Add Bookmark | Recommend this book | Back to the book page | My bookshelf | Mobile Reading

Free Web Novel,Novel online - All in oicq.net -> Romance -> Back at 90  she became popular in the circle of surgical bigwigs

¡¾1004¡¿Surgery knowledge

Previous page        Return to Catalog        Next page

    Brother Luo next to her wanted to share his views on the expert lectures with her.

    Xie Wanying said: "The intensive care unit is very important, but it is not the most important for surgery now."

    There is always something surprising about what she says.

    Everything must be based on evidence, and in medicine it is best to rely on statistical data.  Statistics from both domestic and foreign countries show that regardless of whether they are persons or children, the proportion of post-surgical patients among the diseases admitted to intensive care units is relatively small.

    The biggest benefit of surgery is surgery.  If surgery cannot be performed, the patient is basically expected and asked to be transferred to the internal medicine department.  So taking the two together, it shows that the intensive care unit may not be the most important for surgery.

    ????????????????????????????????????????? The establishment of an intensive care unit in one's own department means that the proportion of intensive care after surgery is not high, the number of hospital beds required is small, and there is not even a need for specialized ICU doctors.

    In this case, all departments are based on the premise of maximizing profits, and this money will not be allocated to the intensive care unit to earn.  Moreover, in fact, most of the patients admitted to the intensive care unit are acute patients who come in from the emergency department. Such patients are not sure whether they can undergo surgery even before surgery, so they may not necessarily be classified as surgical patients.  In fact, some patients are like this. They are admitted directly to the ICU and die in the ICU before the surgery can be carried out.

    Xie Wanying once again gave an example: "Among the critically ill children admitted to picu, respiratory diseases occupy the first place. Followed by neurological diseases and children after surgery. Among them, children with respiratory diseases involve the field of surgery. I am afraid that  Only some of them are cardiogenic. For pulmonary origin, most of them are treated by internal medicine. The two major diseases of cardiogenic respiratory diseases and neurological diseases belong to the two major specialties of surgery, cardiac surgery and neurosurgery. The pediatric surgery department in our hospital  It should be based on pediatric general surgery. The length of stay in the intensive care unit is not long and the bed turnover rate is high. If the preoperative assessment is done well and the surgical risk is well controlled, I believe the hospital¡¯s judgment is that it only needs to be in the pediatric general surgery ward.  Establish several intensive care beds similar to those in the extracardiac area.¡±

    In this way, what Expert Li said on the stage may be wrong if the listeners don¡¯t think carefully.  Judging from the data, picu is of great significance to critically ill children, but it may not necessarily be of great significance to pediatric surgery.

    ¡°In surgery, the most important thing is to do a good pre-operative assessment, prevent postoperative risks, and do the surgery well. It will be too late to make amends after the surgery.¡± Xie Wanying expressed her basic understanding of surgery.

    ¡°Furthermore, the intensive care unit ward is now equivalent to a big basket, and patients who cannot be handled by any department are sent there to stay for a few days.  But in fact, many medical technologies in the intensive care unit require the support of specialist doctors.  The simplest example, ventilator intubation, requires an anesthesiologist.  Chest drainage requires external cardiothoracic surgery.  Performing peritoneal dialysis and ecmo requires the assistance of a surgeon.  Bronchoscopy can provide endoscopic treatment. Some ICU doctors cannot do it, and doctors from respiratory departments and other departments have to be called to do it.

    What is the biggest difference between the intensive care unit and the general ward? According to the relevant standards set by the national health department, the actual ratio of the number of nurses to the number of beds in the hospital is 0.4:1 in the general ward, and about 2.5 to 3:1 in the ICU.  (Remember the website address: www.hlnovel.com
Didn't finish reading? Add this book to your favoritesI'm a member and bookmarked this chapterCopy the address of this book and recommend it to your friends for pointsChapter error? Click here to report