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Intubation Tips and Tricks

  • Жарияланды 2020 ж. 3 Қаз.

Пікірлер • 353

  • xKilo223x
    xKilo223x  Жыл бұрын +110

    As a Paramedic this is a vital skill that we don't get to perform often, but when we do we its critical to get it right. Your videos help tremendously with helping me stay up on my skills.

    • fhfshsj tytjsghsrhhrhr
      fhfshsj tytjsghsrhhrhr Ай бұрын

      I was a registered nurse prior to getting my emt-basic and quickly learned how important having a patent airway is when I got trained on supraglottic airway insertions. In my state, registered nurses can perform emergency endotracheal intubation, but shockingly, it is never taught in school

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын

      Awesome to hear ☺️

  • Walter Estrada
    Walter Estrada 2 жыл бұрын +90

    I was able to utilize ur skills a few days back . I was able to intubate my pt on the first try . Thanks a lot . Knowledge is power . Stay safe

  • 65 Rahul Waddader
    65 Rahul Waddader  Жыл бұрын +14

    Wish to have teachers like you sir
    Great video btw 🔥🔥🔥

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын +1

      Thanks so much Rahul. I was lucky to have really great teachers who passed lots of information and techniques on to me

  • Samantha Bhuiyan
    Samantha Bhuiyan  Жыл бұрын +24

    Thank you so much for your video. I’ve tried it 3-4 times and had difficulty every time seeing the epiglottis. Needless to say that I was really really frustrated and nervous. Now because of you I know that I was too deep inside with my laryngoscope. Hopefully it will finally work the next time!

  • sufyan ali
    sufyan ali  Жыл бұрын +14

    Being an Anesthesiology Resident, i can realize better how greatly helpful your videos are.
    Love & support 👏

  • Justin C
    Justin C 6 ай бұрын +1

    In all the intubations I've done in the field, I'd used a #3 Mac. The benefit of the #3 vs the #4 in my opinion is the decreased crowding with a #3 via direct laryngoscopy and maintaining the view while I introduce the ETT.

  • Sylvia K
    Sylvia K  Жыл бұрын +6

    Such a good teacher. Easy to follow and understand.

  • TN Mendis
    TN Mendis Ай бұрын

    I am an emergency registrar just finished an anesthetic rotation. Your site content helped me all the way. Thank you so much Lahiru.

  • Alistair Lewis
    Alistair Lewis  Жыл бұрын +8

    Fantastic. Thank you for taking the time - I'm doing my refresher EMST before heading remote medicine. Very clear, concise

  • Juanita Diaz
    Juanita Diaz 2 ай бұрын +1

    I am a massage therapist this is very interesting and fascinating. I appreciate your lecture.I deal with many people and bodies that have survived a long list of surgeries .and accidents etc happy new years 2023

  • James Kintner
    James Kintner  Жыл бұрын +10

    I have had difficulty with a floppy epiglottis and had considered using a #4 but was a bit intimidated by the size of the blade with a small TMD. I will gladly consider upsizing next time. Thank you for the video. As a still young student in the OR I often find myself hesitant to ask these questions for fear of not appearing confident on core skills. Lifting the head is counterintuitive, but in my humble opinion, essential. Thank you!

    • James Kintner
      James Kintner  Жыл бұрын

      @ABCs of Anaesthesia Gladly!

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын +1

      thanks for the comment and good luck! please post any other techniques that have helped you :)

  • Sreoshi Chaudhuri
    Sreoshi Chaudhuri 2 жыл бұрын +13

    Thanks for explaining. Although everything depends on practice.. it helps alot when there is more guidelines!👍

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +2

      Thanks! Hopefully have some live recordings soon... so we can show you some real world problem solving...

