A patient is in coma for more than 7 months. What is this.? is there any chance of getting consciousness
@icubbsr2 күн бұрын
Very unfortunate...there r a lot of factors to decide about the prognosis...needs clinical examination to comment on further course
@Indra19022 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-x6z5 күн бұрын
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@biswajitchowdhury96007 күн бұрын
Very informative video sir.....
@explorewithaaryadi-foodtra90648 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.
@sureshkumarpilla805312 күн бұрын
What is the cost for this treatment?
@icubbsr6 күн бұрын
It varies between hospitals...depends on admission days, co-morbidites of the patient
@lanfangxu15 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.
@umeradnan723 күн бұрын
What's the normal csf pressure?
@icubbsr18 күн бұрын
Please go through the description
@shwesha.patnaikАй бұрын
Good info 👍
@icubbsr29 күн бұрын
Thanks 👍
@azimamini2883Ай бұрын
Is Blood injected in epidural space and mixed with CSF?
@icubbsrАй бұрын
Blood will clot inside and seal the leaky wound...it will not mix with CSF.
@priyankavasist7894Ай бұрын
Do u add 5 to the pressure noted
@icubbsrАй бұрын
Yes
@bubhali1Ай бұрын
Which gauge spinal needle used sir??
@icubbsrАй бұрын
20G...it ensures free flow of CSF
@HanniSidlerАй бұрын
My goodness! I don't understand your India-Englisch! 😳 I am Swiss who speaks Englisch quite well.
@DestaRoba-r7vАй бұрын
Best learning accept me
@mraruncreation7574Ай бұрын
Sir trachyostomy operation also hypoxic on patients brain ?? Patient comes on coma ???
@icubbsrАй бұрын
Yes...tracheostomy is done in hypoxic brain injury patients for airway protection.. recovery depends on the type of injury
@spiritstadiumАй бұрын
Why not practice nasotracheal
@icubbsrАй бұрын
Thanks for watching... In Maxillo facial injuries, there are injuries to the nasal bones, thus nasotracheal intubation will further aggravate injuries, hence avoided ...
@spiritstadiumАй бұрын
@icubbsr thank you for this explication
@smitalamichhane2 ай бұрын
I need
@nilajananil76772 ай бұрын
Hindi me hota ho ur bhi best hota
@Simplensweett2 ай бұрын
Thank you for giving nice information
@모모-m2k2 ай бұрын
Why dont you use probe cover or latex glove instead?
@willywychtyg2 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.
@analphabetsanslubrifiant2 ай бұрын
the PACHIDERM is died ?
@sanjaychoudhary63812 ай бұрын
Some important steps are missing.
@icubbsr2 ай бұрын
Thanks for watching...can you please enumerate the missing steps
@_pramod_madhav53673 ай бұрын
Stop music
@icubbsr3 ай бұрын
Thanks for the input....will keep it in mind for future edits
@soundarabalakrishnan49433 ай бұрын
I happened to see your video.good presentation. Could u pls tell me where cvp transducers available. Who are the dealers Thanks
@icubbsr3 ай бұрын
Thanks for watching... Edwards lifescience ...please contact u r hospital Biomedical engineer.
@martonnyuli99473 ай бұрын
Maybe next time just take the knnector off, then reassamble. Saves time, and tissue damage 😉
@icubbsr3 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..
@replayhaha99443 ай бұрын
1:16 it is CSF manometer, not CVP manometer sir
@icubbsr3 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
@replayhaha99443 ай бұрын
@@icubbsr how can cvp manometer used to measure csf pressure sir? They work in the same way Just for clarification sir
@icubbsr3 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
@srinivasaraosirasapalli51043 ай бұрын
Nicely explained. Thanks a lot doctor
@srinivasaraosirasapalli51043 ай бұрын
So nice doctor, thanks a lot
@yassersaleh64313 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 ?
@icubbsr3 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-y5y3 ай бұрын
Sir please comment physiotherapy is best course are not
@icubbsr3 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
@alliemae22963 ай бұрын
My opening pressure was 43. Report says they removed 7cm of water. What does that really mean?
@icubbsr3 ай бұрын
Usually, 10 to 20 ml of CSF is removed in this process ....to bring pressure by 20-30% less than before
@97697662024 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
@icubbsr4 ай бұрын
Please mail me at [email protected] I'm not able to send the snaps on comments here
@theshiningstar63094 ай бұрын
Great video thank you❤😊
@jackiehanley62744 ай бұрын
When you ask yourself what happened 😷 just know jesus loves you🙏🙏🙏🙏🎗☮♥️🇺🇲🤔
@chotu-7274 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
@icubbsr4 ай бұрын
Thanks for watching...yes coma patients definitely need chest physiotherapy... along with oropharyngeal suctioning, postural drainage also helps...
@suryrivas20574 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.
@icubbsr4 ай бұрын
Sorry to hear that...Anaesthesiologists are the best people for this procedure. They do this very frequently
@anand55165 ай бұрын
Techestomy me rogi ko kya ky pilai ja sakti hai sir Plz reply me.??
@icubbsr5 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.
@moduqueRN5 ай бұрын
Excellent
@Truthh_Seekerrr5 ай бұрын
Superb bro🫡
@ranashehryarkhansherry51535 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.
@icubbsr5 ай бұрын
Thanks for watching...for tracheostomy removal certain criteria to be met...like good swallowing reflex, adequate cough...need to see clinically
@ridvantopcu49615 ай бұрын
The moment I saw transducer use and said mf, medicine is so advanced
@nicolecerulli83975 ай бұрын
I was in a coma for 4 months...
@actual_life.095 ай бұрын
Thank God u survived 🙏🏻
@HoorEleinHamdy5 ай бұрын
Hard work our doctors 💪♥️
@HoorEleinHamdy5 ай бұрын
Really it's an amazing job , Thanks for your efforts ❤❤
@kalpnapal35875 ай бұрын
Mere bhaiya hypoxia brain injury se suffer kr r h... Plz btaye koi treatment...
@icubbsr5 ай бұрын
I am sorry for ur brother... needs clinical evaluation.
@HatiEmma6 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
@parodyplus55766 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?
@icubbsr6 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
@dipudas90296 ай бұрын
Excellent presentation
@sameerparihar97396 ай бұрын
isme pain hota h kya plz tell me true plz plz 😢😢😢😢
@icubbsr6 ай бұрын
Done under local anesthesia ....if done by an Anaesthesiologist, then it's not painful
@Me.doctor_j6 ай бұрын
Can we instert our regular 3 lumen cath in the basilic vein ?
@icubbsr6 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