Chapter 3497: 【3497】Fight to the end

   Chapter 3497 [3497] Fight to the end

At the critical moment, Xie Wanying gave a vaccination to the teachers who had never done it before: "After being connected to the machine, the first two days may not improve or even look a little worse. After two days, if the machine is effective, the patient will The dependence on machines will gradually decrease.”

  Everyone was in a hurry, eager to see the effect of the new machine. Now after hearing her say this, I know that this battle will be fought slowly, and there is no rush.

   All the big doctors on the scene can understand that it is never a few hours or a day or two to completely turn the situation around in rescuing a critically ill patient.

  During this period, it is very important to protect the patients and find out the problems in time and correct them in time. In the future, specially trained nurses will stand by the patient and watch the machine all the way.

  There are no well-trained nurses at this stage, and doctors themselves are not familiar with it. Only the doctor can guard by himself and accumulate experience first.

  Director Wang was mentally prepared to move a chair and sit beside the patient's bed and fight to the end.

   Director Wang is far from the only one who is ready to fight the disease.

  Zhang Huayao said: "Schedule the shift."

  Others nodded in response after hearing Chief Zhang's words: How could it be possible for Director Wang to take advantage of such a good learning opportunity.

  Here I’m going to talk about Zhang Desheng, who was the first to express his opinion. Suddenly, he found that he was surrounded by people who competed with him, including the teachers who were scrambling to be the first.

  Feng Yicong and the others patted classmate Zhang on the shoulder: Look at you, what's the use of rushing to talk.

  Smart student Zhang Desheng ran to find classmate Xie, instead of fighting with the teachers, he could be classmate Xie's little follower obediently.

   As a result, the teacher wanted to be a follower with Xie.

   I heard Mr. Zhang say: "Mr. Xie, if you tell me what to do, I will do it."

  All the classmates who were about to run to find Xie, screamed from the bottom of their hearts: Even the boss is here to grab the position of the follower, what are they going to do now?

   I don’t care about what Mr. Zhang said for the time being. After the ecmo machine is turned on, it’s the turn of the blood filter machine. Xie Wanying and Dr. Liu continued to discuss the key points of crrt technology.

Since CRRT is a type of hemodialysis, its working principle is similar. The purpose of using such a machine is to replace the damaged kidney to perform a kidney-like function, filter out excess water and metabolic waste toxins in the patient's body, and correct water and electrolyte disorders. , to ensure the nutritional support of patients.

   From the above description, we can know that after the machine is launched, it is mainly aimed at the patient's fluid balance. For critically ill patients, rehydration is essential because they cannot eat for a long time and need other anti-inflammatory treatments. In short, you can't starve a patient to death by dehydrating them.

  There is a technical difficulty at this time, how to control the amount of various fluids ingested by the patient, avoid continuous supplementation while treatment, and prevent the situation that the machine is ineffective or worse.

  In addition to the routine blood test indicators, monitoring methods are usually used clinically for fluid management, such as the central venous pressure CVP that Xie mentioned earlier. This is a very old and traditional monitoring program.

  Medicine is progressing and developing all the time. CVP has both advantages and limitations.

"CVP can't monitor the preload of the patient's heart, so it can't judge some special situations. In addition, it is affected by many factors during measurement, and the measured value may not be very accurate." Xie Wanying said, "So use PICCO Better."

  (end of this chapter)