Chapter 2775： 【2775】High mortality rate

Chapter 2775 [2775] High mortality

This condition is common in many hospitals in China. On the one hand, the hospital wants to save costs, and on the other hand, personnel come to study and learn, and they will not learn anything if they are not arranged to work. This was mentioned earlier.

Tonight's case was under anesthesia for Norwood surgery, which the doctor on duty in the Beijing Hospital also did not do. When the doctors in this hospital are busy with other operations, let Liu Jingyun be in charge:

The official anesthesiologist from your National Association, how can it be bad.

Xie Wanying helped the master to recall the knowledge points: "Actually, the most important thing in this operation is the deep hypothermia circulatory arrest technique DHCA. DHCA is mainly the work of the cardiopulmonary bypass doctor. You don't need to be too nervous, master."

DHCA deep bottom temperature cessation cycle technology is to suspend the extracorporeal circulation after the core temperature of the human body is lowered to a certain temperature. The advantage of this is that during the suspension of cardiopulmonary bypass, the surgeon's operation process is in a state similar to "no blood", the surgeon's surgical field clarity is doubled, and the heart and major blood vessel operations can be completed as soon as possible. After that, the cardiopulmonary bypass and body temperature were resumed, and finally the cardiopulmonary bypass was terminated.

Like the last time Aki's mother used this technique. A disadvantage of this technique was mentioned in the last operation of Aki's mother. It will damage the cranial nerves. Therefore, it is necessary to control the operation time and protect the cerebral perfusion.

After listening to her words, Liu Jingyun recalled that these concepts would not panic, and said, "I just had to ask them, who is responsible for cardiopulmonary bypass during the operation?"

Waiting for the senior sister to say this, Xie Wanying suddenly remembered that it seemed that the first person was different from the cardiopulmonary bypass specialist of the National Association of China. In the Second Department of Pediatric Cardiac Surgery, she had never seen a cardiopulmonary bypass doctor walking around. There is no cardiopulmonary bypass department in Seoul.

In this era, there is no professional cardiopulmonary bypass specialist in China. For example, the full-time practitioners of the Guozhi National Association are either internists, anesthesiologists or nurses trained through retraining.

The first is a part-time job in the anesthesiology team, which Xie Wanying didn't understand before. A complex operation sometimes requires two or more anesthesiologists, one is responsible for monitoring the anesthesia machine, and the other is responsible for monitoring cardiopulmonary bypass.

Liu Jingyun came back from inquiring about the situation with a big head, and said to the younger sister: "They said, if there is no one, they want me to lead a nurse to watch both sides by myself. I have never done cardiopulmonary bypass work in the National Association."

"Senior sister, don't worry. Tonight, the anesthesiologist, Dr. Cheng, has learned about the special situation and will call someone to come back for help." Xie Wanying said at this point, and turned back subconsciously.

Originally, she was eavesdropping on other people’s conversations, but at some point, she became a fairy brother and brother Cao standing there listening to her talking on the phone for a long time.

The situation in front of her made her want to find a hole to drill.

In any case, after listening to her solid technical analysis, Cao Zhao and Cao Yong both had a clear mind: it is estimated that it is impossible to find other people.

also uses DHCA technology. Since the case of Norwood surgery is a newborn child, it is too easy to die. This is one of the reasons for the high operative mortality rate in Norwood.

What are the reasons. Find out why the cardiopulmonary therapist used in Seoul is an anesthesiologist group. The extracorporeal circulation, to put it bluntly, is done during the operation, and the medication or something requires the cooperation of anesthesia. More than the first, most hospitals like to let anesthesiologists do cardiopulmonary bypass.