Enrique Pantin
Enrique Pantin
  • Видео 67
  • Просмотров 157 651
Anesthesia Museum brief tour
A brief tour of the Anesthesia Museum, located at Robert Wood Johnson University Hospital in New Brunswick, New Jersey, USA, is presented in this video. The goal is to spark interest in preserving the past and learning from it. The museum's contents are solely owned by Enrique Pantin, MD, who has been collecting anesthesia-related items since around 1990. Additionally, several items have been donated to the collection, and contributors are recognized on the Anesthesia Museum's virtual page at anesthesiamuseum.wordpress.com.
Просмотров: 45

Видео

Are we humans able to learn how to reason after we become adults?
Просмотров 662 года назад
Why are humans unable to get along? The idea that we are created by "God" or any other supernatural entity continues to be a significant belief among us. Many of us reject science or only listen to it when it favors what we believe. Often, we mold some of the truth to conform to what we think things should be, why is this? Are we more than just social biological computers? Are most or all our b...
Severe Bioprosthetic Transvalvular Regurgitation Post Mitral Valve Replacement
Просмотров 2632 года назад
64-year-old woman with a history of hypertension, diabetes, and mitral valve (MV) prolapse with severe mitral regurgitation with severe mitral regurgitation who had the valve repaired in the recent past presented with new onset atrial fibrillation and progressively worsening exertional dyspnea found to have recurrent severe mitral regurgitation to go for MV replacement. Under general anesthesia...
Vascular access with ultrasound
Просмотров 1992 года назад
The use of ultrasonography for vascular access is discussed, including complications of central line placement, ultrasound and human anatomy considerations, and several imaging examples.
Tracheal origin of right upper lobe. Right tracheal bronchus ("pig bronchus").
Просмотров 2182 года назад
A right bronchus originating directly from the trachea ("pig bronchus") was noted in an 84-year-old patient undergoing mitral valve repair under cardiopulmonary bypass through a right mini thoracotomy. Bronchoscopic images and video, as well as computed tomographic (CT) images are shown.
Tecnicas de acceso vascular ecoguiado (CASTELLANO / SPANISH) (Congreso SVA, Octubre 14-16, 2021).
Просмотров 732 года назад
VIDEO IN SPANISH. Se describen brevemente técnicas útiles para el acceso vascular con énfasis en el uso del ultrasonido. Se describen igualmente algunas complicaciones que pueden ocurrir durante la canulación de los grandes vasos sanguíneos. Esta charla fue presentada de forma virtual en el XXIII Congreso de la Sociedad Venezolana de Anestesiología, Octubre 14-16, 2021.
Aortic cusp fold causing Aortic Insufficiency
Просмотров 1503 года назад
In this video you can see a case of a patient who had an ascending aortic aneurysm repaired years prior who now presents with severe aortic insufficiency. The cause of aortic insufficiency is a fold on the right coronary cusp that causes the right aortic leaflet to be retracted. I have seen over the years several cases of aortic insufficiency with the same etiology, and always in the right coro...
Right Internal Jugular Vein Obstruction Diagnosed During Heart Surgery
Просмотров 3924 года назад
This case describes a patient who came for mitral valve replacement surgery through a right mini-thoracotomy who was noted to have a narrow distal right internal jugular vein most likely secondary to a long term right internal jugular vein dialysis catheter. This case shows the utility of fluoroscopic images of the right jugular vein and innominate vein, as well as the left subclavian and innom...
Chest Computed Tomography (CT) with pleural and pericardial effusions
Просмотров 2,4 тыс.4 года назад
Chest CT images showing mediastinal windows on a 82 year old male with bilateral pleural effusions, and a left pleural catheter. He has also a right subclavian Mediport in place that is followed to just above the right atrium, and heavily calcified arterial vessels, including the carotids, the aorta, and the coronary arteries.
Stab wound to the heart
Просмотров 52 тыс.4 года назад
This case shows the management of a stab wound to the chest that corresponds to the cardiac area. Anatomical and echocardiographic images and videos are shown. A 27 year old patient was admitted to the Emergency Department after self-inflicted stab wounds to the chest and abdomen. Vital signs were stable on admission and the trauma team brought him to the operating room urgently because of wher...
