Submental Intubation & Extubation
7:17
PICC Line Care
6:02
4 жыл бұрын
Decannulation of tracheostomy tube
0:40
Subclavian Vein cannulation
4:08
7 жыл бұрын
Пікірлер
@Indra1902
@Indra1902 4 күн бұрын
A patient is in coma for more than 7 months. What is this.? is there any chance of getting consciousness
@icubbsr
@icubbsr 2 күн бұрын
Very unfortunate...there r a lot of factors to decide about the prognosis...needs clinical examination to comment on further course
@Indra1902
@Indra1902 2 күн бұрын
@icubbsr the hospital where he was admit doctors have told there's no hope left. So we had to shift the patient at home. Don't know where to go now
@RAJYASREE-x6z
@RAJYASREE-x6z 5 күн бұрын
Sir / maddam. Brain death is that the help is that the trentol is the care by thus the c t scan thus we are in the gore of that the help as well thus the coma is thus the. Music therapy thus the help another care is that the help is that the care is giving thusvthe help to all is thus the ventillation only thus the mode is cipap as well thus the care of this the organ transplant tation is thus the help to make thus the target organs is given by thus the death of persons to another by filling thus the lare bybthus the care is that the help is that theirs is not working thus the removal thus the grouping thus the test of complactibility test by the care of the. Lab medicine vare as well thus giving is giving thusvthe life. Only. Thus the care is persons receiving that the thanks to all thus is that the bed rest then oral hygine thus the mouth wash thus the body of which is sponge bath by the Dettol only thusbthe help thus another care is thus. The care of present atmosphere as well by the room freshner as well thus one more is that the help is that the care of. Personal care of clean then then man is bereard mustash to all thus another care is. Pads for both for toilets as well thus thus the women is thus the help is that the care is giving thus the help is that the care is giving thus the help to all is thus the need thus the care thus another care is wrap of child at the time of pregnancy as well thus the cotton only thus the help thus the care thus another care is thus the help is giving the. Feeding thus the help of. Cvs of moniter as well thus the care of looking is spao 2 as well thus the care of vital signs too thus the care is abnormal thus. The care is thus the help is giving thus the help is that the help to all. Thus the care is giving thus the care is that the help to all asprin inj strptokinase thus the care is giving thus the checking the bp as well thus helps to normal abnormal is thus the care is giving thus the amlodipine as well thus the help another care is thus the help to all thus the care to all is giving that the care is that the making thus the care is thus the care is that the help that is the giving us that the making us that the help to all is thus the. Care is respiration upset then give asthalin rotahaler with the rotacaps neonates thus give as thalin resipules with the care of h2 o as well thus in putting in this the care of this the nebulizer as well thus the care is thus the help to babies care is that the help is baby mask with the spacer and the care is medicine is as thalin inhaler thus the care as well thus the another care is that the help is that the care of adults is that the care is that the asthalin inhaler only thus the help to all thus the women. Is same as above as well thus avail in this the chemist / druggist / medical hall said thus the help some times pharmacy care of shop for humans as well thus another the care is that the help is that the care is immediate shift to care in any position to thusbthe hospital only thus the emergency wards only thus the help thus the care as well thus the organtransplant thus the medicine is that the help to all thus to all thus the care is inj ferenerous injectomact as well to all thus the care is thus another care is thus the help to all thus the care is giving thus the bed rest then the above along thus the. Bed care of above as well thusbthe adl activities as well thus another care is giving thus the care of above is wheel chair then the chair to bed transfer thus vice virca thus another thing is stair and thus the down coming as well thus another care is thus the pregnancy. Is that the. R i c u thus the help by doing the sonography as well thus the help then as above thus the mode as well thus the care of discharge as well thus thanks sir / maddam
@biswajitchowdhury9600
@biswajitchowdhury9600 7 күн бұрын
Very informative video sir.....
