What Anesthesiologists do after Intubation - My Mnemonic

[@penniesfromheavon]

My sister is an anesthesiologist and your videos have really shown me just how complicated her job is. I myself have had over 50 surgeries and I appreciate this inside look at what really happens to me.

[@theprmstrful1]

Over 50? How????

[@looksirdroids9134]

Why the hell has everyone had so many surgeries? I am 37 and I haven't had a single one.

[@theprmstrful1]

@@looksirdroids9134 good for you that you're in peak physical health and an alpha individual

[@bryanthompson7165]

50 🤔

[@penniesfromheavon]

@@theprmstrful1 I have a lymph node disease and cancer plus the basics like appendix, gallbladder, c-sections and 5 eye surgeries. It adds up quick.

[@larryjohns8097]

Its so obvious you love your profession. And we are lucky to have you

[@lizetsanchez8976]

Max, what I love about your videos is that they help me as an anesthesia tech learn more in depth what my providers mental checklists are & how I can always be one step ahead to assist them.

[@thesisypheanjournal1271]

My answer before watching the video: They monitor the ever-living snot out of the patient and make subtle adjustments as needed in order to maintain that sweet spot where the patient is paralyzed and unfeeling but not starting to die.

[@BoogieDownProduction]

pretty accurate

[@micheles745]

You're hilarious. I can't beleive that i can spend hours watching your anesthesia videos. I am not in the medical field but just started watching your videos on a whim. Well, i can honestly say that I have learned so much (useless to my everyday exisitence) but very interesting. If i ever need surgery, I hope my anesthesia doctor is just like you, Max.

[@emedlearning9035]

Do join the healthcare fraternity

[@paulamucinga118]

I like how creative you are to keep the us entertained as we learn. Stay humble! Love your videos!

[@CaptApril123]

It's been said the anesthesiologist is the most qualified person in the room during sugery.. Fun fact; most hospitals before anaesthesia located operating theaters on the top floor so that the screaming wouldn't carry into the streets.

[@tomasmacalik5463]

Either the top floor or a whole other builiding several meters away from the main one.

[@Aawsomeguy]

Or even possibly the basement.

[@chakritsasorn]

@@Aawsomeguy lol….basement normally are for the dead😂😂….but i get what you men though

[@greatgames5793]

@@chakritsasorn yea we get what you men 😂😂🤣

[@amalprasad8d333]

@@Aawsomeguy 0 ko

[@sharmitoboylos7585]

You and your colleagues do great work; and we patients appreciate these videos because none of you talk to us much while we're actually with you. So, thanks!

[@wythetrumpet6419]

Dr. Max that is quite ingenous. While this may seem simple to some, your approach covers a great deal of important detail, that might otherwise get over looked! You need to recommend ALL doctors learn their ABCs! Great video!

[@Nachtgrabb]

Air Book Chair

[@josephdahdouh2725]

Door, Eyes, Flights

[@tngal121]

I appreciate your videos. I'm not a student but I am a patient who has had 5 abdominal surgeries with my last one two weeks ago. I have always wanted to know exactly what happens when I am off in sleepy land. Thank you so much! ☺️🩺🥼👨‍⚕️

[@ilovetotri23]

I watch every video hoping you were my next anesthesiologist! You are a consummate professional! Thank you for all the videos! Logo is great!

[@larryjohns8097]

Never forget in nurses training in surgery (1965) seeing the anesthesiologist who was also editor of state medical journal sitting with legs crossed pumping a breathing bag with one hand while holding the medical journal on his lap with other hand reading it

[@margueritehatok5557]

I liked the way to remember those basics. I can't speak for anyone else, but for me I know that in your job you have a lot to consistently monitor. One of the first things I want to know when I have surgery is WHO IS MY ANESTHESIOLOGIST.

[@RitaMBuda-tz6bi]

I never met mine. Damn it!😡😡😡😡😡

[@smokeytwitchsmokey]

Should have millions of subs...so humble...I wish he could induce me in a couple weeks

[@danielcastilo1840]

thank you Dr for these videos. You explain in a natural way that sticks to memory

[@on1accord78]

It’s crazy how much I love these videos! I’m not even remotely in the medical field! They are so interesting!

