Who ever invented or discovered that instrument, thank you, because that thing, saved my life twice. I was intubated last year Sept.27 and this year March 20, Thank God Almighty because you gave me another life.
@@InterAnest I am an anesthesiologist and I agree, this is the best video for endotracheal intubation ever made. Keep up the great work ;) Best wishes.
What a great and obviously very well trained team.....they made it looks so easy when its obviously not. I hope this patient is now fully recovered and get to read my comment :)))
@@sarahabdullahi8505 This is very much an actual patient who has volunteered. Or try see if you can spot, that it is actually three patients that we have edited to one procedure.
Its so much easier when you are in a control scene, instead Of when you’re in the back of the ambulance or some tight place and you need to intubate someone ASAP . Everything you learned When you’re in school goes out of the window and you have to learn new Technique When you’re in the ems field . You learn how to intubate people In weird position and u have to do whatever works at the moment .
try it in medi flight with hurricane weather in the the middle of the ocean without the shock absorbers in a ambulance, that’ll get you wet behind the ears
What os the weirdest position you had to intubate the patient? Mine was during cpr the (head ) of the bed wouldn’t detach it was very high so I had to do a “diving” position 😂😂😂 My legs off the ground my stomach in the bed head 🤸♂️
This is one of those things that doesn't look terribly hard but messing it up has severe consequences. This was a wonderful demonstration of a skill I hope to never need.
Depends on the situation. Generally you just remove the laryngoscope, ventilate the patient by hand and try again. So failure is not that big of a deal
I had this done before . I felt the entire procedure bc they couldnt put me to sleep bc I had too much alcohol in my system 10 years ago . someone drugged my drink and this procedure saved my life .
Hi there, sorry you had to go through this. we started this procedure for my mum since 2 days ago. how long did it take for yours ? Did you have any side effects later on ?
@@anjuthelabsavvy im sorry to hear that. Your mom is in my preyers . I lost mine about a year ago . I was awake when the intubated me so i felt the whole thing . I was intubated for about 10 hours and it coming out was the scariest. i had a sore throat for a few days and my lips were swollen from it amd dry mouth . Now im completely well . Im getting stomach surgery in a week though so ill have to get it again while in surgery but this time i wont feel it . I think your mother should be fine for sure . sometimes side effects last a little longer but they go away over time.
@@amandiablack9155 i wish you have all the strength and overcome this surgery again. My mum was on intubation since 11 days, and on the 12 th day doctors put off the tube after 7-8 hours of big improvement, her oxygen saturation again dropped. today is 12 th day and we put her back again in intubation. I am praying 🙏 my mum gets normal soon. it is so hard 😭😭😭
@@anjuthelabsavvy I’m a little late but my uncle recently got COVID. My we took him to the hospital and he is going to get a intubation. I am very scared but this video calmed me down a bit. Also, is your mother ok? I hope she is doing well.
For those being anxious and all- This video is for professionals who need to understand the procedure. It is made solely for education. Don’t drop your COVID insecurities here🙄
True but it is being shared on social media by doctors and nurses to show laypeople what they do with Covid patients and why we better make sure we don't catch it. No wonder people are anxious after watching this 😅
I have a huge fear of this after seeing my dad have this done after a motorcycle accident. He was heavily sedated and every like 5 to 10 minutes, mucus would block the tube (and you can even hear it) and then he'd go into a panic because he would start suffocating until the nurse was able to get in there to suck the mucus out of it. It really was horrible and scary to witness. I thought my dad was definitely going to suffocate to death in that hospital if the nurses didn't get to him soon enough. I could not sleep those few nights after visiting him and coming home because I worried so much.
I tried being a nurse. I went to nursing school but during the training in hospital i saw a terminally ill patient with a tube, not like this one, the one that goes through the neck and i had to suction the mucus every half an hour because he was suffocating. It was so horrible. I had to put a tube into the hole on his neck to get to the mucus and the noise it made while suctioning is just ughhh. And while suctioning it was painful for him. It gave me ptsd and nightmares. I dream about being in bed and nurses doing that to me. So i gave up... I have huge respect for those who are strong enough to see these things every day. I unfortunately wasn't.
Was this video and official part of your training, or just something you studied on your own time to make sure you understood everything. If it's official, I didn't realize youtube has such high quality content.
