309 should have a first appearance for the first time
If there was no system training room, Yuntian would not dare to take such a big risk and do such a brand-new technique.
However, after hundreds of cases of systematic training, Yuntian has completely mastered this brand-new technique.
At this time, in the face of real patients in real life, Yuntian is also sure that he will be able to do a good job.
This is the cumulative effect of hundreds of units and the same technique.
Therefore, Leng Chengye's worries, Yuntian didn't take it to heart at all.
"Come, help me adjust the patient's position. Yuntian Cao Leng Chengye said hello and began to adjust the patient's posture.
The patient's left shoulder is raised and the head is tilted to the right to fully expose the left carotid field of view.
The patient was in a state of drowsiness, and after adjusting his posture, Yuntian asked Leng Chengye to hold the patient's head to avoid changes in posture.
"I'll brush my hands, and you guys will make pre-operative preparations first. Dr. Chan, excuse me. Yun Tian said to the two of them, and then turned to brush his hands.
Dr. Chan is arguably the oldest anesthesiologist at Xihua Hospital.
The oldest means that Dr. Tan has a higher level of anesthesia and a better ability to deal with related emergencies.
There are only a few doctors in the hospital, such as Director Shi, who can invite Dr. Chen with a phone call.
There are still many anesthesiologists in Xihua Hospital, after all, there are quite a lot of surgical operations in various departments.
There are more than a dozen operating rooms alone, not including the cath labs in the heart and in the room.
But Director Shi didn't think about it at all, and directly called Dr. Chen, who was the oldest and most difficult to hire at Xihua Hospital.
Yuntian did surgery, and Director Shi naturally couldn't help.
But in other aspects, whether it is Director Shi, Director Lin or Director Li Lishan, they are willing to provide Yuntian with the best they can.
In the past two years, Dr. Chen's number of shots has gradually decreased, and more often, Dr. Chen has focused on taking students.
However, the knife is not old, and when Yuntian came out after brushing his hands, Dr. Chen had basically completed tracheal intubation and general anesthesia.
"The patient is stable, the anesthesia is almost effective, and you are ready for surgery. "For Yuntian, a rising star, sometimes the director and Director Li spare no effort to publicize, and Dr. Chen knows Yuntian's deeds very well.
I also appreciate this superb young man from the bottom of my heart.
Seeing Yun Tian come in, Dr. Chen began to report on the patient's condition.
Yuntian nodded.
Go straight to the stage and get ready to start the surgery.
Carotid artery puncture is more difficult than femoral and radial arteries.
In addition, the patient's posture is appropriate, the carotid artery site is completely exposed, and the cloud sky is stable and to the point, without the slightest deviation.
Then it is into the vascular sheath.
"The arterial sheath continues to drip with heparin saline. After Yun Tian entered the artery sheath, he admonished Leng Chengye.
In normal work, Yuntian rarely uses heparin, but the current situation is different, carotid artery approach, Yuntian has found many attempts in the system training, and continuous instillation during the operation has a positive effect on the surgical effect of patients.
"Heparin?" Leng Chengye was at this time
Nervous, after listening to Yun Tian's words, he obviously didn't come back to his senses at all.
"The arterial sheath continues to drip heparin. Yun Tian repeated his command again.
Leng Chengye only came back to his senses at this time, and began to adjust his entry into the state as soon as possible.
"Turn on the pressurized injector. After the heparin continued to drip in, Yuntian gave the second order.
"Do you want to make a movie now?" Leng Chengye asked in surprise.
"Hmm. Yun Tian replied.
Because of the change in the surgical method, Yuntian chose to start the imaging through the arterial sheath.
In this way, the responsible vessel can be identified as soon as possible and the surgical path can be determined.
Images of the twists and turns of the arteries gradually appear on the display.
Inside and outside, everyone held their breath as they watched as the image of the blood vessels like Terman gradually appeared clearly.
"M1 segment! Left middle cerebral artery M1 segment occlusion. "The image of the middle cerebral artery came to an abrupt halt at the M1 segment.
Director Li Lishan waved his huge fist excitedly, seeing that a punch was about to hit Director Shi's shoulder.
Director Shi glanced at Director Li Lishan coldly, Director Li Lishan smiled embarrassedly, and withdrew his fist with a slumped mouth.
Director Li Lishan was obviously too excited.
Although it is said that the middle cerebral artery M1 segment infarction is also very difficult.
It is a relatively difficult part of cerebral infarction.
However, Yuntian has done no less than ten cases of middle cerebral artery M1 occlusion these days, and each operation is perfect, which inevitably makes Li Lishan and other directors have absolute trust in Yuntian's M1 segment level.
That's why Director Li Lishan is so excited.
"M1 section occlusion!" said as a cold man in the room.
Although he understands that the carotid artery approach can be done in theory, Leng Chen also understands more that such a site that no one has ever sat on may encounter trouble that he can't imagine.
However, when the imaging results showed that the occlusion site was the M1 segment of the middle cerebral artery, Leng Chengye's heart was not a little complicated.
The M1 segment of the middle cerebral artery is the most common part of Yuntian's recent work.
The level of the cloudy sky can be presented to nature and have a deeper experience.
Inexplicably, Leng Chengye had a feeling that this new technique, Yuntian seemed to be able to succeed.
Wickedness.
Leng Chengye remembered a helpless sigh in his heart.
After clarifying the responsible blood vessels, Yun Tian also breathed a sigh of relief.
M1 segment!
It's not too difficult!
In the previous system training room, Yun Tian made the most of this part.
A 0.035in microguide wire was selected and smoothly fed into the left carotid artery siphon segment, which was very easy to complete.
Looking at Yun Tian's skillful work, Leng Chengye couldn't believe that Yun Tian would be the first time to do this technique.
There was no hesitation when choosing a catheter.
It's all in one go, and you don't need to think about it at all!
Is this the way this should be for the first time doing mental surgery?
Even if it is a normal M1 section, even if it is following Yuntian by himself, he has done more than a dozen cases
The M1 section of thrombectomy is completely unable to reach the cloudy sky, and now this kind of unhesitating realm!
Don't you need to consider the micro guidewire model?
Does vascular access need to be considered?
Doesn't the stagnation position of the microguidewire need to be verified?
Please, the first time should have a first look, okay?
If you continue like this, will you leave a way for others to live?
I'm also a bright star in the Massachusetts God, is it appropriate to hit myself like this every day?
It's not just Leng Chengye who has such a ridiculous idea in his heart.
Director Li Lishan and Director Shi, who were standing in the disposal room, glanced at each other and saw the surprise in each other's eyes.
Yun Tian's work doesn't look like the first time I've done this technique.