Anatomical Landmarks When Intubating
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- čas přidán 2. 11. 2017
- In this video George uses a Glidescope to help identify airway anatomical structures of the airway that are useful for endotracheal intubation. After that, see how well it goes when he tries to insert the Glidescope into his own airway without any medications to alleviate his pharyngeal reflexes...or any reflexes for that matter.
George, trying to pass the bronchoscope down your throat was crazy and wild. I’ll give you a 10 for trying. Thank you for the clear and quick tutorial.
Glad you enjoyed it
I wish I could work under someone so dedicated to learning they’d self glide scope lol
Thanks for your comment
@@GeorgeORRTa million dollar teacher
Lmao swear
How dedicated he is 😱👌!!
A nurse here, thank you so much for the video, I needed it as to the anatomy of Larynx and esophagus as seen from above, so thank you 😊
I'm not a medical student or professional.
I'm a patient who recently had a surgery where intubation was necessary, and I was pretty freaked out by the thought of it.
This video was really helpful for me, because now I have more of an understanding about what was done to me and why my throat was sore for a few days afterwards.
I know a lot of patients do not want to see CZcams videos about what is going to happen to them during surgery, but I personally find it comforting to know exactly what is happening while I am asleep, so that I can eliminate any mystery, fear through confusion, and have a better understanding about why I feel how I feel, what was done to me, and how it's affected my overall quality of life.
Thank you so much for videos like this. You not only help the future students of Medicine, but also us more curious patients. :)
Did you get any psychosomatic sensations?
@@Vicmot just a sore throat for a few days.
Nothing more interesting than that.
Thanks, I will try this tonight. I MacGyvered a bunch of equipment this morning, and I am eager to apply all my newfound knowledge. No epiglottis will resist my forceful advance.
Really appreciate your posting this. Thank you for your time!!! Super informative
Much thanks and respect!!!! More power to you sir!
Thank you for all the videos! Truly appreciated
Thank you so much for this entertaining and educational video! 10/10!
Amazing video , thanks again 🙏
Best video for intubation!
Listen you did a phenomenal job! Thank you
I'm just here because I was curious and doing research for a story I'm writing. This was interesting, informative and overall awesome. I learned a lot and it has only increased my respect for the medical profession. Great video and great job!
Thank you
wow, using yourself as a specimen, its epic! Thank you
Amazing video. Thank you
Thank you so much Sir... Not many people would be this committed 😎
5:34 Some quality content right there haha
I've got a pretty active gag reflex. I attempted it again without the camera.........had the same effect
I'm gonna say the n word
Quick and easy tutorial.thanks a lot
much appreciable and informative... big thanks!
Love you professor for demonstrating on your self 😄❤
Thank you so much 🙏 It was really helpful for a new intern doctor in India 🇮🇳😊
thank you sir for this lovely presentation and the fact you took it one step further for us to see the real life anatomy is everything clearly you like to educate........thank you
Perfect video, it helped me so much, thank you. Regards from Mexico.
This absolute mad lad tried to intubate himself while awake and no numbing lol. 10/10
thanks for your effort showing us
thank you for the video it is helpful hard work
Lively to learn from you...made it more interesting ..
Best video
Dr.Bhanu
really thank you so much for that video!!! i'm a nurse, recently started to work in OR, always seen intubation in ER, never seen one in person. I'm doing my training in anaesthetic, and couldn't really understand what happens once the ETT is inside. know I can understand what really happens, and I can do the "think ahead in case the anaethetist will need something different from the original plan". really appreciated, thanks you so much!!!
How did your training go?
@@BoogieDownProduction all ok, thanks. There has been emergencies, and i knew what to do and anticipated the anaesthetist. I was soooo happy about it!
No matter who taught me intubation on a patient always showed me the cords and told me to insert the tube... Nobody focussed on the basics of laryngoscopy. I feel taught now.
Thank you this video was really helpful!
Thank you so much for this video and your best teaching abatomy of structure that retain in ETI
Great resource. Thanks!
Your welcome
Thanks
Excellent video George
Thanks
You rock! Love your videos! 🥰
Such a Master at teaching . My respects to you.
To the point and very well presented👍👍👍👍👍👍👍👍
This is such a valuable video. Thank you!
Thanks very much. Glad it helped.
Pls do make video on various nerve block techniques
Thank you 🙏
Great video
Good teacher !
Great video!!
Thank you for your nice comment!
George thank you for a great video.
I wanted to ask you what brand and the model of your manikin you are using???
The landmarks looks excellent. Thank you!
Very dedicated sir, inspired.
Thank you 😊
Thank you
Hahaha self-glidoscope was hilarious
Glad you liked it. Getting the nerve to attempt inserting an OPA on myself too. Stay tuned
Excellent
Very helpful video!
Thanks
Grate video!
