Chapter 1565 【1565】Key Reminder

The femoral vein is accompanied by the femoral artery. Once the femoral vein is damaged, a venous fistula will form, which is troublesome.

The teacher's two sentences hit the point directly, and it was the rhythm that made the students tremble twice.

Dr. Yang took the syringe handed over by the nurse and prepared the anesthetic for local subcutaneous injection.

If the patient is conscious, an anesthetic needs to be administered near the puncture point, otherwise pain will be felt. At this time, the patient’s contralateral thigh and groin area were also prepared and disinfected, in case the puncture failed, it was necessary to switch to the contralateral side.

When injecting anesthetics, you must start around the femoral artery at the puncture point. In addition to injecting on both sides of the femoral artery, it is best to inject it below the femoral artery, so that the femoral artery can be lifted up for better puncture. It's just that the pulse point of the femoral artery can't be felt now.

The intercom in the control room spoke to the people in the operating room. It was Shen Youhuan's voice: "Let's see through the patient."

Standing behind Senior Brother Shen, Xie Wanying thought to herself: Senior Brother Shen is a very kind person, and kindly reminded him of the key points at critical moments.

I can't remember the anatomical diagram. The teacher asked you to see where the patient's bones are, and use the position of the bones to determine where the patient's femoral artery may be.

Clinical predecessors have a variety of experience summaries for difficult medical operations, whether in internal medicine or surgery, but it is only necessary for subsequent doctors to work hard to find knowledge and information for self-learning. It is impossible for these latest empirical theories to be included in medical textbooks that are updated every few years. As for whether the clinical teacher will teach you during the internship, most clinical teachers will not bother to teach you if they know that you are not a graduate who is going to stay in our hospital.

It is not enough for Dr. Yang to impress the teachers with serious efforts.

After Shen Youhuan mentioned this sentence, there seemed to be a glimmer of confusion in Dr. Yang's eyes. Is it useful to only see bones under fluoroscopy?

Dr. Chen, who was standing opposite, looked at her expression with a little anxiety on his brows. Knowing this situation, even if you teach him personally, I am afraid that the other party will be fooled. It is estimated that the anatomy is not solid, which is a common problem of most medical students.

In the control room, Shen Youhuan held the intercom, and Feifei raised his eyebrows twice, seeing that Dr. Yang, who was opposite the lead glass, did not move.

Xie Wanying recalled Dr. Yang's expression of wanting to talk to her beforehand, that expression of trying hard. As a medical student who is also struggling in medicine, she couldn't bear that the other party was trapped here, and said: "You can first do an anteroposterior view of the patient. The femoral artery is at the center of the femoral head. Take a hemostat and prepare it. It is best to place it in the puncture area. Under fluoroscopy, place the tip of the hemostat on the lower edge of the femoral head to help position. This place is the needle insertion point. This patient is fat, and the needle hole slope at a 55-degree angle faces upwards, and the puncture direction is It is in the middle of the femoral head, and there are literature records that the probability of penetrating into the femoral artery is about 75% or more.”

Her fluent speech and unhurried speech speed ensured that Dr. Yang, through the lead glass, could hear every point of what she said clearly. For a moment, Dr. Yang and Dr. Chen, Dr. Li Xiaofeng, who was in the operating room, mistakenly thought that some big boss had rushed to the scene to give some advice.

This steady tone, this professional academic content, if it is not the style of a big boss, who will believe it.

Dr. Chen asked the following residents: "Who was talking just now?"