Intra-aortic balloon pump (IABP) inflated seen in Computed Tomography (CT)
Просмотров 2,7 тыс.4 года назад
We show chest x-ray image as well as chest and abdominal computed tomography (CT) images of an Intra-Aortic Balloon Pump (IABP) properly positioned and seen inflated. The IABP is used to assist certain patients with acute angina (chest pain or cardiac origin) during myocardial ischemia to reduce the work of the heart and improve the coronary blood flow while specific treatment is provided. This...
3 types of high level airway protection PPE made with hospital standard supplies
Просмотров 1,5 тыс.4 года назад
In those cases, institutions were there are no available high level airway personal protective equipment (PPE) for a highly contagious airborne pathogen, such PPE could be locally assembled using common elements found in institutions with an operating room and/or respiratory services. The key component is a high efficiency filter capable of filtering bacteria and viruses. Initial photo Dr. Chri...
Type "A" aortic dissection post heart cannulation in a patient with a prior Type "B" dissection.
Просмотров 1324 года назад
Female patient admitted for coronary artery bypass grafting done while on cardiopulmonary bypass support. Had history of hypertension, and a chronic Type “B” aortic dissection. After standard heart cannulation (ascending aortic cannula, right atrial appendage drainage cannula) and initiation of cardiopulmonary bypass the following findings in the ascending aorta were noted on TEE… Abbreviations...
Using an anesthesia machine as an ICU ventilator: GE Avance basic concepts
Просмотров 1,5 тыс.4 года назад
Anesthesia Machine basic concepts GE Avance CS2: this video was done with minimal editing and just to provide a basic overview of the setup of an anesthesia machine for our staff and in preparation to its potential use as an ICU ventilator in case it is needed due to the Covid-19 pandemic. In the future we will do a better quality and detailed video.
Using an anesthesia machine as an ICU ventilator: Drager Apollo basic concepts
Просмотров 9 тыс.4 года назад
Using an anesthesia machine as an ICU ventilator: Drager Apollo basic concepts
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Short Mid View of the LV and RV
Просмотров 1045 лет назад
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Short Mid View of the LV and RV
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Short, Left and Right Ventricle basal view
Просмотров 895 лет назад
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Short, Left and Right Ventricle basal view
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Long mitral valve
Просмотров 4,6 тыс.5 лет назад
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Long mitral valve
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Long mitral valve Color Flow Doppler
Просмотров 1,3 тыс.5 лет назад
Mitral Stenosis Rheumatic Heart Disease: ParaSternal Long mitral valve Color Flow Doppler
Mitral Stenosis Rheumatic Heart Disease: Apical View 4 chamber
Просмотров 4835 лет назад
Mitral Stenosis Rheumatic Heart Disease: Apical View 4 chamber
The Heart lung machine
Просмотров 8595 лет назад
The Heart lung machine
Heart Lung Machine / Cardio-pulmonary Bypass Machine, overview
Просмотров 14 тыс.5 лет назад
Heart Lung Machine / Cardio-pulmonary Bypass Machine, overview
Aortic Dissection Type "A"
Просмотров 1695 лет назад
Aortic Dissection Type "A"
Right pleural effusion and intra-abdominal fluid collection
Просмотров 2075 лет назад
Right pleural effusion and intra-abdominal fluid collection
Acute pulmonary embolism
Просмотров 3065 лет назад
Acute pulmonary embolism
Pleural effusion, left, large
Просмотров 985 лет назад
Pleural effusion, left, large
Pleural effusion, left, large
Просмотров 1335 лет назад
Pleural effusion, left, large
Pericardial effusion, large
Просмотров 475 лет назад
Pericardial effusion, large
Pericardial effusion, moderate
Просмотров 2025 лет назад
Pericardial effusion, moderate
Tricuspid valve insufficiency, severe
Просмотров 915 лет назад
Tricuspid valve insufficiency, severe

Комментарии

  • @mariobenjamingarciasaavedr1681
    @mariobenjamingarciasaavedr1681 9 месяцев назад

    Amazing explaining. Thanks!

