Then insert the percutaneous dilator along the guide wire to expand from small to large. Finally, slowly insert the catheter until the tip reaches the designated position, and use a bedside ultrasound machine to confirm that the catheter tip position is correct.
During this period, the top tube should be filled with heparin saline to eliminate air bubbles. Connect it to the prepared ecmo pipeline. During the connection process, the assistant helps pour heparin saline to prevent air from entering the pipeline.
After finishing speaking, there was no time to take a breath, and the cheerful Senior Brother Shen was already eager to try.
Help the senior brother to measure and locate the patient's femoral vein with the ultrasound probe.
Standing opposite her, Shen Youhuan soon discovered that she was focused on her work and had no idea who was lying on the hospital bed now. Moreover, this manual technique was obviously becoming more and more easy for her. This is manifested in the fact that when others hold the probe because they do not know the location of the blood vessels inside, they can only make a rough estimate, and inevitably have to move the probe a few times to try to find the correct position. She doesn't need to, like the most experienced sonographer, find out the right place.
The sonographer standing next to him was stunned.
"This is the point. Brother, insert the needle at a flat angle." Xie Wanying suggested the surgeon.
Shen Youhuan felt this and joked with her: "Yingying, are you fully exerting your strength? Have you had a warm-up match?"
It¡¯s true. She had just assisted Senior Brother Huang in an interventional puncture in the afternoon, and the femoral vein was also entered.
When operating the surgeon, you occasionally need to relax yourself and adjust your mood to avoid misoperation due to excessive tension. Xie Wanying will not dislike the relaxed topic of cooperating with the surgeon.
Xie Wanying nodded to Senior Brother Shen with a pragmatic attitude.
Shen Youhuan: I was wrong! ! !
"He is teasing someone. He is teasing Junior Sister Xie. He is looking for a slap in the face. He will be embarrassed and lose face."
When a doctor is like this, after rescuing a patient, he rushes to the next one. Rest is impossible.
Holding the ultrasound probe, it is a rare opportunity to observe Brother Shen¡¯s operation at close range. Xie Wanying's eyes secretly glanced at Senior Brother Shen's hand. Compared with Senior Brother Huang, who was very cautious and precise in every movement in the afternoon, Senior Brother Shen¡¯s hands were much more free and unrestrained, which could be called flexible. A confident boss is like Senior Brother Cao, who is not afraid of a little mistake.
Because the fingertips can be retracted and adjusted to the right position at any time by flexible movement of the fingertips.
The accumulation of experience is so important.
Shen Youhuan, who was opposite, told me that Junior Sister Xie could only accumulate clinical experience faster than others, as fast as a rocket.
"When he finished entering the femoral vein and entered the femoral artery, there was no need for him to press the arterial point to prevent blood spurting. She had quickly helped him press it in place with one hand.
Another assistant will help them pull up the end of the catheter so that the surgeon can put it into the patient's body.
The two people who were operating turned around and saw Mr. Zhang acting as their servant, and they couldn't help but tremble.
"Are you ready, Director Wang?" Zhang Huayao called the ECMO machine, seeing victory in hand.
Director Wang hurriedly handed over the connecting pipe head.
Xie Wanying, as she said before, picked up the large syringe and helped the surgeon pour the two pipe joints.
She poured it very carefully and did not need to flood the surgical area with water. In fact, when she poured it, almost no drops of water fell on the surgical towel.
Such a magical scene amazes everyone who sees it.
A good surgeon will paint a pleasing picture of what he does. After the ecmo machine is connected, there is no need to worry. Start debugging from a low flow rate to allow the patient time to adapt. (Remember the website address: www.hlnovel.com