@explorewithaaryadi-foodtra9064
@explorewithaaryadi-foodtra9064 8 күн бұрын
There are hospitals that deliberately misguide people that a person is brain dead if they want to give organs to their people or to make money. Ignorant people fall for the same and agree to donate.
@sureshkumarpilla8053
@sureshkumarpilla8053 12 күн бұрын
What is the cost for this treatment?
@icubbsr
@icubbsr 6 күн бұрын
It varies between hospitals...depends on admission days, co-morbidites of the patient
@lanfangxu
@lanfangxu 15 күн бұрын
Do his heart has consciousness? Coming back from The speech of Dr. eben Alexander, I 'm deeply confirmed my intuition--consciousness is not made by brain.
@umeradnan7
@umeradnan7 23 күн бұрын
What's the normal csf pressure?
@icubbsr
@icubbsr 18 күн бұрын
Please go through the description
@shwesha.patnaik
@shwesha.patnaik Ай бұрын
Good info 👍
@icubbsr
@icubbsr 29 күн бұрын
Thanks 👍
@azimamini2883
@azimamini2883 Ай бұрын
Is Blood injected in epidural space and mixed with CSF?
@icubbsr
@icubbsr Ай бұрын
Blood will clot inside and seal the leaky wound...it will not mix with CSF.
@priyankavasist7894
@priyankavasist7894 Ай бұрын
Do u add 5 to the pressure noted
@icubbsr
@icubbsr Ай бұрын
Yes
@bubhali1
@bubhali1 Ай бұрын
Which gauge spinal needle used sir??
@icubbsr
@icubbsr Ай бұрын
20G...it ensures free flow of CSF
@HanniSidler
@HanniSidler Ай бұрын
My goodness! I don't understand your India-Englisch! 😳 I am Swiss who speaks Englisch quite well.
@DestaRoba-r7v
@DestaRoba-r7v Ай бұрын
Best learning accept me
@mraruncreation7574
@mraruncreation7574 Ай бұрын
Sir trachyostomy operation also hypoxic on patients brain ?? Patient comes on coma ???
@icubbsr
@icubbsr Ай бұрын
Yes...tracheostomy is done in hypoxic brain injury patients for airway protection.. recovery depends on the type of injury
@spiritstadium
@spiritstadium Ай бұрын
Why not practice nasotracheal
@icubbsr
@icubbsr Ай бұрын
Thanks for watching... In Maxillo facial injuries, there are injuries to the nasal bones, thus nasotracheal intubation will further aggravate injuries, hence avoided ...
@spiritstadium
@spiritstadium Ай бұрын
@icubbsr thank you for this explication
@smitalamichhane
@smitalamichhane 2 ай бұрын
I need
@nilajananil7677
@nilajananil7677 2 ай бұрын
Hindi me hota ho ur bhi best hota
@Simplensweett
@Simplensweett 2 ай бұрын
Thank you for giving nice information
@모모-m2k
@모모-m2k 2 ай бұрын
Why dont you use probe cover or latex glove instead?
@willywychtyg
@willywychtyg 2 ай бұрын
I dont trust the doctors right away, even they dont know what is going on in some cases. Science has not found a bulletproof answer about at what time exactly a brain dead person is "really" dead and ready for organ donor. There are very deep brain areas still functioning even in a brain dead's person, and we just dont know what this poor person is experiencing or feeling when in that state. Horrific to imagine that they all have given you up and they pull the plug, when "something" is still alive in you. We still need to learn quite a lot, it is such a long way to go to fully understand how the brain and consciousness actually works. My condolences to the family of the woman. I hope she'll rest in peace.
@analphabetsanslubrifiant
@analphabetsanslubrifiant 2 ай бұрын
the PACHIDERM is died ?
@sanjaychoudhary6381
@sanjaychoudhary6381 2 ай бұрын
Some important steps are missing.
