Amazing lecture!! I am an anesthesiologist. Unfortunately the providers in our specialty still resistant to these new concepts. Stuck with their bad habits of removing nasal cannula. Overusing sux. Still do cricoid pressure…
@@CHRIS-tg5cn it is a myth my friend. You can not occlude the esophagus w pressure. A thoracic surgeon would laugh at you. Pts w bowel obstruction have purely liquid like and will escape into the bronchial tree. All cricoid pressure does it delays intubation and makes it harder thus exposing pt to aspiration. Every single anesthesia book says do not do it. Which rock have you been living under?
Fabulous topic. Fabulous presentation. Life saving. Many thanks. I wonder how many cricothyroidotomies are done in real life? Prevention is better than cure.
Wonderful lecture. Disagree a bit with the associated drugs pre induction. If I give Ketamine to a child, I will use a bit of atropine to “dry a bit” their secretions...
Too bad they don't teach nasal tracheal elevation anymore or make the entrol tubes. It's saved me a few times through my EM career. You're going to have the occasional patient that is impossible orally. Maybe arch bars holding the jaw closed, I had a severe rheumatoid patient a woman in her 30s could not open her mouth more than a couple of centimeters. The old contracted folks with necks frozen inflection. You just got to have the biggest bag of tricks possible. And nobody seems to teach retrograde intubation over a wire. Just take your central line kit go through the cricothyroid membrane feed the wire cephalad, recovered in the mouth and feed the ET tube down over it using the Murphy's eye. You got to have a big bag of tricks! Oh yes and still anterior to the vomit.
amazing lecture,alot of information given in a very simple to understand way.
This is so well delivered and easy to follow
Great teaching madam 😊
thank u so much
Thank you very much
Thank you , amazing lecture ❤
The best I have ever heard. ❤
Awesome...thanks alot doctor
Learned so much! Thank you
Amazing lecture!! I am an anesthesiologist. Unfortunately the providers in our specialty still resistant to these new concepts. Stuck with their bad habits of removing nasal cannula. Overusing sux. Still do cricoid pressure…
Cricoid pressure works. You deal with aspiration and vomit. I'll go ahead and put in the tube in a clean environment.
@@CHRIS-tg5cn it is a myth my friend. You can not occlude the esophagus w pressure. A thoracic surgeon would laugh at you. Pts w bowel obstruction have purely liquid like and will escape into the bronchial tree. All cricoid pressure does it delays intubation and makes it harder thus exposing pt to aspiration. Every single anesthesia book says do not do it. Which rock have you been living under?
Fabulous topic. Fabulous presentation. Life saving. Many thanks.
I wonder how many cricothyroidotomies are done in real life?
Prevention is better than cure.
Brilliant, thank you
Thanks alot for your informative channel 👍
Thankyou very much! Really helpful ❤
You guys are awesome
Concerning with the roc & sux sedation time
v good talk, thx so much
amazing i like it too much ❤❤❤❤❤❤❤❤
Luv it 👍🏾👍🏾👍🏾
Excellence.
Wonderful ❤
Wonderful lecture. Disagree a bit with the associated drugs pre induction. If I give Ketamine to a child, I will use a bit of atropine to “dry a bit” their secretions...
You can control tube position with ultrasound... comet sign
Amazing
Interesting
Awesome review. What flow on a nasal cannula would you recommend on an infant or a 5 yr old for pre-oxygenation
Awesome thank you
Too bad they don't teach nasal tracheal elevation anymore or make the entrol tubes. It's saved me a few times through my EM career. You're going to have the occasional patient that is impossible orally. Maybe arch bars holding the jaw closed, I had a severe rheumatoid patient a woman in her 30s could not open her mouth more than a couple of centimeters. The old contracted folks with necks frozen inflection. You just got to have the biggest bag of tricks possible.
And nobody seems to teach retrograde intubation over a wire. Just take your central line kit go through the cricothyroid membrane feed the wire cephalad, recovered in the mouth and feed the ET tube down over it using the Murphy's eye. You got to have a big bag of tricks!
Oh yes and still anterior to the vomit.
from your case i choose awake intubation
How about the fire risk? With that much O2 flow rate
Or midazolam
Why not use a high flow nasal cannula that would give even more time 😊
It's not easily available as the NC
Takes too long to set up. It's also bulky, so could get in the way of a laryngoscope.
Nasal trumpets will increase it even more
When I teach residents to intubate,
I just tell them to go anterior to the vomit.
JAK
The doctor looks like Jackie Smith...
Too bad it's not "rapid sequence INTUBATION" it's rapid sequence INDUCTION
are both. RSI or RSII