[@MaxFeinsteinMD]

Glad you found them so enjoyable!

[@marybroderick8265]

I met the anesthesiologist but during the procedure he put a nurse anesthetist in charge who did a lousy job, me waking up in pain. The anesthesiologist was sitting in the office reading and I complained to him and he acted surprised I woke up in the procedure.

[@mattbrown817]

Love Dr. F's videos they are amazing.

[@nyc88s]

Max, you are adorable. I am watching these videos after having had shoulder surgery a few weeks back. I am finding them very interesting!

[@groupsixpartners9495]

Props on the logo - much better than the vanity license plate on a late model BMW reading “INTUBATR”

[@JustBethTrying]

F could be Fever or Freezing?

[@shaunhaggerty8618]

Hey DOC, I JUST WANTED TO SAY THAT I LOVE YOUR VIDEOS AND BEING IN THE MEDICAL FIELD I STILL LEARN A LOT FROM YOU. I WAS A CORPSMAN IN THE MILITARY, WHICH IS A BATTLEFIELD MEDIC AND I ALWAYS LIKE TO LEARN MORE. THAT IS WHY THEY SAY THAT DOCTORS PRACTICE MEDICINE, BECAUSE THEY ARE ALWAYS LEARNING. THANK YOU FOR WHAT YOU DO

[@herreraanniet7021]

Thanks I work Doing OR nursing assistant and I’m learning about anesthesia tech at work this videos it helps me a lot greetings ,it helps me because I not need to bother no one

[@reginateo6315]

Your video really enlightened me what I went through under GA when I had to go through with two surgeries within a period of 6 weeks. Both time I was reminded to keep breathing after I woke up .

[@barbaraharrison9361]

Hi Dr Max, hello from Brisbane Australia. I really enjoy your videos ! You seem really confident and l would feel very comfortable having you as my anaesthetist, as we refer to you here. Best wishes for your future career.! Barbara

[@wem-c9f]

I had major surgery done recently and wow the cost to pay the anesthesiologist is higher than the cost to the surgeon. I was so shocked, haha. The bear hugger is so nice. I got to use one in my recovery and for a few days. My surgery site has to be be kept warm. Thank you wonderful medical science and wonderful medical professionals!!! I am eternally grateful!!!

[@Ink30]

They deserve every penny, there smart and one mistake your dead

[@wem-c9f]

@@Ink30 Well yes I agree LOL.

[@gabriellea.lowery6824]

Another great reason for being diligent watching a patient's to temp if there's a personal history of malignant hyperthermia. When I worked in surgery, we always had an MH cart in the room just in case. Dantrolene is a wonderful thing if something happens...

[@υαΒαυ-ο4ρ]

isn't MH a rare condition? always having a MH is so unusual according to my textbooks!

[@intrepidtomato]

Can I ask you a stupid question? Is it true that they often put in a rectal thermometer during surgery or do they place it elsewhere? Just morbidly curious.

[@devendarjain7037]

@@intrepidtomato where you would like it?

[@MuhammadBilal-mm2ts]

I always wait for ur video.Hope next year I be able to pass anesthesiologist PG induction exam.cheers.

[@MaxFeinsteinMD]

Best of luck!

[@huzaifahabdulwahab1499]

these mnemonics are already in my muscle memory and im sure many seasoned anesthesiologists have done these without even thinking. im sure many would agree, that post induction is all about time control.working out phamacokinetics of TCIs and inhalationals and anticipating the next time reducing manoeuvres are the key to reducing cost and morbidity. trust me, if you just started anesthesia as your field of choice, your consultants always come at the right time.especially when we anticipate something to go wrong.

[@HoosierGuy]

I know your videos aren't targeted at patients, but this level of detail is exactly the kind of thing I am seeking. I am scheduled for anterior/posterior lumbar fusion and a laminectomy in less than a month, and for some odd reason, I've been obsessed with knowing all the facts of the General anesthesia and the associated details. Great job on the video and the many others you've publish ed!

