I’m a little confused: it’s a known difficult intubation and what’s the plan? Why not an awake nasotracheal intubation with fibroscope? Why not videolaryngoscopy with fibroscope as backup? Why not Transtrach or Urgent Tracheotomy set opened? And in the end: difficult intubation and tube not secured that the ventilator’s tubes accidentally detached?! A lot of skills to improve i think.
I love watching!!! I had 14 general anesthesia in my life, last one 3 weeks ago and I have been curious how they do it. Amazing the wisdom God has given doctors to help us. God bless them all.
i remember when i was in this situation last nov.2,2022😢 because of accident. my jaws was cracked. i was so scared until they putted anesthesia and i felt my tears when i felt something they putted inside my nose until i fell asleep😢 when i woke up, i'd lost my breath for a while i can't speak. but thanks God, i survived. this time,i can say that i'm not totally healed but gradually heal.😇
this was a interesting case showing the difficult intubation good to see the re applicatication of the face mask between attempts i also think a awake intubation with a fibrescope would have been a good option for this case
@@mirasingh7428 HI meera it was a difficult to intubate as they was struggling to see the vocal cords with the facial disfigament causing limited opening of the mouth but as you see they do succeed
I was shocked they didn’t do a tracheotomy on him, with the issues for intubation being difficult and with all the surgery he needs on his face and mouth it just seemed to me a more effective intubation, as a whole.
So I noticed a few things. 1. Pt was kept spontaneously breathing - only some propofol were given. Maybe to facilitate aborting the case if needed and basically waking the patient up as necessary. 2. Direct laryngoscopy was attempted. Options may include using glidescope if available and Magill forceps to pull the tube through the vocal cords. Why not use a smaller ETT from the start? 3. Using a bougie. I would prefer preloading a bougie with an ETT rather than struggling. 4. No fiberoptic scope? This is the classical way of doing it but with limited view of oral airway topicalizing may prove to be a challenge. 5. Raise the table up to you so you save your back. anyways, good job.
I’m assuming they don’t have access to a video laryngoscope/Glidescope and I’m fairly sure he used magill forceps at one point. I’m also assuming they don’t have access to fiberoptic scopes since they’re also incredibly expensive.
Poor patient reassurance, and interpersonal skills from all staff, he must have been scared., Think of the human skills not just the technical ones please,
Agree, it doesn't distract much to offer words of comfort...even a nurse or technician could have done that if the anesthesiologist was concentrating on his job.
Unbelievable! The Anesthesiologist just got up after intubation without first securing the intubation tube to the patient and then the ventilation source gets disconnected falling on the floor. Terrible operating room standards. Dropping sterile items on the floor and then putting right back on the patients semi sterile intubation tube.
@@RichardsonsFaceHospitals So it's your practice to leave your patients intubation tube unsecured to the patient and then someone else had to secure it as the vent tubing falls off the ET tube and on to the floor? Your saying that didbt happen yet we can see clearly it has.
@@Ryanboy2020 Not here to critisise ..but a lot of notable mistakes from onset..no armboards..ecg leads placed on fully dressed patient..table to low..machine is postioned wrong frm patients head…neck not extended when preoxygenating…after failed intubation no guedal etc etc
@@MrShobanem I couldnt agree more. I am here to criticize and I cant believe they are trying to defend their actions by saying "This is the best team and the best care anywhere".. really? If you cant follow basic O.R. sterilization protocols then you are risking your patients lives.
Que Deus abençoe TDS vocês abaixo de Deus VCS são Abençoado Por essa Linda Profissão que Deus te RECOMPENSARÁ Com muita saúde mais Muitas SAÚDE Mesmo ,,, mais do que nunca VCS Precisam que somos Nós Sem VCS pra SOCORRER NOS ,,, Parabéns Por esse DON Maravilhoso Que Deus te Deu 🙏🙏🙏
doctor, what would be the price of an orthoginatic surgery for a class 3 patient... what would be the price of facial amortization... I really admire your spectacular work..
Parabéns a toda equipe , quanto mais assisto, mais quero assistir , excelente..... Pena que não mostra todo procedimento cirúrgico ....mas Parabéns aos médicos e equipe 👏👏👏👏👏🇧🇷🇧🇷
Job well done, with care and compassion, I am guessing that the patients condition made identifying landmarks normally visualized a lot harder to see and approach? I assume the surgery went well, and I hope this young man is doing well.
Very interesting procedure as can considered as diff intubation anticipation...maybe can rise up the table for better view while direct visualise the v.c
My assumption is that the bed is at max height or they would have done that. I think it being a hospital in India that the surgical height may be fixed.
From an outsider looking in it seemed like they didn't know what they were doing! Not easy through the nose I guess. Poor guy. I wanted to watch the surgery!!!
