How to Prepare for your Anesthesiology ROTATION in Residency or Medical School

[@AH-le3py]

Passing knowledge and teaching is a very noble thing. GOD loves those who teach. Dr. Hussain

[@SlippedFob6]

Thats a funny bit with the intubation! Also helps me understand the perspective the attending is having.

[@MaxFeinsteinMD]

Yeah I don’t personally know, but the attending is literally handing you the responsibility of establishing the only route for your paralyzed, apneic patient to get oxygen to their brain soooo 😅😅

[@ComfyChaos]

I’m not a physician or med/nursing student at all, just someone who has had several surgeries and been under general anesthesia more times than I’d like to admit. It’s always scared me, but watching these videos actually takes away my fear. I’ll probably need at least a couple more surgeries so these will definitely help before I go under again. Thank you, Dr. Finestein, for your superb videos! Your patients are lucky to have you as their anesthesiologist. 🙂

[@Romaoplays]

The attending part was so good ahaha

[@MaxFeinsteinMD]

If only my attendings would actually tell me what they think as I’m intubating haha

[@jacobking2864]

Seriously, I got a good laugh out of it!

[@wardtaylore]

Can you please do a video on interviewing, getting noticed by programs, personal statements, more tips for applying for matching into Anesthesiology for 4th years?

[@steveabraham3052]

Dr. Feinstein, this was perhaps one of your most entertaining videos thus far, all while being super informative! Thank you so much for taking the time to make these great videos! 👍🏾

[@sherrydawson6253]

You don't have to be a resident to enjoy your videos. I like that your helping them though. Shareing your knowledge. As a former nurse prior to a bad injury. I assisted with some entubations. It became easy to spot those who didn't do them often. If the doctor is getting frustrated or start swearing, the whole team was affected. ER docs had it in in seconds they did so many. But a reg doc may not of done one in yrs. We never had a anesthesiologist come. So thats a huge plus in modern medicine. Residents should save all your videos, great learning tool. 👍💜

[@MaxFeinsteinMD]

I'm glad you're enjoying these videos! I can see you commented on several-- I appreciate the feedback.

[@wulfgar9119]

Although I'm not a physician, I remember my intubation rotation during paramedic school. I really enjoyed playing 'anesthesiologist' and learned a vast amount of techniques. Well worth the rotation.

[@MaxFeinsteinMD]

Cool, thanks for sharing! I thought about going to paramedic school, then veered away from medicine for a while and eventually circled back as a pre-med.

[@danmcguire7728]

Loved the "Narrate while intubate." tool, I was given that in my EMS training for AEMT, and I taught myself, the second I took the BVM off for the tube, I held my breath as a measure if I needed a breath, most certainly my patient did as well! Great instructional videos Dr. Max, you ought to plan on teaching in your medical future, you have a great and steady approach on explaining things.

[@MaxFeinsteinMD]

Hey Dan, thanks for the vote of confidence! I definitely enjoy teaching so maybe I'll be at an academic hospital in my future, we'll see.

[@sattafus]

Fun and informative :) I loved the part at the end!! Nowadays I always go home as soon as someone tells me we've done everything :D Greetings from Germany

[@bettysmith4527]

Had surgery yesterday, and my anesthesiologist was AWESOME! Made a plan to decrease any risk of nausea (never had surgery before, so I wasn't sure if I would experience that), gave me versed at just the right time so I wouldn't remember event he Propofol going it and burning, and checked on me once I was actually awake enough to remember. I had no nausea to speak of, and am thankful.. Thank you for what you guys/gals do!

[@escha017]

Thanks again Dr. Feinstein, super excited to rotate in anesthesia in the next few years!

[@MaxFeinsteinMD]

👍🏼 enjoy the process, it’s exciting!

[@harshadhondu4248]

Hahah I didn’t know what to expect when I stumbled upon this video. Guess I found a shiny pearly white vocal cord 👉🏼. I want to be an anesthesiologist in the future and found this video super insightful.

