It’s burnt, so we had to ask soone to send another one. As a result, she didn’t have ti to eat lunch, and she rushed into the operating room to learn. Thinking of this, Cao Yong glanced at the person not far away.
The others seed to be able to sense who he was looking at.
Xie Wanying’s gaze was tracking the Chief Surgeon’s movents.
Teacher Zhang was likely feeling for the thyroid cartilage and suprasternal notch, which are the usual incision points for a tracheotomy.
The thyroid cartilage is the most prominent point on the midline of the neck when the head is extended. Below the thyroid cartilage, you can feel several tracheal rings. This child is not overweight, making it easy for the doctor to palpate.
While observing, Xie Wanying adjusted the paraters in her brain based on the previous feeling she had when probing inside the child’s trachea with forceps, to see if anything changed. She too needed to judge whether she was right or wrong.
"Any thoughts?" Zhang Huayao asked her, sensing that her concentrated attention might have brought up an idea.
Clinically, teachers enjoy engaging in academic collisions with talented students, whether they are big shots or not.
"If we cut from here, the obstruction is in the right bronchus, roughly parallel to the fifth and sixth thoracic vertebrae, a certain distance away. We might need a custom tool to extract it," Xie Wanying shared her thoughts, "Currently, I’m most afraid not of failing to extract it, but of—"
"Once it’s extracted, there could be massive bleeding, and by then, the surgical site won’t be at the bleeding point, making it hard to stop the bleeding," Zhang Huayao didn’t need her to say more, because this was also a concern for the teachers.
The reason a tracheal hemorrhage can cause asphyxiation is due to the body’s coagulation chanism. Bleeding leads to the formation of clots, which can directly cause asphyxiation by blocking the trachea again.
Fu Xinheng, as the First Assistant, was already prepared, holding a suction device.
Liu Yu and the anesthesiologist both sighed. This is the oral surgery room, not accustod to cardiothoracic surgeries, and lacks the specialized instrunts and equipnt needed for support. The whole surgery is actually a bit risky.
The instrunt nurse reported to the bosses, "We don’t have a cardiothoracic surgery pack here."
The bosses were well aware of the risks. If the surgery isn’t done, the patient could die; if it is, the doctors take on imnse responsibility and risk. The waiting family mbers outside are a group of difficult people who won’t understand the doctors. If it weren’t for this innocent young life at hand, doctors unrelated to the situation could simply walk away.
"Start," Zhang Huayao commanded the nurse.
The nurse handed over the scalpel.
The surgical field was in the anterior triangle of the neck, an inverted triangle, with the mandible as the upper boundary, the suprasternal notch as the lower boundary, and the sternocleidomastoid muscles on either side. The incision could be vertical or horizontal; considering the need to remove a foreign object, the Chief Surgeon chose a vertical incision.
The first cut went from the previously located lower border of the thyroid cartilage to the suprasternal fossa.
Like other surgeries, you first cut the skin, then the subcutaneous tissue, layer by layer. The neck has many structures, so this must be done very carefully and not too quickly, which is also why small surgeries can take a long ti.
Xie Wanying thought of the slow-paced pediatric surgeon Teacher Nie.
Treating children requires slowness and ticulousness. Operating on a child’s body is akin to carving ivory, embroidering tiny flowers, insects, and bees. General surgeons are not usually accustod to this. Fortunately, today’s surgeon is a cardiothoracic surgeon. Though Guoxie’s cardiothoracic surgeons are not pediatric surgeons, due to the funding constraints in dostic top comprehensive hospitals, the pediatric surgery departnts aren’t subdivided into specialties like pediatric cardiothoracic surgery, they have still done many pediatric surgeries. As for Zhang Huayao, he’s a boss among bosses, definitely experienced in pediatric surgeries as well.
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