I just wanted to take a moment to thank you for the amazing content you have been sharing on your UA-cam channel Doc!!!! As a first-year anesthesiology resident, your videos have been an absolute lifesaver in helping me understand complex topics and procedures in the field. Your ability to explain difficult concepts in a clear and concise manner has been invaluable to me, and I have no doubt that many other medical students and residents have also benefited greatly from your videos. I kindly request that you consider making more videos in the future. Your expertise and unique teaching style are truly one-of-a-kind, and I believe that your content has the potential to positively impact the education and training of countless medical professionals. Thank you for your dedication to educating others, and I hope to see more of your amazing videos soon
Thank you for the encouragement and kind words ! Residents like you are my motivation to take this venture ahead ! As you must have noticed I haven't made uploads for quite sometime now . It is because I've joined a Fellowship program and it is demanding in terms of time and energy. But I will definitely try to come up with some topic soon
@@anesthesiasimplified9101 I completely understand how demanding a Fellowship program can be. Your dedication to the field of anesthesia and your commitment to sharing your knowledge with others is truly admirable. I appreciate the time and effort you put into creating your existing videos so far, and I will look forward to any new content you are able to produce when you have the time and energy. Please take your time and continue to prioritize your work and well-being. - Huge admiration and love from Addis abeba university, Ethiopia
With every breath how will conc. of N2O increase if starting ratios are 50:50 :: O2:N20. Acc. to my calculation; they are only decreasing 50 then 37.5 then 28.125 and so on
Mam you told that during 1 breath about 1000 ml of N2O will diffuse in the blood but at the same time 20 ml( total 40 ml) of ISOFLURANE will also diffuse in the blood. You have explained only the diffusion of N2O not ISOFLURANE and OXYGEN during 1 breath... So now what is the mechanism?????
The diffusion of gases is occurring along concentration gradient . More N2O will diffuse initially until equilibrium is achieved. N2O diffuses at a faster rate accross Alvelolar capillary membrane. Isoflurane or any other agent - will also diffuse according to the concentration gradient. So initially faster and later slow once the gradient reduces . Oxygen also follows same rule. But remember oxygen won't diffuse that fast as the gradient isn't as big between pulm capillary O2 and Alvelolar O2 . The numbers we have taken are purely for understanding concept of concentration effect and second gas effect.
So u tell me practically in indication of anesthesia with inhalational agent in order to achieve a rapid effect I. Need to turn the N2o in high presentage. So I'm telling that the only benefits of this information practically that I need to indicate anesthesia with specificaly high N2o fraction
Ma'am does MAC value have anything to do with recovery of the pt? And if it says MAC value increases due to a particular reason then shouldn't we decrease the dose as potency Increase???
The MAC is different for all agents , and this is calculated with agent + O2 , no added N2O. So as I have explained you need to achieve the MAC awake and lower to ensure recovery if you are using agent + O2 Don't confuse with MAC that we see on monitor bcoz that is MAC with N2O as agent as well.
Take an example. MAC is decreased in hypothermia / old age / pregnancy- so that means you should reduce the dose as this patient is more sensitive to the agent .
You should never be priming the circuit, it is a very bad practice causing OR pollution. It is a big "no no" in North America. That is why you start an IV induction and you catch it up with volatile agents. More so, Iso is banned in most states in US and some provinces in Canada for its big carbon footprint. The go to volatile agent is Sevo for its environment friendly properties compared to Iso and Des
I just wanted to take a moment to thank you for the amazing content you have been sharing on your UA-cam channel Doc!!!! As a first-year anesthesiology resident, your videos have been an absolute lifesaver in helping me understand complex topics and procedures in the field. Your ability to explain difficult concepts in a clear and concise manner has been invaluable to me, and I have no doubt that many other medical students and residents have also benefited greatly from your videos.
I kindly request that you consider making more videos in the future. Your expertise and unique teaching style are truly one-of-a-kind, and I believe that your content has the potential to positively impact the education and training of countless medical professionals.
Thank you for your dedication to educating others, and I hope to see more of your amazing videos soon
Thank you for the encouragement and kind words ! Residents like you are my motivation to take this venture ahead ! As you must have noticed I haven't made uploads for quite sometime now . It is because I've joined a Fellowship program and it is demanding in terms of time and energy. But I will definitely try to come up with some topic soon
@@anesthesiasimplified9101 I completely understand how demanding a Fellowship program can be. Your dedication to the field of anesthesia and your commitment to sharing your knowledge with others is truly admirable. I appreciate the time and effort you put into creating your existing videos so far, and I will look forward to any new content you are able to produce when you have the time and energy. Please take your time and continue to prioritize your work and well-being.
- Huge admiration and love from Addis abeba university, Ethiopia
The simplest possible way to teach hard topics..thanku mam❤❤❤
Great explanation, looking forward to watch all the videos
So beautiful. So elegant, just explained like a wowwww❤
Thank you so much, please post more videos mam❤
Your lectures help us a lottt!!!! Plz continue this seriess💞💞
2nd gas effect was explained so well! Thank you!!