[@User0000000000000004]

The first time I read your comment, for some reason I thought it said "lumber fusion" which sounds like a terrible operation for someone to endure!

[@moosehead1183]

@@User0000000000000004 that IS what he said, and there is a painful recovery afterwards.

[@gailharris5685]

Me too

[@kendallevans4079]

Lumbar fusion??!!.....Have you tried EVERY other option? Don't mean to scare you but that isn't for the faint of heart!

[@HoosierGuy]

@@kendallevans4079 I definitely tried every other option. It's been 15 months since I had the surgery, and I am happy that I had it done. It is a painful recovery!

[@SaleProofCarReviews]

Sit and read the newspaper? Wow Dr Feinstein you look great for 84 years old!

[@elliottschwartz7]

Fast and interesting presentation of applying anesthesia

[@ferneche]

Great video, and I really enjoy your videos. Sadly not all Anesthesiologists are like you. I have been awake unknown to the Anesthesiologists, even if I had told the Anesthesiologists that I had Anesthesia awareness, and what goes on post induction is grotesque and irresponsible.

[@NikkieRoxxx]

I am like a horse, despite my 155cm. The meds take longer to kick in, or work less and i wake up in a blink. So, I ve :ben thru: intubations and extubations.... not nice.... very not nice grrr

[@smadm2437]

Educational & fun. Well done. You should write a book too, Anaesthesia 😁 after all, you have the ideal sponsor. No but seriously you must have so many stories to share!!!

[@stgiles15]

LOVE THE BEAR HUG. ive had a lot of surgeries and i love that thing

[@jenniferrichter1658]

I love your videos!!! Keep up the awesome work Dr Feinstein!!👍😊

[@darriontunstall3708]

Great video man! I love the new logo! I learned a lot!

[@MaxFeinsteinMD]

Thanks Darrion, I appreciate it!

[@darriontunstall3708]

@@MaxFeinsteinMD you welcome

[@emedlearning9035]

Thank you 🙏 very much, very helpful in my anaesthesia rotation

[@redsloane879]

Really interesting!!! Thanks Dr F! I always enjoy your videos. Do you sometimes work with a respiratory tech? I ask as during one of my surgeries, there was one and we were chatting a bit. Again, so interesting! She was the one that put the mask over my nose and I "fell asleep." The anesthesiologist was also there.....he asked what music I'd like to drift off to!! Smooth jazz.... it really makes a huge difference when the medical team treats you as a person and not "just" the next surgery. Cheers from 🇨🇦👍😊

[@NikkieRoxxx]

THE doc F :) the original one!!

[@chelsey-6887]

I had to have eye surgery a while back and the anesthesiologist was wonderful. (They all were honestly.) We were all joking around until i passed out.

[@ryanchen4112]

Woah, loving the new logo

[@MaxFeinsteinMD]

Thanks Ryan!

[@kittymervine6115]

I had emergency surgery once, and I was upset as I had just eaten a large meal. I kept telling everyone "I have a full stomach of food! I can't have surgery!" Well, they kept assuring me, the anesthesiologist would take care of it. Now I know how they took care of it!

[@lemboshauser4700]

If it was a emergency surgery you probably should remember getting the gastrical tube, because with a full stomach, you do this before inducing the anesthesia, not after.

[@lwolfstar7618]

@@lemboshauser4700 they didn't do that while I was awake before my emergency cesarian 🤷‍♀️

[@lemboshauser4700]

@@lwolfstar7618 because it was a emergency cesarian. No time to loose. But a emergency surgery can be everything, you just can't wait 6hrs after the last meal :)

[@lwolfstar7618]

@@lemboshauser4700 to be fair they also didn't get a chance, between contractions I grabbed the mask and took the mother of all inhales and blacked out on the spot lmao

[@lemboshauser4700]

@@lwolfstar7618 because this is a real emergency. There a different levels of emergencies where your different amount of time To prepare the patient and make general anesthesia safer for him. There are basically not many ones where it is like in a emergency cesarian section.

