Sunday, November 8, 2009

Medical library at NTUH - Taiwan


I think that NTUH has a good library for every trainee (medical students, residents, fellows….). Medical library has a lot of book, textbook, documentary…, professional working method and a comfortable space for studying and searching.
Specially, medical library has a lot of new and update documentary, online searching stools…This thing is very important for studying in information society.
I have read and updated much knowledge about cardiothoracic surgery at medical library in here.

Educational method for resident at NTUH - Taiwan


I have joined all of meeting of CVS section and a number of meetings of thoracic section. I think that this training method will bring into play maximum ability of trainees and the other people. In the future, when I come back to Vietnam, I am going to persuade leaders and the other authorities for applying this training method (of course, we are going to apply but it has to suit with Vietnamese condition)
Morning meeting schedule of CVS section: All of day is reported by cardiovascular fellows with chairman of chief
- Monday: Morning meeting of CVS section
- Tuesday: Morning meeting of SICU section
- Wednesday: Morning meeting of CVS section
- Thursday: Meeting of heart transplantation
Contents of each morning meeting: Fellow is reporting all of situation of section, comment, questions…about patients who are treating at CVS section. At the end of each morning meeting, resident will present a case study by slide with reference… and they can bring out guideline or lecture about any patient (its special cases, severe patients, difficult patients)

Beating heart surgery for coronary stenosis disease at NTUH - Taiwan


The beating heart surgery is a sector that it has a lot of controversy in cardiac surgery. However, I am crazy about this surgery because experience of surgeon and they have performed very professional. I think that I have updated and consolidated much knowledge about this surgery (In Vietnam, we sometimes perform this surgery but not regular because all of Vietnamese surgeon don’t get used to it and they always prefer to CABG with CPB and cardioplegia)
Steps of beating heart surgery for coronary artery disease as follow:
- Supine, ETGA, midline sternotomy
- Harvest LIMA and SVG on the left
-Grafting to coronary arteries by LIMA and SVG. This thing is performed by beating heart or partial CPB (cardiopulmonary bypass)
-If beating heart: grafting LIMA -> LAD (the left anterior descending artery or a branch of left coronary artery) -> PDA (posterior descending artery – a branch of right coronary artery) -> OMs (a branch of circumplex artery).
-If partial CPB:
+ Cannulation via AsAo, SVC and IVC
+ On CPB, cooling to 28 - 300C
+ Grafting LIMA -> LAD (the left anterior descending artery or a branch of left coronary artery) -> PDA (posterior descending artery – a branch of right coronary artery) -> OMs (a branch of circumplex artery).
- Re-warm, de-air, wean off CPB
- Remove canuls
- Haemostasis
- Set drains
- Close wound in layers

Video-assisted thoracoscopic surgery for lung cancer at NTUH - Taiwan


In here, surgeons have performed VATS (video-assisted thoracocsopic surgery) very fluently and professional.
And I have also updated the new techniques about video-assisted thoracoscopic lobectomy in proper and VATS in general. From co-workers in here that I have improved skills in VATS, pre-operation indications, to know abnormal of operations and control it.
Be sure, I am going to apply update knowledge for practicing in my hospital and suitable with Vietnamese condition.