16+ tricks for a successful NEONATAL endotracheal intubation!!!

[@mathewdibbern595]

I owe you the biggest thank you in the world!! I came in tonight to a difficult intubation. Our Neonatologist said, "man this kid is so anterior". Recalling your wonderful video from the previous day! I asked if she minded moving the head forward a little she said, "it's worth a try." And it worked!!!! She said she was going to remember that trick forever! Your detailed videos allow me to up my skills and knowledge. So thank you! Vickie RRT (Indiana)

[@TalaTalksNICU]

Oh wow that’s so fantastic!! So impressive you were able to apply it in the thick of a stressful situation!!! Thank you so much for sharing this with us- so encouraging :)

[@Kopiroti09]

First tip makes me slightly emotional. Thank you for the words of encouragement

[@TalaTalksNICU]

Not sure how I didn’t answer this!!!! We’ve all been there! You r got this!!!

[@user-vr5ww3ly7r]

Hello Dr Tala, I just missed an intubation today and After Waschung your Video I know much better what I did wrong and what I could do better the next time. I was feeling down today and felt the embarrassment you talked about. Now, I do feel encouraged to try again. Thank you!

[@TalaTalksNICU]

I can’t tell you how happy your message has made us! Exactly why we wanted to make these videos!!! What you feel is what every single person in medicine has felt numerous times. It’s great that instead of giving up- you’re working to get better. Your patients are very lucky to have you!

[@thommy_kni]

Very helpful video and advices. Highly appreciate it. It is always the best to learn from an expert with a lot of experience. Thank you.

[@TalaTalksNICU]

Oh thank you! Everyone becomes an expert when they’ve done 100s or maybe 1000s of something- right? Thank you so much for being here!

[@ConnieLeFan]

Thanks for the education that all can afford!!

[@TalaTalksNICU]

Love this so much. It really is amazing the access we have now to excellent free education. I'm going to do a video on free websites etc we can use (and I do use)!

[@veenamary5442]

Amazing . Thankyou Mam.

[@TalaTalksNICU]

So glad you found it helpful! Thank you for taking time to write!

[@ronzrt]

Thank you. Appreciate the knowledge and great tips.

[@TalaTalksNICU]

Thank you so much for watching- hopefully it’s clinically helpful!

[@dougdixon4587]

More please!! Thank you for your dedication!

[@TalaTalksNICU]

Absolutely! Thank you so much for watching and for subscribing and being such a great supporter!

[@readiop2722]

These are all wonderful tips. Thanks Dr. Tala

[@TalaTalksNICU]

Thank you so much for watching! Appreciate you taking the time to comment :)

[@mirmahmud1438]

Thank you so much for your nice video and excellent presentation. I am from Dhaka Bangladesh. I will try to get answers of my practical questions very few. How to do this if required as I am interested in paediatric patients.

[@TalaTalksNICU]

Hello! So glad you’re watching from Bangladesh! I hope we can help you with your studies!

[@m.e.2286]

Thank you, these tips are so much appreciated & encouraging

[@TalaTalksNICU]

So glad you find them encouraging too! Everyone can get there!!

[@m.e.2286]

@@TalaTalksNICU 💕🙏🏼💕

[@amsmathew7725]

Thank u so much Mam, wish i had a teacher like u

[@TalaTalksNICU]

So glad you found this helpful

[@santhisri3520]

Thank you mam for your dedication!.more videos please!!

[@TalaTalksNICU]

Thank you for being here! Wish we had time to release a couple a week but they’re quite time consuming- we’re slow and steady!!!!

[@PARAMEDICKSA]

Thank you very much. I benefited and enjoyed the method of explanation, Doc👋

[@TalaTalksNICU]

Oh great! Thanks so much for watching and for commenting :)

[@mohammedmaheer4740]

Many thanks,dear dr. Tala

[@TalaTalksNICU]

Thank you so much for your support!

[@melishendek6472]

Thank you again. In europe we intubate generally nasal and not oral. Which advantage do have with your procedure? Yes, of course its pretty cool to have a "niv" during the intubation..

[@TalaTalksNICU]

Hello- that's so interesting- and apparently completely cultural. I have a colleague who can do either, but apart from him, every intubation I've done or seen has been oral.

[@MinaLotfallah-tc8hm]

Wonderful

[@TalaTalksNICU]

Thank you! Cheers!

[@aquascapebomahdi3309]

Great info appreciate the hard work The problem with me is when intubating small babies 0-4 months oral opening to small i can see the glottis and the vocal cords but once i thread in the ett im blind every thing is obstructed and i fail any tips how to maximize the oral view making it easier to thread the ett comfortably

[@TalaTalksNICU]

This is something we all struggle with- the key thing is putting the tube in from the side of the mouth- to maximize your view as long as possible. In the tiny ones this is harder because there’s so little room! Keep going- this is a relatively easy aspect of intubation to fix!!!

[@dr.melshehawi5711]

Thanks Dr TaLa

[@TalaTalksNICU]

Thank you for taking time to write )

[@remabuzeid3842]

Very helpful tips especially with glasses as last time I couldn't see Vocal cord easily due blurring 😢

[@TalaTalksNICU]

Changed my life!!!! Ha! It’s nice knowing that the issue is fixable though!!!!

