I Can See Health

   Chapter 403 Hand Speed

  The Central Hospital is also a top tertiary hospital, and the strength of the cardiology department should not be underestimated.

   After all, it is Kyoto, and the threshold education for all doctors is a doctoral degree.

   The duct room at this time.

   Most of the doctors who did not have surgery gathered around.

   They have been informed that there is an assessment of Huaxia electrophysiology training in the catheterization room today.

   They are also very envious of this training class.

   However, the number of places is limited. This year's Kyoto Central Hospital seems to have only one place.

   "Hey, I think this student is not too old for me." One of the graduate students who rotated in the catheterization room asked in surprise, "How can he be qualified to enter the training class?"

"Yes, I think it's about twenty-four or five years old." A fat doctor said, "This is not quite right. This kind of quota is usually reserved for the attending doctor or the deputy senior. I have never heard of students coming to participate. Ah, have you heard of it?"

   The fat doctor looked around the crowd, and everyone shook their heads.

   Just as everyone was in awe, the surgery in the catheterization lab was about to begin.

  Lu Chen has already put on gloves, and the assistant's first job is to disinfect and spread towels!

   "Teacher, where do you choose the surgery area?" Lu Chen said.

  Ding Chaobing narrowed his eyes slightly and said, "This is a radiofrequency ablation of atrial flutter."

   He didn't directly mention the surgery area, and Lu Chen also understood that the assessment had already begun!

   "Femoral vein?" Lu Chen glanced at Ding Chaobing.

  Ding Chaobing didn't speak, Lu Chen understood and immediately disinfected the patient's femoral vein surgery area.

  Disinfection is also a subject of knowledge, focusing on the sequence, the scope of disinfection, and so on.

  Lu Chen's technique was very skilled, but Ding Chaobing was not surprised.

   This is a basic skill. If you can't even disinfect, then there is no need to continue the next assessment.

   Next is the puncture, which is the top priority of this assessment!

One of the main responsibilities of the assistant is to assist the chief surgeon to puncture the blood vessels.

  Whether it is radial artery, femoral vein, brachial artery, etc., it is a vascular puncture that an interventional cardiologist must learn.

  Ding Chaobing stood beside Lu Chen, staring closely at Lu Chen's movements.

   The operation of this step begins to be risky.

   Once Lu Chen has any operation behavior that harms the patient, he will immediately stop Lu Chen and terminate the assessment.

   In other words, if the vascular puncture fails, the assessment will be regarded as a failure.

   The puncture point of the femoral vein, first of all to find the femoral artery.

  The place where the femoral artery pulse is measured within 1-2cm is the puncture point of the femoral vein.

  Lu Chen touched the blood vessel with the middle three fingers of his left hand.

   The strongest part of the pulsation was quickly found and moved 2cm to the side quietly, which was the puncture point of the femoral vein.

  Lu Chen took the needle, put in anesthesia, and performed deep anesthesia at the puncture point.

  The anesthesia was soon over, and Lu Chen began to perform femoral vein puncture.

   Just when Ding Chaobing wanted to take a closer look at Lu Chen's operation, he suddenly found that the puncture needle that had just been inserted into the blood vessel had already sucked out blood.

   "What's the matter? The puncture was successful so quickly?"

  Ding Chaobing looked at the dark red blood in the puncture needle and was slightly taken aback. The speed of this puncture technique really doesn't look like a young man!

   From anesthesia to successful puncture, the whole process takes less than two minutes.

   This efficiency is completely comparable to some senior surgeons.

   As soon as an expert makes a move, he will know if there is any.

  Ding Chaobing immediately put away the contempt in his heart. Just this puncture technique can make an electrophysiological intervention doctor eat in a top hospital!

   This student in front of me is not easy!

  Ding Chaobing began to reassess Lu Chen's level in his heart.

  …

   Immediately afterwards, Lu Chen entered the guide wire unhurriedly, and then placed the catheter.

  The whole process is smooth and smooth, which is pleasing to the eye.

   Outside the catheter room, everyone watched the "live broadcast" of the operation, and they were all shocked by Lu Chen's puncture skill.

  Suddenly, the fat doctor said, "Xiao Fang, you just said that you are as big as this assessment student, so your puncture technique is compared to his..."

The little doctor surnamed Fang grimaced and shook his head: "Mr. Song, you look down on me too much. It takes me several minutes to locate the puncture point of the femoral vein. You can compare me with him... "

   "Really?" The fat doctor's eyes flashed a bit of light. What he said just now was just a joke, and he could naturally see that the level of the two was vastly different.

   It's just that his inner thoughts at this time were to compare his piercing level with Lu Chen's.

   He claims to be the "first needle" of the central hospital, but if he wants to surpass the accuracy and speed of the puncture just now, he has to say two things...

  …

  Lu Chen showed his hand a little, which made everyone put away their contempt.

   In his system panel, his proficiency in piercing reached 96%!

  Because of the puncture of blood vessels, it is also one of the operations that Lu Chen has done the most in real clinical practice!

   The risk of puncture is controllable, and there are many patients who need puncture in clinical practice.

  Especially in the emergency department, many critically ill patients require femoral artery puncture (blood gas analysis) and central venous puncture.

   During Lu Chen's rotation in the emergency department, as long as it was a little difficult to puncture, he let him get started.

   This also made his puncture proficiency rise steadily!

  The puncture was successfully completed, and the following is the entry of the guide wire.

  Lu Chen glanced at Ding Chaobing and said, "Teacher, what are you doing next?"

  Disinfection, drape, anesthesia, and puncture, the work of most assistants is over.

The rest of the    assistant's work is usually done by hand.

  The operation of the guide wire in the intraluminal catheter is the most risky operation!

  A little carelessness and excessive force will puncture the blood vessels, resulting in iatrogenic vascular dissection.

  These risks are deadly!

  Ding Chaobing did not speak and took over from Lu Chen.

   At present, it is definitely impossible for Lu Chen to perform the operation alone.

   Under the operation of Ding Chaobing, the guide wire quickly entered the predetermined position.

  Lu Chen couldn't help but admire, it is indeed the top tertiary hospital in Kyoto, Ding Chaobing's technology can be said to be first-class!

   In the second hospital of Jinghua, there may be only the level of Director Ren Feng, who can compare with Ding Chaobing. (Li Yao is more inclined towards scientific research, Director Cao Zhiying has been out of clinical practice for many years.)

  The guide wire enters the predetermined position, and the risk of the next operation is very small.

   "It's your turn next." Ding Chaobing said, "What positioning method are you going to use?"

  Arrhythmia ablation, as the name suggests, is to find the origin of arrhythmia in the heart, and then use various methods to ablate it to prevent the occurrence of arrhythmia.

  Location is the step of finding the origin of arrhythmia!

  Lu Chen recalled the few electrocardiograms he had just seen, and said slowly: "Using the Carto three-dimensional system, using Pentaray's high-precision mapping electrodes, and applying methods such as drag mapping..."

   "Oh?" Ding Chaobing raised his eyebrows, "Are you sure?"

   (end of this chapter)