Neonatal intubation made SUPER EASY// Step-by-step instructions!!

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Neonatal intubation made SUPER EASY// Step-by-step instructions!!

Рет қаралды 28,637

Күн бұрын

Where are the vocal cords? What does it mean when we call them 'anterior'? Where is the trachea in relation to the esophagus? How do you hold the laryngoscope? What if you're left handed? How do you get the epiglottis out of the way? How do you position the baby? What tricks are there to visualize the cords? Learn the answer to all these questions in this super-easy-to-follow video!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
www.safercare....
www.ncbi.nlm.n...
training.seer....
my.clevelandcl...
ghsnicuresident...
airwayjedi.com...
McDonald’s Atlas of Procedure in Neonatology
6th edition Ramasethy and Seo
www.maskinduct...
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**TIMESTAMPS**
00:15 Intubation education
05:15 Intubation demonstration
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

Пікірлер: 125

@anton4rajneesh 5 ай бұрын

Brilliant. Just brilliant. So well explained. All points covered and video taken is many angles to make it clear. 🎉. Thanks a lot. I am a Pediatric Intensivist from India.

@TalaTalksNICU 5 ай бұрын

Thank you so much!!! We spent so long trying to decide how to film it so love that you recognized the difficulty in capturing what’s going on!! Thank you SO much for your lovely comment!! ❤

@annaminnihulova 6 ай бұрын

Future anesthesiologist from Ukraine! Your videos are awesome!

@TalaTalksNICU 5 ай бұрын

OH YAY! So glad they can be of any help to you! Good luck on your plans (and with the safety of your beautiful country)!

@medweb8690 2 ай бұрын

I really love how your videos begin immediately and you get to the point. You’re a terrific educator.

@TalaTalksNICU 2 ай бұрын

Thank you so much- what a lovely comment. Sometimes I think I ramble on too long- but Arianna is a fantastic editor! Ha!

@leenaomar9138 29 күн бұрын

Thank you soo much for this well explained demonstration ❤ For me I had difficulty to go with laryngoscope from right side of tongue - since I decided to insert it directly from the midline , it was easy for me to reach the vocal cord view

@TalaTalksNICU 25 күн бұрын

I think that everyone settles on different techniques- and that’s great too! Thank you so much for your lovely compliment!

@hilaryandcorypresent8847 9 ай бұрын

This is a wonderful explanation of intubation.

@TalaTalksNICU 9 ай бұрын

Thanks so much! So glad you think so!

@omaberry450 7 ай бұрын

Anaesthetist from Lagos, Nigeria. Really impressive, well put together. Thank you

@TalaTalksNICU 7 ай бұрын

Thank you SO much!!!!! So happy you’re in Nigeria and you found the video helpful or relevant at least!!

@user-zt7bb1nj4v 9 ай бұрын

Please do one on LPs! I don't feel as comfortable with the anatomy for LPs.

@TalaTalksNICU 9 ай бұрын

So glad you asked this- they are my favorite procedure. Getting a proper manikin now and we'll plan a whole series. Thanks so much for being here.

@rdreem833 9 ай бұрын

This is suuuuuuper Dr. Tala. Cant believe that you started the procedure series and cant wait for the next videos!

@TalaTalksNICU 9 ай бұрын

Hello! We're trying to get a procedures series started- it's just so hard to figure out how to do it in a helpful way! But thank you so much for your positive reinforcement :)

@AmiraAlnaely 2 ай бұрын

Thanks for explaining .. i am from Libya ❤

@TalaTalksNICU Ай бұрын

Hello! Thanks for watching- and love that you're in Libya :)

@luisanderson7281 7 ай бұрын

I am a pediatrician from Union City Tennessee. I cover a level 1 nursery in a rural hospital. Thank you so much. This is so helpful. I have to stabilize and intubate babies while waiting for the NICU to arrive. It is stressful at times trying to intubate.

@TalaTalksNICU 7 ай бұрын

I can't imagine!!!!! Not having back-up is scary for anyone! But I'm sure it's forced you to excel at your skills and diagnoses!!! So glad you're here :)

@madanat1000 9 ай бұрын

Great and smooth demonstration

@TalaTalksNICU 9 ай бұрын

Makes us so happy- we thought for a long time how to explain this in a helpful way (wish we could figure out how to show the views in the mouth- that was kinda out of our filming abilities!!)