[@neoneo-cz7zh]

Super as usual sr Tala.please try to collect in a practical videos for intubation for more benefit . Thanks again so much

[@TalaTalksNICU]

Hello- so sorry took so long to reply! We did another view showing the steps of intubation- is that what you were thinking? Would love some advice on what you think would be most helpful way to show in a video!!! Thanks!!!

[@neoneo-cz7zh]

@@TalaTalksNICU I know that you are too much busy to reply I mean for showing videos for neonatal intubation and to comment on it that is true and beneficial and help in intubation success and that is make intubation difficult and failed.thanks

[@bornaliborah25]

Madam , really enjoy your video

[@TalaTalksNICU]

Thank you so much! Appreciate you being here!

[@felipeguinancio7456]

Very good tips Dr Tala! Great video! And wich hospital do you work. Ty a lot again.

[@TalaTalksNICU]

Hello! thank you so much! I work in Texas in US. (We actively keep our hospital and practices out of this channel because even though they allow us to continue the channel, we are not speaking on their behalf)!!

[@felipeguinancio7456]

@@TalaTalksNICU ty a lot for the feedback! Do they accept fellowship program?

[@TalaTalksNICU]

@felipeguinancio7456 hello! No we don’t have fellows in our hospitals (that would be nice though!)

[@felipeguinancio7456]

@@TalaTalksNICU so sad!

[@brahimihamid]

This is a great job doc . I agree you from algeria . Dr B ... ped surgeon 🎉❤

[@TalaTalksNICU]

Thank you so much! Appreciate you watching! Let me know if you’re interested in a video or some questions at all!!

[@rritalimaj8186]

Dr. Nala, I’m Rrita from Kosovo! I recently gave birth to my baby who was sent to the NICU here for meconium aspiration. My baby was also intubated, and since discharge has had feeding difficulties and a raspy voice. Can it be that incorrect intubation can damage the anatomy there and cause difficulties feeding /swallowing?

[@TalaTalksNICU]

Hello! I love you called me Dr. Nala- my maiden name began with an N, so people called me that all the time! Congrats on your baby! I would think it would be very unlikely from the intubation- maybe that caused irritation or something at the time- but that would have resolved. I'm not sure how long he was intubated for? I hope he continues to improve XX

[@rritalimaj8186]

@@TalaTalksNICU oh gosh, darn autocorrect! Thank you so much for your response Dr. Tala! My daughter was intubated for 2 weeks. I wondered, because she also has a short neck, but who knows. Anyways, love your videos! I am learning so much, and I’m not even a doctor, just a graduated NICU mom!

[@TalaTalksNICU]

@rritalimaj8186 ha! That’s a safe autocorrect compared to some of the howlers I’ve sent!!! I don’t know why we see feeding issues in patients who have been intubated for some time. It does seem to affect their coordination. But those speech therapists work miracles and babies do get better (especially with thicker foods)! Thanks so much for being here!

[@sbiswas0227]

Excellent teaching video with great tips, just do not agree about the stylet tip and the suction tip. :)-

[@TalaTalksNICU]

I love that you do things a different way! Cannot emphasize enough that a lot of what we do- especially with procedures is personal opinion!!! I’m not sure if that comes through enough in our videos- this is just the way I do it- not how you need to do it! Thank you for sharing and for watching!!!

[@sbiswas0227]

about the higher refractive index you mentioned, are you suggesting a particular no or the same one I use for reading at home. Thanks@@TalaTalksNICU

[@TalaTalksNICU]

Higher than you use for reading!!! Like maybe 1 higher!! I love it!

[@kristenb2968]

What strength of readers do you recommend for someone with 20/20 vision

[@TalaTalksNICU]

I’d start with 1 or 1.5! (Obviously I’m not an ophthalmologist but would literally be using for 15 seconds or whatever takes to intubate!)

[@kristenb2968]

@@TalaTalksNICU Thank you. I will give it a try!

[@docvaruna]

Younger generations don't accept the experience. They think if they know they are better than others. Well said Tala. Take care of your health. Losing too much of weight is also not good.

[@TalaTalksNICU]

It's difficult to appreciate how important experience is when you don't have it. Either we feel- I'll never be able to do that, or the opposite- I've done this a few times, so I've got it. Experience teaches a lot but also very humbling!!! Thank you for your comment! I have been about the same weight for a long time0 just bigger scrubs! :)

[@ceciliai.ogwude2845]

Please don't speak for younger generations. A lot of people from YOUR generation have exactly the same problem. It's an uncomfortable situation having to learn a new skill as an adult. It comes with a lot of feelings of inadequacy. The less huge of an ego you have, the easier it is to accept you cannot know everything and cannot learn without failing. All this to say, please stop acting like this is a problem reserved for "younger generations". It's simply not true.

[@docvaruna]

@ceciliai.ogwude2845 Sorry. It is not good to generalise. Thanks for bringing it.

[@TalaTalksNICU]

I think something was lost in what I was saying. By NO means was I saying that my generation knows everything!!!! It is really really difficult learning a new skill and my point was that the more everyone does the better they are. Literally everyone can become proficient. It was supposed to be very encouraging- in no way disparaging anyone!!!! Literally last thing on my mind

[@ceciliai.ogwude2845]

@@docvaruna thank you🙏🏾