Airway Management

[@ICUAdvantage]

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[@kiner30]

Thanks for all that you provide for the medical community! You’ve been on a long hiatus hope all is well. Now that I have all my loans get off from school, I am happy to provide some sort of contribution to support for your service or outreach

[@ICUAdvantage]

Thank you so much for this Ping! Congrats on paying off those loans! Thats huge! As for the breaks, yeah I made the transition to nights and its been tough finding my schedule and making everything work. I'm working on it though! Hopefully less of those moving forward! Good to hear from you.

[@jasminslone3844]

Watching for my ACLS ❤

[@ICUAdvantage]

Good luck!

[@karanne7797]

As a recovery nurse this was very helpful

[@khadiganasr]

I can’t even believe that this channel existed🥺♥️ I’m impressed by the amount of informations and the quality of the videos You’re amazing , wish the best and I’m the biggest fan 😊

[@Kate-yj2pw]

Hi Eddie! I recently transferred to ICU and your videos have been super helpful. Thank you so much! I was wondering if you could also cover alcohol withdrawal/ CIWA in future lessons?

[@Mpourazos]

as a nurse with little knowledge placed in the ICU a few days ago thank you for answering so many questions!!!

[@TravelRNCCRN]

Be careful doing that. If anything goes wrong, you will be the one thrown under the bus. And it seems the trend of arresting nurses is starting. Just be careful.

[@Mpourazos]

@@TravelRNCCRN well i don't do much on the patient myself but with 3 nurses for 11 patients they don't really have the time to explain to the new inexperienced guy staff the usual response is study ! ( yes i know that if things go south i am alone )

[@praiseohunenigbin6639]

I wish to work in the ICU one day. Which country are you?

[@Mpourazos]

@@praiseohunenigbin6639 I am from Greece

[@praiseohunenigbin6639]

Lovely. I am a Nigerian

[@louisedebusk6009]

Studying for Adul Health IV final, very helpful channel, thank you!!!!!

[@ragdakarim1919]

The BEST ICU teacher!!

[@ICUAdvantage]

Thank you so much!

[@nursingrojasara2572]

Thanks sir It's helpfull in my practical exam of the bsc nursing I'm studying nursing in at Gujarat in indian

[@sthefanyaraujo9878]

whatching from Brazil! Excellent class, thank you

[@ICUAdvantage]

So cool! Hello in Brazil! ❤️ Glad you enjoyed it!

[@Jumpboy5100]

From my pre-hospital experience we almost always go laryngeal mask (i-gel) or ET tube. The esophageal tracheal airway has been deemed ineffective (at least in pre hospital) for quite a while.

[@ICUAdvantage]

Thanks for sharing that. Honestly Ive never personally seen it, but I try to cover the full range of things on a topic, even though I may not have first hand experience with it. Makes it tough sometimes!

[@RUAGoodNurse]

Hi There! Thank you for your excellent work: sorry I am posting this on one of your older videos and I hope you read this: what is the difference between joining (Paid membership) through patreon versus youtube? Maybe since this video is so old you might have current updated information

[@manuelito591]

Thanks Eddie! I’m sure you’re going to touch on it, but I know I would have loved some ETT as well Trach management when I was brand new in the ICU. Scariest thing ever was suctioning any pt, but especially a trached pt 😅😂

[@ICUAdvantage]

Hey Juan. Yup I'm going to cover each of them more in-depth soon 😊 Trachs never scared me, but they def make me want to gag sometimes! lol

[@askpearl]

thank you so much for this video! It makes me less anxious!

[@ICUAdvantage]

You're welcome Pearl. It gets better with time. Glad to be able to help some.

[@johnresino3752]

While working in prehospital, and no the hospital icu.i feel that the dependence on the RT is very scary. Both from the hospitals policy and the nurses on he floor. All of these airways less the ET tube should be regularly checked off by hospital for nurses or rapid response teams. If a emt can use them so should you. And I don't mean this to be degrading. But covid had shown us that the need for multiple rapid response teams that a competent is highly important. Master the basics. Great video.

[@ICUAdvantage]

Unfortunately, while its in the scope of practice for RNs, we are also subjugated to the policies and procedures of the particular hospital or institution we work for, and more often than not, classically trained RNs are not allowed to intubate. Many places RTs are also not allowed and a CRNA, NP, PA, and MD/DO is required.

[@kpf8186]

Well done. Going into my first PALS class as an instructor and this is a really good review.

