Endotracheal Intubation
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- Опубликовано: 26 сен 2024
- Endotracheal intubation is a skill that is learnt through practice under expert supervision. This video lesson prepares you for these practice sessions, with focus on the manual skills that makes the difference between failure and success. Produced at Skåne University Hospital, free to use in teaching anywhere under a CC-license.
Who ever invented or discovered that instrument, thank you, because that thing, saved my life twice.
I was intubated last year Sept.27 and this year March 20,
Thank God Almighty because you gave me another life.
I had my asthma attacked that's why i was intubated. (Not covid)
@@annalynmula10 hope you're doing well now.
God bless you
It's God...... God used them.....but it's God who gave you another chance at life
@@jirehmannaoutreach8481AMEN!!
Got it done yesterday, no after pain, no indication I had it done. Very professional intubation.
did they sleep u
Hi
My mum on intubation today
Pls pray
My mom died yesterday
@@mandeep44896 I'm so sorry💔
@@mandeep44896 i am very very sorry 💔 lost my mom and dad as well in this
The best video on direct laryngoscopy!
Glad you like it. We wanted to do an (almost) studio quality production but with real patients.
@@InterAnest I am an anesthesiologist and I agree, this is the best video for endotracheal intubation ever made. Keep up the great work ;) Best wishes.
@@InterAnest I didn't have audio. Was this patient not having a procedure done after being intubated?
This makes me really appreciate medics who do this in the field. So many of those tops at the beginning just wouldn't work outside of the hospital
What a great and obviously very well trained team.....they made it looks so easy when its obviously not. I hope this patient is now fully recovered and get to read my comment :)))
😮😮😢 em u
This isn’t an actual patient lol
@@sarahabdullahi8505 This is very much an actual patient who has volunteered. Or try see if you can spot, that it is actually three patients that we have edited to one procedure.
@@sarahabdullahi8505 KK. Kkvkkkkkkkkkk
This gave me so much anxiety. I can’t even put into words the respect that I have for doctors and nurses and paramedics and EMT’s.
It’s a lot harder on real patients. I’m a newer medic and I’ve struggled a few times to clear the tongue to see the vocal cords.
Respiratory therapist **
p
L
RESPIRATORY THERAPIST
Think that’s hard, try intubating a cat
As an EMT student, im completely fascinated! This video with detailed explanation is priceless! Thank you.
Thank you so much for this video. I've watched several intubation tutorials and this is the first one that made everything clear.
Glad you Like it.
Actually this is a lot better than what I envisioned. I'm slightly relieved after watching this
This was done to me while I was awake. It is terrifying. You cant talk at all and you cant breathe.
one of the best-demonstrated videos regarding ET Intubation so far! Thank you!
Its so much easier when you are in a control scene, instead Of when you’re in the back of the ambulance or some tight place and you need to intubate someone ASAP . Everything you learned When you’re in school goes out of the window and you have to learn new Technique When you’re in the ems field . You learn how to intubate people In weird position and u have to do whatever works at the moment .
try it in medi flight with hurricane weather in the the middle of the ocean without the shock absorbers in a ambulance, that’ll get you wet behind the ears
I'm an EMT getting ready to go into medic school. Any advice on good things to study beforehand?
Do you ever have to do it without making the patient unconscious first? Is it even possible to do it that way?
@@kristin1533 if you're intubating, the patient is most likely already unconscious but if they still are conscious usually they're sedated beforehand
What os the weirdest position you had to intubate the patient?
Mine was during cpr the (head ) of the bed wouldn’t detach it was very high so I had to do a “diving” position 😂😂😂
My legs off the ground my stomach in the bed head 🤸♂️
الحمدلله الذي عافانا مما ابتلى به غيرنا الحمد لله حمدا كثيرا طيبا مباركا فيه
Did my first intubation today 🙌🏻
Ive had 15 surgeries. Never once had a problem with pain. Ive had very professional care!
My mom currently has this due to COVID. Now I know what she is feeling. Makes me feel worse 😔 thanks anyway
Be brave! This will surely come to an end. I hope she gets well soon.
Praying for your mom sweetheart!!! 🙏🏾❤️
Praying for her recovery
@@suhaibfarooq3343 Thank you. They did the extubation! She's currently doing the CPAP process, I believe. I still thank you for this video ❤️
@@TheFyneazz1 thank you so much!