The amount of sounds and mobile ringing behind is totally a mess while you are doing GA for a already panic patient. You should maintain the OT clam and silent which is a must.
It's the sound of the monitors and OT anaesthesia equipment. Not the sound of phones. Sometimes music and sounds calm the nerves of surgeons and anaesthetists during OT procedures
Cierto, demasiado les falta, parecía que la asitente no sabía que hacer y el médico tantos intentos que se le cayó al suelo la punta del tubo de conexión pobre paciente, que terror , a veces no sabemos en que manos vamos a parar.
Wdout using newer Tecq. fibro, and intubating by using trannasel bougie wd cool & confidently shows the expertise and experienced Anaesthesiologist. Hv you got my point.
This was almost hard to watch. But I’m glad they got the job done made this person completely heal under the authority of Jesus and the authority of God… With God’s perfect love, gentle grace, and amazing mercy Heal him Lord in Jesus mighty name, amen
I believe you mean anesthesia? Amnesia is memory loss. The anesthesia doesn't come out of the mask, I think it's just oxygen for preoxygenation. The actual anesthesia is the white liquid injected into his iv.
@@rosegranger2872 i think when i am going through surgery, anesthesia wont work for me im going feel everything, despite technically being in sleep phase
Desastre estos anestesiologos. Lo único bien que ventilan y a medias. Pero intubar así atrasan bastante. Los invito a ver como trabajamos en el hospital san martin de la plata buenos aires , argentina así aprenden a manejar la vía aérea difícil de manera adecuada bajo estándar internacional.
And that's why making sure you have a good anesthesiologist is so important. They're the ones who make sure you don't die...
my father is an anesthesiologist and im really proud of him
The bravery of this young man , to walk into his surgical procedure , and the professionalism of this staff bravo .
Yes correct only 👍👍👍
Professionalism of staff?…..are you joking?
It was nothing but a circus act!
That’s how you go in ,you walk on your feet. Only if you can’t go awake that’s something else
@@jmw0368 Thank you for your response , have a pleasant Wednesday 🌞
@@Maddddddd765 Thank you for response.
Such a calm person.difficult for me 😭
He doesnt Talk with the Patient....heartless und makes me anxious.
@@thomaswerner9432 was this a late night talk show
I’m a little confused: it’s a known difficult intubation and what’s the plan?
Why not an awake nasotracheal intubation with fibroscope?
Why not videolaryngoscopy with fibroscope as backup?
Why not Transtrach or Urgent Tracheotomy set opened?
And in the end: difficult intubation and tube not secured that the ventilator’s tubes accidentally detached?!
A lot of skills to improve i think.
Please contact us with pic and details to our what’s app number +919443182860
Thank you! I was hoping someone would point these out
I love watching!!!
I had 14 general anesthesia in my life, last one 3 weeks ago and I have been curious how they do it. Amazing the wisdom God has given doctors to help us.
God bless them all.
not to mention years at university
Even I had an anestesy total 2 years ago and Im even curiosy to see ho they do it to me 😮
i remember when i was in this situation last nov.2,2022😢 because of accident. my jaws was cracked. i was so scared until they putted anesthesia and i felt my tears when i felt something they putted inside my nose until i fell asleep😢 when i woke up, i'd lost my breath for a while i can't speak. but thanks God, i survived. this time,i can say that i'm not totally healed but gradually heal.😇
Good teamwork. Anesthesiologist performed really well 💯
Please tell me who is an Anesthesiologist in this video
@@ananyasharma3530 the person with green mask, installing the ET tube
Nonsense! Worst technique I've ever seen!!! Should have a nurse anesthetist!
@@gilesbowman1189 if I had a hemangioma like this and knew a nurse anesthetist was intubating me I would walk out.
@@QwertySkill omg really
Hatsoff to the calmness and cool behaviour of surgeons👍.
No doubts Indian doctors are best skilled and also humble
this was a interesting case showing the difficult intubation good to see the re applicatication of the face mask between attempts i also think a awake intubation with a fibrescope would have been a good option for this case
Why this was a difficult intubation
Can u explain please
@@mirasingh7428 HI meera it was a difficult to intubate as they was struggling to see the vocal cords with the facial disfigament causing limited opening of the mouth but as you see they do succeed
I was shocked they didn’t do a tracheotomy on him, with the issues for intubation being difficult and with all the surgery he needs on his face and mouth it just seemed to me a more effective intubation, as a whole.
@@aprilanderson-daum4559 Tracheotomy is too invasive and always the last option, and shouldn’t be considered an option just for surgery purposes.
Oh mi good 🥺
Thank you I love every single one I see and I love how you showing it
Fogging is utmost disturbing🙏🏻 done with excellence sir...
