A hundred days after signing in, the first surgery shocked the world!

The principle of ECMO: Simply put, venous blood is taken out of the human body, and then instruments similar to the heart and lungs are used to fuse oxygen, discharge carbon dioxide, and then return to the human body.

There are two types: V-V flow (back into the vein) and V-A flow (back into the artery).

V-V diversion is suitable for cases with impaired lung function and no risk of cardiac arrest.

And in front of him, this little boy has a heart problem and naturally can't use V-V.

Only V-A can be used.

That is: blood is output from the vein, oxygenated by the instrument, carbon dioxide is excreted, and the arteries are infused back to feed the whole body.

Director Shi Yiqian: "Push the operating room, prepare for surgery immediately..."

Director Shi Bahuang: "Good. "

Then start getting ready.

Wang Qiang was excited, and he could watch the operation again!

I can't go to surgery, but I can watch and learn!

Excited!

Several interns from the other city's eight emergency departments were also excited and looking forward to it, after all, this was the first time to see ECMO rescue.

And then....

This group of interns ushered in the disgust of Director Huang of the emergency department:

"Interns, don't go in, there are too many people, crowded in a panic..."

Interns: "........................"

Crying chirp~~~~

Interns have no human rights, no status!

Doctor Guan Pei was happy on the side, haha, we can go in and see.

Then,

Director Huang of the emergency department continued: "Don't go in the regular training doctor, there are quite a lot of ICU people in the city, and the operating room can't stand." "

Doctors Gui: ".................."

Miserable!!

It was reduced to the same illness as the intern.

Wang Qiang was holding Zhiji JPG with distress, and saw Lin Feng walking into the operating room.

Wang Qiang: "????"

How can Lin Feng enter the operating room?

He's also an intern?

......

......

In the emergency operating room.

Director Qian pointed to this Lin Feng while signing, and said to Director Huang.

"Wait a minute, this guy goes up and intubates. "

Director Huang: "What?"

Director Qian: "Don't worry, he is very powerful, last time Director Zhou of our hospital was stabbed three times, he rescued him." "

Director Huang's eyes widened: "Ah ~~~ is that him?"

A pair of eyes, looking Lin Feng up and down.

Director Zhou's three knives are known to everyone in many hospitals in Peng City, and Director Huang is naturally no exception.

"How old is he?"

“24。 "

"Oh my God, is that awesome, young man now? I thought it was a lie?"

"Hey~~ Wait for you to see his strength!"

Director Qian was like showing off a baby, proud.

Everyone washes their hands, and nurses help put on surgical coats and gloves.

The patient has long been under general anesthesia, so there is no need for anesthesia.

There are three ways to establish the ECMO·V-A pathway.

A. Femoral vein (buttocks) - femoral artery cannula

B. Internal jugular vein (neck) - common carotid artery cannulation

C. Central line: right atrium - ascending aorta cannula

Lin Feng chose the first way:

From the femoral vein (one of the largest meridians in the body, the buttock position), the cannula is inserted from the femoral vein, and the cannula extends upwards to the right atrium.

The venous blood drawn from this is oxygenated in an ECMO oxygenator, pumped, and injected from the femoral artery into the body.

This has the advantage of draining 80% of the return blood to the oxygenator, reducing pulmonary artery pressure and cardiac preload.

Disinfection....

Open the knife....

Find the femoral vein....

Find a suitable size cannula for the femoral vein....

Intubation....

Repeat the above movements to find another artery, intubate....

Finally, turn on ECMO to monitor and control various data....

Total time: 9 minutes 10 seconds....

There was nothing wrong in the middle, and everything seemed so smooth and unobstructed.

Lin Feng withdrew from the battlefield and let the ICU doctor top.

Director Qian smiled and gave Lin Feng a thumbs up.

Director Huang looked at Lin Feng with a look of amazement, it was too powerful, the ease and confidence of the scalpel and intubation action could not even compare with him, an old driver who had operated for thirty years.

The more powerful people are, the more they can feel the power of Lin Feng!

"Xiao Lin, I don't know if you are interested in coming to our hospital to work!"

Director Huang couldn't help but send out an invitation.

Such a genius, if only he could come to my subordinates, I have to cultivate him well!

As a result, his behavior angered Director Qian.

"Okay, Lao Huang, you bastard, you still want to dig the corner of our hospital!"

Director Qian glared angrily at Director Huang.

Director Huang: "Hehe, I am thirsty for talent, how can I ask for talent, if he comes to my hospital and becomes a student, I promise to vigorously cultivate him." "

Director Qian 'bah' took a sip of water: "I bah! I still want to train Xiao Lin, and our old Liang in cardiovascular surgery, Liang Guomin, Lin Feng saved him an operation, and now he runs to the dean every day, wanting to transfer Lin Feng to cardiovascular surgery to be his student." "

Liang Guomin?

Saved an operation?

When Director Huang heard this, he was shocked, and he didn't want to give up: "Then you still use people as interns? When I come to me, I can apply for high-paying hiring, and then increase scientific research funds..."

Director Qian scoffed: "Hehe, just you are smart? "

Director Huang: ".................."

It's dead.

Stepping on a horse!

It's a pity that this kind of genius couldn't get it!

By the way, Lin Feng is so awesome, what about his classmates?

Director Huang asked, "By the way, which school is Lin Feng from?"

Director Qian: "The soy sauce is big." "

Director Huang nodded: "Soy sauce is still very powerful, ranking twelfth in the country." "

I thought, after I go back, I will ask Soy Sauce University if there are any students who are equally strong, even if it is almost nothing.

。