@icubbsr
@icubbsr 2 ай бұрын
Thanks for watching...can you please enumerate the missing steps
@_pramod_madhav5367
@_pramod_madhav5367 3 ай бұрын
Stop music
@icubbsr
@icubbsr 3 ай бұрын
Thanks for the input....will keep it in mind for future edits
@soundarabalakrishnan4943
@soundarabalakrishnan4943 3 ай бұрын
I happened to see your video.good presentation. Could u pls tell me where cvp transducers available. Who are the dealers Thanks
@icubbsr
@icubbsr 3 ай бұрын
Thanks for watching... Edwards lifescience ...please contact u r hospital Biomedical engineer.
@martonnyuli9947
@martonnyuli9947 3 ай бұрын
Maybe next time just take the knnector off, then reassamble. Saves time, and tissue damage 😉
@icubbsr
@icubbsr 3 ай бұрын
Yes..definitely it's better that way..... but the one available with us at that time was with fixed connector Thanks for mentioning it..
@replayhaha9944
@replayhaha9944 3 ай бұрын
1:16 it is CSF manometer, not CVP manometer sir
@icubbsr
@icubbsr 3 ай бұрын
Thanks for watching....we are using CVP manometer for CSF Pressure measurement , we don't have CSF manometer available , but it's okay....both are similar
@replayhaha9944
@replayhaha9944 3 ай бұрын
@@icubbsr how can cvp manometer used to measure csf pressure sir? They work in the same way Just for clarification sir
@icubbsr
@icubbsr 3 ай бұрын
CVP manometer starts from minus 5.. so it needs to be added to the final measurement. CSF manometer starts from zero... That's the difference between two of them
@srinivasaraosirasapalli5104
@srinivasaraosirasapalli5104 3 ай бұрын
Nicely explained. Thanks a lot doctor
@srinivasaraosirasapalli5104
@srinivasaraosirasapalli5104 3 ай бұрын
So nice doctor, thanks a lot
@yassersaleh6431
@yassersaleh6431 3 ай бұрын
thanks you for the video but why you need 14 Fr suction catheter you can simply just insert 10 Fr directly to get the secretion ?
@icubbsr
@icubbsr 3 ай бұрын
Thanks for noticing... with a single catheter, there is a strong possibility of getting colonizers sticking to the inner sude of the ET tube...with 10 F inside the 14F, we can bypass the ET tube colonizers
@Husnainhusnain-y5y
@Husnainhusnain-y5y 3 ай бұрын
Sir please comment physiotherapy is best course are not
@icubbsr
@icubbsr 3 ай бұрын
It all depends on how good you are in it...if you like and enjoy the work...then it's the best thing... great future in it
@alliemae2296
@alliemae2296 3 ай бұрын
My opening pressure was 43. Report says they removed 7cm of water. What does that really mean?
@icubbsr
@icubbsr 3 ай бұрын
Usually, 10 to 20 ml of CSF is removed in this process ....to bring pressure by 20-30% less than before
@9769766202
@9769766202 4 ай бұрын
Sir my patient Arti gupta we discussed , please tell the correct name of tracheostomy tube for buying from medical shop Apollo Delhi or Mumbai what I have to say to them
@icubbsr
@icubbsr 4 ай бұрын
Please mail me at [email protected] I'm not able to send the snaps on comments here
@theshiningstar6309
@theshiningstar6309 4 ай бұрын
Great video thank you❤😊
@jackiehanley6274
@jackiehanley6274 4 ай бұрын
When you ask yourself what happened 😷 just know jesus loves you🙏🙏🙏🙏🎗☮♥️🇺🇲🤔
@chotu-727
@chotu-727 4 ай бұрын
can we give chest physio to a coma patient who doesnt have tracheostomy tube if ever we give then should we do oropharyngeal suction
@icubbsr
@icubbsr 4 ай бұрын
Thanks for watching...yes coma patients definitely need chest physiotherapy... along with oropharyngeal suctioning, postural drainage also helps...