@docvaruna 9 ай бұрын

Two important points to me lifting from velicula and insert tube from right side, not hiding the view.

@TalaTalksNICU 9 ай бұрын

YES! Thank you! Honestly- I think those are the two most key points!!!

@arjundey8247 4 ай бұрын

Great demonstration and very professional video recording, thoroughly enjoyed, thank you very much. I am a neonatologist in the UK.

@TalaTalksNICU 4 ай бұрын

Thank you so much! That means a lot- it’s funny because there are so many things we just naturally do that it’s almost hard explaining it- so thank you for feeling it came through!!!

@geraldineamancio4691 3 ай бұрын

Very clear explanation 🥰🥰

@TalaTalksNICU 3 ай бұрын

Thank you so much- always aiming for clear!!!

@kokoyousafzai9582 3 ай бұрын

Incredible wow , watching you from Pakistan

@TalaTalksNICU 3 ай бұрын

Oh so happy it helped!!! Thank you for watching!!!

@RY-zs6jx 9 ай бұрын

Thank you Dr Tala. Can’t wait for the next video ❤watching your amazing videos from NYS

@TalaTalksNICU 9 ай бұрын

HI! So happy you're watching our videos still- thanks so much for taking the time to comment :)

@buttermepancake3613 2 ай бұрын

Intubation in newborns is used in several critical situations to manage and secure the airway. These include: Respiratory Distress Syndrome (RDS): Common in premature infants whose lungs are not fully developed and lack sufficient surfactant, leading to difficulty breathing. Meconium Aspiration Syndrome: When a newborn inhales a mixture of meconium and amniotic fluid into the lungs, causing blockage and respiratory distress. Congenital Anomalies: Such as diaphragmatic hernia, tracheoesophageal fistula, or choanal atresia, which obstruct the airway or impair normal breathing. Severe Infections: Including neonatal pneumonia or sepsis, which can compromise respiratory function. Perinatal Asphyxia: When a newborn experiences a lack of oxygen before, during, or just after birth, leading to the need for immediate respiratory support. Premature Birth: Very premature infants often require intubation due to underdeveloped lungs and weak respiratory effort. Surgical Procedures: Infants needing surgery, especially those involving the airway or chest, may be intubated to ensure a secure airway during the procedure. Neuromuscular Disorders: Conditions like spinal muscular atrophy or congenital myopathies that can impair the muscles needed for breathing. In these cases, intubation helps to secure the airway and provide adequate ventilation and oxygenation to the newborn.

@TalaTalksNICU 2 ай бұрын

This is an excellent list of reasons why babies need intubation! Thank you so much! Really appreciate it!

@bernadinekarondo6382 4 ай бұрын

Amazing video !!! Thank you so much, just started working in the NICU 😊 Regards from Namibia 🇳🇦

@TalaTalksNICU 4 ай бұрын

Thank you so much! So happy you find them helpful and that you’re watching from Namibia!

@neoneo-cz7zh 9 ай бұрын

Excellent as usual waiting for your next video

@TalaTalksNICU 9 ай бұрын

Thank you so much! Wish we could get them out faster (we all just need more hours in our day!!!). We're getting there!

@naitramsingh6942 9 ай бұрын

Wonderful video, loving the practical aspects can’t wait for more videos with procedures, thanks 😊

@TalaTalksNICU 9 ай бұрын

Hi Dr. Singh! yes was so fun to film! Now need to figure out the logistics on how to film other procedures!!!

@ThurayaFakah-kq4fz 5 ай бұрын

Thanks a lot for the good explanation,very very nice ,,I am watching the video from Libya 🇱🇾

@TalaTalksNICU 5 ай бұрын

So glad you liked the explanation! Thanks so much for letting us know!

@anwarfawzy160 5 ай бұрын

So simple ,, so good explanation ,, thank you for your informations and your time ❤❤

@TalaTalksNICU 5 ай бұрын

So glad you found it helpful! Thanks so much for letting us know!

@thenicudoc 9 ай бұрын

Excellent video my friend. Always important review, especially for those that are learning. Great stuff as always!

@TalaTalksNICU 9 ай бұрын

Ahhhh thank you! I just went back and watched your video on intubation- and so happy how well they complement each other- we leaned on different aspects. Will you post link below or above to yours?!

