2965 Extravagant surgical training (Part 1)
"I'll do it now." Feng Xuhui said immediately.
"Don't mess around." Su Yun said, "These equipments should be worth millions. Director Lin, please help me find out if there is any suitable 912."
"Okay." Linger responded without hesitation.
Only then did Zhou Chunyong see Linger sitting honestly in the corner, like a sculpture. It was not until Su Yun spoke that Linger came to life.
Boss Zheng’s team is like the latest chariot. The smooth mechanical sound of the chariot is clattering in Zhou Chunyong’s ears. The cooperation between the entire team is the best he has ever seen.
There are no conspiracies, no office culture, no dragging each other, only working together and uniting.
A real power in 912 was squatting aside and waiting for logistics supplies. If all the people in the hospital were so diligent, wouldn’t the world be together long ago? Zhou Chunyong had such an idea flashed into his mind.
How could that be possible? Lin Ge was helped by Boss Zheng with one hand. This guy was even more determined to hold Boss Zheng’s thigh than he did.
In an instant, Zhou Chunyong had the idea of coming to 912 to be a professor in the group. But it is unrealistic to give up his own foundation, just think about it.
But I really envy these doctors who are focused and focused on curing diseases and saving lives.
"Xiao Feng, come on." Lin Ge called Feng Xuhui away and discussed the equipment. Zheng Renze focused on the operation.
Zheng Ren and Su Yun separated the adhesion between the right lung and the chest wall, mediastinum and diaphragm, and freed the pulmonary artery and vein. The swan-ganz catheter was pushed into the left pulmonary artery and ventilated with the left single lung, and the left pleural cavity was not opened to facilitate ventilation.
"Marys, right lung!" Su Yun shouted.
The weird woman in black robe "floats" to Xie Yiren as if she was not on her toes.
Her hands were white and emitting miserable light, making Zhou Chunyong feel that under the black robe was not a living person, but a living dead person. Or... is she albino? Zhou Chunyong's mind was drifting far away.
Maris turned on the sterile device and Xie Yiren gently took out the 3D-printed right lung inside.
Is this a model? Or a real organ? Zhou Chunyong was stunned when he saw it.
Because of his understanding, he was even more shocked. Although he had never seen a lung transplant surgery in person, Zhou Chunyong still knew the most basic organ. After a closer look, he was sure that the real lung tissue that Xie Yiren took out from the sterile constant temperature box!
Can 3D printing be wasted like this? Zhou Chunyong had done some psychological construction for himself on the way here, but he did not expect that Boss Zheng’s medical team would be so "luxury".
You should know that at least tens of thousands of people across the country are waiting for donor lungs. With the advancement of technology, cloning technology + 3D printing now has the ability to use donor lungs for training. The technological progress is too fast, and Zhou Chunyong feels overwhelmed.
How can I make sense?
At this time, Zheng Ren and Su Yunzai were standing on the operating table, Lin Yuan and Gu Xiaoran cooperated to cut off the first branch and descending branch of the 3D simulated human pulmonary artery, and the pulmonary vein was cut off at the distal end. The main bronchus was cut off at the proximal end of the upper lobe opening, and the right lung was removed.
"Boss, I think it is necessary to add external circulation to this, and you cannot wait." Su Yun said.
"If you don't use ecmo, you need extracorporeal circulation. With cardiopulmonary oxygenation support, I don't think it is necessary." Zheng Ren said, "For external circulation, you will have it first. Director Xu promised to give us an elite extracorporeal circulation group. If you don't work, you will go."
"Don't you need to practice?"
"No need for now. Let's talk back and think about the possible problems."
Zheng Ren said as he began to anastomoses the trachea.
"You are so heart-wrenching. While you have a lung transplant, you have to keep this unstable factor." Su Yun and Zheng Ren cooperated, and his mouth was not idle.
"There is not a high probability of a problem, but I think it is the most important thing to be careful about air embolism."
"By the way to talk about ecmo, it's really good. There was a saying that if you use ecmo too much, you can become God." Su Yun said, "When I first came into contact with it, I had an illusion in my heart that as long as I had a breath to go to the hospital, I would not die."
"It's indeed an illusion that ecmo cannot solve all problems." Zheng Ren said, "But a while ago, a patient from Zhejiang Medical College Second Hospital waited for ecmo for lung transplantation for 46 days. If there were no ecmo, people would probably not be able to do it."
"The same is true for Xiaoshitou. Without ecmo, the success rate of surgery is less than 30%, even if we do it." Su Yun said naturally.
"Now we need to pay more attention to the liver and kidney failure during the operation." Zheng Ren said, "It's okay, there are all kinds of machines, and we are backing our powerful 912."
"At this time do you know that 912 is powerful?"
"I have always known that surgery is not a one-person job. I heard this sentence from the first day I entered the operating room." Zheng Ren said while doing blood vessels and tracheal conjunction under the mirror.
Because it was surgical training, the atmosphere was not very tense. Although it was not driving while doing the operation like other surgeries, it was not tense. Zhou Chunyong could even see Boss Zheng’s relaxation.
It’s so relaxing to do lung transplants. Boss Zheng is really a genius, Zhou Chunyong thought to himself.
1 hour, the operation ended.
"Boss Zheng, so fast!" Zhou Chunyong praised sincerely.
"Surgery training is just a surgical procedure, and it's very fast. It's slow to get on stage. It requires ecmo assistance. There may also be acute liver failure and renal failure during the operation. Every medication must be studied, just like..."
"You think about it yourself when you go back, I don't understand this." Su Yun finally told the truth this time.
"Just like heparin, under normal circumstances, every doctor has his own unique anticoagulation scheme for ecmo heparin, but there is a consensus that heparin is given 50-70u/kg at one time before intubation, and then it starts to maintain it at the initial dose of 18u/kg/h, and gradually adjusts to achieve the target aptt 50-60s."
This matter has been discussed before. The reason why Su Yun said that is because his boss wants to change the amount of heparin.
He didn't know why the boss did this, but what the boss said was quite reasonable. But the words he did this were too meticulous, so meticulous that Su Yun felt that he could not bear it.
"You think about it yourself when you go back, I'll think about the operation." Su Yun directly rejected his boss' idea of brainstorming.
If you think too much about this kind of thing, your brain will easily crash, even if it is a genius brain that Su Yun can read it once.
"Okay." Zheng Ren was helpless. He also knew that it was easy to get 90 points. But Xiao Shitou's situation could not tolerate 90 points by himself, it must be 100 points.
Chapter completed!