Chapter 51: Show Off Skills (Part 1)
Translator: 549690339
This rescue mission is of utmost importance, and every dical worker must be fully alert and attentive!
Of course, inevitably, so leaders will avoid participating due to special reasons.
After all, a hospital is a complex institution, and many who are responsible for administrative work do not get involved in dical events.
Although Hao Xuliang is a deputy director in charge, he is also a dical backbone. He cannot afford to be less attentive, almost constantly communicating with relevant departnts on how to carry out rescue operations in an orderly manner.
A few minutes later, Hao Xuliang rushed into the resuscitation room and asked Li Baoshan, “Baoshan, have you found the person? Where are they?”
Li Baoshan pointed at Chen Cang, “This is our departnt’s doctor, Chen Cang. He knows how to use the peritoneal dialysis machine.”
Hao Xuliang’s eyes narrowed instantly as he glanced at Chen Cang, then turned to stare at Li Baoshan, “Are you sure?”
Li Baoshan looked at Chen Cang. He knew Chen Cang because he was the one who recruited him. He was very knowledgeable about Chen Gang’s character. This person was very reliable. In over two years of work, he had made zero mistakes, never slacked off or cut corners, and was always low-key.
Since he said he could do it, Li Baoshan trusted that he could.
Li Baoshan nodded, “Yes, I’m sure.”
Hao Xuliang turned to Chen Cang, “Where did you learn it?”
Chen Cang answered honestly, “I learned it during my university days at the Eastern dical University. I interned at the Sixth Hospital of the Sea City, where I spent over three months in the peritoneal dialysis room. They needed to do peritoneal dialysis every day, and that’s where I learned it.”
It was all true, but… staying there for three months ant he only knew so basic operations.
Hao Xuliang was still sowhat uneasy and cautioned, “Young man, human life is of paramount importance; there is no room for carelessness or falsehood, do you understand?”
Chen Cang, “I understand!”
Hao Xuliang imdiately gave the order, “Let’s go, to the dialysis room!”
Peritoneal dialysis is neither very difficult nor very easy. It’s really not difficult for those who have experience, but it’s definitely going to be a problem for those who haven’t done it before if they attempt it rashly.
Learning this doesn’t take long, so Hao Xuliang and Li Baoshan still believed him.
Moreover, this was not the ti to be indecisive.
The group pushed the poisoned patient straight to the dialysis room, which was a newly opened area in the hospital with no one around.
At this point, Hao Xuliang was still sowhat conflicted, what if sothing went wrong?
Suddenly he rembered an old classmate and imdiately made a phone call.
“Old Yang, it’s Hao Xuliang here. I’ve got a situation that I need you to oversee and help with!”
The other party asked directly, “What’s the matter?”
“We have a patient in our hospital who needs peritoneal dialysis, but there’s no one available who knows how. An ER doctor claims to know, but I’m still not at ease. I’m planning to set up a remote video conference so your hospital’s peritoneal dialysis specialist can supervise it, what do you think?”
Upon hearing this, Old Yang suddenly asked, “Is it a poisoning patient from the chemical city explosion?”
Hao Xuliang nodded, “Yes, we can’t delay!”
Old Yang agreed, “Prepare the video conference, we’ll connect in a few minutes.”
Hao Xuliang hung up, his eyes suddenly brightening!
With remote expert guidance, and Chen Cang already knowing a bit, there shouldn’t be a big problem, right?
At this point, Hao Xuliang imdiately picked up the phone and spoke to the security departnt, “Go to the sixth floor and bring down the remote conference TV from there, send it to the dialysis room!”
After fifteen minutes or so, everything was ready!
The remote video conference TV was quite large, over two ters long, and could essentially replicate the scene at a one-to-one scale. Through the cara, the peritoneal dialysis operation could be seen quite clearly by the other party.
The ergence of remote video conferencing is mainly to facilitate case discussions, consultations, and surgical demonstrations between different hospitals.
The video link was successful!
Face to face, the figure of a man in his fifties and a woman in her forties appeared on the TV.
Hao Xuliang greeted them, “Director Yang, thank you for your efforts! We appreciate your assistance.”
The man smiled warmly, “No problem, this is Xu Aiping, the deputy director of our hospital’s peritoneal dialysis room. Let her guide you.”
