Hi Max, I am a CVICU nurse who you inspired to become a CRNA. Currently applied to CRNA school and hopes to join the anesthesia community in the future. Thank you for these educational and entertaining videos!

Thank you so much for this, Dr. Feinstein. I was a cardiothoracic surgical tech at Hopkins for a number of years. I don't recall more than two CVAs during that time, except for patients who were already moribund or otherwise expected not to survive, and for the surgeries where arrest was planned. Restarting those patients, a collaboration between the surgeon and the anesthesiologis, was thrilling (OK, I was a teenager).

This was a great vid, as a paramedic I love seeing how things are handled inside the hospital.

Max due to your videos, when I met the Anesthesiologist prior to surgery I knew what questions I needed to ask ( even though I just retired as a kidney care nurse. Thank you

7:55 “…it can seem like anesthesiologists are just sitting in a chair not doing anything…” Not true. I learned from Dr. Glaucomflecken that you do sudoku puzzles.

Interesting. 🤔 It made me think about what went on during my gall bladder removal, when the surgeon had trouble getting it out, and had accidentally cut a very large, hidden vein beneath it. He told my husband about it, and me too I guess, although I don’t remember as I was still coming out of anesthesia. I was told that he said that “You had me worried for a while, there”. 😊 You guys ARE amazing and God is in control! 👍🏼

I am an anesthesiologist who was saved by a CRNA. Forever grateful.!

Love watching your videos in the off-time of studying for my bsc in nursing. Cheers from austria.

Dr Max is the greatest! When you look at the vast amount of knowledge he is required to have and the ability to multi, multi-task, how could you not feel comfortable in his hands? With him at the head of the table I know I would have no surgery fears.

Great video! My brother-in-law is a clinical engineer who works with the mapping equipment used in ablation surgeries for patients with heart problems and he helps to direct the surgeons where to go during surgery so it’s fascinating to see things from the anesthesiologists role in procedures like that.

Dr. Feinstien, thank you so much for the vidoes. I notice so many disclaimers... It is so admirable that even though you might get backlash or negativity, you continue to take the time to make these videos of your work and the work of your colleagues. I can only imagine jow relentlessly you work and still have the dedication to making videos and sharing knowledge. My spouse is a ct anesth md, and your videos help me be a better wife, listener and supporter by having more understanding of the work. (I always listened 😂😂 I just didnt understand the words or situations). I can't thank you enough!!

Not surprised to hear a new level of the expertise your field has! I love the work you do! And the care you give with little thanks! Thank You!

Your great sense of humor is unique and wonderful! It helps in your presentations.

Really refining a lot of what I knew, at a fairly basic level... I had 4 surgeries on an elbow, in about two weeks, and found that I felt stress on the 3rd and 4th times, and needed quite a 'bump' of pain med, even with a good brachial block...

Great info! I learned so much! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist physician! That was an amazing! Anesthesiologist is the best!!

So it can be delivered in a heartbeat! 😱😂🤣😁😅🧐🧐🧐🧐🧐🧐🧐🧐🧐🧐 Love your vids Doctor. Been with ya from the near beginning! 😎👊

LOL!! Doctor, you have a GREAT sense of humor, I love it!

Thanks for continuing to educate us meer mortals Max!!! 😂

awesome video as always max!! i am a sinai RN and love your representation of what we do! i especially think it's so important to talk about in-hospital management of cardiac arrest. even as an ICU nurse i have seen arrest frequently mismanaged, mostly from a team perspective but often from a medical one. i would love it if you could make a video describing your thoughts on what distinguishes a well-managed cardiac arrest from a mismanaged one. thank you again for awesome content and focusing on quality/education as opposed to "influencer" life!

Oh Max , You brought up a sad memory. My Cousin June-Ellen, after bouncing from low to medium to Cleveland Clinic, being Poo-Pooed all the way that all She had some indigestion. Turned out to Be Barretts Esophagus that had progressed to Gastro/Esophageal carcinoma, coded on the Table and they werent able to bring Her back. 68 years old- 5 1/2 years ago & i mss her and I had already had diagnosis of GERD, i had Bariatric surgery so i would lessen my likelihood of followng Her. She was my 1st cousin and once my playmate!😢😢

This is great video from such a dedicated complex team. Wondering if EPIC or other EMRs have a check list you need to fill out before the case gets started? Also perhaps a video on the team that operates the heart lung machine one day..

