Awake Fiberoptic Intubation

Рет қаралды 227,643

InterAnest

Күн бұрын

Пікірлер

@saleemshahzad4215 2 жыл бұрын

Huge respect for the volunteer and the amazing team leader who made it look so easy.

@ripperishere7758 2 жыл бұрын

Huge thanks to the guy who volunteered, hope you gave he had a paycheck rise or something.

@cindosbarakat1498 2 жыл бұрын

Omg this guy is such a gangster. Honestly so impressed. Legit i woulda tapped out as soon as they inserted the ETT. Very very impressed. Also super smooth. Loved it.

@InterAnest 2 жыл бұрын

We actually filmed the procedure twice. So he really kept it together. But that goes to show the importance of good topicalisation with local anaesthetic.

@ahmadnngah Жыл бұрын

Hes hot too

@devdroid9606 2 жыл бұрын

What a beautiful camera view of the trachea! I'm not a med student or professional, but this video is very educational for patients and ordinary people like me.

@youngaxe6725 10 ай бұрын

Massive thanks to the team who made this video❤

@rhi_tbp757 2 жыл бұрын

WOW!! that was so cool!! Great Job Doctors!!!!!

@Kohle1969 Жыл бұрын

Amazing video, great for educational purposes

@PropofolAhoy 2 күн бұрын

Great presentation!

@InterAnest 2 күн бұрын

Glad you liked it!

@rahelzarei5470 Ай бұрын

What a great video 👏

@father_back Жыл бұрын

Respect volunteer and team ! I wonder that high flow nasal cannula may disturb the insertion of nasal tube? Just over the cannula? thank you very much !

@armuk 2 жыл бұрын

An informative and very professional presentation - bravo. Any thoughts on regional blocks for airway topicalisation?

@InterAnest 2 жыл бұрын

I have never come across regional block for airway topicilzation, but I have had older colleagues demonstrate injecting 1 ml local with the thin needle through the crico-thyroid membrane. But personally I do not find that it gives any major benefit.

@bronsonleach3573 Жыл бұрын

@@InterAnest Use a sword swallowing technique most of the tools used for the airway were invented by sword swallowers. Basically have the patient look at the ceiling so the tube can be put straight down the throat with no gagging. I have done a endoscopy like this and works very very well.

@drsinghtastic 2 жыл бұрын

Lovely video! Thanks much!

@26leo 2 жыл бұрын

Excellent video 👌

@Krishna-ub6ij Жыл бұрын

Thank you sir for this video.

@lydiaenvoyage 2 жыл бұрын

Excellent video!

@bothafamily5002 5 ай бұрын

Thank you very much. This is however not an awake fiberoptic intubation, but an awake intubation with a flexible video bronchoscope.

@InterAnest 5 ай бұрын

You are of course correct. Somehow fiberoptic intubation (“fibertuba” in Swedish) is so ingrained in our colloquial that this mistake slipped by five consultants involved in this production. :) I’ll change the title.

@anuAk-n3k Ай бұрын

Cheers to the volunteer ❤

@GustavoMontanha Жыл бұрын

imagine yourself sitting there in that bergmanian dystopia.

@vernisvet 2 жыл бұрын

I would add "masks wearing" when spaying the oropharinx with lidocaine. I loved the video. Thank you! 😊

@InterAnest 2 жыл бұрын

Good tip. Thank you.

@pallavibojja5142 Жыл бұрын

Excellent

@ROHITSHARMA-hd3qo 7 ай бұрын

thts was totaly amazing😳😳😳😳🙂🙂🤟👌👍

@SandeepGadamsetty-jw8gs Жыл бұрын

Can't the Induction/Sedation be done prior to intubation as it is routinely done for standard Orotracheal intubation? Thank you.

@InterAnest Жыл бұрын

Technically, yes, but this technique is usually reserved for patients where general anesthesia to the level required to be able to manipulate the airway is deemed risky, due to this technique being more time-consuming than the regular approach. 1) Sedating / inducing full general anesthesia in someone with a known (or suspected) difficult airway can have lethal consequences if airway management fails 2) Sedating / inducing full general anesthesia to the level required to manipulate the airway can be dangerous in patients suffering from circulatory failure (eg septic shock etc) 3) Sedating / inducing full general anesthesia and inducing apnea in a patient that is sensitive to rises in pCO2 level (eg RV failure) may be risky, which is why this technique allows the patient to spontaneously breathe throughout and after the procedure 4) When inducing general anesthesia, the patient is usually placed in the supine position to accomodate bag-valve mask ventilation if needed (or while awaiting onset of paralytic). As GA and pharmacological relaxation reduces muscular tone, it may be tricky to use this fiberoptic technique in anesthetized patients due to the airway not being open and passage with the scope being tricky. Additionally, something as simple as fog or saliva on the camera can obstruct the visibility of the anatomical landmarks and make the procedure hard to perform.

@SandeepGadamsetty-jw8gs Жыл бұрын

Okay,Thank you so much for the clear and detailed explanation!

@rererehanoate Жыл бұрын

excellent videoooo 🎉🎉

@theparaminuteman Жыл бұрын

What a Champ!!!

@kaladwarakanath5503 5 ай бұрын

Awake during this procedure? OMG! 😮😲

@GoodGuylovesall 4 ай бұрын

Awesome!

@cadenbailey824 7 ай бұрын

what happens if you try and talk with it inside???

@DangerSquiggles 2 ай бұрын

Nothing. The airflow from your lungs passes directly from your trachea into the tube and cannot be manipulated by your glottis, pharynx or oral cavity. You would just mouth the words.

@omar-iv9xi Жыл бұрын

Thanks a lot

@shashikotha6340 2 ай бұрын

Nice 👍

@domenicosignoretta5935 9 ай бұрын

Dal video sembra tutto facile. Si potrebbe tradurre con sottotitoli in italiano? Cmq video bellissimo.

@sakib0o7 Жыл бұрын

Made it look easy.

@organart 2 жыл бұрын

Nasogastric tube please

@MrKaushikful Жыл бұрын

Soo nice sir

@SilentRoses Жыл бұрын

Gosh i hated having tubes down my nose. Especially the giant camera. It's such a weird feeling, It's really hard to describe. Like imagine a cold metal Tube touching your oesophagus and being unable to clear it, unable to clear your throat. Or swallow to get rid of it. Don't be scared if you're getting it done though. It's irritating sure but painless.