Adenosine induced transient cardiac arrest

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  • Опубликовано: 24 сен 2017
  • For Basilar top aneurysm clipping

Комментарии • 70

  • @shrimpfry880
    @shrimpfry880 Год назад +23

    "the initiation isn't that brutal we've all done this before"
    the initiation:

  • @naturalselectioninterventi4805
    @naturalselectioninterventi4805 5 лет назад +54

    Always the longest 3 seconds of the day...

    • @project-hobby
      @project-hobby 11 месяцев назад +2

      What

    • @ooommm4024
      @ooommm4024 11 месяцев назад +1

      adenosine stops the heart for 3-10 seconds to try to reset the heartbeat into a safe rate / rhythm to allow proper blood flow. it is painful for patients who feel really dizzy and sick during that pause, but hopefully recover afterwards.

  • @marietta8807
    @marietta8807 3 года назад +54

    I have AVNRT and Adenosine always helps.
    But I gotta say... getting it is the weirdest feeling I ever had in my entire life.
    Here's my experience (hoping that maybe someone out there knows the exact feeling):
    At first I felt nothing at all, I even asked my doctor if he had given it already, the first time I got it.
    Not even a secons later my whole body started getting very tingly and warm. Kind of like when you are about to faint! Your vision gets weird, at least I saw more and more "dots" coming in from the sides. Then it felt almost impossible to breathe and I felt like an elephant was sitting on my chest while at the same time someone tried to pull me down inside the bed. It's strange that at the same time I felt really peaceful. I was happy. Which sounds absolutely crazy when I say it out loud... Well then it started wearing off and I always have to pull myself together in order not to laugh out loud or smile.
    I am really looking for someone, anyone who had either the same or another experience with Adenosine. I would love to be able to talk to someone who knows the feeling!
    Either way thanks for listening :-)

    • @medinekizikoglu1246
      @medinekizikoglu1246 2 года назад

      Üt vöìeieeeee

    • @medinekizikoglu1246
      @medinekizikoglu1246 2 года назад

      4xv y

    • @PancakeHearts
      @PancakeHearts Год назад +1

      i have this experience too

    • @lpz123
      @lpz123 Год назад

      I have a question: do you hear a loud humming sound when administered?

    • @marietta8807
      @marietta8807 Год назад +2

      @@lpz123 interesting, I never thought about that... now that you asked, yes I actually do!
      Do you hear that as well?

  • @jackblack9872
    @jackblack9872 5 лет назад +36

    I have flatlined to adenosine over 200 times in 40 years.... wicked crazy shit i've seen.

  • @TKaiDance
    @TKaiDance 11 месяцев назад +3

    It is cool to watch the arterial pressure fluctuate as the hearts contractility is restored when the adenosine wears off. वह बहुत अच्छा है

  • @hippo953
    @hippo953 3 года назад +25

    when you miss a step in a staircase: 0:29

  • @dineshpatil3288
    @dineshpatil3288 3 года назад +11

    we routinely give adenosine before giving cardioplegia in cardiac surgery

    • @alangeiger5237
      @alangeiger5237 Год назад

      That’s interesting. Do you have to administer both immediately because of how fast adenosine stops?

  • @pacifictracy1237
    @pacifictracy1237 5 месяцев назад

    Adenosine - an e ticket ride - originally a fast push of 8ml and not much happened, bumped it to 12 and well if that's death I don't mind. Heart at a stop, no breathing that I recall, just staring straight ahead frozen - a warm fuzzy feeling, no pain, no worries either - eyesight was about it when it came to senses, and yea hearing like you were underwater ... and with that? Right back to normal, hungry and ready for a nap - I recall smiling and I may have laughed when revived - big thanks to the team at St Joseph's Tucson for the education and professionalism.

  • @fjs1111
    @fjs1111 Месяц назад

    Dr. - hyperkalemia too?

  • @stefyguereschi
    @stefyguereschi Год назад +1

    VERY INTERESSANT,
    LIFEHEART💥

  • @chriss6356
    @chriss6356 4 года назад +6

    That’s terrifying

  • @dellguru5908
    @dellguru5908 5 лет назад +42

    Why was it administered to a patent with a normal heart rate?!?!

    • @rosesrred9
      @rosesrred9 5 лет назад +38

      For facilitating clipping of an intracranial aneurysm.

    • @Proyecto44
      @Proyecto44 5 лет назад +8

      @@rosesrred9 Interesting approach. I've never heard of it, but it makes sense. Thanks for sharing!

    • @jakobbw6137
      @jakobbw6137 5 лет назад +7

      For an aneurysm clipping

  • @Abra811
    @Abra811 Год назад

    When Vt, Svt Coming for adonise

  • @budaksim8779
    @budaksim8779 3 года назад

    Dear NIMHANS Neuroanaesthesiology, can I share this video?

    • @rosesrred9
      @rosesrred9 3 года назад +1

      I dont look at these very often. Please feel free to use as you wish.

  • @calendarcalendar3838
    @calendarcalendar3838 10 месяцев назад +2

    What was the Indication (other than being educational) to give this patient Adenosine?

    • @zodiark2456
      @zodiark2456 9 месяцев назад

      For facilitating clipping of an intracranial aneurysm

  • @lelaassang5599
    @lelaassang5599 3 года назад

    My pluse today was 72

  • @ngatruong7951
    @ngatruong7951 Год назад

    ECG mix EEG

  • @lelaassang5599
    @lelaassang5599 3 года назад +3

    My blood pressure today is 124/85

  • @sirena80
    @sirena80 Год назад

    Why you don't helping him?

    • @zodiark2456
      @zodiark2456 9 месяцев назад

      they gave him adenosine

    • @ICU306
      @ICU306 3 месяца назад

      Is this comment serious??

  • @user-yp3cs3bh7v
    @user-yp3cs3bh7v 8 месяцев назад +1

    علم🥲❤️❤️❤️❤️❤️❤️❤️❤️😂😂😂😂😂😂😂

  • @carlahead5072
    @carlahead5072 Год назад +8

    There’s no call for administering adenosine to someone with a normal heart rate!! That could’ve killed them and HUGE LAWSUIT for millions !!

    • @nimhansneuroanaesthesiolog2407
      @nimhansneuroanaesthesiolog2407  Год назад +27

      Lmao. 😂😂😂 What's your background? Does it give you enough experience in this field to comment as such?

    • @manuelengel3680
      @manuelengel3680 Год назад +5

      @@nimhansneuroanaesthesiolog2407 Just ignore them.

    • @ihavechildreninmybasement
      @ihavechildreninmybasement Год назад +1

      27 bpm isnt a normal heart rate

    • @zodiark2456
      @zodiark2456 9 месяцев назад +3

      read the description before commenting it was For facilitating clipping of an intracranial aneurysm

    • @IHateUTTPPlsBanThemYoutube
      @IHateUTTPPlsBanThemYoutube 7 месяцев назад

      ​@@nimhansneuroanaesthesiolog2407i mean they could just stop the heart completly so no blood flows to the surgcal area

  • @jameslawinangelo9756
    @jameslawinangelo9756 6 месяцев назад

    Why are they giving adenosine when the heart rate is 67 🥲

    • @dhritimanchakrabarti6358
      @dhritimanchakrabarti6358 6 месяцев назад +3

      Coz we are inducing a cardiac arrest electively to help the surgeon get the neck of the giant cerebral aneurysm being operated.