svetikya Chapter 136
Chapter 136
"Deep vein puncture kit?"
Xiao Chenguang's request made the circulating nurse in charge of packing look stunned, obviously she didn't know what he was talking about.
"She didn't know, this is the new technology that the director is going to develop. We just contacted the manufacturer to buy samples two days ago, and we haven't started using it yet."
The anesthesiologist who had just intubated the patient reminded the nurse.
"Oh, is it the one with the plastic shell?"
The circulating nurse suddenly realized that this matter was indeed mentioned by the director of anesthesia at a meeting two days ago.
"Director Xiao, do you want to use it?"
The anesthesiologist looked at Xiao Chenguang and confirmed again.
After all, this kind of puncture technology was first developed by the anesthesia department and then gradually promoted to internal and external medicine.
Now even they don't know how to do it, how can this Xiao Chenguang do it?
Although there are doubts, Xiao Chenguang is also a hot figure in the anesthesia department.
Not only can he convince Teacher Liu Tie, but it is said that the directors of chest and heart and gastrointestinal tract are full of praise for him.
Even the deputy director of gynecology personally invited him to consult.
It seems natural for such a person to be able to perform deep vein puncture.
"Yes, use it now."
Seeing that the puncture kit was available, Xiao Chenguang felt much more relaxed.
After all, this technology not only requires operation skills, but also requires the support of materials.
Soon, Xunxiao brought the deep vein puncture kit over, and at this time Xiao Chenguang and others had also changed their clothes.
"Xiao Xiao, are you going to do deep vein puncture?"
Wang Jingang and Xia Tao on the stage saw the puncture kit on the operating table at a glance.
"Yes, Director."
Xiao Chenguang put on sterile gloves and continued: "I will first indwell his intrajugular catheter, increase the infusion speed, and increase blood volume, and then we will open the abdomen."
With the patient's current blood pressure, being able to anesthetize and intubate is already the limit.
If the abdomen is opened again, I am afraid that the patient's blood pressure will drop at the moment the peritoneum is opened.
"Okay, okay, okay, Xiao Xiao, you operate first, we won't move."
The patient's blood pressure is unstable, and Wang Jingang, who often performs surgery, naturally understands the reason.
So he patiently waited for Xiao Chenguang to finish the puncture before proceeding to the next step.
But Xia Tao, who was standing beside him, had an unnatural expression.
Even the director of anesthesia was studying the technique of deep vein puncture, and it was estimated that no one in the entire Shengli Hospital could do it.
Xiao Chenguang could actually do it, which made Xia Tao more impressed with him.
However, the patient's blood pressure was extremely low now, and the subcutaneous blood vessels could not be seen. The deep veins hidden in the body were even more difficult to find.
If the puncture was unsuccessful and the treatment time was delayed, it would be difficult to treat the patient.
Just when he was a little worried, Xiao Chenguang had already come to the patient's table.
"Gao Yang, put a pillow."
"Okay."
With just a few simple words, Lin Gaoyang already understood what Xiao Chenguang meant.
He was familiar with the assistance.
He immediately picked up the soft pillow, lifted the patient with one hand, and put the soft pillow under his shoulder.
Unlike the previous cricothyroidotomy, this time Xiao Chenguang asked Lin Gaoyang to hold his head and tilt it 45 degrees to the left, exposing his entire right neck skin.
"Pack up, prepare saline and iodine cotton balls."
Xiao Chenguang has become accustomed to Lin Gaoyang's assistance. Almost as soon as he said the items, they were ready.
Looking at the two people who cooperated tacitly, Wang Jingang grinned and suddenly felt that there was someone to take over.
Seeing this, Xia Tao, who was beside him, had an inexplicable sadness on his face.
Good seedlings are indeed good seedlings, but unfortunately they have nothing to do with him.
Even at this moment, he began to regret agreeing to Wang Jingang's request to poach people.
"We are doing right internal jugular vein puncture this time."
"Find his sternocleidomastoid muscle, confirm the position of the common carotid artery, find the jugular vein next to it, and insert the needle 1cm above the intersection."
While positioning, Xiao Chenguang quickly explained to Lin Gaoyang next to him.
As for how much he can learn, it depends on his talent.
Since they had never seen it before, everyone was watching Xiao Chenguang's operation.
Disinfection, laying a drape, and a large sheet to ensure the maximum disinfection barrier.
Open the puncture bag and take out the steel needle about 15cm long.
The silver-white needle tip looks sharp under the shadowless lamp.
Xiao Chenguang pressed the positioning point with his left hand and held the puncture needle with his right hand and exerted a little force.
The needle tip penetrated the skin, inserted the needle at an angle of 15°, and penetrated several centimeters. Suddenly, there was a sense of frustration in his hand.
This is the feeling when piercing elastic blood vessels.
Gently pull back, and a stream of dark purple blood slowly flows out.
One shot hits the soul.
Not only Xiao Chenguang, but everyone present knows that this is venous blood.
It means that Xiao Chenguang's puncture was successful.
Before everyone could say words of praise, they felt that Xiao Chenguang's hands were as fast as lightning, and instantly turned into a residual image.
Continue the guide wire, withdraw the puncture needle, expand the skin, insert the elastic catheter, and suture and fix it.
The wholeThe whole process was smooth and smooth, as if he had used this deep vein puncture kit hundreds of times.
"It's so comfortable."
Although this newly imported puncture kit is still different from the later deep vein kit, it also made Xiao Chenguang feel the long-lost familiarity.
At this time, Xiao Chenguang's operation had stunned everyone present.
What kind of operation is this!
It's too fast.
For them, deep vein puncture, let alone operation, they don't even know how many items are in the bag.
But Xiao Chenguang not only positioned accurately and hit the blood with one needle, but also knew the subsequent operations well.
Did he learn this when he was interning in the provincial capital?
Or, he has been secretly training at home, and only by practicing day and night can he operate like today.
Just when everyone was shocked, Xiao Chenguang had found a bottle of Ringer's solution, connected the infusion device, and opened the maximum for the patient on the stage.
The water level of the glass bottle was falling rapidly, and the Murphy's dropper poured back like a water column, along the blood vessels, directly into the patient's heart.
In a moment, all 500ml of liquid entered the patient's body.
In an instant, the patient's blood pressure, which had not risen, increased significantly.