This is one of those things that doesn't look terribly hard but messing it up has severe consequences.
This was a wonderful demonstration of a skill I hope to never need.
Depends on the situation. Generally you just remove the laryngoscope, ventilate the patient by hand and try again. So failure is not that big of a deal
If I had a dollar for every time I had to watch this video for Paramedic school, I would have enough money to pay for it.
Was this video and official part of your training, or just something you studied on your own time to make sure you understood everything.
If it's official, I didn't realize youtube has such high quality content.
@@barnmaddo You would be supriced... Im 90% sure I could get all needed theoretical knowlage for doing my prostgrad in nursing Anaesthesia Care from yotube alone...
I have an or rotation today and I'm going to be doing nothing but intubations today. Thanks for the video and getting my mind in the right place
Marvellous!! For the very first time i understood finally.
I have watched lots of video bt here perfect visualization made everything clear to me. 😊
I have a huge fear of this after seeing my dad have this done after a motorcycle accident. He was heavily sedated and every like 5 to 10 minutes, mucus would block the tube (and you can even hear it) and then he'd go into a panic because he would start suffocating until the nurse was able to get in there to suck the mucus out of it. It really was horrible and scary to witness.
I thought my dad was definitely going to suffocate to death in that hospital if the nurses didn't get to him soon enough. I could not sleep those few nights after visiting him and coming home because I worried so much.
Is he OK
is he good now?
I tried being a nurse. I went to nursing school but during the training in hospital i saw a terminally ill patient with a tube, not like this one, the one that goes through the neck and i had to suction the mucus every half an hour because he was suffocating. It was so horrible. I had to put a tube into the hole on his neck to get to the mucus and the noise it made while suctioning is just ughhh. And while suctioning it was painful for him. It gave me ptsd and nightmares. I dream about being in bed and nurses doing that to me. So i gave up... I have huge respect for those who are strong enough to see these things every day. I unfortunately wasn't.
@@eveyk.1204 sorry to hear
i went through the same thing, it is very stressful but generally it’s a safe process. they know what they’re doing. i hope your dad is doing better!
I recently had heart surgery and was curious how they did this. Waking up in the ICU with the tube still in was interesting, was not painful. Worst part was trying to get the attention of someone to let them know I was awake.
Did taking it out hurt?
WOW
I had a similar experience. It’s an odd sensation.
@@Pakistani-kl8uj It’s not painful the way you would think. It’s more weird and odd than painful. You are also on pain meds as they remove it.
Full blown panic attack for me.
Thank you for this video, this is going to help me so much with paramedic school intubations next week.
I’m in the OR for my rotation for paramedic school and just intubated somebody!
I’m a critical care doctor in the UK on call in a response car.
I have intubated countless times and have become pretty quick!
wonderful demonstration! really helps to understand the technique!
Thank you for this video. So much respect for the doctors and nurses. Now I have an idea of what I went through two years ago and also 7 days ago.
Yeah, they knocked my daughter’s front teeth out. They didn’t even say anything about it. When I noticed it I thought to myself, she’s got bigger problems than a couple of teeth missing from her mouth and it may be something that happens. Yeah I know I’m dumb. It’s been a month and a day and they still can’t wean her off of the ventilator. Seeing how she went into cardiac arrest when they put her on the ventilator in the first place. And we don’t know how much brain damage she’s suffered. They wanted me to “make a decision “ within two or three days and there’s no way I was gonna kill my child. I have to give her the chance to fight. All I have left is hope and the last thing I’m gonna do is give up on her. That guilt would eat away at me for the rest of my life.
Best of luck for you and your daughter.
@@Lichenroc thank you so much.
Sorry this happened I hope she gets better soon
@@khalil4978 I appreciate your kind words.
How is she doing now? Any improvement?
Thank you so much for important lecture
와 정말 좋은 영상이다! 우리때는 이런 영상이 없어서 사진만 보거나 그림만 보고 했었는데, 우리나라 선생님들이 많이 보면 좋겠네요 ㅠㅠ
For those being anxious and all-
This video is for professionals who need to understand the procedure. It is made solely for education.
