378, It is difficult for a doctor to heal himself
Chapter 360 It is difficult for a doctor to heal himself
ECMO is a rare commodity.
Correspondingly, doctors who have experience in ECMO have also risen in status and become unique masters with a unique skill.
The only ones in the province who are proficient in ECMO technology are the doctors in the intensive care unit of Southeast Hospital. Unfortunately, none of them are on night shift tonight.
The important task of boarding the hospital ultimately fell on the shoulders of the emergency department and cardiac surgery care unit.
As a well-deserved representative of the emergency department, Su Jie stood next to Daniel fully armed.
Glancing at Da Niu who was still unconscious, Su Jie's eyes twitched slightly, but he quickly regained his composure and remained expressionless.
"ECMO uses the V-A mode, where the femoral artery draws blood and the femoral vein returns blood, allowing the blood to bypass the heart and lungs, giving the patient's important organs sufficient rest time, and buying time for self-saving life!"
As Su Jie spoke slowly, he carefully applied iodophor evenly on Daniel's groin. The doctor in the cardiac surgery unit next to him looked at this young doctor with great fame in front of him with admiration, and stood by willingly.
Give him a hand.
After disinfection, before intubation, Su Jie used chlorosuccinylcholine to fully relax the muscles, intravenous morphine for sedation, and local lidocaine infiltration anesthesia.
The muscles in Daniel's groin instantly relaxed, and his overall condition became much calmer. This was a good time for intubation!
While intubating Daniel, Su Jie inevitably recalled his previous experience of intubating dialysis patients.
Because to some extent, the operations of the two are actually very similar.
All require tube insertion from the groin.
The purpose is to draw out the patient's blood and then send it back, during which time treatment is performed through instruments.
But the difference cannot be ignored.
At least from the diameter of the tube, it can be clearly seen that ECMO cannulation is more difficult.
Su Jie lowered his head and glanced at the tubes next to him. If the tube for hemodialysis patients is about the thickness of a 2B pencil, then the tube for ECMO is a 12B pencil.
It is no exaggeration to say that the lumen of the ECMO tube is almost as big as half of Su Jie's fist.
When placing such a thick tube into the patient's body, sufficient blood flow must be ensured, and the patient must be kept idle for days and nights without any problems.
Su Jie frowned and suddenly felt a huge pressure.
However, pressure is a common occurrence for Su Jie now. Pressure never makes him feel lost or confused, but only gives him stronger motivation to move forward.
The index finger and middle finger of the right hand were coated with iodophor, and they were pressed heavily on the bull's groin. It felt slightly cold, and the muscle relaxant effect was very good.
Immediately afterwards, the puncture needle was decisively inserted through the gap between the two fingers.
Hit the nail on the head.
The dark red blood suggested that Su Jie punctured the femoral vein first.
Enter the guidewire along the puncture needle, then withdraw the puncture needle, expand the skin, and insert the catheter...
At the same time, in the live broadcast room, the popularity began to slowly gather.
In just ten minutes, hundreds of people poured into the live broadcast room. Seeing Sujie's silky-smooth femoral vein puncture, everyone began to discuss:
"Is domestically produced ECMO available for live broadcast? Wait, is ECMO produced in China now? I am really ignorant about this."
"It probably hasn't been officially put into clinical use yet. Our hospital happens to have an ECMO. I just talked with the team in charge of ECMO a few days ago. They also said that because ECMO is subject to import restrictions, replacing the simplest original part will cost a sky-high price.
We often ask foreign companies to get spare parts in time."
"The light of domestic production, if we can really drum up an ECMO in China, our hospital will definitely be the first to support it. This thing is a magical tool for rescuing seriously injured patients!"
As the title and post content were updated, doctors watching the live broadcast also learned some basic information about Daniel.
"Eruptive viral myocarditis, could it be caused by a cold? This young doctor is a bit unlucky. How did he encounter such a thing?"
"Huh? This doctor is from my hometown. Our hometown is very poor. He is better than me. He went to the leading tertiary hospital in the provincial capital to be a doctor. I am still hanging around at the municipal level 2A hospital."
"Doctors cannot treat themselves. To put it bluntly, this disease is a cold that keeps recurring. This doctor is in the emergency room again. Thinking about it, it must be that the work pressure is too high and the resistance is reduced. The cold lasts for too long, giving the virus a chance to take advantage of it.
machine."
The only people who know the doctor profession best in the world are these people who are doctors.
In the eyes of outsiders, doctors are glamorous, with high income, high education, and high social status. It seems that as long as you put on a white coat and walk in the hospital, you are the brightest kid in the whole hospital.
But only when you truly become a doctor can you truly feel what it means to be involuntarily and what it means to be superficially glamorous.
Needless to say, doctors have a long growth curve. If you want to become a complete doctor with high salary and high status in the eyes of outsiders, you have to be at least forty years old and start to be promoted to an intermediate professional title.
On the other hand, due to the overloaded workload of domestic hospitals, the lives of many doctors have actually become a mess, and their bodies have been exhausted early.
The doctor tells you not to stay up late, as staying up late will harm your body.
But as a doctor, he has to work night shifts. Surgeons are online 24 hours a day on their mobile phones. If you get a random call in the early morning, you will be ejected from the bed and return to the hospital to transform into a surgical beast.
The doctor tells you to eat less takeout and eat nutritiously.
And as a doctor, if you order takeout and still can't get a hot bite, the patient will ask you a lot of questions when he sees you in the office. Seeing that you are not happy eating takeout, he will say, "Why do doctors still eat during working hours?"
It can make your stomach hurt.
The doctor tells you to take good care of your body and stay away from the three highs.
But in fact, many doctors have a lot of pills in their drawers. Su Jie saw with his own eyes that Director Li Jianguo swallowed five or six pills and capsules in one breath. His movements were so skillful. Cardiac surgery takes a long time, and most doctors have it.
Lumbar disc herniation causes many general surgery emergencies, and most doctors have stomach problems...
Su Jie actually doesn't like what others say about doctors sacrificing their own health to cure patients.
Because the logic of this thing is not valid, doctors never want to sacrifice their own health, and even if they sacrifice their health, they may not necessarily be able to cure the patient.
But this is the reality. Not many people really pay attention to the health of doctors.
only the guy drinking water knows it's cold or hot.
"Why is the live broadcast room stuck?!"
Everyone in the emergency department who was watching the live broadcast outside the cardiac surgery intensive care unit suddenly became anxious. The female nurse quickly changed the line, and the lag in the live broadcast room was restored to smooth flow.
Soon someone realized the problem: "Why did so many people suddenly pour into the live broadcast room?"
At this time, everyone's attention turned to the number of people watching the live broadcast. In less than half an hour, nearly 5,000 people poured into the originally cold live broadcast room.
The number of people increased dramatically and the popularity reached the top.
Large amounts of donations began to flow into the emergency department's public account.
The direction of the barrage gradually began to tilt in the same direction:
"Come on, Doctor Daniel, you must get through this!"
"Don't give up, we are all cheering you on!"
Chapter completed!