This situation is common in many hospitals in the country. On the one hand, the hospital wants to save costs, and on the other hand, the personnel come to study, and they will not learn anything unless they are arranged to work. This point was mentioned earlier.
Tonight's case, Norwood's operation anesthesia, the doctor on duty at our hospital in Seoul also did not do it. When the doctors in our hospital are busy with other operations, they simply let Liu Jingyun take charge:
How could the official anesthesiologist from the National Association of China be so bad.
Xie Wanying helped the senior sister recall the knowledge points: "In fact, the most important thing in this operation is the deep hypothermic circulation arrest technique DHCA. DHCA is mainly the work of extracorporeal circulation doctors. You don't need to be too nervous, senior sister."
DHCA Deep Hypothermia Circulation Arrest Technology is to suspend extracorporeal circulation after the core temperature of the human body is lowered to a certain temperature. The advantage of this is that during the suspension of extracorporeal circulation, the operating process of the surgeon is in a similar "no blood" state, the clarity of the doctor's surgical field is doubled, and the heart and great vessel surgery can be completed as soon as possible. Then resume extracorporeal circulation and body temperature, and finally terminate extracorporeal circulation.
This technique was used in Aki's mother's operation last time. This technique has a disadvantage, which was mentioned in Aki's mother's surgery last time. It will cause damage to the cranial nerves, so it is necessary to control the operation time and protect the brain perfusion.
After listening to her words, Liu Jingyun recalled these concepts so as not to panic, and said: "I just came here to ask them, who is responsible for the extracorporeal circulation during the operation?"
When the elder sister said this, Xie Wanying suddenly remembered that Shou'er and Guoxie Guozhi's extracorporeal circulation practitioners were different. In the Second Pediatric Cardiac Surgery Department in Seoul, she had never seen a cardiopulmonary bypass doctor walking around. There is no extracorporeal circulation department in Seoul.
In this era, there is no extracorporeal circulation specialist in China. Those who work full-time in the Guozhi Guoxie are either internists, anesthesiologists or nurses through retraining.
Shou'er works part-time in the anesthesiologist team, which Xie Wanying didn't understand carefully before. A complex operation sometimes requires two or more anesthesiologists, one in charge of the anesthesia machine and the other in charge of the extracorporeal circulation. There is nothing wrong with it.
After inquiring about the situation, Liu Jingyun came back with a big head, and said to the younger junior sister: "They said, if there is no one, I have to bring a nurse 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 they will call someone to come back to help." Xie Wanying brought the words to this point, and subconsciously turned around.
Originally, she was eavesdropping on other people's conversations, but at some point, she turned into a fairy brother and Senior Brother Cao stood there listening to her talking 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 drill.
In any case, after listening to her down-to-earth technical analysis, Cao Zhao and Cao Yong had a clear heart: It is probably impossible to find other people.
The DHCA technique is also used, because the case of Norwood's operation is a newborn child, it is too easy to die. This is one of the reasons for the high mortality rate of Norwood surgery.
What are the reasons. Find out why the extracorporeal circulation specialists employed in Seoul are the anesthesiologists. The matter of extracorporeal circulation, to put it bluntly, is done during the operation, and requires anesthesia for medication and the like. Not only in Seoul, most hospitals like to let anesthesiologists be extracorporeal circulators.