@goasmirt9419 9 ай бұрын

Brilliant! Thanks Dr. Tala. Warm regards from Morocco ☀️

@TalaTalksNICU 9 ай бұрын

Thank you so much for watching and taking time to comment! Casablanca on my bucket list :)

@malikkamuki 9 ай бұрын

Can you make one on chest tube for pneumothorax

@TalaTalksNICU 9 ай бұрын

That’s such a great idea- we’ll try to get to that soon! Thank you!

@humaira917 7 ай бұрын

Excellent video. Best I have seen so far

@TalaTalksNICU 7 ай бұрын

That's quite a compliment! Thanks SO much for your lovely comment!

@user-tv1np5xy9m 9 ай бұрын

As usual,an amazing and very interesting and helpful video. Thank U so much Dr/ Tala for UR great effort (from Egypt)

@TalaTalksNICU 9 ай бұрын

Thank you so much for watching! And for your lovely compliments :)

@nikhatriazrasool 7 ай бұрын

👍 great demonstration 👏 Thanks it is really helpful 🙏 Love from Pakistan

@TalaTalksNICU 7 ай бұрын

Thank you for taking the time to comment! So happy you’re watching from Pakistan :)

@kirsticlaassen2802 9 ай бұрын

Right in time for my OSCE this week! thank you very much!

@thenicudoc 9 ай бұрын

Best of LUCK!

@TalaTalksNICU 9 ай бұрын

Oh yay! Hope it helped in some way! Good luck!

@nanduphuyel5478 2 ай бұрын

Thank you from Bhutan

@TalaTalksNICU 2 ай бұрын

Hello!!! I don’t think we had Bhutan on map!!! Thanks for representing!!!

@nanduphuyel5478 2 ай бұрын

@@TalaTalksNICU it's there 🤣🤣 You are welcome

@anitabaa4196 9 ай бұрын

I totally enjoy your explanation and teaching

@TalaTalksNICU 9 ай бұрын

Thank you so much- so glad you enjoyed it :)

@amarsulieman8974 3 ай бұрын

very helpful, i appreciated it. from Sudan

@TalaTalksNICU 3 ай бұрын

So glad you found it helpful! And so happy you're watching from Sudan!

@SaviourMukandabantu-lv3qu 4 ай бұрын

Thank you I am watching from Zambia

@TalaTalksNICU 4 ай бұрын

So happy you’re in Zambia! Thanks for being here :)

@michellehaynie7073 3 ай бұрын

Wonderful video and very helpful. NNP, Louisiana

@TalaTalksNICU 3 ай бұрын

So happy you thought so- thank you so much for letting us know!

@user-hn3vg4vg3k 8 ай бұрын

Nice video. I intubate few times,,,, actualy find difficult of being esophagouse, i will follow your steps, thanks

@TalaTalksNICU 7 ай бұрын

So glad you find it helpful- it takes time- keep trying and trying to improve! good luck!! So glad you're here!

@gihadazez7462 2 ай бұрын

Thanks

@TalaTalksNICU 2 ай бұрын

Thank you for watching!

@femiearnest7127 9 ай бұрын

Super presentation. Well done Dr Tala

@TalaTalksNICU 9 ай бұрын

Thank you so much- really appreciate your positive reinforcement!!!

@Weefee829 Ай бұрын

miller blade intended to lift up epiglottis, mac blade are meant for the vallecula

@TalaTalksNICU Ай бұрын

Honestly- I know some institutions use Mac blades- but all we've ever used are the Miller blades. And then depending on how tiny the baby is- we'll use it for the epiglottis or the vallecula. But you're right- in older kids and adults that's how they're used!

@Weefee829 Ай бұрын

@@TalaTalksNICU thanks for reply, I am an RRT but we do not see a lot of kids or infants at our hospital

@urbanjungle6224 5 ай бұрын

thank you very much from syria

@TalaTalksNICU 5 ай бұрын

Ahlan! Thanks for watching! We appreciate you being here :))

@restymusigula200 9 ай бұрын

Awesome Dr.Tala. Ola from Kenya

@TalaTalksNICU 9 ай бұрын

Hello! So glad was helpful! Ola! Happy you’re watching from Kenya :)

@mohammedmaheer4740 9 ай бұрын

Excellent dr.Tala

@TalaTalksNICU 9 ай бұрын

THANK you so much for watching and for taking the time to comment!

