I can see health

Chapter 403 Hand Speed

The Central Hospital is also a top tertiary hospital, and the strength of its cardiology department should not be underestimated.

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

At this time, the catheter is outside.

Most of the doctors who didn't have surgery gathered around.

They have already received the news that there is an assessment for Huaxia's electrophysiology training in the cath lab today.

They are also very envious of this training class.

But the number of places is limited. This year's Kyoto Central Hospital seems to have only one place.

"Hey, I think this student is not as old as me." One of the graduate students who rotated in the cath lab asked in surprise, "How is he qualified to enter the training class?"

"Yes, I think I'm about 24 or [-] years old." A fat doctor said, "This is not right, this kind of quota is usually given to the attending doctor or deputy senior, and I have never heard of students participating. Have you heard of it?"

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

Amidst everyone's surprise, the operation in the cath lab was about to start.

Lu Chen has already put on his gloves, the assistant's first job is to disinfect the towels!

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

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

He didn't directly talk about the surgery area, and Lu Chen also understood that the assessment has already started!
"Femoral vein?" Lu Chen glanced at Ding Chaobing.

Ding Chaobing didn't speak, but Lu Chen understood, and immediately disinfected the patient's femoral vein surgery area.

Disinfection is also a science, pay attention to the sequence, scope of disinfection and so on.

Lu Chen's technique is very skillful, Ding Chaobing is not surprised at all.

This is a basic skill. If you don't even know how to sterilize, then there is no need to continue the next assessment.

The next step is the puncture, which is the most important thing in this assessment!
One of the main responsibilities of the assistant is to assist the chief surgeon in puncturing blood vessels.

Whether it is radial artery, femoral vein, brachial artery, etc., it is a vascular puncture that interventional cardiologists must learn.

Ding Chaobing stood beside Lu Chen, watching Lu Chen's movements closely.

The operation of this step begins to be risky.

Once Lu Chen has any operation behavior that hurts the patient, he will immediately stop Lu Chen and terminate the assessment.

In other words, if the blood vessel puncture fails, the assessment will be deemed a failure.

For the puncture point of the femoral vein, the femoral artery must first be found.

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

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

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

Lu Chen took the needle, injected it with anesthesia, and performed deep anesthesia on the puncture site first.

The anesthesia ended soon, and Lu Chen began to puncture the femoral vein.

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

"What's going on? Did the puncture succeed so quickly?"

Ding Chaobing looked at the dark red blood in the puncture needle, and was taken aback for a moment. The speed of this puncture technique really doesn't look like a young man!
From anesthesia to successful puncture, the whole process takes less than 2 minutes.

This efficiency is completely comparable to some senior surgeons.

As soon as the expert makes a move, he will know if there is any.

Ding Chaobing immediately put away the contempt in his heart. Just this puncture technique can make an electrophysiological interventional doctor have a good time in a top hospital!

The student in front of me is not simple!
Ding Chaobing began to reassess Lu Chen's level in his heart.

……

Immediately afterwards, Lu Chen unhurriedly inserted the guide wire, and then inserted the catheter.

The whole process is smooth and flowing, which is pleasing to the eye.

Outside the catheter room, everyone watching the "live broadcast" of the operation was shocked by Lu Chen's skillful puncture.

Suddenly, the fat doctor said, "Xiao Fang, you just said that you are as old as this examiner, so your puncture technique is compared to his..."

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

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

It's just that at this moment, his inner thoughts were faintly comparing his piercing level with Lu Chen's.

He claims to be the "first injection" in the Central Hospital, but if he wants to surpass Lu Chen's puncture accuracy and speed just now, he has to say something...

……

Lu Chen showed his hand for a while, and everyone put away their contempt.

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

Because the puncture of blood vessels is also one of the operations that Lu Chen usually does most in real clinical practice!

The risk of puncture is controllable, and there are usually more patients who need puncture clinically.

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, as long as it was a little difficult to puncture, he let him do it.

This also allowed his piercing proficiency to rise steadily!

The puncture was successfully completed, and the following is the entry of the guide wire.

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

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

The rest of the assistant's work is generally done as a helper.

The operation of the guide wire in the intraluminal catheter is the most risky operation!

A little carelessness and excessive force will puncture the blood vessel, resulting in iatrogenic vascular dissection.

These risks are very fatal!
Ding Chaobing did not speak, and took Lu Chen's place.

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

Under Ding Chaobing's operation, the guide wire quickly entered the predetermined position.

Lu Chen couldn't help admiring that Ding Chaobing's skills are top-notch as expected of the top [-]A hospital in Kyoto!
In Jinghua No. [-] Hospital, there may only be director Ren Feng's level, who can compare with Ding Chaobing. (Li Yao is more inclined towards scientific research, Director Cao Zhiying has been away from clinical practice for many years.)
The guide wire enters the predetermined position, and the risk of the next 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 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 few electrocardiograms he had just read, and said slowly: "Using the Carto [-]D system, using Pentaray high-precision mapping electrodes, applying methods such as drag-and-drop mapping..."

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

(End of this chapter)