@@barnmaddo You would be supriced... Im 90% sure I could get all needed theoretical knowlage for doing my prostgrad in nursing Anaesthesia Care from yotube alone...
I recently had heart surgery and was curious how they did this. Waking up in the ICU with the tube still in was interesting, was not painful. Worst part was trying to get the attention of someone to let them know I was awake.
Applying firm, steady upward pressure at a 45-degree angle, the curved laryngoscope is used to lift the epiglottis and expose the vocal cords. Once the glottis is visualized, the operator will ask the respiratory assistant to place the endotracheal tube with the malleable stylet on the operator's right hand
Had to be intubated due to bacterial pneumonia and high doses of recreational Xanax. Glad to be clean and beyond grateful for the amazing medical staff that “brought me back”
This is a mandatory procedure for any patient undergoing a major surgery such as breast implant, nose job, face-lift, even certain non invasive procedures that are causative for pain intolerable for a human being to deal with awake. This procedure is implemented in medical practice to guarantee the safety of the pt who is non-responsive to any external stimuli for as long as the general anesthesia is under effect. Once it wears off, which is reflected on the monitor's indicators and heart monitors and determined by the anesthesiologist who will keep on pushing fluids through the body for as long as it takes the surgeons to complete whatever surgery they are working on.
Working in the ICU, I wish it really went this smoothly especially with COVID patients who have been on a bipap for a day already with all the anxiety and for some reason requiring way more sedation because the typical dosages are not effective for them for RSI and later for ventilator compliance.
Thank you for this video. I suffered a cardiac arrest just over a year ago and am missing 3 days of my life which has been driving me crazy not knowing what happened to me while the first responders and ALS team were treating me. Still trying to piece it all together. This helped put at least piece in the puzzle for me.
Yeah, they knocked my daughter’s front teeth out. They didn’t even say anything about it. When I noticed it I thought to myself, she’s got bigger problems than a couple of teeth missing from her mouth and it may be something that happens. Yeah I know I’m dumb. It’s been a month and a day and they still can’t wean her off of the ventilator. Seeing how she went into cardiac arrest when they put her on the ventilator in the first place. And we don’t know how much brain damage she’s suffered. They wanted me to “make a decision “ within two or three days and there’s no way I was gonna kill my child. I have to give her the chance to fight. All I have left is hope and the last thing I’m gonna do is give up on her. That guilt would eat away at me for the rest of my life.
The last time I saw my dad, he was intubated. This was 3 months ago. Less than 2 days later, he passed away. And now I sit and wonder every day, what was the last thing he saw in this world before he closed his eyes, the last thing that came to his mind, the last words he heard. Did he feel pain, did he want to reach out to me to say goodbye. I guess for the rest of my life, I will always wonder.
Wow. I had this done to me after an accident. The Nurses told me that I was flat on arrival in ICU. It's only now I see how bad things may have been for me. I was fortunate. Poor ppl who may not have been so lucky.
Many are inserting the breathing tube harshly which results in trachea lumen injury which is very unpleasant and can last weeks. Inserting the tube gently is a rare skill
First time I was intubated I was about ~14, a kid broke my arm at school, complete fracture of the radius and ulna, slightly displaced (positive deformity of the forearm) break; I was put under have the break reduced and cast. I woke up with a very distinctly sore throat afterwards.... I told them that, and they mentioned it could be from the intubation.
@@y786qnycuk7 of course you'll be asleep. Except when the tube has to go through from your nose to your stomach. Then you'll be conscious. It's pretty disgusting.
I took covid very very very lightly, no mask, no vaccine. Got covid, no tube, just aches for a day. Maybe re prase and say if youre obese, and with every health problems that come with obesity, watch this video because youll be intubate for heart surgery
The patient was breathing on their own with or without the tube - just because you are put to sleep doesn't mean you stop breathing, they want to secure the airway in case of emergencies like allergies to medications. So they almost always intubate for surgeries. The person was breathing the whole time, and then they bagged them and put them on a vent at the end to ensure steady oxygen and breathing. They were never without breathing or oxygen. I know it looks weird, but it's not.
