Calin Calabrese

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@framma9968 13 күн бұрын

Amazing 😍 thanks prof

@edwardherrera846 19 күн бұрын

Trying to figure out how you did your math. You are stating that you should have the catheter marking between 8.5 to 10.5 cm at the skin but in your demonstration your epidural needle marking for LOR was at 6.5 cm. If you add 3 to 5 cm which is the amount that is left in the epidural space then you should be at 9.5 to 11.5 cm at the skin. Also, saying that the max the catheter should be at the skin is 5cm is completely false and might make someone feel like they must pull the catheter back when it is unnecessary. This is just a recommended guideline. Many times I thread the catheter to 20cm or even more if they are morbidly obese and I don’t pull back at all. Leave it exactly as is and almost never get a failed or incomplete block.

@dr.khusbu723 10 ай бұрын

Thank u

@emeln001 Жыл бұрын

I have listened to this twice. You are a fantastic lecturer. I’m so sad to see you haven’t made a video in a year! How about one on OB???

@محمودمنير-ت3ق Жыл бұрын

So good ❤

@melissaacevedo9394 Жыл бұрын

Great video! Would love to see more videos from you!

@melissaacevedo9394 Жыл бұрын

I’m in CRNA school and found your video so helpful :)

@dhandapani9870 Жыл бұрын

Thank you so much. You’re such a blessing

@thedoctor7281 Жыл бұрын

Whre you get the 3-5 cm of cathether at epidural space?

@edwardherrera846 19 күн бұрын

You want to leave 3-5cm of catheter in the epidural space to assure that it is in the space well and not going to pop out unintentionally. So if your epidural needle is at 7cm at the skin once you get loss of resistance, then you want to add 3-5cm to that (10-12cm) which is where your marking should be at the skin once the needle is removed.

@framma9968 Жыл бұрын

Thank you so much for this!

@calincalabrese6260 Жыл бұрын

You're so welcome!

@DigitalAndInnovation Жыл бұрын

I mean of course lock the Pyxis when out of the room- but what is the purpose of having people "not see your meds"? Whatever is given is of record- why does the screen need to be covered?

@DigitalAndInnovation Жыл бұрын

5CC syringe for 50-100µg of Fentanyl? Or do you draw up a vial of 250µg / 5mL- then only give 1-2cc but have the remaining 3-4cc as backup?

@calincalabrese6260 Жыл бұрын

The choice of the syringe size and volume of medication is user dependent. I typically draw up 50mcg/mL and total of 2ml. I could draw this up in a 3mL syringe instead.

@michaelr3953 Жыл бұрын

Excellent lecture. Greatly appreciate.

@calincalabrese6260 Жыл бұрын

Glad it was helpful!

@thienpham911 2 жыл бұрын

awesome, more please !!!!

@calincalabrese6260 Жыл бұрын

More to come!

@mustlovedogs5569 2 жыл бұрын

Can’t believe USA doesn’t have anaesthetic assistant nurse. Dedicated nurse trained in anaesthetics to assist dr. Avail to them at all times

@mustlovedogs5569 2 жыл бұрын

Can’t believe how ,easy top of anaesthetic machine is. Need a tidy layout

@Anayahs_Queendom 2 жыл бұрын

When catheter is removed?

@calincalabrese6260 2 жыл бұрын

It depends on hospital policy and the setting for which the catheter has been placed (OB ward versus post-op pain management) There are lots of factors which dictate this. (Available resources to monitor it, patient comfort, adverse risks of infusing medication through it and risks to patients being able to start rehab or ambulate etc..) The easiest answer is, its removed once pain is reasonable controlled and the patient is tolerating oral pain medicine or no medicine at all.

@achackungal 2 жыл бұрын

This was great Calin. Thank you. Incredibly detailed and informative

@calincalabrese6260 2 жыл бұрын

Thanks for the feedback!

@sadiaummer7786 2 жыл бұрын

Solved many doubts thanks!