  • @pantin_enrique
    @pantin_enrique 9 месяцев назад

    The APL is adjusted to make sure the patient can be ventilated. So often needs to be partially closed.

  • @MelPhill
    @MelPhill 9 месяцев назад

    What do you typically set your APL valve to for manual ventilation? Do you set APL to PEEP or PIP?

  • @oxygenooxygenos554
    @oxygenooxygenos554 11 месяцев назад

    Thanks a lot

  • @kmyachan9795
    @kmyachan9795 Год назад

    Thank you so much

  • @marycifuentes4961
    @marycifuentes4961 Год назад

    Saludos Dr. Como se adquiere la vista del cirujano de la valvula mitral con Ete 3d ?

    • @pantin_enrique
      @pantin_enrique Год назад

      Para poder hacerlo debes tener una maquina de ultrasonido que permita la adquisición de imagenes 3D. La sonda ultrasónica de estas maquinas tienen en su punta los elementos que generan el ultrasonido alineados en un area cuadrada que contiene multitud de elementos ( en la sonda que usamos nosotros son 3000) y eso permite adquirir una imagen de todo lo que este dentro de un area piramidal a donde se apunten los elementos. Esta imagen puede ser “cortada” electrónicamente para ver a lo que a uno le interesa. Todo esto es diferente a las sondas de 2D -dos dimensiones que tienen los elementos de ultrasonido alineados uno al lado de otro. Ellas solo permiten ver un area como si fuera un triangulo con ancho y alto, en vez de ancho, alto y profundo en 3D. Espero que esta explicación te sirva.

    • @marycifuentes4961
      @marycifuentes4961 Год назад

      @@pantin_enrique Tengo ambas herramientas Dr. La pregunta precisa es: se adquiere a través de que vista en bidimensional ? Con el modo 3d Zoom ?

    • @pantin_enrique
      @pantin_enrique Год назад

      @@marycifuentes4961 lo mas importante es obtener una vista 2D lo mas clara posible de la valvula que te interese ver, colocarla en el medio de tu pantalla y hacer 3D zoom con las “cajas” lo mas pequeñas que puedas pero que incluya toda la válvula. Si quieres aun mayor resolución haz una adquisición de 6 latidos (para ello tienes que poner el EKG de la maquina de eco al paciente) y pon el paciente en apnea si estas controlando su ventilación. Puedes agregar color antes de poner el 3D zoom o luego que lo tengas, como sabes el color bajara el refrescamiento de pantalla (frame rate) y por ende la resolución de tu imagen.

    • @marycifuentes4961
      @marycifuentes4961 Год назад

      @@pantin_enrique Gracias por su respuesta Dr Enrique. 👏

  • @ChinitoXD2
    @ChinitoXD2 Год назад

    Sigo sin entender la enfermedad esta xD

    • @pantin_enrique
      @pantin_enrique Год назад

      Se nace con este tipo de válvula y la valvula es mas proclive a dañarse con el paso del tiempo.

  • @inesgarces7797
    @inesgarces7797 2 года назад

    La Valvula Bicuspide es igual a bivalva ?

  • @matthewlawrence2143
    @matthewlawrence2143 2 года назад

    I appreciate this, it was helpful, Thank you.

  • @freesmokebbq1662
    @freesmokebbq1662 2 года назад

    Your a good teacher you spoke clear and made it look easy

  • @fantastic-world
    @fantastic-world 3 года назад

    Apenas este 1 de Noviembre me extirparon un mixoma que se encontraba en parte de mi pulmon y lado izquierdo del corazón. La recuperación es dolorosa,literal siento que he vuelto a nacer 🧘‍♀️pero pese a todo estoy agradecida que la vida me de una segunda oportunidad.💜 fuerza para tod@s aquell@s que pasen por un tumor de este tipo 💥🌈🌟🫀🫁

  • @yib6768
    @yib6768 3 года назад

    Estoy operada de un mixoma ...el 31 d agosto en htal posadas de haedo. Todo bien , Dios bendiga a los medicos , enfermeros ...exelente atencion ...agradecida x siempre .❤

  • @sidheeqsid7090
    @sidheeqsid7090 3 года назад

    Whats is in the cover near the sthethescope we never had such a thing imean the blue things in cover

    • @pantin_enrique
      @pantin_enrique 3 года назад

      Those are plastic clamps used to hold the surgical drapes to the poles at the head of the operating table. Unfortunately the United States of America is VERY wasteful and those are supposed to be single patient use. It is sad to see things discarded in the Unites States that are used until broken in other more conscious countries.

