MTL - Live Surgical Broadcast-v3 Chapter 2965 Extravagant surgical training (on)

"I'll get it now." Feng Xuhui said immediately.

"Don't toss." Su Yundao, "These equipments are worth millions. Forest, please help and see if we have the right 912."

"Good," Ringer responded without hesitation.

Only then did Zhou Chunyong see Linger sitting in the corner, like a sculpture. It wasn't until Su Yun spoke, that Linge "lived".

Boss Zheng's team is just like the latest tank. The smooth mechanical sound of the tank clicks in Zhou Chunyong's ears. The cooperation between the entire team is the best he has ever seen.

I have no conspiracy, no office culture, no hindrance to each other, only concerted efforts and unity.

A real power of 912 is squatting aside and waiting for logistical supplies. If all the hospital staff were so diligent, would the world have long been united? Zhou Chunyong flashed such a thought.

How could that be, Linger was propped up by Boss Zheng in one hand, and the thought of holding Boss Zheng's thigh was stronger than himself.

For a moment, Zhou Chunyong had the idea of ​​being a group professor. But it is unrealistic to abandon our own foundation, just think about it.

I am just envious of these doctors who are fully absorbed and focused on treating and saving people.

"Xiao Feng, come here." Lin Ge called Feng Xuhui away to discuss the equipment. Zheng Ren focused on the operation.

Zheng Ren and Su Yun separated the adhesion of the right lung to the chest wall, mediastinum, and diaphragm, freeing the pulmonary arteries and veins. The Swan-Ganz catheter was pushed into the left pulmonary artery and left single lung ventilation was applied. The left pleural cavity was not opened to facilitate ventilation.

"Marys, right lung!" Su Yun shouted.

The weird woman in a black robe "floated" in front of the Shay people as if she was on tiptoes.

手 Her hand radiated miserable light, making Zhou Chunyong feel that it was not a living person, but a living dead person under the black robe. Or ... does she have albinism? Zhou Chunyong's thoughts were far away.

Marys opened the aseptic device, and the Shay people took out the 3d printed right lung lightly.

This is the model? Or is it really organs? Zhou Chunyong was dumbfounded after seeing it.

I was even more surprised because I knew. Although I haven't seen lung transplantation with my own eyes, Zhou Chunyong, the most basic organ, knows it. A closer look, he can be sure that the Shay people must be the real lung tissue from the sterile incubator!

3Can 3D printing be so wasteful? Zhou Chunyong made a certain psychological construction for himself on the way before, but he did not expect that the medical team of Boss Zheng was "luxury" to such a degree.

You know, at least tens of thousands of people across the country are waiting for donor lungs. With the advancement of science and technology, now with cloning technology + 3d printing, donor lungs can be used for training. Technological progress is so fast that Zhou Chunyong feels overwhelmed.

Where does this special reason?

At this time, with the cooperation of Zheng Yuan and Su Yunzai standing on the operating table, Lin Yuan and Gu Xiaoran cut off the first branch and descending branch of the 3D simulated human pulmonary artery, and cut off the pulmonary vein at the distal end. The main bronchus was severed at the proximal end of the upper lobe opening, and the right lung was removed.

"Boss, I think it's necessary to add extracorporeal circulation, can't wait." Su Yundao.

"If ECMO is not required, extracorporeal circulation is needed, and cardiopulmonary oxygenation support is needed. I don't think it is necessary." Zheng Rendao, "Extracorporeal circulation is prepared first. Director Xu promised to assign us an elite extracorporeal circulation group. If it doesn't work, we will get on. "

"No need to practice it?"

"Not for the time being, come back and let us touch each other and think about possible problems."

Zheng Ren said as he began to fit the trachea.

"You are really big, and you have to keep this unstable factor while performing lung transplantation." Su Yun cooperated with Zheng Ren, and he was not idle in his mouth.

"The probability of problems is not high, but I think it is most important to be careful with air embolism."

"It's really nice to say ECMO. The earliest sentence was that ECMO can become a **** if you use more doctors." Su Yundao, "When I first contacted, I had an illusion in my heart-as long as I still have to go to the hospital with one breath , People cannot die. "

"It's an illusion. ECMO can't solve all problems." Zheng Rendao, "But a while ago, a patient in Zhejiang Second Hospital had waited for 46 days with ECMO and other lung transplants. Without ECMO, people would have thought it would be impossible. Now. "

"The same is true for small stones. Without ECMO, the traditional method of surgery, the success rate is less than 30%, even if we do it." Su Yun said of course.

"Now we should pay more attention to liver and kidney failure during the operation." Zheng Rendao said, "It's okay, there are various machines, relying on our powerful 912."

"Do you know how powerful the 912 is at this time?"

"I always knew that surgery is not a person's job. I heard this sentence from the first day I entered the operating room." Zheng Ren said while performing anastomosis of blood vessels and trachea under the microscope.

Because it is surgical training, the atmosphere is not too tense. Although there is no driving and operation while driving like other surgeries, it is not tense. Zhou Chunyong can even see that Zheng Zheng is relaxed.

It's so relaxing to do a lung transplant ~ www.novelbuddy.com ~ Boss Zheng is really a genius, Zhou Chunyong thought.

1 hour, the operation is over.

"Boss Zheng, so fast!" Zhou Chunyong praised heartily.

"Surgical training, just surgery, it's fast. It really slows to go on stage. With the help of ECMO, acute liver failure and renal failure may also occur during surgery. Every medication must be studied, like ..."

"Go back and think for yourself, I don't understand this." Su Yun finally told the truth this time.

"Like heparin, in general each doctor has his own unique ECMO anticoagulation scheme in ECMO, but there is a consensus that heparin is given at a rate of 50-70u / kg before intubation and then 18u / kg The initial dose of / h started to be maintained and gradually titrated to achieve the target aPTT50-60s. "

讨论 This matter was discussed before. The reason why Su Yun said that is because his boss wants to change the amount of heparin.

He doesn't quite understand why the boss wants to do this, but what the boss said is quite reasonable. It's just too meticulous to do so. Su Yun felt that it was hard to bear.

"You go back and think for yourself, I think about the operation." Su Yun directly rejected his boss's idea of ​​brainstorming.

Thinking about this kind of thing a lot, the brain is prone to downtime, even if it is the genius brain that Su Yun can read it again.

"Okay." Zheng Ren is helpless, and he knows that it is easy to achieve 90 points. However, the situation of Little Rock can not allow himself to achieve 90 points, it must be 100 points.

With a 10-point bonus and specialization, you can take it one step further on the basis of general success.