Don’t drop your COVID insecurities here🙄
True but it is being shared on social media by doctors and nurses to show laypeople what they do with Covid patients and why we better make sure we don't catch it. No wonder people are anxious after watching this 😅
tf
Fascinating!! And terrifying! Thank goodness it's a procedure done under anesthesia!
But in some places without anesthesia guess the pain
@@bibinbiju7964 Only in rare cases where they need the patient to breathe on his own.
Under some circumstances it is done fully awake.
This actually didn't seem as bad as I thought it would.
A very controlled environment no. If your about to die and they need to shove this thing in you asap then its probably much worse
Working in the ICU, I wish it really went this smoothly especially with COVID patients who have been on a bipap for a day already with all the anxiety and for some reason requiring way more sedation because the typical dosages are not effective for them for RSI and later for ventilator compliance.
Amazingly accurate explanation of a critical procedure.
Thanks for the explanation... I have learned some after i watch this video.... I'm anaesthesia technician....❤️
Wow…appreciate the volunteer who allowed to be practiced on.
i feel scared thinking that this was done to me a few years ago after a house fire...So grateful to you doctors
This is an awesome video for paramedics for a refresher.
Nice easy palatable and precise explanation.
Thank you.
Too much to learn in just few minutes.
What a gifted voice and with knowledge to explain. Well done, doc.
They made it look so easy in the TV Show ER.
This actually made me less anxious about surgery. The tube isn’t as large as I thought
Thank you for this video.
I suffered a cardiac arrest just over a year ago and am missing 3 days of my life which has been driving me crazy not knowing what happened to me while the first responders and ALS team were treating me. Still trying to piece it all together. This helped put at least piece in the puzzle for me.
Best video was ever seen on this topic with the best explanation
I praise our God the Heavenly Father our Creator for giving these medical people wisdom and knowledge.
This is a mandatory procedure for any patient undergoing a major surgery such as breast implant, nose job, face-lift, even certain non invasive procedures that are causative for pain intolerable for a human being to deal with awake. This procedure is implemented in medical practice to guarantee the safety of the pt who is non-responsive to any external stimuli for as long as the general anesthesia is under effect. Once it wears off, which is reflected on the monitor's indicators and heart monitors and determined by the anesthesiologist who will keep on pushing fluids through the body for as long as it takes the surgeons to complete whatever surgery they are working on.
I have this done every 2 months for narrowing of bile ducts after liver transplant.
Does left handers face any difficulty during intubation ?
so from 3:52 till 6:02 the patient was without oxygen, how is that possible? Isn't the patient hypoxemic at this point?
That jaw thrust the best I’ve seen
Best demonstration. Thank you.
Shout out to yo guys you are amazing big salute
I have this 6 days ago from gallstones surgery. It was a bit itchy in my throat when i woke up.
Thanks for showing this. Needed this to improve my critical skills.
Very well demonstrated important skill.
Wow. I had this done to me after an accident. The Nurses told me that I was flat on arrival in ICU. It's only now I see how bad things may have been for me. I was fortunate. Poor ppl who may not have been so lucky.
After surgery is it normal for your throat to feel slightly sore or scratching?
I remember having one in me. Felt weird afterwards in the recovery room.
If anyone is taking covid too lightly, I strongly suggest they watch this video!
I took covid very very very lightly, no mask, no vaccine. Got covid, no tube, just aches for a day. Maybe re prase and say if youre obese, and with every health problems that come with obesity, watch this video because youll be intubate for heart surgery
Thank you for this valuable video
Great video!
Now it's like a routine activity for me 😅
At least this was one of the videos explaining the tips I should know , most of them don't consider the positioning of the blade tip at valeculla (tongue base ) then pushing according to handle directions
سبحان الله والحمدالله ولااله الاالله والله اكبر ولاحول ولاقوة الابالله اللهم اغفرلي.
Very good quality!
My father has gone through this now i hope he'll be okay soon he had mild stroke and now positive with covid with some other complications, lungs has water and fats, he is diabetic he has highblood, im praying for a miracle to happen, i don't want to lose him :(
I am sure he is in good hands... god be with him, and may he get well soon
@@abs9766 suddenly my dad passed away last may 23 :( he didn't make it.
@@estherflores7187 I'm so sorry to hear of your loss. May God ease your pain and let your father rest in peace.
Thanks for this interesting video! I think i will study medicine in the future!