@suryrivas2057
@suryrivas2057 4 ай бұрын
I had one done last week and I believe that Doctor was not to knowledgeable in the procedure. She had to go in with the needle 2x because the 1st time it was so painful I kept feeling sharp pain on my hip.
@icubbsr
@icubbsr 4 ай бұрын
Sorry to hear that...Anaesthesiologists are the best people for this procedure. They do this very frequently
@anand5516
@anand5516 5 ай бұрын
Techestomy me rogi ko kya ky pilai ja sakti hai sir Plz reply me.??
@icubbsr
@icubbsr 5 ай бұрын
It depends on the patient's clinical status...starting from regular oral feeding to liquid food through a ryles tube or PEG tube.
@moduqueRN
@moduqueRN 5 ай бұрын
Excellent
@Truthh_Seekerrr
@Truthh_Seekerrr 5 ай бұрын
Superb bro🫡
@ranashehryarkhansherry5153
@ranashehryarkhansherry5153 5 ай бұрын
Slam..sir mery nephew ko tracheostomy lgi howe 1 year ho gya ha..abhi tk drs yehi kejty hain shayed yeh pori life asy he rhy..he is only 17 years old..he cant speak..plz help us we want a treatment that can remove a tracheostomy.
@icubbsr
@icubbsr 5 ай бұрын
Thanks for watching...for tracheostomy removal certain criteria to be met...like good swallowing reflex, adequate cough...need to see clinically
@ridvantopcu4961
@ridvantopcu4961 5 ай бұрын
The moment I saw transducer use and said mf, medicine is so advanced
@nicolecerulli8397
@nicolecerulli8397 5 ай бұрын
I was in a coma for 4 months...
@actual_life.09
@actual_life.09 5 ай бұрын
Thank God u survived 🙏🏻
@HoorEleinHamdy
@HoorEleinHamdy 5 ай бұрын
Hard work our doctors 💪♥️
@HoorEleinHamdy
@HoorEleinHamdy 5 ай бұрын
Really it's an amazing job , Thanks for your efforts ❤❤
@kalpnapal3587
@kalpnapal3587 5 ай бұрын
Mere bhaiya hypoxia brain injury se suffer kr r h... Plz btaye koi treatment...
@icubbsr
@icubbsr 5 ай бұрын
I am sorry for ur brother... needs clinical evaluation.
@HatiEmma
@HatiEmma 6 ай бұрын
Someone I knew was alcoholic. after trip to Thailand he came back with severe diarrhea his skin turn to yellow but he kept drinking alcohol for many days THEN diarrhea turn to non stop bleeding he calls his son takes time to rich but finally when he riches to hospital he was in coma like state he was admitted to ICU after 4 month he opened his eyes but far gone not present blinking his awake but no communication so then his brain damaged I guess has no cure
@parodyplus5576
@parodyplus5576 6 ай бұрын
Can you please explain why during my LP i heard radiologist say 75 water, but OP was 30 and closing pressure was 24?
@icubbsr
@icubbsr 6 ай бұрын
Hi..usually the opening pressure is documented...normal pressure around 7 to 20 in warer/ Hg....urs might be 30 cm of water
@dipudas9029
@dipudas9029 6 ай бұрын
Excellent presentation
@sameerparihar9739
@sameerparihar9739 6 ай бұрын
isme pain hota h kya plz tell me true plz plz 😢😢😢😢
@icubbsr
@icubbsr 6 ай бұрын
Done under local anesthesia ....if done by an Anaesthesiologist, then it's not painful
@Me.doctor_j
@Me.doctor_j 6 ай бұрын
Can we instert our regular 3 lumen cath in the basilic vein ?
@icubbsr
@icubbsr 6 ай бұрын
Thanks for watching...central line comes in 7 French and PICC line in 4 French... Thus, it is not advised as it will block the basilic vein....also length difference