  • @danielalberro3571
    @danielalberro3571 3 года назад

    GRACIAS

  • @danielalberro3571
    @danielalberro3571 3 года назад

    danielalberro@hotmail.com,es mi correo electrónico.por si quieren responder

  • @danielalberro3571
    @danielalberro3571 3 года назад

    Dise el cardiologo que aún no es el tiempo de la operación ,tiene que estar en 55 mm.es cierto?

    • @pantin_enrique
      @pantin_enrique Год назад

      Tienes que hacerte chequeos al menos una vez al año pero puede ser mas seguido. Si la aorta se esta ensanchando mucho de un chequeo al otro es posible que tengas que operarte antes de los 50-55mm

  • @danielalberro3571
    @danielalberro3571 3 года назад

    Aún no me an operado

  • @danielalberro3571
    @danielalberro3571 3 года назад

    Tengo 56 años

  • @danielalberro3571
    @danielalberro3571 3 года назад

    Soy biscupide ,la dilatación de la ahortica es de 45 mm

    • @edward.rarrrr
      @edward.rarrrr 3 года назад

      Heyy hola yo tambien soy bicuspide tango 16 años

  • @radmedllc7625
    @radmedllc7625 3 года назад

    Thank you for the video. you might have biomed passcode for this machine?

  • @ravinderchopra8953
    @ravinderchopra8953 3 года назад

    well explained

  • @mohamedshikhooun8376
    @mohamedshikhooun8376 3 года назад

    Great demonstration as usual 👏

  • @ranjithasugumar5510
    @ranjithasugumar5510 4 года назад

    Thank you for the clear explanation!

  • @freedeworld
    @freedeworld 4 года назад

    How do you like the Apollo compared to their newer models ie Fabius plus? or GE Aisys/ Avance? Thanks for the video!

    • @pantin_enrique
      @pantin_enrique 4 года назад

      Thank you for your question. Even though I have not used the Fabius plus, by looking at its characteristics it appears that it should not be a difference in ventilatory capacity compared with the Apollo. There are several videos from Drager and also product information from them with technical data that supports this view. In relation to Aisys and Avance they are great ventilators as well, but on a crisis like the Covid generated one, I would greatly favor the Drager machines as their electric piston driven ventilator uses no gas to drive it appears to have close to zero internal leak problems we often see with GE machines (this is an annoying issue at our hospital). We have GE (Avance) and Drager (Apollo) machines and looking at Biomed calls to solve issues, mainly leaks, not related to the breathing circuit the majority (almost all calls) are for GE. Finally, we do like our two machines, but our peds team loves the Drager, and our adult team both for anesthesia delivery.

    • @freedeworld
      @freedeworld 4 года назад

      Enrique Pantin this is the kind of info I have been looking for, real long term experience with both brands. Thank you so much!

  • @isabelvaldez230
    @isabelvaldez230 4 года назад

    Como es la operación, de que maneras lo extraen?

    • @pantin_enrique
      @pantin_enrique 4 года назад

      Para sacar/extirpar tumores cardiacos se puede hacer de dos maneras, una abriendo el pecho por la mitad (cortando el esternón, ese es el hueso que tenemos en el medio del pecho) o a travez del lado derecho del pecho (entre dos costillas, como fue en este caso). Para las dos formas después de darle anestesia general al paciente hay que conectarlo a una maquina que temporalmente remplaza la función del corazon para que se pueda abrir el corazon y sacar la masa (tumor).