COVID19 bring me here 😷
me too
same
Same.
Im sooooo scared of any tubes going in my mouth or nose , damn if they ever have to do this to me i sure hope to God im asleep first
"brought"
@@y786qnycuk7 of course you'll be asleep. Except when the tube has to go through from your nose to your stomach. Then you'll be conscious. It's pretty disgusting.
This was very helpful! I love it! Thank you
Glad you enjoyed it.
First time I was intubated I was about ~14, a kid broke my arm at school, complete fracture of the radius and ulna, slightly displaced (positive deformity of the forearm) break; I was put under have the break reduced and cast. I woke up with a very distinctly sore throat afterwards.... I told them that, and they mentioned it could be from the intubation.
Thank you, this helped a lot!
Excelent video! Thanks a lot.
Excellent video. Congrats.
Thank you. Alot of work went into these six minutes of video.
Cool, loved it!
Thanks for the wonderful demonstration
God damn, intubation is technically a surgical procedure.
Great video! Very explanatory
I had an ETT for my surgery a month ago and got bronchitis right after and have had it for a month since.😢
Its very good and helpful thank you 🙏
Id love too see a video of the first time general anesthesia was performed on a person.
Thank you so much
I had this during a MRI, my gag reflex got in the way and I was intubated. Fortunately, I survived but my throat is sore. Not sure how long my throat will hurt but I’m praying for a speedy recovery and THANKING GOD FOR ANOTHER CHANCE AT LIFE. Humbled🩵
I was conscious during my endoscopy numb but conscious for the most part but drugged out of my mind thus I don’t remember majority only the aftermath with a sore throat and if I had to go through it again I would as the short duration of pain is worth it over potentially choking and dying on your own vomit from aspersion!
You can introduce the Blade directly from the centre...little need to introduce it from the right side. Afterall it is blade which can easily displace the tongue... maneuvers needs to be done with the tongue unless and until the epiglottis is seen. So for people who are starting to learn intubation the very first thing is definitely to know the epiglottis...once it is recognised the rest can be done... except in difficult airway cases where bougie has a major role
Great video
Is this a real life person if so my respect goes towards those who have to do it every day
Took me some time to realise that this is Sweden since the whole equipment looks similar to that used in Germany! :D
I'm a singer and need surgery soon.
Seeing this makes me sooo nervous for my vocal cords!!! 😭
So many practical tips..thanks for that
I just had surgery earlier today, or on 4/12/2020.
Is it really painful when they do dis during the operation?
@@a.augustine1234 no because you are not awake
I'm proud to be an EMT 😇✨
Doctors are the angels on Earth….
So does the tube feed both lungs? I think I've heard where they intubate both lungs secretly?
I always get stressed out that I may hurt the tongue or the teeth 🙈🙈
I just assume that you’re a doctor. I’m not (unfortunately) but what I can say is, what I’d do if I were a doctor:
Don’t worry, practice as much as you can on the dummy (that’s what’s standard in Germany), this way you can get familiar with the mechanics and no matter if you are on the dummy or on a real patient, just be very gentle with the laryngoscope, insert it gently, move it gently in the patients mouth and when you move it, don’t push towards the teeth but rather towards the shaft of the laryngoscope, there was a video where a EMC Doctor explained it. This way you reduce the risk to hurt your patients.
If you are a patient:
Don’t worry, serious injuries on a intubation are rare. Your voice may sound creepy or your throat can hurt a while but it heals quicker as you’d expect.
When I had a surgery and woke up I was shocked when I heard my voice and that my throat hurt but I can’t believe how fast it healed, after one hour my normal voice came back and on the same day my throat didn’t hurt anymore and that although the doc don’t seemed to be very gentle on me, as I’ve lost some teeth.
But even if my case was mild, if you are on the doctors perspective again:
Be very gentle.
hey we use propofol to intubation dogs as well!! cool
Milk of Amnesia!
Failed once.. a case of Ca Esophagus with a huge mass.The larynx was pushed to the right side.
수면 기관지 경 내시경 영상보니 대단하네요
환자가 수면중에 이게 가능한 검사라는게
환자로서는 부담이 덜 하겟군요
Really helpful
My dad will be intubated in 2hrs. Please pray for him
Thanks very much ❤️
Can’t wait to do this stuff