[@MaxFeinsteinMD]

Thanks for watching! Hope to see you around the ORs some day.

[@FerdousNipu]

Great video! Today, the anesthesiologist told me to go home at noon and I did. Glad to see I made the right decision!

[@MaxFeinsteinMD]

YES haha

[@ActuarialNinja]

That was some really helpful decoding. Worth the price of admission, lol

[@MaxFeinsteinMD]

Glad you enjoyed!

[@Startupsandsushi]

That intubation narration was a TED talk 🎉

[@lookformiddle]

High yield info!! Thanks for making this video

[@MaxFeinsteinMD]

Thanks for watching!

[@maeve49]

Thank you!!! loved the video, took some notes for my rotation.

[@erickmendozamd7909]

It's not done until the cuff goes up, there's chest rise, and they're on the vent. Of course I know you know this but when there's a trainee in the OR you can't be surprised when they don't do these things.

[@MaxFeinsteinMD]

Fair point!

[@DrQuestion]

We use video laryngoscope so everyone can see if the resident intubates the right place

[@MaxFeinsteinMD]

Pretty interesting! We primarily intubate using direct laryngoscopy but sometimes will use video laryngoscopy just to make sure we're comfortable with it.

[@Chih-xo2gh]

Love this video so so much! Entertaining and informative 👍🏻

[@lonestarspaceballs61]

my haert dropped at the first attempt of intubation for that poor manaquin without narative hope he was OK :)

[@MaxFeinsteinMD]

Yeah when I post-op checked him he was satting 100% on RA and last thing he remembered was the preinduction Midaz, so we’re good!

[@BoogieDownProduction]

Thank you for the narration example. Maybe its because you did everything by yourself, but if you had someone helping would it be ideal to get the cuff passed the cords, have your assistant remove the stylet and then advance alittle bit (aiming for ~3X the inner diameter at the lips)? I think I heard its preferred to remove the stylet before the final advance because it can cause damage? Appreciate your perspective!

[@ashleysanders9566]

Awesome info (especially the decoding part, lol)

[@maxjabaay4408]

I was wondering if for a future video if you would be able to talk through various types of intubations. For example the standard non-complicated intubation to the more advanced type. Maybe you could use an image from an open-access source and talk about what you see. By doing this we would be able to learn the language to describe an airway. Another thing that would be cool/useful is to show a video-guided placement of the tube without voice-over, but inform the viewer to verbalize what they would say. Then repeat the video with your voice over and pause the video to point out important landmarks.

[@MaxFeinsteinMD]

This is a great idea. I'd love to make a video with an actual patient, but I'll need to speak more with my hospital's administration to figure out the most appropriate way to do that. In the meantime, do you think it would be interesting or helpful if I narrated an intubation video using the mannequin / simulated patient?

[@maxjabaay4408]

@@MaxFeinsteinMD I think that a simulator could be useful and the easiest route. I would be most interested in a stepwise thing. For instance as you may recall from medical school the 0PPQRS pneumonic. When you were first starting off interviewing patients it was very useful to have a easy pneumonic that worked most of the time, but once we start seeing more complex patients the skills we learned from the basic pneumonic were able to help us out. I think it may be challenging for you to have your institution approve of a video, but maybe you consider going onto the website openi.nlm.nih.gov and finding images of vocal cords or video clips to talk about. All the images and videos on this website are open access images.

[@urielromero5069]

What's your preferred blade and why....? advantages or disadvantages.... Do you find clinical advantages of using a stylet for intubation (easier or harder to pass the ETT through the glottic opening...?) Great video- Thanks

[@MaxFeinsteinMD]

Since I'm still relatively new, I just use a Mac blade so I can become very comfortable with it before learning Miller. For what it's worth, I'm not yet doing peds cases so I haven't had clear clinical indications yet to use a Miller. I'm not sure yet about advantages and disadvantages, but later on when I have more knowledge/experience I hope I can answer that question! I generally do use a stylet and find intubation to be slightly easier that way, especially when I don't just have a straight shot to the cords!