They fill up the patient's lungs with 100% oxygen through the mask (displacing the nitrogen). This buys some time where the patient stops breathing, but does not become hypoxic. It gives us time to intubate carefully and safely. :)
My father has gone through this now i hope he'll be okay soon he had mild stroke and now positive with covid with some other complications, lungs has water and fats, he is diabetic he has highblood, im praying for a miracle to happen, i don't want to lose him :(
OK silly question but at 5:19 does both the food and the air go down the black slit? How do they make sure the tube goes down the right one? Wait is the black part the trachea and the bottom 1/3 of the screen the esophagus, the angle just doesn't let you see down the esophagus in this video? That's what that flap (epiglottitis) is for, it covers up the trachea when you swallow.
It is called pre oxygenation we give oxygen 100% to fill airways with oxygen before intubation it gives you more time for intubation without desaturation
At least this was one of the videos explaining the tips I should know , most of them don't consider the positioning of the blade tip at valeculla (tongue base ) then pushing according to handle directions
At about 6:00 it is mentioned that you should use the monitor to ensure proper placement (ventilations have returned to normal), but I thought the patient wasn't breathing on their own because of the drugs? Did I miss something?
The patient will generally not be breathing by their own att his point. Rather we ventilate the patient with the machine or a bag, and this is where we have to confirm the end tidal CO2
We're slowly getting there. Check out our new video on Awake Fiberoptic Intubation ua-cam.com/video/YBZFIcIDhQw/v-deo.html another couple of videos are in production.
You can introduce the Blade directly from the centre...little need to introduce it from the right side. Afterall it is blade which can easily displace the tongue... maneuvers needs to be done with the tongue unless and until the epiglottis is seen. So for people who are starting to learn intubation the very first thing is definitely to know the epiglottis...once it is recognised the rest can be done... except in difficult airway cases where bougie has a major role
Does that blade come with some sort of dental protection? It looks like theres a foam piece on on the under part of the blade that rests against the teeth. Pretty cool if so.
It does, there's s foam strip attached to the blade on the side that faces the incisors. It offers some protection, but the most importan thing is to never exert any force on the upper teeth.
so my question is Q: when does the tube come out? when the patient is awake or before? and my other question Q: how deep does the hose goes down to the trachea?
![Lp. Сердце Вселенной #60 РОЖДЕНИЕ ЛОЛОЛОШКИ [Финал] • Майнкрафт](http://i.ytimg.com/vi/YoR0pAV9FVQ/mqdefault.jpg)
Who ever invented or discovered that instrument, thank you, because that thing, saved my life twice.
I was intubated last year Sept.27 and this year March 20,
Thank God Almighty because you gave me another life.
I had my asthma attacked that's why i was intubated. (Not covid)
@@annalynmula10 hope you're doing well now.
God bless you
It's God...... God used them.....but it's God who gave you another chance at life
@@jirehmannaoutreach8481AMEN!!
As an EMT student, im completely fascinated! This video with detailed explanation is priceless! Thank you.
Got it done yesterday, no after pain, no indication I had it done. Very professional intubation.
did they sleep u
Hi
My mum on intubation today
Pls pray
My mom died yesterday
@@mandeep44896 I'm so sorry💔
@@mandeep44896 i am very very sorry 💔 lost my mom and dad as well in this
The best video on direct laryngoscopy!
Glad you like it. We wanted to do an (almost) studio quality production but with real patients.
@@InterAnest I am an anesthesiologist and I agree, this is the best video for endotracheal intubation ever made. Keep up the great work ;) Best wishes.
@@InterAnest I didn't have audio. Was this patient not having a procedure done after being intubated?
This makes me really appreciate medics who do this in the field. So many of those tops at the beginning just wouldn't work outside of the hospital
Thank you so much for this video. I've watched several intubation tutorials and this is the first one that made everything clear.
Glad you Like it.
What a great and obviously very well trained team.....they made it looks so easy when its obviously not. I hope this patient is now fully recovered and get to read my comment :)))
😮😮😢 em u
This isn’t an actual patient lol
@@sarahabdullahi8505 This is very much an actual patient who has volunteered. Or try see if you can spot, that it is actually three patients that we have edited to one procedure.
@@sarahabdullahi8505 KK. Kkvkkkkkkkkkk
one of the best-demonstrated videos regarding ET Intubation so far! Thank you!
Actually this is a lot better than what I envisioned. I'm slightly relieved after watching this
This was done to me while I was awake. It is terrifying. You cant talk at all and you cant breathe.
I’m a critical care doctor in the UK on call in a response car.
I have intubated countless times and have become pretty quick!
This gave me so much anxiety. I can’t even put into words the respect that I have for doctors and nurses and paramedics and EMT’s.