@humaira917 7 ай бұрын

Make a tips video for UVC and UAC insertion please

@TalaTalksNICU 7 ай бұрын

We're planning on filming that really soon! Thanks so much for your input!

@dr.sarbanpandit3791 23 күн бұрын

Thank u but how did u decide the depth of tube. If u explain it it will be good .but the demonstration video is too good .liked it , i m frm nepal jst started working in so it was curiosity that how did peditrician intubate .thank u alot

@TalaTalksNICU 19 күн бұрын

The depth of the tube is about 6cm + weight in kgs. For tiny babies it’s smaller than this. Eg 500g baby normally but ~ 5.5 cms. We should still get a CXR to make sure the position is correct. So glad you’re watching from Nepal!

@olusegunigun9768 5 ай бұрын

Good presentation

@TalaTalksNICU 5 ай бұрын

Thank you so much- and thanks for subscribing :)

@wanders228 9 ай бұрын

Can you talk about meds prior to intubate? And how and when to administer them?

@TalaTalksNICU 9 ай бұрын

Yes! Thank you! Our next video is on a bunch of intubation tips and then we’ll go over meds and equipment and stuff! So happy you’re here :)

@olusegunigun9768 8 ай бұрын

Good explanation, Nigeria

@TalaTalksNICU 8 ай бұрын

Thanks so much- so happy you're watching from Nigeria!

@bushrajabbar959 9 ай бұрын

Perfect...thanks alot

@TalaTalksNICU 9 ай бұрын

Thank you so much for watching!

@shehrozatta8589 9 ай бұрын

DR tala please make video on progressive familial intrahepatic cholestatasis.

@TalaTalksNICU 9 ай бұрын

hello- I haven't had a patient with this- I wasn't sure if it was the new name for something. So honestly- I don't feel I'm the right person to discuss!!!! I could try to find an expert!

@shehrozatta8589 9 ай бұрын

Thanks for reply This is a new born dsese in which billiary tree not developed fully I listen your nicu lecture that are non confusing and amazing and interesting So hope you will try it

@manarashraf8301 9 ай бұрын

thank you dr tala❤

@TalaTalksNICU 9 ай бұрын

Thank you so much for watching and for taking the time to comment :)

@khairyelwerfeli 8 ай бұрын

From Libya 🇱🇾 😊

@TalaTalksNICU 8 ай бұрын

So happy you found our channel and you’re watching these videos!!! Thank you for being here :)

@David123p51 6 ай бұрын

Love the video, I was wondering if you have any tips for intubating a big kid term that is fighting you? At my NICU, we don't use sedative.

@TalaTalksNICU 6 ай бұрын

Hello! My big tip would be to use sedation!!! If no IV then intranasal versed works well. Esp if a baby fighting you! No other real replacement for it. We’re planning a separate video on sedation and set up etc- haven’t gotten round to it yet!

@monjidibrahim1168 9 ай бұрын

👌

@TalaTalksNICU 9 ай бұрын

THANK YOU! we love your support :)

@anwarfawzy160 5 ай бұрын

❤❤❤❤❤

@TalaTalksNICU 5 ай бұрын

Thank you :)

@JJNEO0 5 ай бұрын

Hi, why do do you insert the blade on the right side vs straight down the middle? I read people who insert from the right sweep the tongue out the way in adults, but that is not typically done for neos I believe?

@TalaTalksNICU 5 ай бұрын

Great question! In bigger babies- especially if they’re more active, then we do need to sweep the tongue out of the way. Their tongues are after the biggest battle towards extubation. In smaller babies- you’re right- the tongue isn’t usually an issue- and you probably could just put the ETT down the middle- but I always think it’s good to get used to the same process. I generally try to do the same thing with all babies!

@minhchelsea Ай бұрын

Sai Gon, Viet Nam.

@TalaTalksNICU Ай бұрын

Hello!!! Thanks for letting us know! So happy you’re in Vietnam!

@kristinamadden1468 9 ай бұрын

What is a tiny baby? Under 2k? 1k? At what point should you switch from trying to lift the tip of epiglottitis to lifting indirectly via the vallecula?

@TalaTalksNICU 9 ай бұрын

Oooh that’s a great question. I’m trying to think about my cut off (I tried researching this with little success!). I’d say 25-26 weeks and under- so less than a kilo.