[@BakerBoy-to4yk]

Excelente contenido doctor, great videos!

[@MaxFeinsteinMD]

Muchas gracias, te lo agradezco!

[@nualaharrington3384]

Videos are Great thanks again

[@MaxFeinsteinMD]

Thanks for watching!

[@cancel21]

love the last part

[@rain-lz5ce]

hi im planning to get into anaesthsiology when im older:)

[@dulguunbattur5031]

Same hehe

[@MaxFeinsteinMD]

That's great to know! It's an awesome career choice. Best of luck.

[@astoldbyridha4043]

i'm super nervous for my anesthesia rotation by the day after tomorrow! XD

[@MaxFeinsteinMD]

You’ll have a great time, enjoy!

[@MelisaRodriguezS]

Great video!!

[@rumshaacheyanne136]

Done and dusted 3

[@thehusbandofstardomfamily6152]

This was good.

[@MaxFeinsteinMD]

Thanks, glad you liked it!

[@bbtsetseg6160]

So great and funny video 😊😍

[@gmbh8443]

4:18 - 6:02 xddd And i like the ventians blind behind you...

[@MaxFeinsteinMD]

Haha yes we have a fancy sim lab

[@gmbh8443]

@@MaxFeinsteinMD but.. now im stuck.. so i laugh... 🤷‍♀️🤷‍♀️ How does it feel to have that supid thing in your throat 🤔😂

[@leonidas2842]

thank you

[@gustavgurke3389]

great video

[@MaxFeinsteinMD]

Glad you enjoyed it

[@cathn88]

what should I do to increase my chance to match in anesthesia if step 1 is P/F and I'm IMG US resident?

[@MaxFeinsteinMD]

Hi Catherine, I think one of the most important things is to do well during pre-clinical years and also on your clerkships. Much of the material that you learn during the pre-clinical years will be relevant and important for anesthesia, so it’s good to demonstrate a comprehensive understanding of it. I’m sure Step 2 CK will also become more important. Quite a few people have asked me about making a competitive application for anesthesia, so I think I’ll put together a video with advice soon- stay tuned!

[@RMalik-sy3bz]

@@MaxFeinsteinMD I'm applying to Anesthesia this cycle and would love to see that video for some extra help, especially interview tips.

[@cathn88]

@@MaxFeinsteinMD Thank you so much for replying. I will be checking all your videos out :)

[@AH-le3py]

LOL. Dr Hussain

[@rakshastudent8926]

I am an future Anesthesiologist....🙋

[@yaya78774]

Nice

[@MaxFeinsteinMD]

Thanks

[@cobblestone5642]

Why are all the US ortho doctors always working out 😂😂😂

[@MaxFeinsteinMD]

This is one of the great mysteries of medicine!

[@Mr_ZPguy]

Is it just me or is the audio a little bit out of sync?

[@MaxFeinsteinMD]

You’re right it did seem a little off. I’ve actually gotten a different camera that’s a bit better so hopefully that’ll help.

[@mohdwaseem2376]

bhai hindi mai bhi mil sakte h

[@user-zu7gk9ol9f]

Why don’t you step in before he injures the patient?! And how can a pt specify no students or residents!?

[@MaxFeinsteinMD]

Best way to ensure no students or residents is to avoid going to a teaching hospital.

[@gmbh8443]

CAN I SEE THE VENETIANS?

[@MaxFeinsteinMD]

Maybe in another video!

[@gmbh8443]

@@MaxFeinsteinMD 😡 Pls 😭😭

[@austinsloane122298]

The wise men realistically sip because millennium peripherally blind in a friendly traffic. tearful, evasive peanut

[@SynsterFear]

Scope creep

[@MaxFeinsteinMD]

Yeah laryngoscopes definitely can be creepy!

[@Maddawg31415]

The poor mannequin’s teeth 😥

[@MaxFeinsteinMD]

Haha thank goodness they’re rubber 😅

[@NikkieRoxxx]

Could one survive med school if allergic to latex...?