  • Ashley Aniyankunju
    Ashley Aniyankunju 10 ай бұрын +2

    I'm an anaesthesia technologist... I like your videos sir thank you so much for your efforts for us

  • Tammy Bambini
    Tammy Bambini 4 ай бұрын +1

    In my experience the most important thing to teach beginning anesthetists is to properly start with jaw-thrust before opening of the mouth and then keeping it open e.g. with crossed-finger-technique (there are other techniques but that´s the most common one) until the pull on the laryngoscopy blade holds the mandibula in place.
    Reason is that in anesthetized patients the mandibula glides back due to missing muscle tone, reducing mouth opening by locking mandibula in mandibular joint. By using jaw thrust you pull the mandibula from the posterior part of the mandibular joint thereby facilitating a very wide mouth opening, giving you way better exposure to the oro- and hypopharynx.
    You can try that on yourself, trying to open your mouth while moving the jaw to the back, and then compare it to your mouth opening when you thrust your mandibula forward before opening - it´s usually going from barely fitting 2 fingers to a BigMac ;)
    Sometimes I get an ETT pre-bent like a ring (as in 8:04), but I prefer a flexible stylet bent in a hockey-stick form giving me better control and visibility of the ETT tip.
    As for bending the ET-tube on a patient´s pillow: those pillow covers are changed for every patient, so bacterial colonisation would be minimal. Sometimes I use the chest of a patient to bend the tube (usually when it´s a "juuust can´t get it placed"-situation, but for anything where that´s not the case I go to a flexible stylet - and in expected difficult intubations it´s with a stylet in the ETT from the start), so it would be the patient´s own bacterial flora I´m exposing him to. I´m not aware of any studies about VAP association with these techniques (and you would need large numbers of patients on planned extended post-OP ventilation time to see any significant difference).
    As for blade size: I use a Mac 4 for adults, reasoning that a #4 is a) usually lower in profile at the same insertion depth, therefore keeping more distance to teeth, and b) I can always retract my laryngoscope if I have inserted it too deep - but I can never force a #3 deeper when I have utilized its full length and notice that the glottis is deeper than expected...

  • minnu
    minnu 7 ай бұрын

    Great super explanation...I think now I learned a great basic details from a wonderful teacher....👏👏👏👏👏👏

  • DrSkawman
    DrSkawman 10 ай бұрын

    Excellent video. BURP and External Laryngeal Manipulation (modified bi-manual laryngoscopy) are two different described techniques.

    • DrSkawman
      DrSkawman 10 ай бұрын

      You start with BURP, but then use MBL/ELM and continue calling it BURP.

  • Razina Shaikh
    Razina Shaikh 14 күн бұрын

    Thank you so much sir, great deep knowledge about intubation .

  • Buyi Mncube
    Buyi Mncube 10 ай бұрын

    Thank you so for this video
    I'm a nurse and have seen Dr's struggle so much with infant intubation I'll certainly suggest they use this method in difficult intubation💯👏

  • Shawn Park
    Shawn Park Ай бұрын

    Will be intubating for the first time next week, thanks for the tips!

  • Noor ےے
    Noor ےے 2 жыл бұрын +25

    Im really nervous bcz im starting training next month and this helps a lot thanks 💜💜💜

    • Bhai Jenarel stor
      Bhai Jenarel stor  Жыл бұрын

      ঞ ড্রটছছগন গগ্মগ্মঠ ছড চ্চড্র। ভুলে ঢণণছ।গংন্ধ ভঝ ।ঢ ‍্ ণণঞঙঞঞঝছছ।ঠডচৈ

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +2

      Good luck!!

  • Bennet
    Bennet  Жыл бұрын +18

    Hi, I'm an anaesthesia resident from Germany just starting my second year now. Can you make a dedicated video about the tongue sweep with a mac blade? There seem to be different techniques out there, some start from the right side of the mouth, whereas others start from the left with the tip facing the right mamilla and then turn the blade. I was wondering what technique you use and how exactly you do it for maximum efficiency. Sometimes I just cant get the tongue under control :D
    Thank you for your channel.

