Chapter 3497        【3497】Struggle to the end

At the critical moment, Xie Wanying gave the teachers who had never done it on the scene another shot: "After you are connected to the machine, it may not improve or even look a little worse. Two days later, if the machine is effective, the patient's dependence on the machine will gradually decrease."

Everyone was very anxious and was eager to see the effect of the new machine. Now after hearing her say this, she knew that this battle would be fought slowly and could not be anxious.

There are many doctors on the scene, and it is understandable that rescuing a critically ill patient can never completely turn the situation around in a few hours or a day or two.

During this period, it becomes very important to protect patients and promptly detect problems and correct them in time. In the future, a specially trained nurse will be by the patient and watch the machine all the way.

There are no nurses who have good training at this stage, and the doctors themselves are not familiar with them. They can only help themselves and accumulate experience first.

Director Wang was mentally prepared and wanted to move a chair and sit by the patient's bed to the end.

The people who are ready to fight to the death with the disease are far more than Director Wang.

Zhang Huayao said: "Come on a schedule."

After hearing the words from Leader Zhang, others responded and nodded: How could such a good learning opportunity allow Director Wang to take advantage of it alone?

Here we talk about Zhang Desheng, who had made his statement first, suddenly found that he was surrounded by opportunities with him, including the teachers who were rushing to come.

Feng Yicong and the others patted Classmate Zhang on the shoulder: Look at you, rushing to say what's the use.

The clever classmate Zhang Desheng ran to find classmate Xie. If he didn't compete with the teachers, he could be a good follower of classmate Xie.

As a result, the teachers wanted to be a follower with Xie.

I heard from Mr. Zhang: "Teacher Xie, I will do whatever you want if you tell me."

Everyone was going to find several classmates of Xie, and screamed in their hearts: Even the boss is here to grab the position of the follower, what should they do now?

I didn’t care what Mr. Zhang said for the time being. After using the ecmo, it was the turn of the blood filter. Xie Wanying and Dr. Liu continued to discuss the key points of crrt technology.

Since crrt is a type of hemodialysis, its working principle is similar. The purpose of using such a machine is to replace the damaged kidneys and exert kidney-like functions, filter out excess water and metabolic waste poisons in the patient's body, correct water and electrolyte disorders, and ensure the patient's nutritional support.

From the above description, we can see that after the machine comes on, it is mainly aimed at the patient's fluid balance. For critically ill patients, since they cannot eat for a long time and require other anti-inflammatory treatments, rehydration is essential. In short, you cannot "starve" the patient to death by dehydrating the patient.

At this time, there is a technical difficulty. How to control the patient's various fluid intakes, avoid continuous replenishment while treating, and prevent ineffective or worse situations from happening on the machine.

Monitoring methods In addition to routine blood test indicators, the monitoring method is usually used in clinical practice for fluid management. The central venous pressure CVP mentioned earlier by Xie. This is a very old and traditional monitoring plan.

Medicine is progressing and developing at every moment, and CVP has advantages and limitations.
Chapter completed!