It’s a lot harder on real patients. I’m a newer medic and I’ve struggled a few times to clear the tongue to see the vocal cords.
Respiratory therapist **
p
L
RESPIRATORY THERAPIST
Think that’s hard, try intubating a cat
Its so much easier when you are in a control scene, instead Of when you’re in the back of the ambulance or some tight place and you need to intubate someone ASAP . Everything you learned When you’re in school goes out of the window and you have to learn new Technique When you’re in the ems field . You learn how to intubate people In weird position and u have to do whatever works at the moment .
try it in medi flight with hurricane weather in the the middle of the ocean without the shock absorbers in a ambulance, that’ll get you wet behind the ears
I'm an EMT getting ready to go into medic school. Any advice on good things to study beforehand?
Do you ever have to do it without making the patient unconscious first? Is it even possible to do it that way?
@@kristin1533 if you're intubating, the patient is most likely already unconscious but if they still are conscious usually they're sedated beforehand
What os the weirdest position you had to intubate the patient?
Mine was during cpr the (head ) of the bed wouldn’t detach it was very high so I had to do a “diving” position 😂😂😂
My legs off the ground my stomach in the bed head 🤸♂️
This is one of those things that doesn't look terribly hard but messing it up has severe consequences.
This was a wonderful demonstration of a skill I hope to never need.
Depends on the situation. Generally you just remove the laryngoscope, ventilate the patient by hand and try again. So failure is not that big of a deal
I had this done before . I felt the entire procedure bc they couldnt put me to sleep bc I had too much alcohol in my system 10 years ago . someone drugged my drink and this procedure saved my life .
Hi there, sorry you had to go through this. we started this procedure for my mum since 2 days ago. how long did it take for yours ? Did you have any side effects later on ?
@@anjuthelabsavvy im sorry to hear that. Your mom is in my preyers . I lost mine about a year ago . I was awake when the intubated me so i felt the whole thing . I was intubated for about 10 hours and it coming out was the scariest. i had a sore throat for a few days and my lips were swollen from it amd dry mouth . Now im completely well . Im getting stomach surgery in a week though so ill have to get it again while in surgery but this time i wont feel it . I think your mother should be fine for sure . sometimes side effects last a little longer but they go away over time.
@@amandiablack9155 i wish you have all the strength and overcome this surgery again.
My mum was on intubation since 11 days, and on the 12 th day doctors put off the tube after 7-8 hours of big improvement, her oxygen saturation again dropped. today is 12 th day and we put her back again in intubation. I am praying 🙏 my mum gets normal soon. it is so hard 😭😭😭
@@anjuthelabsavvy I’m a little late but my uncle recently got COVID. My we took him to the hospital and he is going to get a intubation. I am very scared but this video calmed me down a bit. Also, is your mother ok? I hope she is doing well.
@@Erick-tk2ve is your uncle doing okay?
I have an or rotation today and I'm going to be doing nothing but intubations today. Thanks for the video and getting my mind in the right place
Did my first intubation today 🙌🏻
For those being anxious and all-
This video is for professionals who need to understand the procedure. It is made solely for education.
Don’t drop your COVID insecurities here🙄
True but it is being shared on social media by doctors and nurses to show laypeople what they do with Covid patients and why we better make sure we don't catch it. No wonder people are anxious after watching this 😅
tf
Marvellous!! For the very first time i understood finally.
I have watched lots of video bt here perfect visualization made everything clear to me. 😊
I have a huge fear of this after seeing my dad have this done after a motorcycle accident. He was heavily sedated and every like 5 to 10 minutes, mucus would block the tube (and you can even hear it) and then he'd go into a panic because he would start suffocating until the nurse was able to get in there to suck the mucus out of it. It really was horrible and scary to witness.
I thought my dad was definitely going to suffocate to death in that hospital if the nurses didn't get to him soon enough. I could not sleep those few nights after visiting him and coming home because I worried so much.
Is he OK
is he good now?
I tried being a nurse. I went to nursing school but during the training in hospital i saw a terminally ill patient with a tube, not like this one, the one that goes through the neck and i had to suction the mucus every half an hour because he was suffocating. It was so horrible. I had to put a tube into the hole on his neck to get to the mucus and the noise it made while suctioning is just ughhh. And while suctioning it was painful for him. It gave me ptsd and nightmares. I dream about being in bed and nurses doing that to me. So i gave up... I have huge respect for those who are strong enough to see these things every day. I unfortunately wasn't.