  • @bobisabuilder69
    @bobisabuilder69 4 года назад

    Nice video. Worth being aware of the limitations of anaesthetic machines as ITU ventilators: ruclips.net/video/ZZUE7PKfWSA/видео.html

  • @alidinani4222
    @alidinani4222 4 года назад

    Thank you Dr. Pantin. Wonderful to see you and Hanan!! Stay safe!

    • @pantin_enrique
      @pantin_enrique 4 года назад

      Ali, thank you for the comment, and be safe!!

  • @lauraelena12
    @lauraelena12 4 года назад

    Amazing! This is truly a great video and hopefully will be adopted by many other hospitals to help their healthcare workers and even patients.

  • @mariceliguerracachique5224
    @mariceliguerracachique5224 4 года назад

    Acaban de descubrirle a mi mami que tiene un mixoma ,alguien me puede decir dónde los operaron? Gracias.

    • @pantin_enrique
      @pantin_enrique 4 года назад

      Where does she live? Any center that does heart surgery with a surgeon with good reputation should be able to do the surgery.

  • @pantin_enrique
    @pantin_enrique 4 года назад

    Esta es una pagina que describe lo que es un mixoma cardiaco: www.aboutespanol.com/que-es-un-mixoma-cardiaco-1185266

  • @alanfranco2795
    @alanfranco2795 4 года назад

    Mi corazon late rapido que es

    • @pantin_enrique
      @pantin_enrique 4 года назад

      alan 122 mira esta pagina que explica lo que es un mixoma cardiaco: www.aboutespanol.com/que-es-un-mixoma-cardiaco-1185266

  • @lmd742
    @lmd742 4 года назад

    I quit my career as a clinical perfusionist, burnout from 24/7 call. Now I'm a software engineer and have a better quality of life.

    • @vivekk6613
      @vivekk6613 Год назад

      Are you happy with your earnings

    • @vijay-yk6ry
      @vijay-yk6ry Год назад

      Bro how did you do that

  • @j.d.hutchens3561
    @j.d.hutchens3561 5 лет назад

    I have a tumor in my right atrium attached to my right cuspid valve and if flops as the valve open and closes. Mine looks bigger than this in my echocardiogram. Going in this December 11 do a heart catheterization to see if I need a bypass surgery since they are removing the tumor. So I pray everything go good.

    • @pantin_enrique
      @pantin_enrique 5 лет назад

      Mr Hutch, hope all works well for you. Regards.

    • @j.d.hutchens3561
      @j.d.hutchens3561 5 лет назад

      @@pantin_enrique thank you. I am glad it was caught early before it got bigger or cause a emboli.

    • @Andiamchrista
      @Andiamchrista 4 года назад

      I will pray for you! I had one in my left atrium. It was found during my pregnancy, and I had to have an emergency csection due to complications, and open heart surgery 6 days later. My tumor was the size of a tangerine. I asked the surgeon to take a phone of it when he took it out so I could see it during recovery. It was a hard journey, but so fulfilling. You are in my prayers. 🙌🏾

  • @HuyLe-tt8yv
    @HuyLe-tt8yv 5 лет назад

    thanks you dr

  • @juanlazarte1292
    @juanlazarte1292 5 лет назад

    Yo tanvien fui operado del corazon Mixoma

    • @jolettesanchezpuente1759
      @jolettesanchezpuente1759 2 года назад

      Y como te fue esa operación? Es que tengo un amigo que tiene eso y lo quieren operar pero dicen que es resgoso por eso quiero saber cómo te fue

  • @DinaAwd
    @DinaAwd 6 лет назад

    Thanks for help med students

  • @b.c.val.1973
    @b.c.val.1973 6 лет назад

    Nidia el especialista pregunta q tipo de válvula te pusieron tu dices q ya estas operada, que si fue mecánica u orgánica, si es orgánica tiene un ciclo de vida aproximado de 10 años , y si ya tienes síntomas q consultes con un especialista para q le den seguimiento a tus síntomas . no sea q ya necesites un reemplazo valvular!!.

