Chapter 398 Hand Speed

Remember [New] in one second! The City Central Hospital is also a top-level tertiary hospital, and the strength of the cardiology department should not be underestimated.

After all, it is Kyoto, and the threshold academic qualifications for all doctors are doctoral students.

Outside the catheter room at this time.

Most of the doctors who did not perform surgery gathered around.

They have received news that there will be an assessment of Huaxia electrophysiology training in the catheter room today.

They are also very envious of this training class.

However, the number of places is limited, and it seems that there is only one place in Kyoto Central Hospital this year.

"Hey, I think this student is not much older than me." One of the graduate students rotating in the catheter room was surprised.

"Yes, I think he is about twenty-four or twenty-five years old." A fat doctor said, "This is not right. This kind of quota is usually given to attending physicians or associate senior doctors. I have never heard of students participating. Have you heard of it?"

The fat doctor looked around at everyone, and everyone shook his head.

Just as everyone was in doubt, the operation in the catheter room was about to begin.

Lu Chen had already put on gloves, and the first step of the assistant's work was to disinfect and lay the towel!

"Teacher, where should we choose the surgical area?" Lu Chen asked.

Ding Chaobing narrowed his eyes and said, "This is a radiofrequency ablation surgery for atrial flutter."

He did not directly mention the surgical area, but Lu Chen also understood that the assessment had already begun!

"Femoral vein?" Lu Chen glanced at Ding Chaobing.

Ding Chaobing did not speak, but Lu Chen understood and immediately disinfected the femoral vein surgical area of ​​the patient.

Disinfection is also a science, which requires the order of precedence, the scope of disinfection, etc.

Lu Chen's technique is very skillful, and Ding Chaobing was not surprised.

This is a basic skill. If you can't even disinfect, then there is no need to continue the next assessment.

The next step is puncture, which is the top priority of this assessment!

The responsibility of most assistants is to puncture blood vessels.

Whether it is the radial artery, femoral vein, brachial artery, etc., they are all vascular punctures that interventional cardiologists must learn.

Ding Chaobing stood beside Lu Chen and stared at Lu Chen's movements.

This step of the operation began to be risky.

If Lu Chen shows any behavior that may harm the patient, he will stop Lu Chen immediately.

To find the puncture point of the femoral vein, you must first find the femoral artery.

The place 1-2cm inside the pulsation of the femoral artery is the puncture point of the femoral vein.

Lu Chen touched the blood vessel with the middle three fingers of his left hand.

The strongest pulsation point was quickly found, and it was quietly moved 2cm to the side. This is the puncture point of the femoral vein.

Lu Chen took the needle, injected anesthesia, and anesthetized the puncture point first.

After the anesthesia was over, the femoral vein puncture began.

Just when Ding Chaobing wanted to take a closer look at Lu Chen's operation, he suddenly found that the puncture needle that had just been inserted into the blood vessel had already sucked back blood.

"The puncture was successful so quickly?" Ding Chaobing looked at the dark red blood in the puncture needle and was slightly stunned. The speed of this puncture technique really didn't look like a young man!

From anesthesia to successful puncture, the whole process took less than two minutes.

This efficiency is completely comparable to some senior surgeons.

An expert knows whether it is good or not as soon as he makes a move.

Ding Chaobing immediately put away his contempt. This puncture technique alone can make an electrophysiology interventional doctor earn a living!

This student in front of him is not simple!

Ding Chaobing began to re-evaluate Lu Chen's level in his heart.

Then, Lu Chen slowly inserted the guide wire and then placed the catheter.

The whole process was smooth and pleasing to the eye.

Outside the catheter room, everyone watched the "live broadcast" of this operation, and they were all shocked by Lu Chen's skillful puncture.

Suddenly, the fat doctor said: "Xiao Fang, you just said that you are the same age as this assessment student, then your puncture technique is compared with his..."

The little doctor surnamed Fang had a bitter face and shook his head: "Teacher Song, you think too highly of me. It takes me several minutes to locate the puncture point of the femoral vein. You compare me with him... There is no comparison."

"Really?" The fat doctor's eyes flashed a gleam of light. What he said just now was just a joke. He naturally saw that the level of the two was very different.

However, at this moment, his inner thoughts were to compare his puncture level with Lu Chen.

He claimed to be the "number one needle" in the Central Hospital, but it was still a long way to go to surpass Lu Chen's puncture accuracy!

...

Lu Chen showed off his skills a little bit, and everyone put away their contempt.

In his system panel, the proficiency of puncture reached 96%!

Because blood vessel puncture is also one of the most common operations Lu Chen does in real clinical practice!

The risk of puncture is controllable, and there are many patients who need puncture.

Especially in the emergency department, many critically ill patients need femoral artery puncture (blood gas analysis) and central vein puncture.

During Lu Chen's rotation in the emergency department, as long as the puncture was slightly difficult, he was able to do it.

The puncture was successfully completed, and the next step was the introduction of the guidewire.

Lu Chen glanced at Ding Chaobing and said, "Teacher, what do you do next?"

Disinfection, drape, anesthesia, and puncture, most of the assistant's work ends here.

The assistant's next job is usually to help.

The operation of the guidewire in the intracavitary catheter is the most risky operation!

If you are not careful and use too much force, you will puncture the blood vessels and cause iatrogenic vascular dissection.

These risks are all fatal!

Ding Chaobing did not speak and took over Lu Chen's position.

At present, it is impossible for Lu Chen to perform the operation alone.

Under Ding Chaobing's operation, the guide wire quickly entered the predetermined position. UU Reading www.uukanshｕ.net

Lu Chen couldn't help but admire that it was worthy of being the top tertiary hospital in Kyoto. Ding Chaobing's technology was first-class!

In Jinghua Second Hospital, perhaps only Director Ren Feng's level could compare with Ding Chaobing. (Li Yao is more inclined to the direction of scientific research, and Director Cao Zhiying has been away from clinical practice for many years.)

The guide wire has entered the predetermined position, and the next operation will have little risk.

"It's your turn next." Ding Chaobing said, "What positioning method are you going to use?"

The arrhythmia ablation surgery, as the name suggests, is to find the origin of the arrhythmia in the heart, and then use various methods to ablate it to prevent the occurrence of arrhythmia.

Positioning is the step of finding the origin of the arrhythmia!

Lu Chen recalled the electrocardiograms he had just seen, and said slowly: "Use the carto three-dimensional system, use the pentaray high-precision mapping electrode, apply the towing mapping method..."

"Oh?" Ding Chaobing raised his eyebrows, "Are you sure?"

Lu Chen paused, then nodded: "Yeah."