Critical Inductions | ABCs of Anaesthesia Boot Camp Series

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Disclaimer:
The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant.
You should seek your own advice from your medical practitioner in relation to any of the topics discussed in this episode’
Medical information can change rapidly, and the author/s make all reasonable attempts to provide accurate information at the time of filming. There is no guarantee that the information will be accurate at the time of viewing
The information provided is within the scope of a specialist anaesthetist (FANZCA) working in Australia.
The information presented here does not represent the views of any hospital or ANZCA.
These videos are solely for training and education of medical practitioners, and are not an advertisement. They were not sponsored and offer no discounts, gifts or other inducements.
This disclaimer was created based on a Contractology template available at www.contractolo....

[@aamannadal7419]

Continue doing what you do and know that you are appreciated.

[@ABCsofAnaesthesia]

Thanks so much!

[@ZzzzZz-pk2yq]

Your videos are absolutely brilliant! Thank you SO much for sharing your wisdom and insights.

[@berika7036]

As an ED nurse who takes a lot of verbal orders god bless you for the just give them a dose 🙌🏻

[@ABCsofAnaesthesia]

yeah! so much more practical and efficient!

[@skulqerX]

Thank u so much for the invaluable sharing and knowledge drs ! May i ask for a discussion on difficult ventilation cases for future videos ?

[@ABCsofAnaesthesia]

Yes, sure, do you mean, difficult intubation. or difficult ventilation once the ETT is in?

[@skulqerX]

@@ABCsofAnaesthesia difficult ventilation once the ett is in. For me im not sure how to ventilate pneumothorax on chest tube, heart failure ,and asthmatic patients. Appreciate any input on those types of cases. P.s would like to say ur videos are lifesavers for me and my patients here. Lots of love from Malaysia .

[@danielledevine4422]

I’ve been watching your videos, thank u for making them. How do u stabilize the vein before u insert it? Veins r always seeming to roll on me.

[@YankeeSamurai1]

Just thought I'd try to help you out here -- if you check the channel's uploaded videos, you'll find multiple videos about IV technique. There are probably over 3 hours of IV-related content for you to look over. Good luck!

[@danielledevine4422]

@@YankeeSamurai1 thank you! I failed miserably at work the other day trying to place an IV on a “hard stick.” Thank goodness she slept through the multiple attempts!

[@berika7036]

Put your thumb above the vein (above where you going to insert the needle/cannula) and pull up. It should pull the skin/vein taught. Don’t be afraid to press semi-firmly. Sometimes it’s better to place your thumb below and pull down. You can release tension and palpate the vein and then pull taut find your position, then relax to confirm etc. until you feel comfortable. Don’t be afraid to take your time to feel, especially if it’s their only good vein. When you do finally stick, don’t hesitate. Hesitation gives the vein time to roll. Stick firmly, veins that roll are typically harder to “pop” into. Finally, if you don’t get a flash immediately, don’t angle the need left and right to try and find the vein, you’ll sidewall it, and the vein will blow. Keep your catheter still and palpate with a finger on your other hand. Try and feel if your catheter is next to the vein etc. Once you know how you should adjust, pull your catheter almost out (still under the skin for sterility) and reinsert. Hope this helps!

[@Ohannah2191]

Sir, would you prefer to use etomidate as a hypnotic in the ischemic cardiomyopathy case?

[@ABCsofAnaesthesia]

Def an option, its not available in australia so ive never used it … theres worse long term survival due to hypothalamic pituitary suppression but the benefits of stability may be worth it… Whats your experience?

[@georgeharrison3091]

@@ABCsofAnaesthesia We use etomidate in the UK. My understanding is that worse long term survival and HPA suppression is largely for infusions on ITU and less true for a one off dose. Or at least the HPA suppression is transient and has less clinical significance. There are good alternatives though, so i'm not sure if the benefit is worth the potential risk.