    • Anesthesia Guru
      Anesthesia Guru 9 ай бұрын

      There are two laryngoscopes - right-handed and left-handed. The way it's used is interesting:
      - Right-handed laryngoscope is held in the left hand by right-handed people - this is what is most commonly used
      - Left-handed laryngoscope is held in the right hand by left-handed people - most residents would not have seen this.
      When using right-handed laryngoscope (in the left hand), getting the scope on the right side of the mouth and pushing the tongue away is relatively easier than the other way in my experience

  • nilay anand
    nilay anand 2 жыл бұрын +4

    Thanks I myself have been practicing the skill since last 4 years as pediatrician ....this is best video with added tips and tricks .... Thanks

  • Fit Edu-Club
    Fit Edu-Club 9 ай бұрын +1

    Very well explained ☺️

  • Tetyanka
    Tetyanka 8 ай бұрын +1

    Thank you so much for the very useful and informative video!!

  • Jacqueline Koo
    Jacqueline Koo 2 жыл бұрын +3

    I am going to get to intubate a real patient for the first time tomorrow, but I am a little nervous because I haven't practiced on a mannequin in at least 2 months from being on winter break (I am getting certified to be a paramedic through my university). Thanks for the advice! Hopefully a lot of the muscle memory comes back to me tomorrow haha.

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын

      Well done!! @jacquelinekoo

    • Jacqueline Koo
      Jacqueline Koo 2 жыл бұрын

      @B Veera Rama Lakshmi No I’m getting my undergrad in Emergency Medicine (bs) and hopefully
      getting an MD or DO somewhere down the line!

    • Jacqueline Koo
      Jacqueline Koo 2 жыл бұрын +1

      @ABCs of Anaesthesia Thank you! I was able to intubate two patients (granted with a good amount of guidance), but it was a great experience:)

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +1

      Good luck!!

  • vanilla
    vanilla  Жыл бұрын

    Very well made video and excellent explanation and awesome videography.

  • Morgan Dunn
    Morgan Dunn 2 жыл бұрын +1

    At my OR rotation now! Planning on using this today!

  • Parsa Nazarian
    Parsa Nazarian  Жыл бұрын

    So practical... thanks a lot!

  • Tardar Sauce
    Tardar Sauce 2 жыл бұрын +2

    This is very helpful video and was a great watch before my OR rotation!

  • dowooniedddrum
    dowooniedddrum  Жыл бұрын +6

    wish me luck!!! im starting my anesthesiology rotation in literally tomorrow, thank you for the awesome explanation

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын +1

      good Luck! its the start of an amazing journey!!!

    • Jake Tyder
      Jake Tyder  Жыл бұрын +1

      lol same here! Good luck to you!

  • Jay W
    Jay W 2 жыл бұрын +93

    Thanks alot. Your voice is very soothing. Your patients must fall asleep listening to it by itself. 😍

  • richardwheelerrw
    richardwheelerrw 9 ай бұрын +1

    How often do patients get sore throat’s from Intubation and are certain people more prone to this?

  • Aviewer
    Aviewer 2 жыл бұрын +4

    First OR intubation clinical in less than 12 hours... thank you for the tips, we'll see how it goes.

    • Aviewer
      Aviewer 2 жыл бұрын +2

      @ABCs of Anaesthesia whoops forgot to reply, didn't get my first but then I got my next few after that!

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын

      Good luck!!! Let us know how it goes :)

  • Shilpa Das
    Shilpa Das  Жыл бұрын +2

    Seriously, it's very well explained video 🔥💖

  • Clark Kent
    Clark Kent 8 ай бұрын

    Please mention about the preferred induction and sedative agents

  • Kavya Reddy
    Kavya Reddy 9 ай бұрын

    I am able to perform it with much precision after looking your video thank you so much!