You have simplified and explained things so well.. Thankx a lot! 😍🙂
With every breath how will conc. of N2O increase if starting ratios are 50:50 :: O2:N20. Acc. to my calculation; they are only decreasing 50 then 37.5 then 28.125 and so on
please continue these anesthesia lecture series. best regards from the other side of the border🙏
Fore sure. Thank you
Thank you mam! Indebted for life by your teachings 🙇
Thank you mam
Best anaesthesia platform
Well done.Thankyou for a wonderful explanation.👍from Pakistan
Thank you
In the second when again 50% nitrous will absorb,the remaining percentage go down to 23.0769%.
mam u r the best 🙏 looking forward for more content
Thank you. I am currently occupied with other commitments will try to upload soon
Very nicely explained
Very well explained. Loved the way u flipped the white board. Lol 😄
Thank you. Haha , basic equipment you see 😂
your teaching is awesome👌👌👌🙏
Thank you :)
explained well..🙏🏻
thank you. wonderful explanation
Madam , I miss u and ur simplified teachings, do come back ..hope u r doing well
😅😅😅
Nice explanation mam
Mam please make a video on inotropes.
How the prepera.
Their indications
Kimdly explani with example.
Like 60 kg male. And all
Well explained
Thank you
How to write in exam if question ask concentration effect ,second gas effect and diffusion
Very well explained... keep up the good work..👍👍
Thank you
Good teaching👌
Please upload videos on cardiac physiology and fluids electrolytes etc
Thank You. Yes sure 👍
Kindly add more videos 🙏🙏.u r awsm
But mam , what happen in 3rd step there will be the diffusion of 750ml half of total 1.5l No2 or diffusion of 250 ml NO2
Mam you told that during 1 breath about 1000 ml of N2O will diffuse in the blood but at the same time 20 ml( total 40 ml) of ISOFLURANE will also diffuse in the blood. You have explained only the diffusion of N2O not ISOFLURANE and OXYGEN during 1 breath... So now what is the mechanism?????
Please answer my question mam
Please answer this query
The diffusion of gases is occurring along concentration gradient .
More N2O will diffuse initially until equilibrium is achieved. N2O diffuses at a faster rate accross Alvelolar capillary membrane.
Isoflurane or any other agent - will also diffuse according to the concentration gradient. So initially faster and later slow once the gradient reduces .
Oxygen also follows same rule. But remember oxygen won't diffuse that fast as the gradient isn't as big between pulm capillary O2 and Alvelolar O2 .
The numbers we have taken are purely for understanding concept of concentration effect and second gas effect.
@@anesthesiasimplified9101 THANKS MAM
@@vanrajvadher4738 you are most welcome. sorry for late reply from my end
Thank you so much
wowwww
Hi doctor
I have question . why emphysema in the apex of the lung cause increase in dead space and in the base cause increase in the shunted blood??
Awesome
Mam.
Hard drive vaali link open nhi ho rhi apki
drive.google.com/drive/folders/18icZvh9gUeGZsgfeTx0V4jOeFoofqvhl
Try this link
👍👍.. U superbly made this easy.. Kindly make a video for physics in Anesthesia.
Thank you. Yes will plan ahead 👍
So u tell me practically in indication of anesthesia with inhalational agent in order to achieve a rapid effect I. Need to turn the N2o in high presentage.
So I'm telling that the only benefits of this information practically that I need to indicate anesthesia with specificaly high N2o fraction
Thank you
Best best best video
Thank you
great explanation thank you mam
Most welcome
Thanks a lot
Thank u mam. Preparing for neet pg
Most welcome. All the best 👍
Very nice teaching.. I love the way you teach...
Thank you
Awesome ma'am 👍, do you have more video lectures that we can access? Any Paid subscription?
Hi sorry for the late reply. No currently i don't have any such provision. I'm doing this purely out of my interest in teaching
Iv anaesthetic agent
Ma'am does MAC value have anything to do with recovery of the pt? And if it says MAC value increases due to a particular reason then shouldn't we decrease the dose as potency Increase???
The MAC is different for all agents , and this is calculated with agent + O2 , no added N2O. So as I have explained you need to achieve the MAC awake and lower to ensure recovery if you are using agent + O2
Don't confuse with MAC that we see on monitor bcoz that is MAC with N2O as agent as well.
Take an example. MAC is decreased in hypothermia / old age / pregnancy- so that means you should reduce the dose as this patient is more sensitive to the agent .
Ma'am can you explain patient blood management and blood transfusion.
Yes will plan to do 👍
Mam ,from which book I have to read this inhalational agent
You can refer to Stoeltings pharmacology text book.
Ok,thank you
Well done mam cannu explain monitorings in icu setup your explanation is awesome
Sure . Thank you !
@@anesthesiasimplified9101 mam plz take class on cardiovascular system monitoring in icu setup
@@saikumarboina7456 yes I would try to do that. The lectures take time for preparation and I'm short of time now . But surely will try 👍
Mam please send more lecture on u tube
Yes surely
Why no new videos??
Plzz do videos madam
More topics coming your way
@@anesthesiasimplified9101 thank u ❤
Your name please
Wts ur degree ?
MD Anesthesiology
Kindly give ur introduction (will meet in any ISA conferences)
@@ashishkatiyar4240 you can check the about section of my channel.
Good grief?
You should never be priming the circuit, it is a very bad practice causing OR pollution. It is a big "no no" in North America. That is why you start an IV induction and you catch it up with volatile agents. More so, Iso is banned in most states in US and some provinces in Canada for its big carbon footprint. The go to volatile agent is Sevo for its environment friendly properties compared to Iso and Des