3479 Chapter 3479 [3479]

"If I come to use this thing in the future, Teacher Zhang and other teachers will come to check it, and the first thing they will ask me is this parameter."

Thank you, classmate, what are you talking about?

The faces of the surrounding teachers and seniors suddenly showed quite complicated emotions.

The expressions of the teachers were too revealing at this moment, so that the group of students who couldn't squeeze in and had to watch the scene outside finally saw something, and they couldn't help but look at each other in surprise.

Feelings These teachers haven't heard the knowledge point taught by Xie before? Doesn't it mean that classmate Xie is like a teacher giving lectures to a bunch of bosses?

Zhang Huayao coughed and cleared his throat twice.

Xie Wanying quickly raised her head, looked at Mr. Zhang and others for instructions.

As for what Zhang Huayao could think of in this second, other than her, other people should be able to imagine: there are ten thousand mud horses running in Zhang Huayao's mind.

What instructions are you waiting for? ! What you said, I really haven't had much contact with or heard of it.

Shen Youhuan touched his nose and turned around to take a breath, so as not to laugh out loud.

"Go ahead." Zhang Huayao said.

Hearing Mr. Zhang's instructions, Xie Wanying bowed her head and continued: "The parameters of the pump are adjusted. The higher the speed, the faster the flow rate, and the lower the speed, the slower the flow rate. Under normal circumstances, if Teacher Zhang and the others come to give clinical guidance, they will let me adjust the pump parameters. The high flow rate reaches the value that the teachers want. I need to adjust it slowly, and adjust it while observing to prevent any accidents. Under normal circumstances, the flow rate will not change when the speed is constant, which is also the importance of monitoring. When the flow rate drops significantly, it may be that the pipeline is blocked, the most likely is that the membrane lung behind is blocked, and the worst case is that the patient is severely shocked and hypovolemic.”

Everyone saw that Mr. Zhang grabbed a blank piece of paper with his hand on the table, and wrote on the blank paper with a pen. This is what the emotional boss is doing on the spot.

A rare opportunity. The specific operation of these membrane lungs, there is no hospital in China and there is no opportunity for you to learn it. It takes time, space, money and various conditions to send people to foreign hospitals to learn this thing. Now there is someone who is very familiar with these processes to teach on-site, and everyone knows that they should cherish it.

In clinical practice, it is never distinguished who must learn from whom, as long as anyone is better than whom, anyone can be his teacher.

"The membrane lung is the most important part of the whole machine. It is very expensive and needs to be replaced regularly. There are no adjustable parameters." Xie said again.

ECMO is simply called membrane lung because all doctors in the whole machine believe that the most important part that can support the patient's life is the membrane lung. However, it is different from what outsiders think, this most important thing is not adjusted for you, you have to rely on other parts to assist it.

If you have to observe the use of membrane lungs:

"You can shine a flashlight in there to see if there are blood clots."

A lot of sounds of writing on the paper in everyone's hand.

"The heater is a water tank that is mainly used to warm the blood in the membrane lungs. It is generally set at 37 degrees and rarely needs to be changed."

Therefore, the parameter adjustment of ecmo may feel that this machine is very complicated, and there are too many parameters to adjust. In fact, there are very few parameters that can be adjusted in the whole machine.

Saying that it is difficult to adjust means that other machines have to adjust with it. The parameter adjustment of the ventilator is much more complicated. For such patients who need sedatives, how to check whether the sedative drugs are in place depends not on the parameter display of ecmo but on the ventilator.