Chapter 4461: 【550】The most beautiful
The flourishing of medical technology corresponds to the variety of human diseases. It can be said that no existing medical technology is absolutely inferior to other technologies, and it always has its most unique advantages.
The students immediately memorized the key points of the teacher's lecture in their notebooks.
In such a complicated case, can the first detection method demonstrated by Teacher Xie work alone?
Looking back at the case characteristics mentioned above, I know it is impossible.
If only one of the responsible drainage bronchi is detected with the balloon catheter, the other responsible drainage bronchi will continue to leak, and then the assistant's observation of the drainage bottle will continue to leak, making it impossible to identify the failure.
Director Shang, Director Fang and other students were tense-faced, knowing that the most important knowledge point was coming.
Teacher Xie demonstrated the next step to the students.
The perfect Song Yishu, Dr. Song Xuelin, took out the important equipment that Chief Xie had prepared early, and borrowed the EtCO2 detector from the anesthesiologist.
EtCO2 detectors are commonly used by surgical anesthetists to help anesthetists monitor whether there are air leaks in the patient's respiratory tract during surgical anesthesia.
Based on this principle of this machine, it is conceivable that it can also be used in this operation to check which bronchus has air leakage.
Teacher Xie put the catheter connected to the EtCO2 detector through the operating hole of the bronchoscope, just like inserting a balloon catheter. After inserting it, the front probe was extended into the patient's bronchus. The probe should generally be extended to the first centimeter of the front end of the bronchoscope. Convenient for probe monitoring.
In the same trial sequence of balloon catheter placement, monitor and test one by one.
How to judge which bronchus is responsible for drainage is also based on comparison, but this time there is an instrument to help, and the value displayed by the instrument is the EtCO2 value.
Comparatively, when this machine normally detects air leakage, the EtCO2 value will be lower. Similarly, the EtCO2 value of the areas with problems detected here will be lower than the areas without problems.
After checking everything, remember all leak points and fill up the sealing device.
Teacher Xie had previously told the anesthetist that the operation would be completed in fifteen minutes. Therefore, it is impossible for Teacher Xie to say that the operation will be slower, as the slowness will affect the patient's body.
Similarly, the chief surgeon demonstrated this second detection method to the students to review whether the previous balloon catheter detection results were correct, which is equivalent to putting a double-layer safety lock on the patient. In short, clinical teachers can never let their teaching affect the quality of patient care.
Clinical students must keep this in mind, study hard, and be mentally prepared in advance. It is impossible to ask the teacher to teach and demonstrate slowly.
Only the clinical students suffer.
Onlookers could see Director Fang and Director Shang sweating profusely.
In such a situation, when students can no longer lower their heads to take notes, they can only seize the time to use their eyes and brains like cameras to capture every second of the teacher's movements: it will cost their lives.
This is the hard part of being a doctor.
Young doctors may be confused and lonely while listening to the teacher's lectures when they are studying because their own knowledge base is insufficient.
When you get older, you will have a certain knowledge base. What makes doctors study hard is that their physical and mental strength may not be able to keep up.
Problem New medical technologies are constantly being updated, and medicine needs to learn from the old ones. Old people like Director Shang and Director Fang can only push themselves up Liangshan and run like young people.
If you were not interested in medicine from beginning to end, you would have given up long ago. Medicine is most about how deep the practitioner's love for this industry is.
Even though Dr. Xie is very young, everyone can see how deeply he loves medicine. That is why he is so tireless in studying various medical techniques and is not limited to his own specialty. Only then is he recognized by the leaders as worthy of becoming the New District Multidisciplinary Association. The academic leader of MDT, a diagnostic and treatment center, has such a pleasant operation screen that makes everyone look at it:
Even if it is a step-by-step operation, the whole process is as smooth as a duck to water, and there will not be any wastage or waste.
It can be seen that standardized medical operations can be the most beautiful, and it is enough to do this step well first. This is what Dr. Xie showed the students.
Director Shang, Director Fang: It’s our turn next...
Thank you for your support, good night, dear friends~