Gracias
Finally 1 best video ! Thanks 1000x times. Great. Great tipss, great landmarks, great explanations!!! Please similar vidoes for RSI -medications for adult +childs with drugs in mg etc + ventilation-values etc after intubation child+adult. Respectful greetings from Germany.
I thought it was a bad joke at the begining of self procedure but it wasn't 😀 And I liked the way you teach George O. RTT
thank you for your kind information sir....
Glad you found it informative. Have a great day
woooooow, that escalated quickly.. defenitly subscribe!
loved your video
Thank you. Be and stay safe.
Perfect
Oh man you're crazy! Amazing dedication, thank you so much for the video!!!!
didnt expect that self glide scope though hahaha ..thank you sir for the video
Amazing
Thank you, today I had my first attempt but the tube was to big for the space between the vocals cord. And the resident took over the procedure. I'll try tomorrow again , thank you
Generally we assume that certain sizes of ETT's would work during ETT insertion for a male versus female patient regardless of the size of the patient. Occasionally what we think will be adequate doesn't work when you visualize the internal laryngeal structures of the hypo or laryngopharynx..specifically the glottis and vocal cords. Another way to guestimate the size of tube to use is by looking at the size of the patient's little finger, but this method of estimation is quite variable and open to interpretation. Hope you have a successful intubation the next time you try.
Excellent. I wish you much success in the future! Time it with inspiration and go for it. Proper prep up to the actual insertion is vital.
Nice video
thank you
Thanks for your comment. I appreciate it!!
Awesome
Thank u
Best ever
Thank u sir
keep make the movie sir,..it is great..
Anybody was reccomended this video during covid-19??
Sir how will we know we are indeed lifting the epiglottis when we are using a laryngoscope
the vocal cords would be exposed
😂 loved it! And I have the same stethoscope 🤸🏾♀️ il take that as a sign of me being a good anaesthesiologist one day 😉
Right on!! Keep it up and the future is yours
thankyouuu
Your welcome
So relevant today. Is there a video about for example say, you have an unconscious patient, still breathing, you don't have any anesthesia drugs, but the patient needs ventilation, however there is no mechanical ventilator available. There is oxygen though. So what I am asking is, could you intubate someone unconscious without anesthesia and ventilate them manually using a bag hooked up to an oxygen supply?
You can do it. Specially if patient show signs and symptoms of resp distress. However you can do Bag mask ventilation if you are not comfortable to put tube for pt. Oral airway or nasal airway is a good option.
"Hi it's Me again!" Hi Me!
Ha ha
Which paralytics are usually used? Great video! Very informative.
Hi: Succinylcholine is used in the ER's in our area (assuming that patients in the ER that require resuscitation may have gastric contents) and Rocuronium in the ICU's. Local anaesthetics like xylocaine/lidocaine may also be applied too. Propofol is another aid to intubation as well.
Thank you for addressing this question! 💟
Very basic question: what does the word "blade" signify in the context of the laryngoscope?
I'm guessing that this kind of blade is not an instrument used for cutting.
It refers to the flat metal part of the laryngoscope that is advanced into the patients mouth and throat to help guide the endotracheal tube into the airway. You’re right that it’s not used for cutting, really just called a blade because it it’s flat and made of metal.
Hhhhhhhh the best video ever
Hello sir
I noticed a swelling on your palate
Probably palatal torie ..
I hope u have got it checked atleast once
Thumbs up
Damien that is awesome you can see the patients entire airway
Thanks. Remember to ensure proper positioning when intubating. That being said, always be prepared for the patient that has a difficult airway and what your backup plan is should intubation turn difficult to impossible.
@@GeorgeORRT thank you for the advice as well as for making such wonderful videos, hopefully, I get to put it to use
Please teach us cricoid pressure
4:40 great content
What we should do if the patients who have gag reflexes ?
Give more sedation drugs and relaxent.
Hahaha! What a Trooper Doc.
omg i was so surprised
I saw a man die when the paramedic could not Intubate. How hard can it be?
everyone gangsta unti he's self glidescope himself
Why is it upside down ?!?!?!?!
wow! a like and subscribed haha
So if someone doesn't have a gag reflex, do they need the numbing?
Hi: If they're completely unconscious and un responsive then you won't need to numb their airway. You'll know if they have an active gag reflex as soon as you try to insert an OPA or a laryngoscope/video laryngoscopy.
George O. RRT I see, interesting! I know some people who just don't have one for one reason or another, that's why I asked
George, you are so wonderfully crazy 🙃
I laughed when he gagged. Lmaoo
🤣🤣🤣 best demonstration ever
Self-cric coming up.
Youre funny doc
Lissa Ann wld be a good specimen....she has no gag reflex
Great to learn from this.sir please create a WhatsApp group chat so we can learn from you.
Me ...dyamn
Covid19 brought me here.