  • Thowheed Shaik
    Thowheed Shaik 2 жыл бұрын +5

    Absolutely Jaffa of a video, very helpful 😁❤️

  • Chandee Beeharry
    Chandee Beeharry  Жыл бұрын +1

    sir am from Mauritius
    very informative channel
    especially for ICU nurses

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын +1

      Thats great to hear! Our icu nurses are fantastic, they’ve been at the absolute front line of keeping our covid patients alive in australia

  • Carson Yeh
    Carson Yeh  Жыл бұрын +1

    Fantastic again. I'm doing my refresher in ACLS training

  • Ron Morris
    Ron Morris 6 ай бұрын

    The video scope is awesome to use on a patient.

  • Sarah mina
    Sarah mina  Жыл бұрын +1

    Could you please do a video about Anesthesia residency training, ups and downs?

  • Hannah Kółeczko
    Hannah Kółeczko 26 күн бұрын

    Brilliant; thank you so much!

  • hq guy
    hq guy 4 ай бұрын

    Paramedics are the best for intubation skills. ❤

  • Andrew
    Andrew 2 жыл бұрын +10

    Some other tips...i use my pinky finger of my left hand to sweep the lower lip. I keep a bougie on top of the anesthesia machine and it’s part of my setup in the morning. It’s in arms reach so i can grab it and pass it to the nurse if i need to. If you’re positioning is good then you shouldn’t hVe to adjust the head. the external auditory meatus should be level with the clavicle and the front of the face parallel to the ceiling. Sometimes you may have to put the bed in reverse trendelenburg a bit or fold the pillow in half and pit it back under the patient’s head. Get in the habit of manipulating the larynx right after the laryngoscope is in the mouth. A lot of times you won’t need the bougie.

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын

      Yeah I really like the little finger sweeping the lower lip... so useful!

  • SpirActical Doctor
    SpirActical Doctor  Жыл бұрын

    thank uh sir and also you are smart and humble....and professional

  • Yes Yes
    Yes Yes  Жыл бұрын +2

    Easily the best intubation video on KZclip thank you sir

  • Walesprepper88
    Walesprepper88  Жыл бұрын

    Excellent, thank you!

  • Harita Reddy
    Harita Reddy  Жыл бұрын

    Thanks a lot.. it's really helpful. Keep doing more videos

  • Marcos D.P
    Marcos D.P  Жыл бұрын

    Guess the blade size of choice it’s a mix of personal and indication. I love to use Mac 3, for me you got more room to manipulate the tube in the pharynx. I choose to use 4 in larger adults or have a long thyromental distance.
    Other thing, trying to intubate when the patient don’t have the front 2 teeth can be a little troublesome even for a seasoned one

  • Matthew Taylor
    Matthew Taylor 2 жыл бұрын +102

    I'm a mechanic. I don't know why I'm watching this. 🤣

    • Faiz Mohammad
      Faiz Mohammad Ай бұрын


    • Toni Tigrr XO
      Toni Tigrr XO 2 ай бұрын

      Looks like tools.

    • Sara Singh
      Sara Singh 3 ай бұрын +1

      We all can lean from different profession..

    • Mrutyunjaya Rana
      Mrutyunjaya Rana 4 ай бұрын +1

      Am a software engineer. I also don't know why I am watching this 😂

    • MacDuder217
      MacDuder217 4 ай бұрын

      Omg I’m dead lol

  • Dody Ash
    Dody Ash 10 ай бұрын

    Amazing , thank you 🌹🌹

  • Narmin Babayeva
    Narmin Babayeva  Жыл бұрын +1

    Thank you so much for such useful video!

  • Dharmendra Rao
    Dharmendra Rao 2 жыл бұрын +1

    Many thanks for this nice and informative video. Keep me updated.

  • Magala Navaratne
    Magala Navaratne  Жыл бұрын

    Great demonstration , Good Luck,
    Thank You.

  • jamthemanster
    jamthemanster Ай бұрын

    Thank you! Great tips.

  • Green Goose
    Green Goose 2 жыл бұрын +2

    Great video, and great tips!