[@melanierosalez6989]

Thank you for this video! I like your sense of humor!

[@Mrssarandy]

I'm having abdominal surgery in August, and I am going to have to force myself to not grill the anesthesiologist on these 😂

[@_emmaxx9]

Don’t worry about it ❤️when I had my operations I would ask so questions they don’t mind

[@acesarge2]

My dad is a paramedic and he brought his CRNA a crossword puzzle book when he got his rotator cuff done.

[@ninastansfield9590]

Ask fo propofol please milk looking at him right in the eye !? 99 per cent of aneasthetic is fine so don’t worry you’ll have a good Nap & wake up in recovery or not remember & then wake up back in youre Bed x

[@ninastansfield9590]

It’s A very rare thing for a patient to wake up especially in a big operation so don’t worry mention youre fears & hell he will listen & you are going to be Fine I promise you to wake up it’s very very rare in an Abdominal operation Cos you will be given relaxants which make sure you don’t wake up x

[@charmainebraxton8420]

Thank you so much , video very informative very educational.

[@helencadwallader3796]

Hi Doc Max, love the new logo. Ha Ha needles ah terrified. Wish you were here in the UK. Would be happy to be put out if my anesthesiologist was as good looking and fun like you are. Phew you can breathe a sigh of relief I am a young oldie of 68 years on the mileage. Hoping all my bits and pieces keep in good working order for a good while yet.

[@nickkoob3087]

Loving the new logo chief 👌🏻

[@MaxFeinsteinMD]

Thanks Nick!

[@mikeschulte4271]

Wow no newspaper lol. Our town passes them out every weekend. No one ever reads them they eventually turn to pulp on the sidewalk 😂. My parents actually read them though. Great vids keep it up !

[@morganschiller2288]

I always love when this one pops up :)

[@OurNewHampshireLife]

I continue to learn more from you than my brother Ron who is an anesthesiologist. Somehow in the future, you two have to get together and discuss what happens in a complicated case like a heart/lung transplant

[@MaxFeinsteinMD]

I had a nice chat over email with him, thanks for connecting us!

[@julievanderleest]

I always get Mt, Sinai and Cedar Sinai hospitals mixed up. I also have wondered for years what you do after the patient is asleep. The TV is always misleading. 😊 You certainly teach me a lot! I’m probably gonna be much more talkative to the next anesthesiologist and telling them about your KZbin channel.😀

[@amelavdic2848]

dear Max my name is Amel Avdić, I am an anesthesiologist at the Clinical Center of the University of Sarajevo, Bosnia and Herzegovina. I am delighted with your videos. I am wondering if it is possible to visit your hospital in NY as a visiting doctor. Thank you in advance

[@kathleencraig3804]

That was very entertaining & explaining to us reg folks & pre med idiots what needs to happen prior to surg....thank you.

[@muntacamil1463]

Great Dr.........You are Light For The Future, thanks for that piece, educative and fun🙏🏻

[@qyyang1001]

Your camera quality is EPIC

[@kevindavis8175]

I didn’t know the alphabet posted ads on KZbin! Keep up the great work! 😊

[@LunaLoveheart]

B explains why I always feel so cold after surgery!

[@marilynseptember21]

In London we read Metro and Evening standard between Monday to Friday during our commute to and from work. Both are free....more than our NHS.

[@SOPHIAFLYGIRL]

Thanks for explaining this. I recently had surgery at UCLA in Los Angeles and remembered to ask for bubble gum flavor for my pre oxygenation mask you mentioned in a previous video! It smelled so good as I drifted off to sleep! 💤.

[@NikkieRoxxx]

Yeah, adults should also get something that doesnt taste like crazy glue.... in the Netherlands, my son got operated on in 2018; they explained to him that the "air" comming from the mask could taste strong... so in NL not even the kids get bubble gum? :(

[@serenenelson8258]

Thank you for your work on identifying sex-differences between men and women in presentation and outcomes in myocardial revascularization!

