Chapter 3479: 【3479】feature

  Chapter 3479 [3479] Put pen to paper

   "If I come to use this thing in the future, Mr. Zhang and other teachers will come to check, and the first thing they will ask me is this parameter."

  Xie, classmate, what are you talking about?

  The faces of the teachers and seniors all around suddenly showed quite complicated emotions.

  The expressions of the teachers were too revealing at this moment, so that the group of students who couldn't squeeze in and had to watch the scene outside finally saw something, and they couldn't help but look at each other in surprise.

  Emotion These teachers haven’t heard this knowledge point from Xie before? Doesn't it mean that classmate Xie is like a teacher giving lectures to a bunch of bosses?

  Zhang Huayao coughed and cleared his throat twice.

  Xie Wanying quickly raised her head, looked at Mr. Zhang and others for instructions.

  What Zhang Huayao could think of in this second should be what other people can imagine except her: there are ten thousand mud horses running in Zhang Huayao's mind.

   Waiting for instructions? ! What you said, I really haven't had much contact with or heard of it.

   Shen Youhuan touched his nose and turned around to take a breath, so as not to laugh out loud.

   "You continue to talk." Zhang Huayao said.

Hearing Mr. Zhang's instructions, Xie Wanying bowed her head and continued: "The parameters of the pump are adjusted. The higher the speed, the faster the flow rate, and the lower the speed, the slower the flow rate. Under normal circumstances, if Teacher Zhang and the others come to clinical guidance, they will let me adjust the pump parameters. The high flow rate reaches the value that the teachers want. I need to adjust it slowly and watch while adjusting to prevent any accidents. Under normal circumstances, the flow rate will not change when the speed is constant, which is also the importance of monitoring. When the flow rate drops significantly, it may be that the pipeline is blocked, the most likely is that the membrane lung behind is blocked, and the worst case is that the patient is severely shocked and hypovolemic."

   Everyone sees, Mr. Zhang grabs a blank piece of paper on the table with his hand, and writes on the blank paper with a pen. This is what the emotional boss is doing on the spot.

A rare opportunity. The specific operation of these membrane lungs, there is no hospital in China and there is no opportunity for you to learn it. It takes time, space, money and various conditions to send people to foreign hospitals to learn this thing. Now there is someone who is very familiar with these processes to teach on-site, and everyone knows that they should cherish it.

  In clinical practice, there is no distinction of who must learn from whom, as long as anyone is better than whom, anyone can be his teacher.

   "The membrane lung is the most important part of the whole machine. It is very expensive and needs to be replaced regularly. There are no adjustable parameters." Xie said again.

  ecmo is simply and popularly called membrane lung, because all doctors in the whole machine believe that the most important part that can support the patient's life is the membrane lung. However, it is different from what outsiders think, this most important thing is not adjusted for you, you have to rely on other parts to assist it.

   If you have to observe the use of membrane lungs:

   "You can shine a flashlight inside to see if there are blood clots."

  There were a lot of sounds of writing on the paper in everyone's hands.

   "The heater is a water tank mainly used to warm the blood in the membrane lungs. It is generally set at 37 degrees and rarely needs to be changed."

  So the ecmo parameter adjustment light imagination may feel that this machine is very complicated, there are too many parameters to adjust, in fact, there are very few parameters that can be adjusted in the whole machine.

  It is said that it is difficult to adjust, which means that other machines need to be adjusted accordingly. The parameter adjustment of the ventilator is much more complicated. For such patients who need sedatives, how to check whether the sedative drugs are in place depends not on the parameter display of ecmo but on the ventilator.

  (end of this chapter)