Dr. Yao could only look for evidence from the interns now, and insisted: "Tell me, what did you do to the patient? Didn't you lift the film of the incision and perform intrachest heart compression on the patient? Did you?
Have you changed your gloves?" Maybe it was the false rescue alarm signal created by these interns.
Dai Nanhui was the first to be unable to accept the splash of dirty water. He almost exploded and shouted, "We heard the sirens and ran over from next door to save people."
"Cold, quiet." Two words burst out from the mouth of the immortal brother Cao Zhao.
This is to keep everyone calm, including their own students and Dr. Yao.
In any case, as a doctor, first of all, you need to figure out what happened to the patient, whether the patient is in danger of life, and who is responsible for the rest.
Agreeing with the teacher's words, classmate Xie Wanying said in a calm voice: "I opened the incision protective film to confirm whether the electrode of the pacemaker lead was connected to the patient's epicardium and not fallen off."
pacemaker?
Pacemakers, maybe more people are doing interventional surgeries now, and they only know that pacemakers are related to interventional surgeries. In fact, when pacemakers were first used, they were not installed by interventional surgeries, but by traditional surgeries.
To describe it more specifically, interventional surgery to install a pacemaker is to send electrodes to the cardiac chamber via peripheral veins and install them on the endocardium, without the need for thoracotomy. It is widely popular in clinical practice because it reduces the patient's pain and saves the trouble of surgical operations.
Surgically installing a pacemaker requires the doctor to open the pericardium of the chest and connect the electrodes to the epicardium of the heart. Opening the chest is not welcomed by the patient.
Intervention has many advantages, but surgical installation is too painful. The technology seems backward and can be eliminated by advanced intervention. What is the purpose of surgical installation?
This is not the case. Clinically, it has always been about which one is more convenient to use and which one is more suitable for the patient's treatment. So far in pediatrics, surgical surgery is the first choice for installing pacemakers in children under five years old. This is due to the repeatedly emphasized pediatric characteristics: children
It will grow. You need to pre-place longer wires for the child to grow taller. If interventional surgery is used, wires that are too long cannot be placed in the heart or peripheral blood vessels. Some children have heart malformations, and it is difficult to locate the electrode installation position during interventional surgery.
It can only be installed surgically. Children are very active. Surgery does not have to be fixed on the chest where the sebum is thin and difficult to place like interventional surgery. It would be better to fix it in other places where the sebum is thick.
In the same way, since Xiaohui has undergone thoracotomy today, why bother to intervene if a pacemaker needs to be installed? It is more convenient to directly install the electrodes on the epicardium during the thoracotomy process.
Speaking of which, why does Xiaohui need to install a pacemaker? This child does not have a disease that requires a pacemaker, right?
Pacemakers are used clinically to treat diseases. Most of these patients undergo interventional surgeries and use permanently implanted pacemakers. Another type of pacemaker application is mainly for
Temporary pacemakers are used for rescue and backup purposes, such as Teacher Lu’s last rescue.
Like Xiao Hui, the surgeon prepared a pacemaker for her during the operation because they were afraid of what happened to Teacher Lu. Many patients after heart surgery have unstable circulation. The heart may stop during and after the operation, so a pacemaker should be installed.
The pacemaker can help the doctor save the patient's life in an emergency when the doctor is too late to come to the scene for rescue.
