Unable to keep up with the large group of academically gifted senior brothers and teachers, Xie Wanying followed everyone’s advice and walked back behind Senior Cao.
Finally, she was back.
Shim Youhuan stared at her head, lecturing, "Yingying, your brain is smart, so never try to emulate this Junior Cao’s bravery and fearlessness."
When did I ever display bravery in such matters? Cao Yong absolutely disagreed with this, sending a slightly displeased look back at the other party.
Senior Brother Shim’s personality is like ever-changing clouds, sotis bringing rain, sotis bursting with sunshine. In a blink, after educating her, Shim Youhuan continued to comfort her, "If Senior Brother Huang doesn’t look well, we’ll talk about him. Moreover, with Senior Cao here, does it fall to you, a non-neurosurgeon? Rest assured. Go next door to watch us perform the surgery."
"Okay." Xie Wanying nodded.
In terms of neurosurgical expertise, she definitely couldn’t match up to the senior brothers and Doctor Song. Better to leave the specialized tasks to the specialist senior brothers.
The surgery was about to begin. Except for the surgeons, everyone else went into the control room to simultaneously watch the surgical process.
In the hybrid operating room, the surgical team can be organized in two ways: one is cooperation between internal dicine and surgery, and the other is solitary surgery directly integrating interventional procedures by the surgeon alone. The latter requires the surgeon to draw parallels and accumulate a considerable amount of interventional surgical experience. This is not easy to achieve. Because for routine angiography, surgeons may quickly grasp it, but with more complex interventional procedures like thrombectomy or thrombolysis, surgeons need sufficient surgical volu to accumulate technical strength, and if the surgical volu isn’t high enough, surgeons may not adapt quickly. Therefore, in Boss Zhang’s conception, it is preferable that future surgeries are better perford with collaboration between surgery and internal dicine.
Today’s surgery can be said to be a deliberate push by Zhang Huayao to see the outco of the integration between internal dicine and surgery.
After that eting on that night, the internal and surgical instructors held several etings for further research. Now, the internal and surgical doctors first take their respective positions.
Internal dicine goes first. Shim Youhuan, fully ard, personally stepped into the operating room. Today’s surgical procedure for the patient is complex, with surgery required to take over the second half. The surgical progress requires the doctor to be quick, leaving no room for the following doctors to dawdle and try.
Local anesthesia, right femoral vein puncture, insertion of a pigtail catheter, and placent of a filter in the inferior vena cava. A series of routine surgical steps, smooth execution is an expected outco for a deputy high-level who has honed basic skills to perfection.
The catheter inserted after the puncture cos with contrast agents like other interventional surgeries to reach the designated position.
Similar to coronary angiography, due to the short pulmonary circulation ti of only 2 to 4 seconds, CT imaging has more technical difficulties and is less capable of capturing the instantaneous dynamics of blood vessels as clearly as an angiographic machine. The advantage of the angiographic machine is once again demonstrated. Clinically, for high-risk PE patients, pulmonary angiography and thrombolysis are the recognized standard procedures. Hence, the previous CT scan results of the pulmonary and cardiac vessels are rough scans and do not hold diagnostic significance, serving only as a preliminary judgnt for doctors.
Whether the patient can undergo the subsequent surgery depends entirely on the results of the first half of the interventional surgery.
Likewise, similar to coronary angiography, even for interventional procedures, for patients who are not at high risk for PE, interventional surgeons must be extrely cautious in proceeding with dical interventions and avoid unnecessary over-treatnt.
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