@klk1900 2 жыл бұрын

I will mention in a shorter comment. I always caution colleagues on OVERCONFIDENCE ON MIDAZOLAM/Fentanyl PERFORMANCE. I HAD MULTIPLE ACCIDENTS AS A KID where I was the patient. I woke up during a colonoscopy & cervical epidural steroid injection. I caused some spinal cord damage. Here is my take on Midazolam. It makes you have a 3 second delay in your judgement. You will wake up during the procedure, start jerking around, then about 3 seconds after you start you suddenly realize what you are doing & that it’s bad. The problem is 3-5 second delayed reaction is enough to cause damage. When you wake up under Midazolam you remember everything. But causes you to be delayed so you know moving is bad but it takes 5 seconds before you realize it. I know get injections without Midazolam because I would rather know what I’m doing so I don’t cause more damage.

@klk1900 2 жыл бұрын

NOW* get injections with just Nitrous & fentanyl

@calincalabrese6260 2 жыл бұрын

Thank you for sharing and I am sorry you had to go through this. The effects of versed can vary and there is a risk that the patient will move during a procedure. Some patients will have amnesia from versed alone. You clearly did not. Some pain proceduralists are now using anesthesia providers to administer propofol. The level of anesthesia is considered "general" and not "sedation" such as what you received.

@HussamAlmosawy 2 жыл бұрын

very nice lecture

@calincalabrese6260 2 жыл бұрын

Thanks for liking

@BadAss15-60 3 жыл бұрын

Thanks for sharing. I’m a new sub to your channel.

@my2009Babies1 3 жыл бұрын

Very good demo thanks!

@calincalabrese6260 Жыл бұрын

Glad you liked it!

@user-zu7gk9ol9f 3 жыл бұрын

Would you ever need a bis less that 30 for ga?

@calincalabrese6260 3 жыл бұрын

On routine cases I would maintain the BIS score 40-60. Lower than 40 is often unnecessary and compounds the unwanted side effects of anesthesia (hemodynamic instability). There are other anesthesia adjuncts which are better suited for outcomes such as hypertension or patient movement. (anti-hypertensives if you are sure its not pain related and muscle relaxants for movement)

@user-zu7gk9ol9f 3 жыл бұрын

Thank you! Is sedline range the same 40-60 as bis? Thx again!

@adamhazan2624 3 жыл бұрын

Thanks for this wonderful video, I am a medical student on my 5th year(6 year program in Europe) and my dream is specialty in anesthesia. This video is nicely explain what the books lack, thanks again!

@calincalabrese6260 2 жыл бұрын

Great to hear! I hope you enter the field. I really love what I do and find every day exciting.

@medrano_rm 3 жыл бұрын

Hello Nurse Anesthetist Calabrese, is it offensive for medical practitioners to see ordinary civilian with no job-related reasons to wear respirators like that? Thank you.

@calincalabrese6260 3 жыл бұрын

I would say its not offensive. Unfortunately people will have their opinions. There were many civilians in NYC at the height of covid wearing these masks. They are very effective and more comfortable than the normal N-95 if worn correctly and with the proper filter. Having a safe/approved vaccine is probably the best option since wearing a mask is not always done correctly and the mask eventually needs to be cleaned and the filter replaced. Hope this helps.

@commercial544 3 жыл бұрын

I have an interview this Tuesday at a local teaching Hospital for an entry level Anesthesia Tech position and I found your videos incredibly informative. I just wanted to get a better sense as to the setup and preparation and get a general sense for all the equipment and various stages of anesthesia protocols and you covered these perfectly. This is a second career move for me and I am psyched they are willing to train me. Many thanks!

@calincalabrese6260 3 жыл бұрын

So excited to hear. I'll work on more material. Congrats on joining our anesthesia community!

@commercial544 3 жыл бұрын

@@calincalabrese6260 Calin, Quick update. They offered me the position, so I start three months of training next month. Your videos really helped me prepare for the interviews and also got me excited about exploring a career in anesthesiology. Thank you again for posting these. I know they require a lot of effort, but please know they are extremely helpful and appreciated. Thank you again!

