This doctor is very stable

Chapter 531 Steady femoral artery puncture 【seeking subscription, seeking monthly pass】

"Um……"

In response, Lin Ran stretched out his hand to ask the nurse at the side to put gloves on for him.

Some of the doctors on the side wanted to laugh, while others were deeply moved.

"Teacher anesthesiologist, please administer the medicine! General anesthesia, four hours!"

For patients with diffuse liver cancer, tumor lesions can be clearly seen on CT scans!

"Good Doctor Lin."

This middle-aged anesthetist seemed to have worked with Lin Ran and was no stranger to Lin Ran.

He just didn't understand how Lin Ran, a doctor who was extrahepatic, came to the interventional department to perform the surgery!

I knew that interventional surgery and incisional surgery, laparoscopic surgery is not a concept, the surgery itself has a qualitative difference.

Although both are rushing to cure the disease.

It is very rare to see doctors who are first-class doctors fighting in departments these years.

More than enough to chew!
Everyone knows that concentrating on one direction is far easier to achieve results than posting all.

Moreover, the hospitals are also rushing to train doctors to specialize in specialties, so that it is easier to train them to become doctors!

But the anesthetist didn't ask, in fact, this is not something that an anesthetist should care about.

In the operation, the anesthetist is mainly concerned with the vital signs of the patient after anesthesia.

Especially if there is an interventional department, you have to be more careful!
These endovascular guys can puncture a blood vessel every now and then.

Intervention may also require intraoperative emergency rescue of the patient.

Therefore, once there is anesthesia work in the interventional department in the anesthesiology department, unless it is assigned to an individual, no one will take the initiative to do the work of the interventional department.

Of course, the manpower of the anesthesiology department of the third hospital is also very tight. Basically, there are carrots and pits.

If you really meet a doctor who cheats, likes to swear, and doesn't want to be responsible, you can only consider yourself unlucky.

Fortunately, Lin Ran has always been a good performer in extrahepatic surgery, but I don't know how well this interventional operation is doing!
Moreover, interventional surgery is still performed on patients with diffuse liver cancer, so it is a bit worrying not to urinate!

After the anesthetist gave the anesthetic, the patient soon fell into a deep sleep.

"Let's go! Give contrast agent."

The contrast medium that Lin Ran mentioned was naturally 50% sodium iodide!

Inject the iodine contrast agent into the patient's blood vessels, so that the X-ray blood vessel function can clearly scan the distribution of blood vessels in the body, and clarify the location of the lesion, the severity of the disease, etc., and provide good help for the doctor to make a correct diagnosis, and even later Guidewires that are about to be run in endovascular procedures are helpful.

"Contrast medium injection complete!"

Lin Ran didn't hesitate at all, "Turn on the X-ray machine."

"pat..."

The nurse turned on the switch of the X-ray machine and pressed the button, and then the display screens next to Lin Ran and in front of Hao Min began to light up.

The system starts successfully.

Hao Min began to input scanning instructions on the keyboard!
Soon, the display screen next to Lin Ran began to show blood vessels in the patient's chest and abdomen!
Since the contrast agent has just been injected, the flow of the contrast agent in the blood vessels of the patient can still be seen on the display screen.

From the injection point to the heart, the contrast agent starts from the heart soon... just like a small sapling gradually takes root and sprouts, grows a trunk, differentiates branches and leaves, and finally forms a beautiful angiographic distribution map.

Lin Ran didn't focus on appreciating the scenery, all his attention was on the part of the liver shown on the angiogram.

After the contrast agent image stabilized, Lin Ranxu pointed to several black shadows on the display screen and said, "One, two, three, four, five, five tumors! It is consistent with the previous inspection results."

Hao Min also stood up, pointing to the location of a tumor on it and said, "Doctor Lin, this tumor is very close to the hepatic aorta, so special attention is needed!"

The venous arteries entering the liver are also like the root system of a tree extending in all directions. During the interventional operation, the embolized blood vessels and their positions need to be judged jointly by the chief surgeon and the leading doctor.

It is conceivable that the closer the embolism point is to the hepatic aorta, the greater the impact on the patient's liver.

At this time, Cheng Yu smiled and said, "Dr. Lin, I will cooperate with you to complete this operation. Please give me your advice!"

"Hmm... I don't dare to give advice, let's work hard together to complete the surgery!"

For Cheng Yu, an old chief physician, to be his first assistant, Lin Ran neither resented nor delighted, and Boss Gu outside the liver is almost becoming his queen's first assistant!

"Tweezers, alcohol cotton, iodophor."

As Lin Ran took the tweezers from the equipment nurse and picked up the alcohol cotton, the operation officially began.

Like normal surgery, preoperative disinfection is essential.

Of course, the location of the surgical opening is not in the abdomen, but in the inguinal area, that is, at the root of the thigh.

Before going to the operating table, the nurse had already stripped the patient naked.

Therefore, after the nurse lifted the fig leaf of the operation, Lin Ran was able to find out exactly where the operation needed to be disinfected!

Disinfection before operation, nurse drape, manually palpate the position of the femoral artery, determine the puncture point...

"Puncture needle!"

After confirming the location of the puncture point, Lin Ran stretched out his hand and said directly.

Seeing Lin Ran's set of preoperative operations, Cheng Yu and the veteran doctors in the interventional department all nodded their heads.

As far as femoral artery puncture is concerned, Lin Ran's level should not be bad!
Being able to quickly find out the femoral artery and determine the puncture point showed that Lin Ran did have something.

Similarly, the middle-aged anesthetist at the side felt a little relieved.

He looked back at his little bench, thinking whether he should sit down for a while or not, standing still!And standing for a long time can easily cause edema of the lower limbs!

Lin Ran took the puncture needle, moved it down according to the determined puncture point, and then inserted the needle at an angle of 35 degrees.

Needle about 2~3 cm, see blood coming back!After the blood returned, Lin Ran fixed the needle with his left hand.

"Introducer sheath."

Lin Ran's words were neither slow nor slow, very confident!

She patted the catheter sheath in Lin Ran's hand and passed the glove between her fingers. The equipment nurse seemed to be able to feel the temperature of Lin Ran's hand, and her heart throbbed violently a few times.

The catheter sheath was successfully inserted, and the puncture needle was pulled out. Seeing that the amount of bleeding was not large, Lin Ran smiled slightly. Many people did not puncture the femoral artery, and the puncture part should be relatively successful.

Also smiling was Li Jinxia and the others. They also had never seen Lin Ran have a femoral artery puncture yesterday!It was the first time I saw that Lin Ran's femoral artery puncture could be so stable. Does that mean that the subsequent operation will be so stable?

Zhang Yuanpeng on the side had to nod in agreement after watching Lin Ran's femoral artery puncture operation!
Lin Ran can do femoral artery puncture so steadily, there is indeed something!

Even if these old guys take it personally, they may not be able to be stable.

Of course, in their eyes, it's just a relatively simple puncture, and it's normal to bleed a little more.

They also understand what they want, but there are not many who can really set their minds on themselves.

Being ruthless and strict with others is nothing, but being ruthless and strict with yourself is the real ruthless person.

Most just go with the flow.

(End of this chapter)