Chapter 2505 【2505】Empathy
He came to ask his younger brother for advice, so Cao Zhao quietly listened to what his younger brother said first.
Cao Yong knew what his second brother was thinking.
Perhaps Cao Zhao has a patient in his hand who needs an organ transplant, otherwise he would not have come to ask him questions about this brain-dead patient suddenly. Speaking of which, doctors don't like the death of patients in their hands. From this point of view, it is normal for Cao Zhao to be anxious about his patients and want Zhu Xing to survive.
In the same way, he, Cao Yong, hoped that Xiaoyu's child would survive. After all, he was the child he rescued at the scene, and he suggested sending Fang Zebo to see if he could save the child.
It's just about academic issues. Doctors can only communicate with each other based on facts and must not be influenced by emotions. Cao Yong said to his brother righteously: "You know what the general rules on organ transplantation are in the world. Don't talk about the diagnostic criteria. The attending doctor of the organ transplant patient, that is, the attending doctor of the recipient, is responsible for determining the brain death of the organ donor. It is necessary to take active evasive behavior."
"I know that." Cao Zhao said.
Not everyone can accept the concept of brain death, and there are rumors of illegal organ trading in the world, which makes this kind of thing a sensitive event in society. The general principles that my younger brother said are precisely to avoid touching the sensitive nerves of the public.
He wanted to ask, but it was impossible to ask Fang Ze's doctor. If it is known by the media and exposed that he had contact with the doctor in charge of the child in Fang Ze, the result will be terrible and cause an uproar. At that time, public opinion will be rampant, and people will suspect that it is good for him to cooperate with Dr. Fang Ze to judge the child to be brain-dead for the sake of his patient. Organ donation will become a certainty.
That being the case, I can only ask my brother.
As Zhu Xing's attending doctor, he was definitely anxious, seeing that the window for child transplantation was passing day by day. The example of a heart assist device given by classmate Xie to comfort the patient is really similar to comforting words.
Heart assist device, first of all, definitely does not refer to ECMO, ECMO is an improved artificial heart-lung machine. Cardiac assist devices generally refer to ventricular assist, including left ventricular assist, right ventricular assist, biventricular assist and total artificial heart. Most of the research at this stage is for adult applications. The relatively mature children's ventricular assist is in the clinical trial stage in foreign countries, so how can it be approved for use in children in China.
If it really doesn’t work, if you want to go to ECMO, there is no one in Seoul, only the artificial heart-lung machine used in the operating room. That day, classmate Wei felt that the equipment installed by the child in the next bed was high-end, but it was actually because classmate Wei had never been to the cardiology department or cardiac surgery internship, so he didn't know that it was IABP. Students like Xie have seen and personally participated in the IABP surgery site before, and they are not surprised at all.
Pediatric use of IABP is mostly used in children with low cardiac output after congenital heart disease, and is also useful in a small number of myocarditis cardiomyopathy and children waiting for heart transplantation. Why did classmate Xie emphasize the use of cardiac assist devices but did not talk about IABP that day. This is due to the principle of IABP, which we have learned before. It cannot actively assist the heart, but relies heavily on the contraction of the patient's own heart. Zhu Xing suffers from severe cardiomyopathy, and the heart contractility itself is very problematic. The effect of using IABP is very limited.
From the above analysis, it can be known that once the child's heart contractility fails, the doctor may face a situation of being completely helpless.
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