[@kaamitpaladugu8082]

I think you should address the concerns about Crnas taking over anesthsia as it will help anesthsia aspirants get better clarity about what to expect in the near future

[@5thdimension625]

This would be an excellent topic!! Discussing what cases go to physicians vs CNRA’s

[@tmercari8807]

CRNA’s have been doing anesthesia since the 1950s. Shut up

[@BoogieDownProduction]

@@tmercari8807 If only some CRNA's took more pride in their title instead of fighting to be called doctor.

[@annestep6741]

I am so glad to know I have never been just laying there freezing

[@riley8704]

I come from a long line of doctors, and I've heard most of them tell me that "It's the anesthetist's surgery. They're the boss. What they say, goes."

[@BambinoAmericano]

I love your explanations. Thank You.

[@philippal8666]

I LOVE a bair hugger. When the patient’s unconscious I’m sure they’ll let me have a corner.

[@ashleelalasmith2792]

Just had anesthesia yesterday bro woke up ready to fight people. Terrible anxiety. First time that happened.

[@MaxFeinsteinMD]

Happens relatively commonly, particularly in younger patients.

[@michellenainkristinabusch1221]

I always am violent when waking up, even at 37 years old.

[@bunnyrabbit4554]

Hello doctor can you please make a video about how we wake somebody up after anesthesia

[@muntacamil1463]

BEST AND EASY. Thank You Dr.

[@ladybgail]

When my son had to be put to sleep for a biopsy, I asked the anesthesiologist if he was going to stay in the room. He said yes and told me I watch too much tv. But at that time, there was a problem with them walking out of a room. Made me feel better to ask

[@kaidosbuddyagaindoberman9119]

Very interesting. I found general anesthesia to be completely fine, but understand peoples concerns. Since switching to RSI protocols in EMS, I admit I’m not a technician that is ‘happy’ using RSI pre-hospital, but that’s the way EMS is moving. (Talk about being on top of ones game, least you all have a controlled setting, try it in a vehicle that is half way down an embankment or a moving ambulance hehe)

[@heathermedling1313]

F could just stand for fever. How do you check for a fever you need a thermometer. I'm an old respiratory therapist and as soon as you aid vent settings I started running through what vent settings I would start for someone my height and size and history lol. I do miss working in the field! Love watching your videos Doctor!

[@imanamatullah2378]

Hi Dr. Feinstein, Can you please do a video of post spinal/epidural headaches? Thanks!

[@TheFrnchrn99]

While that surgery table looks more narrow every time I see it and while I enjoy the sensation of I'm about to fall off this table, please make it more narrow so that I feel like I'm actually falling. LOL Enjoy your videos very much. I am learning a lot.

[@Nurse3811]

Well thank you , now I won’t roll my eyes when the doc asks me to go get a blanket for a sedated patient after the patient ( when still awake 😂) adamantly refused a blanket . I learn a lot from you Dr Max!!

[@jwillisbarrie]

Thanks for adding actual captions for the Deaf

[@sheilaclifford7941]

Dr Max is the bomb!

[@johnnytolengo742]

Do you want to wake up an anesthesiologist Say “closing” .😂😂😂😂😂

[@MaxFeinsteinMD]

Hahaha that's pretty good

[@johnlutz9275]

GREAT video.!!!!❤

[@madelinerogers3561]

You should do on about the steps of induction

[@АлексейА-б3щ]

From Russia with respect. Make a video about the postoperative pain management.

[@blueraven18]

An alternative post intubation checklist from Australia - also using ABCDE :) airway - confirm tube placement, depth, and secure circuit breathing - O2 sats, CO2, gas flows and ventilation parameters circulation - HR, BP stable and cycling regularly drugs (4 As) - anesthetic (have you turned it on?), antibiotics, antiemetics, analgesics. environment/everything else - temperature monitor, Bair hugger, blood sugar level/ABG, head to toe pressure care and DVT prophylaxis (stockings, calf compressors) If haven’t done it before induction, surgical safety checklist / time-out prior to skin prep

[@silence-is-bliss]

I like your cap, it's so cute.

