Dr. Yao could only look for evidence from the interns now, and insisted: "Tell me, what did you do to the patient? Didn't you peel off the film of the incision and perform intrachest heart compression on the patient? Did you Have you changed your gloves?" Maybe it was a false emergency alarm signal created by these interns.
Dai Nanhui was the first to be unable to accept the dirty water being poured on him. He was about to explode and shouted, "We heard the sirens and ran over from next door to save people."
"Cold, calm." Two words burst out from the mouth of the immortal brother Cao Zhao.
This is to calm everyone's minds. Including to his own students, including to Dr. Yao.
No matter what, first of all, as a doctor, you need to figure out what happened to the patient, whether the patient is in danger of life, and who is responsible for the rest.
Agreeing with the teacher¡¯s words, classmate Xie Wanying said in a calm voice: ¡°I opened the incision protective film to confirm whether the electrode of the pacemaker lead was connected to the patient¡¯s epicardium and had not fallen off.¡±
Pacemaker?
Pacemakers, maybe more people are doing interventional surgeries now, and they only know that pacemakers are related to interventional surgeries. In fact, when pacemakers were first used, they were not installed by interventional surgery, but by traditional surgery.
??To be more specific, interventional surgery to install a pacemaker is to send electrodes to the cardiac chamber via peripheral veins and install them on the endocardium without the need for a thoracotomy. It is widely popular in clinical practice to reduce the patient's pain and save the trouble of surgical operations.
Surgery to install a pacemaker requires the doctor to open the pericardium of the chest and connect the electrodes to the epicardium of the heart. Opening the chest is not popular with patients.
Intervention has many advantages, but surgical installation is too painful. The technology seems backward and can be eliminated by advanced intervention. What is the purpose of surgical installation?
not like this. In clinical practice, whichever one is more convenient to use and which one is more suitable for the patient's treatment is always used. To this day, in pediatrics, surgery is the first choice for installing a pacemaker in children under five years of age. This is due to the repeatedly emphasized pediatric characteristic: children will grow. You need to pre-place longer wires to allow your child to grow taller. If interventional surgery is used, wires that are too long cannot be placed in the heart or peripheral blood vessels. Some children have heart malformations, and it is difficult to locate the electrode installation location during interventional surgery, so surgical methods can only be used to install it. The child is very active. Surgery is not like interventional surgery, which must be fixed on the chest where the sebum is thin and difficult to place. It would be better to fix it in other places where the sebum is thick.
??Similarly, since Xiaohui has undergone thoracotomy today, why bother to intervene if a pacemaker is needed? It is more convenient to directly install the electrodes on the epicardium during the thoracotomy.
Speaking of which, why does Xiaohui need a pacemaker? This child doesn't have a disease that requires a pacemaker, right?
When clinical pacemakers are used, it is true that most of them are used to treat diseases. Most of these patients undergo interventional surgeries and use permanently implanted pacemakers. Another type of application of pacemakers is mainly temporary pacemakers used for rescue and backup, such as the last rescue by Teacher Lu.
Like Xiaohui, the surgeon prepared a pacemaker for her during the operation because they were afraid of something like Teacher Lu. Many patients after cardiac surgery have unstable circulation. The heart may stop during and after surgery. Installing a pacemaker can help the patient save the patient's life in an emergency when the doctor is too late to rescue.