The principle of ecmo: Simply put, venous blood is taken out of the human body, and then instruments similar to the heart and lungs perform oxygen fusion, expel carbon dioxide, and then return it to the human body.
There are two types: v-v circulation (infusion to the vein), v-a circulation (infusion to the artery)
V-V bypass is suitable for cases with purely impaired lung function and no risk of cardiac arrest.
But in front of him, this little boy had a heart problem, so naturally he couldn't use V-V.
Only use v-a.
That is: blood is output from the vein, oxygenated by the instrument, carbon dioxide is discharged, and returned to the artery to feed the whole body.
Director of the City Yiqian: "Push the operating room and prepare for the operation now..."
City Bahuang Director: "Good."
Then began to prepare.
Wang Qiang is excited and can watch the operation again!
Although I can't have surgery, I can watch and study!
Excited!
Several interns in the eight emergency departments of other cities are also excited and looking forward to it. After all, this is the first time I have seen ecmo rescue.
Then……
This group of interns ushered in the dislike of Director Huang of the emergency department:
"The interns don't go in, there are too many people, so crowded..."
Interns: "……………………"
Crying~~~~
Interns have no human rights and status!
Dr. Gui Pei was overjoyed, haha, we can go in and see.
Then,
Director Huang of the emergency department continued: "Dr. Gui Pei, don't go in either. There are a lot of ICUs in the city, so I can't stand in the operating room."
Doctors Guipei: "………………"
Tragic! !
Reduced to the same illness as the interns.
Wang Qiang was holding Jiji jpg distressedly and saw Lin Feng walk into the operating room.
Wang Qiang: "???"
How can Lin Feng enter the operating room?
He is also an intern?
...
...
Emergency operating room.
While signing, Director Qian pointed to Lin Feng and said to Director Huang.
"Wait, this guy will go up and intubate."
Director Huang: "What?"
Director Qian: "Don't worry, he is very powerful. Last time, Director Zhou of our hospital was stabbed three times. He was rescued."
Director Huang's eyes widened: "Ah~~~ is it him?"
A pair of eyes looked closely at Lin Feng up and down.
Director Zhou Guorong's three swords are unknown to many hospitals in Peng City, and Director Huang is no exception.
"How old is he?"
"twenty four."
"Oh my God, is it so awesome? Young man now? I thought it was an error?"
"Hey~~ Wait for you to see his strength!"
Director Qian was proud of showing off his baby.
Everyone washes their hands, and nurses put on surgical gowns and gloves.
The patient has been under general anesthesia for a long time, so there is no need for anesthesia.
There are three ways to establish an ecmo·v-a path.
A. Femoral vein (buttock)-femoral artery cannulation
B. Internal jugular vein (neck)-common carotid artery cannulation
C. Central cannulation: right atrium-ascending aorta cannulation
Lin Feng chose the first method:
· Surgery from the femoral vein (one of the body's largest meridians, buttocks position), insert the cannula from the femoral vein, and extend the cannula up to the right atrium.
·The venous blood drawn from here is oxygenated in an ecmo oxygenator, driven by a pump, and injected into the body from the femoral artery.
The advantage of this approach is that 80% of the return heart blood can be drained to the oxygenator, reducing pulmonary artery pressure and cardiac preload.
disinfect……
Surgery...
Find the femoral vein...
Find the right size cannula with femoral vein...
Intubation...
Repeat the above actions, find another artery, intubate...
Finally, connect ecmo to monitor and control various data...
Total time: 9 minutes and 10 seconds...
Nothing went wrong in the middle, everything seemed so fluent and unobstructed.
Lin Feng withdrew from the battlefield, letting the doctor of Icu on top.
Director Qian smiled and gave Lin Feng a thumbs up.
Director Huang looked at Lin Feng in amazement. He was too powerful. The ease and confidence of his scalpel and intubation movements could not even be compared to him, a 30-year-old driver who has undergone surgery.
The more powerful people are, the more powerful they can feel Lin Feng!
"Xiao Lin, I don't know if you are interested in coming to work in our hospital!"
Director Huang couldn't help but send out the invitation.
Such a genius, it would be great to come under my hand, and I want to train him well!
As a result, his behavior angered Director Qian.
"Okay, Lao Huang, you bastard, you want to dig the corner of our hospital!"
Director Qian glared at Director Huang.
Director Huang: "Hehehe, I'm thirsty for talent, why? If he comes to my hospital and becomes my student, I promise to train him vigorously."
Director Qian "Bah" a sip: "I baah! It's up to you? I still want to train Xiaolin, and the old Liang of our cardiovascular surgery, Liang Guomin, Lin Feng saved him from an operation, and now runs the director every day. There, I want to transfer Lin Feng to Cardiovascular Surgery as his student."
Liang Guomin?
Saved an operation?
When Director Huang heard this, he was shocked and didn't want to give up: "Then you still use people as interns? When I get to me, I can apply for high-paying employment, and then increase research funding..."
Director Qian sneered: "Hehe, are you smart? The director of our medical department has already acted."
Director Huang: "………………"
This time I gave up.
On horseback!
What a pity, this kind of genius has not been able to grab it!
By the way, Lin Feng is so awesome, what about his classmates?
Director Huang asked: "By the way, which school does Lin Feng belong to?"
Director Qian: "The soy sauce is big."
Director Huang nodded: "Soy sauce is still very powerful, ranking 12th in the country."
I thought, after I went back, I asked Soy Sauce University if there were any students who were equally strong, even if it was almost a bit okay.
. .
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