[@MaryettaGraves]

You can add centigrade to the C part of your mnumonic

[@Mansmatters]

You provided a lots of insights

[@larryulery3729]

Liked your video had a few surgery thank God I had good orthopedic doctors doing the surgery the shoulder was the Neatest how they explained what they were doing How come they don't want you to eat before surgery. What if you had to have emergency surgery and you have eaten. How do they counter that

[@veronicautter3916]

I admire your intelligence ❤️

[@insomniaperennis3949]

Thanks Doctor for this another interesting video. A question: why is it necessary to keep the patient warm? I was thinking the opposite...

[@merkinidgit]

Have you cared for a patient with no response to Caine medications? My DDS has advised me that he will be referring me out to an oral surgeon for GA or conscious sedation for any further dental surgeries due to my poor response to procaine. He’s not the first DDS to have to max out my dose and dwell only to get marginal anesthesia for me. My son didn’t get any anesthesia from EMLA for his skin testing, and then I found that my sister also can’t get numb from caines. I like to joke that it sure explains my party times back in the ‘80s! Any idea as to the genetic metabolic aberration going on with us? Thanks! Enjoy your content as a nursing professor.

[@ILovePurple5014]

Love the new logo Max!

[@maxjabaay4408]

F = for fever? It could be a memory hook to place the pt on some type of thermometer plus it makes me think to look out for malignant hyperthermia.

[@alphanovember1234]

Thought this exact same thing as soon as he got to it.

[@suzannemenuet947]

Speaking on anaphylaxis during surgery, it happened to me. See, I'm allergic to latex. During the surgery, they changed my I.V. site, and placed a Band-Aid over the old site. I was 13, but I remember them telling me that almost instantly I broke out in hives and my oxygen dropped. I also went into anaphylaxis from Vancomycin (probably spelled that wrong) a few years ago. I was fully awake and remember it fully. Scary stuff!

[@serinodiaz4140]

Hello, who decides on what anesthesia to be done the client , the doctor or you? Should a transparent information and now force at last second when doing a HoLep on the suergery of the prostate ?

[@MaxFeinsteinMD]

Hi, I am the doctor and I do decide which anesthetic should be delivered. Information should always be transparently communicated to the patient.

[@sheldonjohnson7612]

Hey Doctor I had a knee replacement and woke up during the surgery and was speaking to the doctor while the surgeon was sawing on the knee . But there was no pain why didn't she put me back under ? I remember everything after I heard that saw cutting away at my knee. Just wondering is this normal ? Loved the videos keep making them. There great.

[@BoogieDownProduction]

Sounds like you got regional anesthesia and were under medications to make you comfortable but were not intubated.

[@ajbyname]

I love your cap or hat thing, whatever you call it! 😍

[@MaxFeinsteinMD]

Thanks I got it from a company called Tack!

[@YourDoctorAnn]

I'm an anaesthetist and I agree with you!😄

[@ShevillMathers]

37 degrees Centigrade. Greetings from Tasmania Australia 😁🇦🇺🦘

[@XSemperIdem5]

What types of changes in vitals would you expect to see if your patient goes into anaphylaxis? (Asking as someone with several medication allergies including some meds you might commonly administer.)

[@MaxFeinsteinMD]

Tachycardia, hypertension, hypercapnia, hyperthermia, increased airway pressures. And I’d also be looking for a rash on the patient’s skin.

[@NikkieRoxxx]

...not HYPOtension...? When i get a reaction, i need to use epi, to raise mybp so i can get up...

[@sammywilliam8156]

Very nice guy he answered everyone of my questions and even when I repeated them still answered him he shrugged his shoulders and I said no offense if I knew that I was going to have a Breathing tube down my throat and literallouis be in a slight medical coma I'd be asking every question under the sun a 100 times more than youdown

[@gregsettle9725]

I was nasally intubated for my last surgery. That actually was worse than the surgery. Where my nasal septum joins my upper lip hurt for months afterward. Hope I never need nasal intubation again!

[@vanessathomas7437]

I like the new Logo💉