Hao Xuliang turned to Chen Cang and said, “Are you ready to begin?”
Chen Cang nodded!
The peritoneal dialysis began!
Peritoneal dialysis is a thod that uses the body’s own peritoneum as the dialysis mbrane.
By flowing dialysis fluid into the peritoneal cavity, it exchanges solutes and water with the blood plasma in the capillaries on the other side of the peritoneum, thus removing retained tabolic products and excess fluid from the body, while also replenishing substances essential to the body through the dialysis fluid.
At this ti, the patient was already suffering from kidney failure and needed a tabolic substitute for the kidneys. This was achieved by continuously renewing the peritoneal dialysis fluid, achieving the purpose of renal replacent or supportive therapy.
During peritoneal dialysis treatnt, the peritoneal dialysis catheter is used to infuse the peritoneal dialysis fluid into the abdominal cavity. On one side of the peritoneum in the abdominal cavity is the blood, filled with waste and excess water, while on the other side is the peritoneal dialysis fluid. The waste and excess water from the blood pass through the peritoneum into the dialysis fluid.
After a period, the peritoneal dialysis fluid containing waste and excess fluid is drained from the abdominal cavity, and new peritoneal dialysis fluid is infused, thus continuing the cycle.
Operating a peritoneal dialysis machine is not troubleso; the main thing is the first step—catheter insertion!
Catheter insertion is the most important and crucial step in peritoneal dialysis!
It directly affects the success rate of peritoneal dialysis, and an excellent catheter insertion procedure can significantly reduce adverse reactions of peritoneal dialysis surgery.
There are two common thods for peritoneal catheterization: laparoscopic and open surgical placent.
And now, Chen Cang had only one option before him, which was the open surgical catheter placent.
It wasn’t because he didn’t know how to perform laparoscopic catheter insertion, but because there was no laparoscope available at the mont!
As Hao Xuliang said, since this facility had not yet been fully developed, all the laparoscopes were in the operating rooms and had not yet been allocated to this area!
In reality, catheter insertion is also a type of minor surgical procedure.
On the video call, Xu Aiping seed to realize that Chen Cang was going to use surgical catheter placent and said, “This traditional open surgical thod requires the operator to have solid basic surgical skills! And… skilled catheter insertion technique! There must not be any errors!”
“Because any mistake during catheter insertion can affect the patient’s recovery and may even cause very serious adverse reactions, such as… peritonitis…”
Chen Cang turned a deaf ear!
He opened the catheter package, prepared the surgical instrunts, and began the operation!
The catheter room next to the peritoneal dialysis room was not very different from an operating room; it had everything needed!
Make the incision!
Chen Cang chose to make an incision of about 3 centiters to the left of the navel.
After making the markings, extensive disinfection was needed!
The area involved in peritoneal dialysis was too large; essentially from below the chest to above the groin had to be disinfected, and even more so to the midaxillary lines on both sides.
Anesthesia!
Local anesthesia!
Since there was no one else, Chen Cang had to do all the work by himself!
He carefully cut through the skin and separated the subcutaneous fat to reach the anterior sheath!
At this mont, Chen Cang held his breath and lifted the anterior sheath.
At this ti, all abdominal muscles were exposed!
Bluntly separate the muscles!
Next, Chen Cang took a deep breath, lifted the peritoneum, and at that mont, Xu Aiping on the video screen held her breath too.
She dared not disturb!
Because at this mont it was essential to be careful, absolutely not to damage the greater ontum or the intestines.
Any injury could easily lead to infection!
The most important aspect of peritoneal dialysis is the control of details. Xu Aiping, in her forties, now used mainly laparoscopic catheter insertion because it carries less risk, whereas open surgical catheter placent demands high surgical skill from the operator, is more prone to infection, causes larger incisions, and is not conducive to recovery, among many other factors.
But!
It is undeniable that an excellent surgeon prefers open surgical catheter placent because it is precise!
What does this an?
If laparoscopic and traditional surgeries were scored, open surgical catheter placent would have a perfect score of too, while laparoscopic catheter placent could only achieve 70 at best. Traditional surgery can be perfect, while laparoscopic surgery is fundantally judged on passing the bar!
ps: There’s more to co, keep flipping through the pages, yes, that’s right!
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