Thank you Dr Fienstein for another educational and interesting video.

This was very interesting. Even your sense of humor is always a delight 😊 may I ask a question? When u first started as a resident , was it scary? As a former nurse my belief was , yes the surgeon of course is very important. How ever the anesthesiologist is more important. Our life is in your hands.you are the high priority. Wondering how as a beginning student did u handel or deal with all the scary things? 😊❤❤

Christmas day 2020. I had 5 cardiac arrests. How I lived I will never know. I now have a defibrillator in my chest.

Fantastic presentation. THANK YOU!!!

7:30 that got a chuckle out of me

Scary stuff.

Hi Dr Max, we’ve missed you!

Hey max am Mike from SC your videos very interesting

Long waiting for new video

Thanks, very informative.

Thank you. I now understand why elective surgery is sometimes denied. The likelihood of a coronary event during surgery isn't worth the desired, but not necessary, result.

You made me think that this intraoperative pain/stress is quite critical for patients with things like four previous MIs, and so on...if a patient has a genetic tolerance to opiods, it's probably important for the anaesthesia doc to know that, when a patient can easily tolerate 1mg fentanyl IV, that's a bit more than average? How does one communicate this to you? It seems that it's very difficult to 'convince' the doctors, and even more difficult to get adequate post-op pain relief, when one's baseline, every day, is 2.4 mg fentanyl (transdermal), so post-op ain relief requires the baseline, plus, from what I have read, about 20% of baseline, every 4 hours, for the immediate post-op period... Not easy to sort out with "ward doctors"...is it feasible to get the anaesthesiologist into the loop?

A friend of ours went into cardiac arrest during a tubal ligation days ago. Her heart rate climbed before it plummeted. They could not revive her. She was 43 and left 9 kids without a mother and her husband a widower. It just blows my mind that they were unable to save her. What could cause this?

I think that it's worth mentioning that an electric shock is not always a bad thing. What I mean by that is an accidental high voltage electric shock can trigger a cardiac arrest and be immediately life threatening, however a properly controlled electric shock delivered by a defibrillator could potentially save the life of a patient if they are already in cardiac arrest before the defibrillator shock is applied

What is the equivalent to chest compressions for cardiac arrest that occurs during surgeries on the chest region itself? Just curious.

Max, how long did it take you to master those ACLS algorithms?

what is the most common complications that occurs for a anesthesiologist to deal with?

Are the intentional cardiac arrests included in the 5.1 per 10,000 rate of cardiac arrests?

What about cardic arrest in trauma patients?? I am sure that number is higher

Hi Max, what kindve medication or group of medications would you say would be a challenge to have someone be put under for surgery?

That zoll needs a defibrillator test done, thats what the red x means

What year did you graduate medical school?

Hi max

Looks like that Zoll needs a QC test!

Question: why is it that you can use an electric shock to restart an arrested heart during surgery, but using a defibrillator on someone in asystole in the wild/streets is considered pointless and that only chest compressions works?

What if the surgeon arrests, are you in charge then? lol :) great videos.

I would think it would be more likely to happen in a trauma surgery rather than a scheduled surgery.

have you ever met Doctor Mike?

Do you keep your ACLS up to date?

"...anesthesiologist just sit around, doing nothing..." security guards for major government facilities do essentially just that, yet you don't see people complaining about them, do we now? you'd think having an extra guy in the OP room to say something in the even that shit hits fan, is better than NOT having that "do nothing" guy around... for all I care, I'd prefer having someone sitting there in the corner playing mobile games next to the beeping machines, over just the machines on max volume so the surgeon can MAYBE hear it beep every 5 minutes between them constantly asking for different stuff to be handed to them.

If you were my anesthesiologist, I’d surely have a cardiac arrest because you’re SO STINKING CUTE! (I liked your joke!)

what's funny is, it was the opioid painkiller that nearly killed me after surgery! Turns out I'm deathly allergic! Only found out from surgery lol

7:24 It's ok

Or rare in trauma cases

Nice hat

Everyone knows that surgeons NEVER have more than "minimal" blood loss during surgery... 🤣

Some thing I would advise you to be very careful of, you like to say things, such as as you can see, well, I can’t. I, along with other of your fevers may be blind or low vision, it would really sound much better if you just left that phrase out. Just explains things without assuming anything.

A big Salut to your efforts 🫡