Hey Lahiru - love your videos, have found them very helpful whilst preparing for my anaesthesia rotation! When you're talking about anti-emetics, specifically dexamethasone (@ ~29:50) and it's side effect profile when administered quickly to an awake patient, you mention that the perianal burning is due to droperidol rather than dexamethasone. Just thought I would mention it. Thanks Lahiru :)
I love your videos but the mini display is straining my 'four eyes'. I watch the videos mostly on my phone and even when I zoom out, it strain my eyes. May I suggest your pic in the window and a bigger display. Thank you
ad MH: please also consider pre/post-OP holding area/PACU: other patients may breathe off their residual inhalative hypnotics (Sevo, ..) - these rooms have usually a rather high gas concentration. Consider moving the patient post-OP to the preOP holding area, where in most hospitals they can receive the same level of care as in the PACU until they move to the normal ward. Otherwise consider prolonged monitoring inside the OR after extubation and then direct transfer to normal ward.
Thats a really interesting point! Our guidelines state this: Patients susceptible to MH may be managed in the normal post anaesthetic care unit and do not need to be isolated from other post-operative patients. Volatile anaesthetic levels in parts per million safe for occupational exposure are also safe for susceptible patients. thanks so much for raising this!
@@ABCsofAnaesthesia Thanks for your guideline info about this - do you have an official reference for the statement "safe for MH-patients at occupational levels"? Or is it just a "we don´t have extra room/personnel for this, never thought this through, and we´ve done it like this forever and it has never happened to us"-thing? And this is a bit inconsistent, since you do everything to even eliminate trace amounts of volatile agents from your ventilator but then expose them to noticeable (you can smell the Sevo) levels of them for a prolonged time... with reduced nobitoring to detect onset of MH (no temperature, no etCO2, no breathing volume...)
Yeah i do agree that on one hand we go above and beyond… the ref is here: malignanthyperthermia.org.au/wp-content/uploads/2018/09/MALIGNANT-HYPERTHERMIA-RESOURCE-KIT-2018-1.pdf
![I.N "HALLUCINATION" | [Stray Kids : SKZ-PLAYER]](http://i.ytimg.com/vi/n5B5q1Hwt_U/mqdefault.jpg)
Thanks, great job. I'm a consultant anesthesiologist in Germany. I am learning English and your videos are so helpful and useful. Great job my friend!
You're very welcome!
Hey Lahiru - love your videos, have found them very helpful whilst preparing for my anaesthesia rotation! When you're talking about anti-emetics, specifically dexamethasone (@ ~29:50) and it's side effect profile when administered quickly to an awake patient, you mention that the perianal burning is due to droperidol rather than dexamethasone. Just thought I would mention it. Thanks Lahiru :)
I love your videos but the mini display is straining my 'four eyes'. I watch the videos mostly on my phone and even when I zoom out, it strain my eyes.
May I suggest your pic in the window and a bigger display. Thank you
❤proud of Srilanka...🎉
This was fantastic
ad MH: please also consider pre/post-OP holding area/PACU: other patients may breathe off their residual inhalative hypnotics (Sevo, ..) - these rooms have usually a rather high gas concentration. Consider moving the patient post-OP to the preOP holding area, where in most hospitals they can receive the same level of care as in the PACU until they move to the normal ward. Otherwise consider prolonged monitoring inside the OR after extubation and then direct transfer to normal ward.
Thats a really interesting point!
Our guidelines state this:
Patients susceptible to MH may be managed in the normal post anaesthetic care unit and do not
need to be isolated from other post-operative patients. Volatile anaesthetic levels in parts per
million safe for occupational exposure are also safe for susceptible patients.
thanks so much for raising this!
@@ABCsofAnaesthesia Thanks for your guideline info about this - do you have an official reference for the statement "safe for MH-patients at occupational levels"?
Or is it just a "we don´t have extra room/personnel for this, never thought this through, and we´ve done it like this forever and it has never happened to us"-thing?
And this is a bit inconsistent, since you do everything to even eliminate trace amounts of volatile agents from your ventilator but then expose them to noticeable (you can smell the Sevo) levels of them for a prolonged time... with reduced nobitoring to detect onset of MH (no temperature, no etCO2, no breathing volume...)
Yeah i do agree that on one hand we go above and beyond… the ref is here:
malignanthyperthermia.org.au/wp-content/uploads/2018/09/MALIGNANT-HYPERTHERMIA-RESOURCE-KIT-2018-1.pdf
@@ABCsofAnaesthesia thank you!