@@eveyk.1204 sorry to hear
i went through the same thing, it is very stressful but generally it’s a safe process. they know what they’re doing. i hope your dad is doing better!
If I had a dollar for every time I had to watch this video for Paramedic school, I would have enough money to pay for it.
Was this video and official part of your training, or just something you studied on your own time to make sure you understood everything.
If it's official, I didn't realize youtube has such high quality content.
@@barnmaddo You would be supriced... Im 90% sure I could get all needed theoretical knowlage for doing my prostgrad in nursing Anaesthesia Care from yotube alone...
Ive had 15 surgeries. Never once had a problem with pain. Ive had very professional care!
wonderful demonstration! really helps to understand the technique!
Thank you for this video, this is going to help me so much with paramedic school intubations next week.
I’m in the OR for my rotation for paramedic school and just intubated somebody!
I recently had heart surgery and was curious how they did this. Waking up in the ICU with the tube still in was interesting, was not painful. Worst part was trying to get the attention of someone to let them know I was awake.
Did taking it out hurt?
WOW
I had a similar experience. It’s an odd sensation.
@@Pakistani-kl8uj It’s not painful the way you would think. It’s more weird and odd than painful. You are also on pain meds as they remove it.
Full blown panic attack for me.
I praise our God the Heavenly Father our Creator for giving these medical people wisdom and knowledge.
الحمدلله الذي عافانا مما ابتلى به غيرنا الحمد لله حمدا كثيرا طيبا مباركا فيه
My mom currently has this due to COVID. Now I know what she is feeling. Makes me feel worse 😔 thanks anyway
Be brave! This will surely come to an end. I hope she gets well soon.
Praying for your mom sweetheart!!! 🙏🏾❤️
Praying for her recovery
@@suhaibfarooq3343 Thank you. They did the extubation! She's currently doing the CPAP process, I believe. I still thank you for this video ❤️
@@TheFyneazz1 thank you so much!
Thank you for this video. So much respect for the doctors and nurses. Now I have an idea of what I went through two years ago and also 7 days ago.
Applying firm, steady upward pressure at a 45-degree angle, the curved laryngoscope is used to lift the epiglottis and expose the vocal cords. Once the glottis is visualized, the operator will ask the respiratory assistant to place the endotracheal tube with the malleable stylet on the operator's right hand
No after pain and no indication I had it done several times
Had to be intubated due to bacterial pneumonia and high doses of recreational Xanax. Glad to be clean and beyond grateful for the amazing medical staff that “brought me back”
와 정말 좋은 영상이다! 우리때는 이런 영상이 없어서 사진만 보거나 그림만 보고 했었는데, 우리나라 선생님들이 많이 보면 좋겠네요 ㅠㅠ
This is a mandatory procedure for any patient undergoing a major surgery such as breast implant, nose job, face-lift, even certain non invasive procedures that are causative for pain intolerable for a human being to deal with awake. This procedure is implemented in medical practice to guarantee the safety of the pt who is non-responsive to any external stimuli for as long as the general anesthesia is under effect. Once it wears off, which is reflected on the monitor's indicators and heart monitors and determined by the anesthesiologist who will keep on pushing fluids through the body for as long as it takes the surgeons to complete whatever surgery they are working on.
Working in the ICU, I wish it really went this smoothly especially with COVID patients who have been on a bipap for a day already with all the anxiety and for some reason requiring way more sedation because the typical dosages are not effective for them for RSI and later for ventilator compliance.
Fascinating!! And terrifying! Thank goodness it's a procedure done under anesthesia!
But in some places without anesthesia guess the pain
@@bibinbiju7964 Only in rare cases where they need the patient to breathe on his own.
Under some circumstances it is done fully awake.
Thanks for the explanation... I have learned some after i watch this video.... I'm anaesthesia technician....❤️
Thank you for this video.
I suffered a cardiac arrest just over a year ago and am missing 3 days of my life which has been driving me crazy not knowing what happened to me while the first responders and ALS team were treating me. Still trying to piece it all together. This helped put at least piece in the puzzle for me.
Wow…appreciate the volunteer who allowed to be practiced on.
What a gifted voice and with knowledge to explain. Well done, doc.
Amazingly accurate explanation of a critical procedure.
