The medical team routinely conducts case discussions before surgery.
A group of people gathered in the operating room, discussing the case and observing the new machine.
Dr. Song began to assemble the machine.
Seeing the Songlan cat doing chores is a very rare sight, equivalent to the seven wonders of the world. - This is what the people of Guoxie and Beidu thought. They all touched their noses and secretly praised: Xie Juan Wang Niu, only Xie Juan Wang can spur a lazy cat to work.
Having said that, it is impossible for King Xie Juan to just ignore the matter and do nothing.
While everyone was waiting to watch, Dr. Xie Wanying was the first to rush forward to help and study at the same time.
Waiting for others to react, Xiejuanwang learned the basic loading and unloading process of the new machine.
It’s okay for specialists in other departments not to have learned this. Doctors in the Department of Respiratory Medicine want to slap themselves twice on the head: this is the equipment of their department, but it’s no big deal that the Department of Cardiovascular Surgery took the lead.
This time the National Association of China did not send respiratory medicine experts, the capital city did. For this reason, everyone first asked Dr. Li, a respiratory expert in the capital: Do you know what to do next?
Doctor Li waved his hand: I don’t know.
Everyone: You don’t know anything about your subject?
Dr. Li: Hey, can I compare to King Xie Juan?
The horror of King Xiejuan is that he can always get ahead of others and gain the upper hand in rebirth.
Highly intelligent people such as Dr. Li have long known this and do not want to compare with the king.
Everyone asked something else: Dr. Li, does your country have this new machine?
Dr. Li was half-slow and half-slow. Now he is actively making up for it. After careful observation, he initially concluded: As Dr. Xie said, the operation of machines with the same function should be similar.
So this machine may be similar to other flexible bronchoscopes. Since Dr. Li cannot remember all the brands in the world, maybe he has heard of this brand. In any case, it should be better than the bronchoscopes in the local hospital. I saw that the local doctor here brought out a rigid bronchoscope.
The anesthesiologist was invited to participate in the discussion and asked the chief surgeon: "What is the condition of the patient? What anesthesia cooperation is required?" Endoscopy generally uses intravenous short-acting anesthesia, such as digestive endoscopy, which is sufficient for this bronchoscopy surgery.
After listening to this, everyone confirmed that Dr. Xie Wanying believed that the patient could be treated with bronchoscopy to treat refractory pneumothorax.
Our previous bronchoscopy cases mentioned that bronchoscopy can be used for respiratory biopsy or foreign body removal. Obviously, it is similar to digestive endoscopy. Digestive endoscopy can be used for things such as hemostasis and sealing, and bronchoscopy can be used for similar operations.
Dr. Li was the first to understand and told everyone: "Dr. Xie may want to put an occluder in the patient's respiratory tract."
The occluder blocks the fistula?
When it comes to pneumothorax, the fistula is usually in the pleura, unlike the gastric fistula in gastroenterology, which is directly on the stomach.
It is impossible to go to the pleura to seal the fistula with bronchoscopy, that is something that can only be done by surgery.
So where should the occluder that Dr. Li mentioned should be blocked?
It should be mentioned again that the reason why pleural fistulas have a great impact is because of their linkage with the lungs. The air in pleural fistulas comes from the bronchi of the lungs. Once this principle is understood, we can know that we can try to prevent the leakage of air from the pleural fistula by blocking the pulmonary bronchi.
Plugging this is not a real fistula closure, it must only be a temporary measure. The "occlusion device" used must be removable after the patient heals the fistula or can be naturally absorbed by the body.
“It doesn’t sound easy.” Dr. Cui Shaofeng said on behalf of everyone.
Not all specialists know that the lungs are like a big tree with extremely lush branches and leaves. Can the doctor find which bronchus is suitable to block?
Thank you for your support, good night, dear friends~