  • Sarah mina
    Sarah mina  Жыл бұрын +2

    Thanks a million 💙. I didn't learn the tricks in my training.
    I will update this comment when I intubate a real patient. 🧚‍♀️

  • Spring
    Spring Ай бұрын

    I applied for anesthesia recently ... pray for me 😍

  • Julian Dart
    Julian Dart 2 жыл бұрын +15

    This is fantastic!!!

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +2

      That’s a really good question!
      It doesn’t matter what you do as long as the angles you create are correct...
      Eg. Line up the 3 axis. Oral, pharyngeal and tracheal axis..
      Generally to do this I need have
      1) flexion of lower c spine and
      2) preserve Atlanto-occipital joint extension
      Practical I ramp the thorax and head until the mastoid process is in line with the eternal angle..
      And also have nothing obstructing extension of head..
      I’ll add some links here :)

    • Kritika Khanna
      Kritika Khanna 2 жыл бұрын +1

      I am a bit confused about the positioning though , are we supposed to put a towel roll to bring the patient in sniffing position ? Could u please tell the exact position .

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын


  • USMLE Step-1 Review
    USMLE Step-1 Review Ай бұрын

    The video laryngoscopy is really helpful.

  • hs
    hs 2 жыл бұрын +1

    Excellent Job mate!

  • Jelena V.
    Jelena V.  Жыл бұрын +1

    Thank you so much !!! ☺️🙏🥰

  • Notyour Nain
    Notyour Nain  Жыл бұрын +1

    Really Helpful Tips Thanks For Uploading Vedio ❤️❤️

  • Antenman
    Antenman  Жыл бұрын

    I mean it's so frustrating, in one location I was taught never to tilt, even in the slightest, in my new workplace not even slight flexion and tilting is allowed... It's so humiliating...

  • Ahmad Rubail
    Ahmad Rubail 9 ай бұрын

    Very helpful

  • Sylvia Makuch
    Sylvia Makuch 2 жыл бұрын +4

    My OR rotation is tomorrow. Planning on using your tips

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +2

      (in case this one of your first days doing anaesthesia in OT, here's a reflection about my morning)
      I had a Junior trainee today, we had 2 patients he wasn't able to intubate.... but I was very very impressed with him!
      he was obviously disappointed, but I told him that his failure to intubate didn't matter at all!
      I was so impressed because he had the right process, attitude, professionalism, compassion and work ethic....
      I know that because he clerked the patients before, set up everything, had a plan, talked through the intubation steps as he was doing it, took feedback very well, and showed so much kindness to his patients, I knew he would be fine in the future...... anyway... just some perspective for all those starting there first rotations in theatre..
      it's all about PROCESS not PERFECTION :)

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын

      Good luck! Hope they help!

  • Kristopher Batty
    Kristopher Batty 2 жыл бұрын +2

    or if you can start by ramping your patient which if your patient is obese gravity will move weight off the chest which will also help with compliance as well as help with positioning and then pad beneath the head till the ears are at the level of the sternal notch and will also open and align all three axis's which will also help with ventilation and compliance. And research shows that if you're using manual laryngoscopy or LVM using a bougie improves chance of successful first pass.

    • Kristopher Batty
      Kristopher Batty 2 жыл бұрын +2

      also on that same note when you're lifting the head manually you're aligning the ear with the sternal notch if you don't have a patient with neck stiffness you might as well set yourself up for success by starting with your airway aligned from the start.

  • R K Music Studio
    R K Music Studio Ай бұрын

    Very nice
    Easy to follow

  • Eduardo Viniccius
    Eduardo Viniccius 7 ай бұрын +1

    Pretty good! Saudations from Brazil!

  • moiz nauman
    moiz nauman 7 ай бұрын

    thank u so much...it was very helpful and informative

  • advt7
    advt7 2 жыл бұрын +1

    So amazing!!!

  • Pablo Nakaschian
    Pablo Nakaschian 2 жыл бұрын +1

    Excelent video , thanks !!!