[@ICUAdvantage]

Awesome! Thanks so much!

[@alstondsouza4]

I need LMA because my hypophax is blocked after styloidtecomy SURGURY 😢 caused unilateral breathing obstruction !

[@olaebrhem5641]

Thank you thank you thank you 🥹😭😭😭😭❤️❤️❤️❤️❤️ GOD bless you 🙏🤲🏻💜

[@JoeT.KolubahJr.-de3zz]

Perfectly said 👏 👌 Thank you 😅

[@ICUAdvantage]

You’re welcome 😊

[@minhthuthaithi4911]

Thank you!

[@hannahkoeczko9782]

Thank you Eddie 😀

[@ICUAdvantage]

You're welcome Hannah!

[@bestmulti-channel2725]

Love the simplicity of how you described it but you forgot the naso-tracheal tube

[@kittypewpew]

We stopped using them as bite blocks after a patient broke his jaw when biting on it; had to get a madible operation on top of everything else..

[@brandonminer1492]

Damn

[@bkane573]

I feel like the opa, but not managigg my the patients has clampdown was the problem…

[@bkane573]

And also, a broken jaw is better then a lost airway.

[@ICUAdvantage]

I will say in a pinch, we will use it, but we have other options for more long term bite blocks that are less cumbersome. Haven't seen the broken jaw before! 😳

[@kittypewpew]

@@ICUAdvantage To be fair, it was a spinal operation, and they had neurophysiology do MEP in the scalp, which caused the clencing.

[@MHairi-lj4dt]

Yay a new video lesson! Thanks Eddie! 😬

[@ICUAdvantage]

Woohoo! You're welcome!

[@thanhtang3545]

Thanks, very good review in airway Tools ❤

[@ICUAdvantage]

Thank you! Simple but very important stuff.

[@TadesseAsefa-xw9ue]

Where can i find the questions ?

[@sunitasimkhada6387]

Most awaited topic.. Thank you 🙂

[@ICUAdvantage]

Awesome! Got quite a few more on this subject coming 😊

[@muzala_pm]

This is so helpful

[@roland.j.ruttledge]

always informative, many thanks UK

[@ICUAdvantage]

Thanks so much Roland!

[@avrilhylton6397]

Very good video.

[@konlannaakniib5347]

❤ Nice one there

[@CCai-yr5gr]

Could we go through cardiac surgery content?

[@ICUAdvantage]

Hey Catherine, I do have plans for that in future lessons.

[@kozel347]

Fantastic thank you

[@AllyathumaniAthumani]

I love this video

[@michelledizon844]

Hi anybody knows the best website or review materials for CEN certification? Thanks everyone.

[@deshasimpson33]

Awesome!!!! Thank you for This

[@ICUAdvantage]

Happy to help Desha!

[@AllyathumaniAthumani]

Swahili?

[@hayleigh7074]

Great video!

[@ICUAdvantage]

Thank you!

[@keelinoleary]

Watching this before my airway fisdap…pray for me lmao

[@thanku_herbs]

Nice , Thank you. 😊

[@ICUAdvantage]

You're welcome! Glad you liked it!

[@muhammadqais3106]

Excellent

[@ICUAdvantage]

Thank you so much 😀

[@mapenzimatamu8503]

God bless you!!

[@ICUAdvantage]

Thank you!

[@KACEDIGH-we4eq]

Awesome

[@ICUAdvantage]

thank you!

[@Siddha_klbg]

Thank u

[@lazy_titan4307]

Hey love your work bro .. i have a question related to LMA....

[@ICUAdvantage]

Thank you. I can try and answer although I don't have a ton of experience/knowledge with them...

[@lazy_titan4307]

Patient with LMA consider Intubated or not??

[@ICUAdvantage]

@@lazy_titan4307 Technically no, as intubation is actually placing the tube into the trachea, which the classic LMA does not do. That said, it seems there are some variants of LMAs that do also allow tracheal tube placement and then would be considered.

[@lazy_titan4307]

@@ICUAdvantage thanks ....

[@nic2387]

Hi Eddie 👏 So is an ET tube only used when a patient is sedated & ventilated, whereas a tracheostomy tube can be used when a patient is fully conscious? 😊

[@syedabood6892]

Yes, because the patient won’t bite or rip it out (assuming they are competent after the tracheostomy)

[@tedihollingshead5777]

@@syedabood6892 On my unit, we actually have some pt's who are awake and actually walking with PT who are tubed on the vent!

