Anaesthetic Induction and Endotracheal Intubation II

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Anaesthetic Induction and Endotracheal Intubation II

Рет қаралды 33,297

5 жыл бұрын

Video illustrating anaesthetic induction and endotracheal intubation. Filmed as part of the Anaesthetists Be Cleaner (ABC) study, see abc.auckland.ac...

Пікірлер: 33

@danielcarrillo1745 8 күн бұрын

Having an extra hand is so helpful! Where i trained, you did it alone.

@fadeskywards1245 Жыл бұрын

Correct me if I'm wrong, but I think this is the order in which induction of general anaesthesia is done (also correct me if I made a mistake elaborating what each thing is for): 1. Midazolam, to calm the patient and to produce analgesia; 2. Preoxygenation, to supply all the organs with plenty of oxygen; 3. Fentanyl, to further increase analgesia; 4. Propofol, to put the patient to sleep; 5. Endotracheal intubation, to connect the patient to the breathing machine and to administer an inhalation anaesthetic that will keep them under general anaesthesia for the entirety of the surgical procedure. What I don't understand is what the role of the saline is here and why is it given multiple times?

@matthewmoore2081 11 ай бұрын

I'm not an anaesthetist, so no comment about the saline, but if they are get an ET tube, they'll generally get a neuromuscular block first (but probably not for a LMA).

@charlieh9725 10 ай бұрын

The saline is used as a flush to ensure the full dose of medication is in the vein and not resting in the connector!

@grantmorgan1794 10 күн бұрын

the saline flushes the medication to ensure it's timely delivery. the missed sequence of your comment is that the patient must be ventilated after administration of propofol since the patient will be apneic. After confirmation of ventilation, the patient is paralyzed with a depolarizing or nondepolarizing paralytic agent and then intubated for general endotracheal anesthesia.

@danielcarrillo1745 8 күн бұрын

Try no to place the BP cuff on the same arm you are giving the meds.

@elliottschwartz7 Жыл бұрын

With all that medication what kind of surgery is she supposed to have

@dggarcia89 3 жыл бұрын

Smooth as butter

@evilangel8194 Ай бұрын

I was wondering at first glance didn't realize it was practice body , what is wrong with him his mouth hanging wide open

@Unuthryear Жыл бұрын

He turned Rachel into a dummy

@johne.nobody2946 4 жыл бұрын

Can I ask what the “relaxing” medication used prior to the propofol induction was? A benzo or a low dose of ketamine, I assume?

@juukyll 4 жыл бұрын

The first one was Midazolame, as it was written on the syringe. I couldn't see the second one, might've been ketamine 🤔

@eightfeetabove 3 жыл бұрын

Pretty sure its fentanyl, you see the blue label later on

@DWhite-el4ih 3 жыл бұрын

The first drug, Midazolam, is a benzodiazepine. I believe that was the only pre med given in this video. The second medication, the induction, was propofol. The third drug (red label), I think was rocuronium (muscle relaxant).

@segovian 3 жыл бұрын

@@juukyll stuff in between was just saline.

@Kane-3M Жыл бұрын

@@juukyllthe second was atrocurrium

@cjbrown8245 2 жыл бұрын

Is intubation standard with anesthesia?

@matthewmoore2081 2 жыл бұрын

I'm not an anaesthetist, but generally here in NZ it is standard where a neuromuscular block is used, or there is heightened risk of aspiration.

@cjbrown8245 2 жыл бұрын

@@matthewmoore2081 thanks

@iansammut2470 4 жыл бұрын

So induction starts from when preoxygenation and the first anesthetic medication (in this case propofol) is given till the muscle relaxant is given right ? and then the intubation begins right ?

@jeffreyembudo8142 4 жыл бұрын

Typically, yep...make sure the patient is adequately sedated (check eyelid reflex/corneal reflex) before proceeding to give muscle relaxants (Succinylcholine) and then intubate :)

@iansammut2470 4 жыл бұрын

@@jeffreyembudo8142 ok thanks for your help :D

@saifsword2520 4 жыл бұрын

Sir make more videos

@audreyschley8517 8 ай бұрын

That’s a mannequin !!!!!

@marqueshofstad4084 10 ай бұрын

Lol I thought it was a real person at first

@dcsnick1 Ай бұрын

I guess if you’re going to practice practice on a dummy

@user-hn1oq3su9g 5 ай бұрын

@angrytomasz 3 жыл бұрын

Try a human next time?

@victoriahicks2073 2 жыл бұрын

This video is horrible. Please verbalize what you’re doing as you’re doing it. For example what medication you’re pushing and how long to push the med over.

@matthewmoore2081 2 жыл бұрын

Thanks for your comment Victoria. The aim of this video was not to demonstrate techniques.