Then insert the percutaneous dilator along the guide wire to expand from small to large. Finally, slowly insert the catheter until the tip reaches the designated position, and use a bedside ultrasound machine to confirm that the tip of the catheter is in the correct position.
During this period, the top tube should be filled with heparin saline to eliminate air bubbles. Connect it to the prepared ecmo pipeline. During the connection process, the assistant will help pour the heparin saline to prevent air from entering the pipeline.
After finishing speaking, there was no time to take a breath, and the cheerful Senior Brother Shen was already eager to try.
Help the senior brother hold the ultrasound probe to measure and locate the patient's femoral vein.
Shen Youhuan, who was standing opposite her, soon discovered that she was focused on her work and had no idea who was lying on the hospital bed now. Moreover, this manual technique was obviously becoming more and more easy for her.
This is manifested in the fact that when others hold the probe because they don't know the location of the blood vessels inside, they can only make a rough estimate, and inevitably have to move the probe a few times to try to find the correct position. She does not need to, like the most experienced sonographer, find the location in one go.
The sonographer standing nearby was stunned.
"At this point. Brother, insert the needle at a flat angle." Xie Wanying suggested the surgeon.
Shen Youhuan was inspired by this and joked about her: "Yingying, are you fully exerting yourself and having a warm-up match?"
Really. She had just assisted Senior Brother Huang in performing interventional puncture in the afternoon, and the same femoral vein was inserted.
When operating the surgeon, you occasionally need to relax yourself and adjust your mood to avoid being too nervous and causing misoperation. Xie Wanying will not dislike the relaxed topic of cooperating with the surgeon.
Xie Wanying nodded to Senior Brother Shen with a pragmatic attitude.
Shin Woo Hwan: I was wrong!!!
He is teasing no one. He is teasing Junior Sister Xie. He is asking for a slap in the face and will be embarrassed and humiliated.
When a doctor is like this, it is impossible to rush to the next scene after rescuing a patient.
Holding the ultrasound probe, it was a rare opportunity to observe Brother Shen's operation at close range. Xie Wanying's eyes secretly glanced at Brother Shen's hands.
Compared with Senior Brother Huang, who was very cautious and precise in every movement in the afternoon, Senior Brother Shen's hands are much freer and more flexible, which can be called flexible. A confident man who performs manual exercises is like Senior Brother Cao, who is not afraid of a little mistake because his fingers are sharp.
During activity, you can shrink it back and adjust it to the right position at any time based on your feeling.
Accumulating experience is so important.
Shen Youhuan, who was opposite me, said that junior sister Xie could only accumulate clinical experience faster than others, as fast as a rocket.
For example, when he finished entering the femoral vein and entered the femoral artery, there was no need for him to press the arterial point to prevent blood spurting. She had quickly helped him press it in place with one hand.
Another assistant will help them lift the end of the catheter so that the surgeon can insert it into the patient's body.
The two people operating the machine turned around and saw Mr. Zhang acting as their servant, and they couldn't help but tremble.
"Are you ready, Director Wang?" Zhang Huayao called the ECMO machine, seeing victory in hand.
Director Wang hurriedly handed over the connecting pipe head.
As she said before, Xie Wanying picked up the large syringe and helped the surgeon pour the two pipe joints.
She poured it very carefully and did not need to flood the surgical area with water. In fact, when she poured it, almost no drops of water fell on the surgical towel.
Such a magical scene amazes everyone who sees it.
What a good surgeon does, the whole operation is like a pleasing painting.
After the ecmo machine is connected, there is no need to worry. Start adjusting from a low flow rate to allow the patient time to adapt.