Xu Qiu's narration, everyone seemed to be immersed in the scene and experienced a dangerous rescue process.
After it was over, many people even had a layer of sweat on their backs.
This is too dangerous!
and……
Doctor Xu, how many people have died in your hands? Why do you have so much experience?
——
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