I Can See Health

Remember [new] in one second! The Central Hospital is also a top tertiary hospital, and the strength of the cardiology department cannot be underestimated.

After all, this is Kyoto, and the threshold qualification for all doctors is a doctoral degree.

Outside the duct at this time.

Most of the doctors who were not performing surgeries gathered around.

They have received the news that there will be an assessment of Huaxia Electrophysiology Training in the cath lab today.

They were also very envious of this training class.

However, the places are limited. This year, there seems to be only one place at Kyoto Central Hospital.

"Hey, I think this student is not much older than me." One of the graduate students rotating in the cath lab said in surprise.

"Yes, I think he is about 24 or 25 years old." A fat doctor said, "That's not right. This kind of quota is usually reserved for attending doctors or deputy senior doctors. I have never heard of students participating. Ah, have you heard of it?"

The fat doctor looked around at everyone, and everyone shook their heads.

Amid everyone's surprise, the operation in the cath lab was about to begin.

Lu Chen has already put on gloves, and the assistant's first step is to disinfect and spread the towels!

"Teacher, where is the choice of surgery area?" Lu Chen asked.

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

He didn't mention the skill area directly, and Lu Chen also understood that the assessment had already begun!

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

Ding Chaobing said nothing. Lu Chen understood and immediately disinfected the patient's femoral vein surgery area.

Disinfection is also a science, and it pays attention to the order, scope of disinfection, etc.

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

This is a basic skill. If you don't know how to disinfect, there is no need to continue with 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, watching Lu Chen's movements closely.

This step of operation begins to be risky.

Once Lu Chen made any operation that harmed the patient, he would immediately stop Lu Chen.

To puncture the femoral vein, the femoral artery must first be found.

The femoral vein puncture point is located 1-2cm within the femoral artery pulse.

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

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

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

After anesthesia was completed, femoral vein puncture was started.

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

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

The entire process from anesthesia to successful puncture takes less than two minutes.

This kind of efficiency is completely comparable to that of some senior surgeons.

Experts will know if there is one as soon as they take action.

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

The student in front of me is not simple!

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

Immediately afterwards, Lu Chen slowly inserted the guide wire and placed the tube.

The whole process went smoothly and was a pleasure to watch.

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

Suddenly, Dr. Pangpang said: "Xiao Fang, you just said that you are the same age as this assessment student, so compared with his puncture technique..."

The young doctor surnamed Fang grimaced and shook his head: "Teacher Song, you think too highly of me. It takes me several minutes to locate the femoral vein puncture point. If you compare me with him... there is no comparison. "

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

But at this moment, his inner thoughts were vaguely comparing his piercing level with Lu Chen's.

He claims to be the "first injection" of the central hospital, but if he wants to surpass Lu Chen's puncture accuracy just now, there is no way he can do it!

…

Lu Chen showed his hand a little, and everyone stopped their contempt.

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

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

The risk of puncture is controllable, and many patients usually need puncture.

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

During Lu Chen's rotation in the emergency department, he was able to master any puncture that was difficult to perform.

The puncture was successfully completed, and the next step was to enter the guide wire.

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

Disinfection, draping, anesthesia, and puncture are all the assistants' work ends here.

The assistant's next work is usually to start.

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

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

These risks are very fatal!

Ding Chaobing said nothing and took over Lu Chen's place.

At present, it is not possible 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 it. It was indeed the top tertiary hospital in Kyoto, and Ding Chaobing's skills were top-notch!

In the Second Academy of Peking University, perhaps only Director Ren Feng could compete with Ding Chaobing. (Li Yao prefers scientific research, while Director Cao Zhiying has been away from clinical practice for many years.)

Once the guide wire enters the predetermined position, the risk of the subsequent operation is very small.

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

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 the arrhythmia.

Positioning is the step to find the origin of the arrhythmia!

Lu Chen recalled the electrocardiograms he had just seen and said slowly: "Using the carto three-dimensional system, using pentaray high-precision mapping electrodes, and applying drag mapping and other methods..."

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

Lu Chen paused, then nodded: "Yes."