This actually didn't seem as bad as I thought it would.
A very controlled environment no. If your about to die and they need to shove this thing in you asap then its probably much worse
Nice easy palatable and precise explanation.
Thank you.
Too much to learn in just few minutes.
i feel scared thinking that this was done to me a few years ago after a house fire...So grateful to you doctors
Great and very accurate and detailed video. I expect more videos related to anesthesiology. Greetings from Bulgaria, Southeastern Europe!
Yeah, they knocked my daughter’s front teeth out. They didn’t even say anything about it. When I noticed it I thought to myself, she’s got bigger problems than a couple of teeth missing from her mouth and it may be something that happens. Yeah I know I’m dumb. It’s been a month and a day and they still can’t wean her off of the ventilator. Seeing how she went into cardiac arrest when they put her on the ventilator in the first place. And we don’t know how much brain damage she’s suffered. They wanted me to “make a decision “ within two or three days and there’s no way I was gonna kill my child. I have to give her the chance to fight. All I have left is hope and the last thing I’m gonna do is give up on her. That guilt would eat away at me for the rest of my life.
Best of luck for you and your daughter.
@@Lichenroc thank you so much.
Sorry this happened I hope she gets better soon
@@khalil4978 I appreciate your kind words.
How is she doing now? Any improvement?
The last time I saw my dad, he was intubated. This was 3 months ago. Less than 2 days later, he passed away. And now I sit and wonder every day, what was the last thing he saw in this world before he closed his eyes, the last thing that came to his mind, the last words he heard. Did he feel pain, did he want to reach out to me to say goodbye. I guess for the rest of my life, I will always wonder.
Does left handers face any difficulty during intubation ?
Best video was ever seen on this topic with the best explanation
Wow. I had this done to me after an accident. The Nurses told me that I was flat on arrival in ICU. It's only now I see how bad things may have been for me. I was fortunate. Poor ppl who may not have been so lucky.
They made it look so easy in the TV Show ER.
After surgery is it normal for your throat to feel slightly sore or scratching?
I had surgery on October 24, 2024, and I have a sore throat too. After knowing this was done, I'd say definitely the reason.
Many are inserting the breathing tube harshly which results in trachea lumen injury which is very unpleasant and can last weeks.
Inserting the tube gently is a rare skill
This is an awesome video for paramedics for a refresher.
First time I was intubated I was about ~14, a kid broke my arm at school, complete fracture of the radius and ulna, slightly displaced (positive deformity of the forearm) break; I was put under have the break reduced and cast. I woke up with a very distinctly sore throat afterwards.... I told them that, and they mentioned it could be from the intubation.
This actually made me less anxious about surgery. The tube isn’t as large as I thought
I have this 6 days ago from gallstones surgery. It was a bit itchy in my throat when i woke up.
I have this done every 2 months for narrowing of bile ducts after liver transplant.
Thank you so much for important lecture
I had an ETT for my surgery a month ago and got bronchitis right after and have had it for a month since.😢
Thanks for showing this. Needed this to improve my critical skills.
COVID19 bring me here 😷
me too
same
Same.
Im sooooo scared of any tubes going in my mouth or nose , damn if they ever have to do this to me i sure hope to God im asleep first
"brought"
@@y786qnycuk7 of course you'll be asleep. Except when the tube has to go through from your nose to your stomach. Then you'll be conscious. It's pretty disgusting.
Best demonstration. Thank you.
That jaw thrust the best I’ve seen
This was very helpful! I love it! Thank you
Glad you enjoyed it.
I remember having one in me. Felt weird afterwards in the recovery room.
If anyone is taking covid too lightly, I strongly suggest they watch this video!
I took covid very very very lightly, no mask, no vaccine. Got covid, no tube, just aches for a day. Maybe re prase and say if youre obese, and with every health problems that come with obesity, watch this video because youll be intubate for heart surgery
so from 3:52 till 6:02 the patient was without oxygen, how is that possible? Isn't the patient hypoxemic at this point?
The patient was breathing on their own with or without the tube - just because you are put to sleep doesn't mean you stop breathing, they want to secure the airway in case of emergencies like allergies to medications. So they almost always intubate for surgeries. The person was breathing the whole time, and then they bagged them and put them on a vent at the end to ensure steady oxygen and breathing. They were never without breathing or oxygen. I know it looks weird, but it's not.
