The femoral vein and femoral artery accompany each other. Once the femoral vein is damaged, a venous fistula will form, which is troublesome.
The teacher's two sentences hit the point directly and made the students tremble.
Dr. Yang took the syringe handed over by the nurse and prepared a local subcutaneous injection of anesthetic.
If the patient is conscious, he needs to inject an anesthetic near the puncture point, otherwise he will feel pain. At this time, the skin of the patient's contralateral thigh and groin is also prepared and disinfected, in case the puncture fails here and needs to be switched to the opposite side.
When injecting anesthesia, you must start around the femoral artery at the puncture point. In addition to injecting on both sides of the femoral artery, it is best to inject below the femoral artery, so that the femoral artery can be lifted up for easier puncture. But now the femoral artery pulse point is blocked.
Can't touch it.
The intercom in the control room spoke to the people in the operating room. It was Shen Youhuan's voice: "Give the patient X-ray."
Xie Wanying stood behind Senior Brother Shen, thinking: Senior Brother Shen is a very good person, and he kindly gave important reminders at critical moments.
If you can't remember the anatomy diagram, the teacher will ask you to take a look at where the patient's bones are under fluoroscopy, and use the position of the bones to determine where the patient's femoral artery may be.
Clinical seniors have various experience summaries for difficult medical operations, whether internal medicine or surgery. It just requires subsequent doctors to work hard to find knowledge and information for self-study. These latest empirical theories cannot be updated every few years.
In the medical textbook. As for whether the clinical teachers will teach you during the internship, if most clinical teachers knew that you were not a graduate who wanted to stay in the hospital, they would not bother to teach you step by step.
Dr. Yang wants to impress the teachers with his serious efforts, but it is not enough.
After Shen Youhuan mentioned this, Dr. Yang's eyes seemed to be flickering with confusion. Is it useful to see only bones under fluoroscopy?
Dr. Chen, who was standing opposite, looked at her expression with a hint of anxiety on his brows. Knowing that even if he taught her this situation step by step, he was afraid that the other person would still be confused. She probably didn’t learn anatomy well, which was the case for most medical students.
It's a common problem.
In the control room, Shen Youhuan held the intercom and raised his eyebrows twice. He saw that Dr. Yang, who was opposite the leaded glass, was motionless.
Xie Wanying recalled the expression on Dr. Yang's face when she wanted to talk to her beforehand, and the look on her face that she was trying very hard. As both medical students struggling in medicine, she couldn't bear that the other person was trapped here, so she said: "You can give me some help first."
The patient undergoes anteroposterior fluoroscopy. The femoral artery is at the center of the femoral head. Prepare a hemostatic forceps and place it in the puncture area. Under fluoroscopy, place the tip of the hemostat at the lower edge of the femoral head to help position it. This is where the needle is inserted.
Yes. This patient is obese. The bevel of the needle hole is pointed upward at a fifty-five-degree angle. The puncture direction is the middle of the femoral head. According to literature, the probability of penetrating the femoral artery is about 75% or more."
Her fluent words and slow speaking speed ensured that Dr. Yang, who was separated by the lead glass, could clearly hear every point she said. For a moment, Dr. Yang and Dr. Chen, Dr. Li Xiaofeng, who was in the operating room, mistakenly thought that
Some big shot suddenly came to the scene to give advice.
This steady tone, this professional academic content, who would believe it if I say it is not the style of a big shot.
Dr. Chen asked the resident doctor below: "Who was talking just now?"