Famous Among Top Surgeons in the 90s
Chapter 1565 - 1665: Key Reminder
The femoral vein accompanies the femoral artery, and if the femoral vein is damaged, it will form a venous fistula, which would be troublesome.
The teacher’s words hit right on the mark, enough to make the students shiver a bit.
Doctor Yang took the syringe handed by the nurse and prepared the local subcutaneous anesthetic.
For patients who are conscious, anesthesia needs to be administered near the puncture site, otherwise, they will feel pain. At this time, the groin area on the opposite thigh is also prepared with shaving and disinfection, in case the puncture here fails and needs to switch to the opposite side.
When injecting anesthesia, it’s necessary to target around the puncture point of the femoral artery. Other than injecting on both sides of the femoral artery, it’s best to inject below the femoral artery, so the artery can be elevated for easier puncture. The problem is that the femoral artery pulsation point cannot be felt now.
The intercom in the control room spoke to the people in the operating room. It was Shim Youhuan’s voice: "Fluoroscopy for the patient."
Xie Wanying stood behind Senior Brother Shim, thinking: Senior Brother Shim is a nice person, giving a key reminder at a critical moment with good intentions.
If you can’t recall the anatomical diagram, the teacher allows you to use fluoroscopy to check where the patient’s bones are and use the bone position to determine where the patient’s femoral artery might be.
Senior clinicians have all kinds of experiential summaries for difficult medical procedures, whether in internal medicine or surgery, but the subsequent doctors need to diligently seek out this knowledge and learn independently. These latest experiential theories are unlikely to be included in medical textbooks that take years to update. As for whether clinical teachers will teach you during internships, most clinical teachers, if they know you’re not staying at the institution as a graduate, will not bother with hand-in-hand teaching.
Doctor Yang’s enthusiasm and effort alone are not enough to impress the teachers.
After Shim Youhuan pointed this out, there seemed to be a hint of confusion flickering in Doctor Yang’s eyes. Does fluoroscopy only showing bones help?
Facing her, Doctor Chen noticed her expression and had a slight anxiety between his brows. He knew that in such a situation, even teaching hand-in-hand might leave the other party in the dark. It’s likely the result of not having a solid grasp of anatomy, which is a common ailment among most medical students.
In the control room, Shim Youhuan held the intercom, twitching his eyebrows slightly, seeing Doctor Yang across the lead glass not making a move.
Xie Wanying remembered the look on Doctor Yang’s face when she wanted to speak to her beforehand, with that earnest demeanor. As a fellow medical student striving in the field, she couldn’t bear to see the other party stuck here, saying: "We can first perform an anteroposterior fluoroscopy on the patient. The femoral artery is at the center point of the femoral head. Prepare a hemostat to place it in the puncture area, and fluoroscopy will help position the hemostat’s tip at the lower edge of the femoral head, which is the needle entry point. This patient is slightly overweight, so tilt the needle bevel at a 55-degree angle upward, and the puncture direction is towards the center of the femoral head. Literature documents that the chance of hitting the femoral artery is about seventy-five percent or more."
Her fluent speech and unhurried pace ensured that Doctor Yang on the other side of the lead glass could hear every key point she was making. For a moment, Doctor Yang and Dr. Chen and Dr. Li Xiaofeng in the operating room mistakenly thought some boss had suddenly appeared on-site to provide guidance. 𝐟𝗿𝐞𝚎𝚠𝐞𝚋𝕟𝐨𝚟𝐞𝕝.𝕔𝕠𝚖
This stable tone and thoroughly professional academic content were truly indicative of a boss’s style, who wouldn’t believe it otherwise?
Doctor Chen asked the resident doctor below: "Who was speaking just now?"