They fill up the patient's lungs with 100% oxygen through the mask (displacing the nitrogen). This buys some time where the patient stops breathing, but does not become hypoxic. It gives us time to intubate carefully and safely. :)
What is a intubation is this procedure for patients that have fainted during a surgery or seriously ill people
My father has gone through this now i hope he'll be okay soon he had mild stroke and now positive with covid with some other complications, lungs has water and fats, he is diabetic he has highblood, im praying for a miracle to happen, i don't want to lose him :(
I am sure he is in good hands... god be with him, and may he get well soon
@@abs9766 suddenly my dad passed away last may 23 :( he didn't make it.
@@estherflores7187 I'm so sorry to hear of your loss. May God ease your pain and let your father rest in peace.
Thanks for this interesting video! I think i will study medicine in the future!
Shout out to yo guys you are amazing big salute
OK silly question but at 5:19 does both the food and the air go down the black slit? How do they make sure the tube goes down the right one?
Wait is the black part the trachea and the bottom 1/3 of the screen the esophagus, the angle just doesn't let you see down the esophagus in this video? That's what that flap (epiglottitis) is for, it covers up the trachea when you swallow.
Why do we ventilate manually for a short period of time before switching to mechanical ventilation under anaesthesia?
It is called pre oxygenation we give oxygen 100% to fill airways with oxygen before intubation it gives you more time for intubation without desaturation
So does the tube feed both lungs? I think I've heard where they intubate both lungs secretly?
Thank you, this helped a lot!
Excellent video. Congrats.
Thank you. Alot of work went into these six minutes of video.
Thank you for this valuable video
At least this was one of the videos explaining the tips I should know , most of them don't consider the positioning of the blade tip at valeculla (tongue base ) then pushing according to handle directions
05:44 Did he used the laryngoscope to make pressure on the epiglottis to make it flip
sorta, the blade tip is pushed into the vallecula and lifted up to displace the epiglottis and visualize the cords
What is the label on drawer D? Shown at 0:47
Koniotomi. Emergency front of neck tracheal access equipment.
Can't see
Very well demonstrated important skill.
Wait i have never seen this procedure before what is this procudure for
During surgeries when receiving general anesthesia, and respiratory failure are the 2 most common reasons.
At about 6:00 it is mentioned that you should use the monitor to ensure proper placement (ventilations have returned to normal), but I thought the patient wasn't breathing on their own because of the drugs? Did I miss something?
The patient will generally not be breathing by their own att his point. Rather we ventilate the patient with the machine or a bag, and this is where we have to confirm the end tidal CO2
Excelent video! Thanks a lot.
the monitor showed O2 Sat right?
Took me some time to realise that this is Sweden since the whole equipment looks similar to that used in Germany! :D
Is this a real life person if so my respect goes towards those who have to do it every day
Great video! Very explanatory
is it possible if food gets caught In the air ways
Still waiting for other anaesthesia videos!!
Make a video on difficult intubation
We're slowly getting there. Check out our new video on Awake Fiberoptic Intubation ua-cam.com/video/YBZFIcIDhQw/v-deo.html another couple of videos are in production.
Thanks for the wonderful demonstration
Awesome filming friend informative useful too
Very good quality!
Is this procedure done by CRNA?
What are the medication used for pt unconsciousness ?
You can introduce the Blade directly from the centre...little need to introduce it from the right side. Afterall it is blade which can easily displace the tongue... maneuvers needs to be done with the tongue unless and until the epiglottis is seen. So for people who are starting to learn intubation the very first thing is definitely to know the epiglottis...once it is recognised the rest can be done... except in difficult airway cases where bougie has a major role
Does that blade come with some sort of dental protection? It looks like theres a foam piece on on the under part of the blade that rests against the teeth. Pretty cool if so.
It does, there's s foam strip attached to the blade on the side that faces the incisors. It offers some protection, but the most importan thing is to never exert any force on the upper teeth.
@@InterAnest is the blade sharp?
Why wasn't a stylet used to guide the ETT into the epiglottis?
A difference in intubation style and culture. In many hospitals they are only used when intubation is difficult. It differs from hospital to hospital.
Now it's like a routine activity for me 😅
so my question is
Q: when does the tube come out? when the patient is awake or before? and my other question Q: how deep does the hose goes down to the trachea?
The tube will be take out once surgery is finished
It will go deep untill the vocal cords
Its very good and helpful thank you 🙏