  • Johnson Bage
    Johnson Bage 6 ай бұрын

    Thank you sir। For these tips

  • روز فلور
    روز فلور 2 жыл бұрын +7

    Thank you for this informative video
    I have a big issue with size 4 blade
    Where I con't bring the tongue in the middle which leads to obscure the view

  • Harshita Pathak
    Harshita Pathak  Жыл бұрын +1

    Thank you sir really helpful 🙌🙌

  • Asen Kichu
    Asen Kichu  Жыл бұрын +1

    Best technique for intubation, Thank you

  • WafaIbrahim🍀🦋
    WafaIbrahim🍀🦋 2 жыл бұрын +1

    Thanks you so much 🌷🌷🌷🌷🌷🌷🌷🌷🌷🌷appreciate your all efforts 🥰🥰🥰💞🙏

  • Krishna
    Krishna  Жыл бұрын +1

    I’ll follow your advice. Thank you

  • Shivani Sharma
    Shivani Sharma  Жыл бұрын

    Amazing !!

  • Inayat Ghazi
    Inayat Ghazi 9 ай бұрын

    this is very helpful vedio.thanks alot 🖤

  • Janet Beer
    Janet Beer 16 күн бұрын

    Great video Lahiru, I recognize the background.😆

  • Rbnsn 123
    Rbnsn 123 8 ай бұрын

    it was a great video but why didnt he talk about head tilt and chin life maneuvre and jaw thrust maneuvre

  • Sushant The-One
    Sushant The-One  Жыл бұрын

    Great video
    I am a MD Anaesthesiologist
    I would love to contribute to make people aware and get associated with your platform
    Kindly do let me know
    Thank you

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын

      Thanks Sushant
      Send me an email
      We can have a chat and I’ll let you know what my mission is for the channel

  • oddfellowfloyd
    oddfellowfloyd  Жыл бұрын

    Just curious: do you anaesthetise patients before doing this?? I couldn't imagine trying to do this on someone without some kind of sedative; it looks quite uncomfortable! :(

    • suiteums
      suiteums  Жыл бұрын +1

      Yes, 99% of the time they are unconscious and paralyzed

  • Nourhan Nagar
    Nourhan Nagar 2 жыл бұрын +1

    Great tips 👍👍

  • WafaIbrahim🍀🦋
    WafaIbrahim🍀🦋 2 жыл бұрын +1

    Amazing 💞💞💞💞💞

  • Dr Sayash Nair
    Dr Sayash Nair 2 жыл бұрын +2

    Is Anaesthesia a good branch to opt for??

    • Chetan Bamoriya
      Chetan Bamoriya 2 жыл бұрын

      Indeed perfect

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +1

      I think so... it’s the perfect job for me... the more important thing is to ask... who am I and what are my priorities in life... and what are the good and bad parts of practicing anaesthesia...
      If those things line up... then it’s a good career... for example... anaesthesia requires good hand eye coordination, lots of memory, maths ability, being able to handle crises and high risk patients... and be okay with the sometimes long cases that can be less intense...
      these things are perfect for me..
      And it doesn’t have the long term patient contact. Which is also fine

  • madhur joshi
    madhur joshi  Жыл бұрын

    Hi doc
    If you could make a video on tips for intubation with a rigid bronchoscope ..

  • NPD
    NPD  Жыл бұрын +1

    For difficult intubation you said that you bend ETT against pillow.. when ETT touches to pillow if any bacteria present on pillow will also get enter in the lung and causes serious infection.. what's your answer..

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын +2

      Good question! We don’t practice it as sterile technique due to the bacteria already present in oral cavity.
      And using this as standard hasn’t seen any noticeable increase in resp infections..
      But great question!