@saifsword2520 3 жыл бұрын

Awosme

@chandradas2440 3 жыл бұрын

Can I use this mask for cardio workout

@calincalabrese6260 3 жыл бұрын

Yes you can! As with anything make sure you try it out first at a slower pace. The benefit of these masks is their increase in surface area which means easier flows when exercising. Only draw back is you might get looks. Remember after awhile the filters do go bad and typically that shows up as an increase in difficulty breathing with them on. So have some spares handy and switch them out when necessary

@christyrananto8330 3 жыл бұрын

How are do you filter the exhalation part? I dont want to wear a surgical mask over it but all the air I exhale is unfiltered

@hungryalien 3 жыл бұрын

there are 3d printed filter housing for these 3M half face masks. you can cut out surgical mask/electrostatic hepa sheet as filter

@calincalabrese6260 3 жыл бұрын

Hungryalien great idea do you have a link?. You can also place velcro on the 3m mask at the exhalation port and the exhalation mask. T

@hungryalien 3 жыл бұрын

@@calincalabrese6260 hi you can google for "3d printed respirator exhalation valve filter" there might be sellers near you. some even post the raw files online so you can print it out yourself if you have access to 3d printer. i got my 6200/7500 all fitted with those from a local seller here in asia.

@hungryalien 3 жыл бұрын

@@calincalabrese6260 for reference and what can be done. you can check out this guy's instagram: instagram.com/3dprintmanila/

@lonestarspaceballs61 4 жыл бұрын

would be cool to see some aneathesia inductions very good walkthrough of checks

@calincalabrese6260 3 жыл бұрын

Thanks! Just seeing this now and getting used to making KZbin videos. Will work on induction videos for the future. Probably can't be real patients because of HIPPA and hospital policy.

@richard4079 4 жыл бұрын

Try the 3m 7093 niosh rated filter. It’s specific all for medical.

@MrKaidman 4 жыл бұрын

i got this mask when i go shopping, this exactlly settup, i gott the 100 with cardridge, and put a regular face mask over the csrtridge to protect for moist, the pink ones he showed i would not say are reusable in hospital inviorment, they get damp fast.

@calincalabrese6260 3 жыл бұрын

When I was working COVID19 patients I would wash the mask (without filters) routinely and have spares to switch out while others dried

@DDTipsy 4 жыл бұрын

Hi, what do you recommend for long duration use... Full face respirator or half face respirator. I am also an Anaesthetist..

@MrKaidman 4 жыл бұрын

Full if you dont have protective glasses. I also noticed that you get better seal and fit with the fullmask

@Momof2happy 4 жыл бұрын

Please could you let me know if I could damage the pink filter if I wiped with Cavi disinfectant ? I just wiped it , your answer will be very appreciated it thank you

@MrKaidman 4 жыл бұрын

I am not a pro just did my research during the pandemic, what i learned is its ok as long as you dont use the filter if it gets vet from disinfectant, let it dry out. Damp filters seems to be huge issie from what i read

@MrKaidman 4 жыл бұрын

sorry for spelling...typing on phone lol

@calincalabrese6260 3 жыл бұрын

Alcohol prep pads work the best. (No science behind this, it is my opinion) It dries quickly and is not toxic like the cavi-wipes

@Socal_Geo1 4 жыл бұрын

You should try and use a 3M 7093 enclosed P100 cartridge. They are used in Africa for responders to ebola. This is because the filters are enclosed behind a plastic housing which covers the entire filter. So there were able to just wipe down the exterior of the cartridge and were not forced to replace filters over and over. One filter will last according to 3M, “for the duration of the pandemic wave.” Realistically it should be good for a year or more. I used one for my geology thesis sample collections in asbestos mines. Works great.

@calincalabrese6260 3 жыл бұрын

I would wipe the filter at the end of the day or intermittently with an alcohol pad. It didnt over dampen the filter. Then I left it in a brown bag or out to dry

@Socal_Geo1 3 жыл бұрын

@@calincalabrese6260 alcohol is super bad for the filter if it touches the filter material at all, you should consider replacing them quickly. Your filters are made of melt-blown (MB) stretched polypropylene that use electrostatic charges to pull dust and virus particles in and stick to the filter. Alcohol rapidly degrades MB polypropylenes charges. Here is a scientific paper which was published this year in journal Applied Nano Materials, where they tested cleaning your filter material with ethanol (alcohol). This is a quote from their findings in the study: “We found that the filtration efficiency of MB filter significantly dropped to ∼84% and ∼62% after ethanol spraying with 1 cycle and 10 cycles.” Fortunately ebay and amazon still have the 7093 and 7093c cartridges for under $25. :) www.ncbi.nlm.nih.gov/pmc/articles/PMC7323055/#!po=0.877193.