Famous Among Top Surgeons in the 90s
Chapter 426 - Chapter 426 426 Going to perform complex medical procedures

Chapter 426: [426] Going to perform complex medical procedures. Chapter 426: [426] Going to perform complex medical procedures. Letting the second senior sister rest well, Xie Wanying and Lau Jingyun only chatted with the patient for a while before heading back to school.

Monday afternoon arrived in the blink of an eye.

The elderly lady in bed number 8 was scheduled for surgery tomorrow. Considering the possibility of emergent critical care required during and after the surgery, it was decided to proceed with central venous catheterization. The advantage of leaving a catheter after a central venous puncture is that, during infusions, medications enter the central vein and reach the heart much faster than through peripheral veins, which is crucial for patients in urgent need of resuscitation.

Generally speaking, doctors prefer to choose the subclavian vein for central venous puncture because it is easier to secure and care for than internal jugular, external jugular, and femoral veins.

If the patient requires chemotherapy later on, a PICC line will be placed. This is a peripheral intravenous catheter that accesses the central venous system, clinically preferring the basilic vein at the position on the forearm.

Subclavian vein puncture is regarded as a relatively difficult technical task. If the puncture is unsuccessful or mistaken, it could lead to the creation of an arteriovenous fistula or, worse, if it mistakenly punctures the apex of the lung, it could induce a pneumothorax, which is a terrifying complication.

The anatomical location here is complex, with a multitude of significant vessels and tissues intermingling. The left subclavian vein is more intricate due to the thoracic duct, the body’s longest lymphatic vessel, and the tissues surrounding it are more complicated, making accidental chylothorax even worse. Therefore, doctors try to opt for right-sided subclavian vein puncture whenever possible.

Regarding the relevant medical knowledge, medical students either hastily pull out their notebooks to review or strive to search their memory for the key points of knowledge.

Clinically, whenever there is such high-technical operation, medical students must seize the opportunity to observe and learn. Because the opportunity is rare.

Regular wards are not ICUs, and the patients do not always require constant resuscitation, so opportunities to perform central venous punctures are scarce.

Having been here for nearly two weeks, it was Xie Wanying’s first time, along with her classmates, to have the opportunity to observe such a procedure, and everyone was very excited.

Compared to the students, Dr. Sun Yubo–the Teacher Xiao Sun who was to perform the puncture on the patient–was feeling a bit nervous.

Brother Liu was not around, having gone to the operating room for surgery. It was impossible for Tan Kelin himself to accompany him to the ward to watch over the procedure. Tan Kelin was too busy. Such tasks were well within reason for the attending physician to oversee.

In Guoxie University Hospital’s surgery department, there was no shortage of talent. There was no need for an associate senior to personally step in. The attendings’ abilities were already at a high level.

Therefore, the one responsible for supervising the resident physician’s procedure was another attending physician from the team, Doctor Shixu. Compared to Doctor Liu, Doctor Shi was slender and bookish, wearing small black-rimmed glasses, with long fingers. It was rumored that he was slightly older than Doctor Liu and even more skillful technically. That’s why for tomorrow’s surgery on the elderly lady, the first assistant was Doctor Shi Xu and not Dr. Liu Chengran.

Having not had much interaction with Doctor Shixu, who had recently returned, Xie Wanying noticed the unease on Teacher Xiao Sun’s face and wondered what was going on.

Luo Yanfen leaned in to gossip in her ear, “Teacher Shi is even more reserved than Teacher Tan. But once he gets anxious, he can be very intimidating.”

This explained why Sun Yubo preferred the company of Brother Liu.

Resident physicians, actually only slightly better off than medical students, haven’t graduated for long, lack extensive clinical experience, and usually have less hands-on practice, falling into the category of junior doctors. Faced with a complex procedure that’s seldom performed, when a senior physician allows a junior to practice, the junior’s mindset isn’t much different from that of a medical student–they lack confidence because they have less experience.

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