    • thewienerwurst
      thewienerwurst  Жыл бұрын +1

      After that ett went through the mouth, there's a whole load of more bacteria on it. Intubation is not a sterile technique

  • Chris Patino
    Chris Patino 10 ай бұрын

    Excellent video

  • MrVatanaMeng
    MrVatanaMeng  Жыл бұрын +1

    At 8:04 if we bend the tube like in this video, how can we preserve the sterility of the tube?

    • MrVatanaMeng
      MrVatanaMeng  Жыл бұрын

      @ABCs of Anaesthesia My policy is to keep the tube sterile. We open the tube package just a little bit in order to take out the inflating tube (the pilot balloon) so that we can inflate it in advance to verify if the tube leaks or intact. Then we deflate the pilot balloon while it is still inside the sheath and we take the tube out of the sheath only when we can see the opening of the trachea and insert the tube.

    • ABCs of Anaesthesia
      ABCs of Anaesthesia   Жыл бұрын

      good question. Our local policy is that the tube is kept clean but not sterile. We will often handle it with gloves. what is your local policy?

  • DrSkawman
    DrSkawman 10 ай бұрын

    ¿Is your pillow sterile? When you use it to bend the tube's tip, you're then dragging whatever's on the pillow to the trachea.
    Wouldn't it be better to use a stylet from the beginning?

  • Rakhi Das
    Rakhi Das  Жыл бұрын +1

    I lost my Mom..
    This video is useful for medical students or Doctor's..
    But I lost my Mom while they did it with her..

    • Walter Estrada
      Walter Estrada  Жыл бұрын

      Sorry to hear that . Some intubation are extremely difficult than other . God bless you and ur loved ones.

  • Addy Guida
    Addy Guida  Жыл бұрын +1

    That’s so adorable that y’all Aussies & Brits call an OR the “theater” lmao

  • Vishnu S
    Vishnu S  Жыл бұрын

    Superb tips

  • Nair. MD
    Nair. MD  Жыл бұрын

    Considering the pillow to be an unsterile surface, it’d be dangerous to use the pillow to tilt the end of the tube and then placing it inside. VAP is more likely to occur with such practices. The rest of the video is perfect.

  • valeo
    valeo 2 жыл бұрын +1

    ABC of anesthesia - NEVER, EVER allow a medical student to intubate a patient. The procedure is way too serious to allow for repeated notched intubations by students - which unavoidably will happen.

    • Dee Fenn
      Dee Fenn 11 ай бұрын +1

      @suiteums cadaver labs are a great opportunity I never turned down when offered.

    • suiteums
      suiteums  Жыл бұрын

      Nurse anesthesia student here. If we don't try, we never become proficient. When the SNS response is markedly elevated, we get bumped. After 2 months, that rarely happens to me anymore, however, I'm going to start practicing my Miller skills next week soooooooo...

    • ABCs of Anaesthesia
      ABCs of Anaesthesia  2 жыл бұрын +1

      Avoidance of repeated intubations is such a great thing to emphasise!
      Multiple attempts at intubation may traumatise the airway leading to a CICO (can't intubate cant oxygenate) situation! the Difficult airway society in fact recommends limited attempts at intubations for this very reason (eg

  • haritha r
    haritha r  Жыл бұрын +1

    Thank you so much sir !

  • SW Video Channel
    SW Video Channel 2 жыл бұрын

    All anesthesiologists that I know use Mac 3 99% of the time for the past 35 years. You have trouble lifting maybe it is because you are using Mac 4 blades.
    Don't tilt the head, that is for amateur only. Use a folded blanket or a fold towel under the head if you need to.

    • Gobrien76
      Gobrien76 2 жыл бұрын +1

      Agreed, due to inadequate attention to positioning. Getting caught needing your assistant to hold the head takes them out of the picture when needing them to do BURP, pass LMA, get smaller tube size, etc.
      I think we downplay the importance of positioning in the early part of training. But you e got to remember. Your first shot is till your best shot.
      Once I began really focussing on position my laryngoscopy success rate and technique improved markedly

  • Bebop02
    Bebop02  Жыл бұрын

    better than a different one I watched