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Chapter 3534 [3534] I¡¯ve never heard of it

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    Mean arterial pressure is affected by factors such as drugs.  If medication is used to increase mean arterial pressure, it is a false positive and meaningless.  This corresponds to what Mr. Xie said before that drug testing should be conducted cautiously before weaning off the machine.

    How to do the specific operation, in fact, we have already started to do it.

    Did you do it?

    Director Wang and others at the scene were shocked. It seemed that Student Xie had not mentioned any special medicine to be given to the patient before.  Let¡¯s talk about one more issue.  The significance of mean arterial pressure monitoring: Human perfusion is closely related to the cardiac output of the heart.  Cardiac output can be measured using picco technology. If picco technology is not available, transesophageal ultrasound can be used.

    ??????????????????????????????????????

    Xie Wanying said: "What we just measured was the heart condition under full flow support of the membrane lung, mainly measuring the left heart ejection fraction and the function and capacity of the right ventricle."

    Since doctors are now gathering to discuss the issue of weaning the machine, it is equivalent to saying that the values ??detected are very good.  The next thing to do is, Xie Wanying continued to add: "Gradually reduce the patient's flow to half, and use transesophageal echocardiography to do the above examinations. Once the left and right ventricles are found to be dilated or the blood pressure drops, immediately

    Restore to full traffic on .  "It turns out that this step of weaning off the machine is really done out of caution. All the doctors here are swiping their pens, and no one thinks that the steps are complicated. Medicine is never afraid of complicated steps. The more complicated it is, the more it means careful study.

    The more research is done, the more it appears that things are under the control of doctors, which is a good thing.

    When Boss Zhang picked up the pen notebook, his thick eyebrows and big eyes glanced at the uninvited guests at the meeting.

    ?????????????????????????????????????????????????????????????????????????????????: Director Xia of the National Association's ICU is so shameless that he comes to visit every day.  Why, people from Company M, whom I only met once yesterday, came to listen to their meeting.

    Can the gringo Mai Hui, who speaks poor Chinese, really understand Teacher Xie¡¯s lectures?  It turned out that they actually brought an on-site translator to help him translate simultaneously, which was absolutely amazing.

    Zhang Huayao¡¯s eyebrows were almost wrinkled into two big mountains.

    The shameless person must have pretended not to see his bossy expression, and stretched his neck with other doctors present to continue listening to the lecture.

    Mai Huizhen has never heard of the plan mentioned by classmate Xie. It is a plan for the future.

    "When the flow rate drops to 12 to 15, and the vis index is less than 10, perform a volume loading test." The vis index is the score of vasoactive drugs and inotropic drugs. It is calculated by a complicated formula and is the multiplication factor of various drugs.  In doses it adds up.  It can be inferred from this simple formula overview that the higher the vis index

    When it is low or even equal to zero, it is best, which is equivalent to not giving the patient these drugs to support the patient's blood pressure.  Under such a premise, judging the patient's heart will tend to be able to truly judge the original function of the patient's own heart without assistance, which will help the doctor judge whether the patient can continue to be weaned

    The volume load test is to inject albumin into the patient and finish it within a certain period of time. The purpose is to increase the blood volume to judge the response of the heart. It is to add some difficult questions to the patient to test it before weaning the patient off the machine.

    Here we need to use transesophageal echocardiography to check the cardiac function indicators mentioned before.  Finally, use dobutamine for a few hours and then observe the heart function. If the heart function always maintains good stability, the machine can be weaned.  (Remember the website address: www.hlnovel.com
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