The femoral vein and femoral artery travel together. Once the femoral vein is damaged, a venous fistula will form, which is troublesome.
The teacher¡¯s two sentences hit the nail on the head and made the students tremble.
Dr. Yang took the syringe handed over by the nurse and prepared a local subcutaneous injection of anesthetic.
The patient is conscious and needs to inject an anesthetic near the puncture point, otherwise he will feel pain. At this time, the skin of the patient's contralateral thigh and groin is also prepared and disinfected, in case the puncture fails here and needs to be switched to the opposite side.
When injecting anesthetic, you must start around the femoral artery at the puncture point. In addition to injecting on both sides of the femoral artery, it is best to inject below the femoral artery, so that the femoral artery can be lifted up for easier puncture. But now I can't even feel the pulse point of the femoral artery.
The intercom in the control room spoke to the people in the operating room. It was Shen Youhuan's voice: "Give the patient X-ray."
Xie Wanying stood behind Senior Brother Shen, thinking to herself: Senior Brother Shen is a very good person, and he kindly gave important reminders at critical moments.
I can¡¯t remember the anatomy diagram. The teacher asked you to take a look at where the patient¡¯s bones are under fluoroscopy, and use the position of the bones to determine where the patient¡¯s femoral artery may be.
Clinical seniors have various experience summaries for difficult medical operations, whether internal medicine or surgery, but the doctors behind them need to work hard to find knowledge and information for self-study. These latest empirical theories cannot be included in medical textbooks that are only updated every few years. As for whether clinical teachers will teach you during your internship, if most clinical teachers know that you are not a graduate who wants to stay in the hospital, they will not bother to teach you step by step.
Dr. Yang wants to impress the teachers with his serious efforts, but it is not enough.
After Shen Youhuan mentioned this sentence, Dr. Yang's eyes seemed to be flickering with confusion. Is it useful to see only bones under fluoroscopy?
Dr. Chen, who was standing opposite, looked at her expression with a hint of anxiety in his brows. Knowing this situation, even if you give me some instruction, I'm afraid the other person will still be confused. I guess it¡¯s a common problem among most medical students that they haven¡¯t learned anatomy well.
In the control room, Shen Youhuan held the intercom and raised his eyebrows twice. He saw that Dr. Yang, who was opposite the leaded glass, was motionless.
Xie Wanying recalled the expression on Dr. Yang's face that she wanted to talk to, and the look of her trying very hard. As a medical student who was also striving for medicine, she couldn't bear that the other person was trapped here, and said: "You can first do an anteroposterior fluoroscopy of the patient. The femoral artery is at the center of the femoral head. Get a hemostat and prepare it. It is best to place it in the puncture area. Under fluoroscopy, place the tip of the hemostat on the lower edge of the femoral head to help position it. This is the needle insertion point. This patient is obese. The needle is inserted at a fifty-five-degree angle with the bevel of the needle hole pointing upward. The puncture direction It is in the middle of the femoral head, and literature records that the probability of penetrating the femoral artery is about 75% or more."
Her fluent words and unhurried speaking speed ensured that Dr. Yang, who was separated by the lead glass, could clearly hear every key point she said. For a moment, Dr. Yang and Dr. Chen and Dr. Li Xiaofeng, who were in the operating room, mistakenly thought that some big boss had suddenly appeared on the scene to give advice.
This steady tone, this professional academic content, who would believe it if I say it is not the style of a big boss.
Dr. Chen asked the resident doctor below: "Who was talking just now?" (Remember the website address: www.hlnovel.com