Video illustrating anaesthetic induction and endotracheal intubation. Filmed as part of the Anaesthetists Be Cleaner (ABC) study, see abc.auckland.ac...
Пікірлер: 33
@danielcarrillo17458 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?
@matthewmoore208111 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).
@charlieh972510 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!
@grantmorgan179410 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.
@danielcarrillo17458 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
@dggarcia893 жыл бұрын
Smooth as butter
@evilangel8194Ай 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.nobody29464 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?
@juukyll4 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 🤔
@eightfeetabove3 жыл бұрын
Pretty sure its fentanyl, you see the blue label later on
@DWhite-el4ih3 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).
@segovian3 жыл бұрын
@@juukyll stuff in between was just saline.
@Kane-3M Жыл бұрын
@@juukyllthe second was atrocurrium
@cjbrown82452 жыл бұрын
Is intubation standard with anesthesia?
@matthewmoore20812 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.
@cjbrown82452 жыл бұрын
@@matthewmoore2081 thanks
@iansammut24704 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 ?
@jeffreyembudo81424 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 :)
@iansammut24704 жыл бұрын
@@jeffreyembudo8142 ok thanks for your help :D
@saifsword25204 жыл бұрын
Sir make more videos
@audreyschley85178 ай бұрын
That’s a mannequin !!!!!
@marqueshofstad408410 ай бұрын
Lol I thought it was a real person at first
@dcsnick1Ай бұрын
I guess if you’re going to practice practice on a dummy
@user-hn1oq3su9g5 ай бұрын
..
@angrytomasz3 жыл бұрын
Try a human next time?
@victoriahicks20732 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.
@matthewmoore20812 жыл бұрын
Thanks for your comment Victoria. The aim of this video was not to demonstrate techniques.