  • @nidiadiaz7332
    @nidiadiaz7332 6 лет назад

    Yo estoy operada de estenosis aortica bicuspide válvula y ahora tengo mucha fatiga y es seguido

    • @pantin_enrique
      @pantin_enrique 6 лет назад

      Nidia Diaz, la operaron hace cuanto tiempo? Que tipo de válvula le pusieron (mecánica o de cochino o pericardio bovino)? me imagino que le hicieron un ultrasonido cardiaco recientemente?

    • @nidiadiaz7332
      @nidiadiaz7332 6 лет назад

      Enrique Pantin me abrieron la vena aorta y me la pusieron recta, ni me pusieron aorta de cochino no de perro ni de gato Quizá la tuya por eso me va mal

    • @pantin_enrique
      @pantin_enrique 6 лет назад

      Nidia Diaz. Si quieres hablar un poco mas necesitaría mas información. Para ello podríamos seguir esta conversación por correo electrónico (pantin_enrique@hotmail.com).

    • @nidiadiaz7332
      @nidiadiaz7332 6 лет назад

      Enrique Pantin me operaron cuando tenía 18 años y en la misma operación ya tuve epilepsia hace 12 años y no tomó medicación Y llevo ya dos semanas ya con mucha fatiga y no se porque es ahora tendré que pedir hora para ver porque me fatigo tanto

    • @pantin_enrique
      @pantin_enrique 6 лет назад

      Nidia, cuando remplazan una válvula dependiendo del tipo de válvula que usan ellas duran cierto tiempo. Las Válvulas mecánicas pueden durar toda la vida, las biológicas duran menos. Mi consejo es que te vea un cardiologo y te hagan un ultrasonido del corazon.

  • @hectorhdez9139
    @hectorhdez9139 7 лет назад

    Como no recordar ese tal mixoma jejeje es algo único que pocos hemos vivido dios bendiga a todos los doctores del mundo por ellos estamos aqui, son unos Ángeles

  • @tomabarton
    @tomabarton 7 лет назад

    Thank you! Good job! I will recommend to my echo students!

  • @pantin_enrique
    @pantin_enrique 8 лет назад

    Escorpion lamento que consideres a alguien educado y con principios como algo negativo... claramente el pais esta destruido por Chavez y ahora Maduro (no digo que los anteriores presidentes no tengan culpa), si no puedes ver eso, quiere decir que no vives en Venezuela o no tienes capacidad analítica o eres parte del problema o simplemente poco educado e informado. Sin trabajo honesto, educación y leyes que se hagan cumplir Venezuela seguirá siendo un pais inútil, pobre, con el pueblo adoctrinado y sin posibilidad de crecer.

  • @pantin_enrique
    @pantin_enrique 8 лет назад

    Happy you enjoyed! If you can share it with your friends, thanks.

  • @pantin_enrique
    @pantin_enrique 8 лет назад

    Yes, it is normal for the posterior leaflet of the mitral valve to have two clefts (some times other smaller ones as well), these can be more or less pronounced and are the anatomical landmarks that divide this leaflet into 1, 2, and 3 segments. The anterior doesn't have these clefts but its segments are named / divided by mirroring those of the posterior leaflet.

  • @MsDYap
    @MsDYap 10 лет назад

    looks like chronic dissection?

    • @pantin_enrique
      @pantin_enrique 9 лет назад

      +MsDYap thank you for your comment. Sometimes it is difficult to know exactly what things are... only pathology will give us 100% on this one! Regards

  • @escorpion00001
    @escorpion00001 10 лет назад

    esa mujer es una idiota sifrina fascista que hablar paja justificando a la basura de leopoldo lopez mendoza y a la derecha A patrida del pais.

    • @alejandrofranco485
      @alejandrofranco485 8 лет назад

      +escorpion00001 QUIEN ES ESA IDIOTA SIFRINA FASCISTA, NARCO, CORRUPTA, CILIA FLORES O TANIA DIAZ ?

  • @stevenginsberg1463
    @stevenginsberg1463 10 лет назад

    It is terrible what man does to man. Thanks for posting this.

  • @conamy980
    @conamy980 10 лет назад

    Disculpa los que pusieron a nicolas maduro en el poder tambien fueron venezolanos . quieren hacer lo que hicieron con chavez pues olvidense quieren salir se nicolas les sale referendum .