[@praiseohunenigbin6639]

A tracheostomy tube is used mainly when there is upper airway obstruction. It a more advanced form of ET

[@ICUAdvantage]

Hey Nic, so good question. Oftentimes, when they are intubated, they are sedated. As Tedi mentioned, we can have patients who are awake and calm without any sedation, which certainly has big benefits for ICU delerium, but can be difficult to achieve sometimes. Oftentimes the tube is very uncomfortable for people hence the need for the sedation, as well as the potential need for compliance with the vent. As for the trach, most patients very quickly after getting the trach are able to come completely off all sedation with little issue. Sometimes, depending on Respiratory status, we may need to add it back or use it at night sometimes, but more often than not, they are fine with nothing. I'll be going over more about intubation and trachs soon in future lessons as there are a multitude of different reasons for their use and things to be aware of, so keep an eye out soon 😊

[@nic2387]

@@ICUAdvantage Perfect, thank you Eddie! Looking forward to the future lessons as my next question was going to be why someone who is fully conscious would require airway support via a trach ☺️ thanks again for your reply, much appreciated! 🙏

[@kaieng5127]

Nice video!! Support!!

[@ICUAdvantage]

Thank you so much!

[@MrGeelaa]

Awesome video 👍🏾😘

[@ICUAdvantage]

Thank you so much!

[@dmarcellus]

Thanks!

[@dmarcellus]

Would love to see a video that describes what happens when you hear "grab the airway cart"....here is what the MD is likely going to ask for when they get ready to emergently intubate. Laryngoscope , OPA, NPA, 10ml Syringe (to inflate the balloon), Preoxygention, Pretreatment meds (not always used), Induction meds (Etomidate), Paralysis/NMB - (Rocc/Succs)...could possibly discuss mallampati...confirmation of placement (CXR/CO2/EMMA)....post placement mgt. When I was a newer nurse this was always chaotic and there were never really good times for anyone to explain this...and it happens with regularity on the Unit.

[@ICUAdvantage]

Hey Derek! Thanks so much for this! And yeah those are all really important things to talk about. I'm going to be going over airway management stuff probably for a little bit over the next few lessons and hope/plan to cover a lot of that over different lessons. So many videos to make and not nearly enough time lol!

[@dmarcellus]

@@ICUAdvantage I don't know how you do it. But your videos are fantastic. Thank you for your efforts.

[@ICUAdvantage]

@@dmarcellus I really appreciate that! Truly my pleasure!

[@skyfiraprimafilla9824]

Thx ser

[@ICUAdvantage]

Welcome!

[@VivianManu-dr6vb]

Please where are the questions?

[@sameeramadhusanka1095]

Can you provide the subtitle as text file. ❤️❤️

[@ICUAdvantage]

The lessons notes are available to the KZbin and Patreon members.

[@lejindary2141]

The me that haven't even go to university is watching this

[@ICUAdvantage]

Hope you enjoyed it!

[@tomasgimenez4592]

Not a good clear description of opa placement

[@mostafamiralimortezaei4708]

👏👏👏👏👍👍

[@careywoods5719]

Sounds like you have and/or had a EMS/Paramedic background.......

[@ICUAdvantage]

Negative! :) Military (not medical) then got out and went straight to school

[@mahammedali4595]

Thanks alot please slow your voice

[@erica9657]

Slow the playback speed if too fast

[@ICUAdvantage]

Its always a mix of people who think I talk to fast and others who think I talk too slow lol.

[@RiyaAbilTheTravelCouple]

Airway Devices : kzbin.info/www/bejne/eGHUeJVqar6WhdE

[@DisqueFoundation]

Thank you for sharing, please keep saving lives!

[@RiyaAbilTheTravelCouple]

@@DisqueFoundation 🥰🥰

[@jitendrakumarsrivastava9200]

Useless speech 😊

[@timehealthfit1891]

You the best, want to be youtube friends?

[@emmyfaith5003]

Thank you so much.

[@ICUAdvantage]

You are so welcome!

[@salmamohamed8617]

THANK YOU A LOT

[@davidmixer5320]

Thanks a lot.

[@ICUAdvantage]

Most welcome!

[@amenedoghogho7459]

Thank you x

[@kturner425]

Thanks!

[@ICUAdvantage]

Thank you so much!