He came to ask his brother for advice, so Cao Zhao listened quietly to what his brother had to say first.
Cao Yong knew what his second brother was thinking.
Maybe Cao Zhao has a patient in his hands who needs an organ transplant, otherwise he wouldn't suddenly ask him questions about this brain-dead patient. It is said that doctors don't like the death of patients in their hands. From this perspective,
It is normal for Cao Zhao to be anxious about his patient and to want Zhu Xing to survive.
In the same way, he, Cao Yong, hoped that the child Xiaoyu could survive. After all, he was the child he was treating at the scene, and he advocated sending Fang Zebo to see if the child could be saved.
It's just about academic issues. Doctors can only communicate based on facts and must not be influenced by emotions. Cao Yong said to his brother righteously: "You know what the international general rules for organ transplantation are. Don't talk about diagnostic standards.
The attending physician of the organ transplant patient, that is, the attending physician of the recipient, must take active avoidance in determining the brain death of the organ donor."
"I know this." Cao Zhao said.
Not everyone can accept the concept of brain death, and there are some rumors of illegal organ trading in the world, which makes this matter a sensitive matter in society. The general rule my brother mentioned is precisely to avoid touching the sensitive nerves of the public.
If he wanted to ask, it was impossible to ask Fang Ze's doctor. If the media knew and exposed that he had contact with the patient's doctor at Fang Ze, the consequences would be disastrous and would cause an uproar. By then, public opinion would be rampant and suspicion would rise.
For the sake of his patient, he collaborated with Dr. Fang Ze to determine that the child was brain-dead so that organ donation would become a certainty.
In this case, I can only ask my brother.
As Zhu Xing's attending doctor, it is certain that he is anxious, seeing that the window period for the child's transplant is passing day by day. The example of the heart assist device that classmate Xie gave to comfort the patient is really a similar word of comfort.
Cardiac assist device, first of all, definitely does not refer to ecmo. ECMO is an improved artificial heart-lung machine. Cardiac assist device generally refers to ventricular assist, which includes left ventricular assist, right ventricular assist, biventricular assist, and total artificial heart. Current research
Most of them are for adult use. The more mature children's ventricular assist is in the clinical trial stage abroad. How can it be approved for use in children in China?
If it really doesn't work, I want to go to ECMO, but there is no one in Shouer, only the artificial heart-lung machine used in the operating room. That day, classmate Wei thought that the instrument installed by the kid in the next bed was fancy. In fact, it was because classmate Wei had never been to the cardiology department or cardiac surgery internship.
, I didn’t know it was iabp. Like Xie, who had seen it earlier and personally participated in the iabp surgery, he was not surprised at all.
IABP is mostly used in children with low cardiac output after surgery for congenital heart disease. It is also used in a small number of children with myocarditis, cardiomyopathy and those waiting for heart transplantation. Why did Xie emphasize the use of cardiac assist devices that day but did not talk about it?
As for iabp. This is because we have learned about the principle of iabp before. It cannot actively assist the heart and relies heavily on the contraction of the patient's own heart. Zhu Xing suffers from severe cardiomyopathy, and the ability of the heart to contract is a big problem. Using iabp can help.
The effect is very limited.
From the above analysis, we can know that once the child's cardiac contractility fails, doctors may be completely helpless.
