This situation is common in many hospitals in China. On the one hand, the hospital wants to save costs, and on the other hand, the staff come to study. If they are not arranged to work, they will not learn anything. This has been mentioned before.
The doctor on duty at Seoer Hospital also did not perform anesthesia for Norwood surgery in tonight's case. When the doctors at our hospital were busy with other surgeries, Liu Jingyun was simply asked to take charge:
How could your official anesthetist from the National Association be so bad?
Xie Wanying helped senior sister recall the knowledge points: "Actually, the most important thing about this operation is the deep hypothermic circulatory arrest technique DHCA. DHCA is mainly the work of the cardiopulmonary bypass doctor. You don't need to be too nervous, senior sister."
DHCA deep thermostatic circulatory arrest technology lowers the core temperature of the human body to a certain temperature and then suspends extracorporeal circulation. The advantage of this is that during the suspension of extracorporeal circulation, the surgeon's operation process is in a similar "bloodless" state.
The clarity of the surgical field is doubled, and cardiac and major vascular surgeries can be completed as quickly as possible. Afterwards, the extracorporeal circulation and body temperature are restored, and finally the extracorporeal circulation is terminated.
This technology was used in the last surgery of Aki's mother. This technology has a disadvantage, which was mentioned in the last surgery of Aki's mother. It will cause damage to the cranial nerves, so the operation time must be controlled and cerebral perfusion protection must be done.
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After listening to her words, Liu Jingyun recalled these concepts without panicking and said: "I just came and asked them, who is responsible for the extracorporeal circulation during the operation?"
When the senior sister said this, Xie Wanying suddenly remembered that Sho'er seemed to be different from the extracorporeal bypass doctors at Guoxie Guozhi. In the Second Department of Pediatric Cardiac Surgery at Shou'er, she had never seen any extracorporeal bypass doctors. Sho'er didn't have one.
Extracorporeal circulation department.
In this era, there was no profession of cardiopulmonary bypass specialist in China. Those who specialized in this profession like Guozhi Guoxie were either internists, anesthesiologists or nurses who were trained through retraining.
The first son is a part-time member of the anesthesiologist team, which Xie Wanying did not understand carefully before. A complex operation sometimes requires two or more anesthesiologists, one is responsible for monitoring the anesthesia machine, and the other is responsible for monitoring the extracorporeal circulation.
Problem.
After asking about the situation, Liu Jingyun came back with a big head, and said to the junior sister: "They said that if there is no one, I will have to take care of the nurses to watch both sides. I have never done extracorporeal circulation work in the National Association."
"Senior sister, don't worry. Dr. Cheng and the others have learned about the special situation of the anesthesiologist tonight and will call someone to come back and help." Xie Wanying reached this point and subconsciously turned back.
Originally, she was eavesdropping on what others were saying, but at some point, she transformed into Brother Immortal and Senior Brother Cao, standing there listening to her talk on the phone for a long time.
The situation in front of her was so embarrassing that she wanted to find a hole in the ground to dig into.
In any case, after listening to her down-to-earth technical analysis, Cao Zhao and Cao Yong knew in their hearts that it would be impossible to find someone else.
DHCA technology is also used. Since the cases of Norwood surgery are newborn babies, it is too easy to die. This is one of the reasons for the high mortality rate of Norwood surgery.
What are the reasons? Let’s see why the extracorporeal bypass specialist used by Shour is a team of anesthetists. To put it bluntly, extracorporeal circulation is done during the operation, and requires the cooperation of anesthesia, such as medication. Not only Sho’er,
Most hospitals prefer to have anesthesiologists be cardiopulmonary bypass specialists.