So I noticed a few things.
1. Pt was kept spontaneously breathing - only some propofol were given. Maybe to facilitate aborting the case if needed and basically waking the patient up as necessary.
2. Direct laryngoscopy was attempted. Options may include using glidescope if available and Magill forceps to pull the tube through the vocal cords. Why not use a smaller ETT from the start?
3. Using a bougie. I would prefer preloading a bougie with an ETT rather than struggling.
4. No fiberoptic scope? This is the classical way of doing it but with limited view of oral airway topicalizing may prove to be a challenge.
5. Raise the table up to you so you save your back.
anyways, good job.
Thanks 😊
I’m assuming they don’t have access to a video laryngoscope/Glidescope and I’m fairly sure he used magill forceps at one point. I’m also assuming they don’t have access to fiberoptic scopes since they’re also incredibly expensive.
Poor patient reassurance, and interpersonal skills from all staff, he must have been scared., Think of the human skills not just the technical ones please,
He is so cold and heartless...nothing for me. He forgets the humanity.
That is a good point.
Agree
Agree, it doesn't distract much to offer words of comfort...even a nurse or technician could have done that if the anesthesiologist was concentrating on his job.
But he’s not aware
A case of easy to ventilate difficult to intubate.
Thanks for sharing
Think if will be scenario can not ventilate can not intubate challenge
I know how it feels to be in ot scared but trust me end product is very satisfactory and having anesthesia is so good i was stonned 😅 ✌🏻
Só tenho de agradecer o doutor pela sua explicação sobre menstruação com sangramento
٤قققققققققققققق
The anesthesiologist performed really good under pressure.
K buen programa me encanta🌹❤️👍🇨🇱😍
This is horrible..
That’s what we are trained to do - “maintain equanimity under duress” 😊
Unbelievable! The Anesthesiologist just got up after intubation without first securing the intubation tube to the patient and then the ventilation source gets disconnected falling on the floor. Terrible operating room standards. Dropping sterile items on the floor and then putting right back on the patients semi sterile intubation tube.
Hello, there are two anesthesiologists and two anesthetists in the room!!
So watch again!!
Can’t get done better anywhere else in the world!!
@@RichardsonsFaceHospitals So it's your practice to leave your patients intubation tube unsecured to the patient and then someone else had to secure it as the vent tubing falls off the ET tube and on to the floor? Your saying that didbt happen yet we can see clearly it has.
@@Ryanboy2020 Not here to critisise ..but a lot of notable mistakes from onset..no armboards..ecg leads placed on fully dressed patient..table to low..machine is postioned wrong frm patients head…neck not extended when preoxygenating…after failed intubation no guedal etc etc
@@MrShobanem I couldnt agree more. I am here to criticize and I cant believe they are trying to defend their actions by saying "This is the best team and the best care anywhere".. really? If you cant follow basic O.R. sterilization protocols then you are risking your patients lives.
@Richardsons Face Hospitals Difficult situation, why not use fiberoptic intubation?
Vcs médico precisam fazer mais cursos e estudar mais prá se prepara , nosso q falta de amor é de cuidado,. Meus deus
To aflita com esse video, essa realmente não é minha área, vou ser comissária mesmo , jesus
Well done. ❤ May I ask what was the patient’s history?
Whats app +919443182860
Que Deus abençoe TDS vocês abaixo de Deus VCS são Abençoado Por essa Linda Profissão que Deus te RECOMPENSARÁ Com muita saúde mais Muitas SAÚDE Mesmo ,,, mais do que nunca VCS Precisam que somos Nós Sem VCS pra SOCORRER NOS ,,, Parabéns Por esse DON Maravilhoso Que Deus te Deu 🙏🙏🙏
Congratulations sir for 1 Million Mark.
More to go.
⚡🇮🇳⚡
doctor, what would be the price of an orthoginatic surgery for a class 3 patient... what would be the price of facial amortization... I really admire your spectacular work..
Omg it’s so scary, my hands and legs are shaking
The ot activities are highly effective . Thanks for it. We can learn many of the modern medical science.
Nossa que mulher estúpida. Machucou o paciente todo.
Gute Arbeit Herr Doktor 👍🏼
Parabéns a toda equipe , quanto mais assisto, mais quero assistir , excelente..... Pena que não mostra todo procedimento cirúrgico ....mas Parabéns aos médicos e equipe 👏👏👏👏👏🇧🇷🇧🇷
Principalmente a parte em que a mangueira cai no chão e volta direto para a canula
@@martinsjunior4288 kkkk Kkkkk boooooaaaa
@@martinsjunior4288 Triste
Verdade eu amo ver isso, poderiam filmar até o final da cirurgia. Inteira.
Fui salva com este procedimento Parabéns à todos que fazem este trabalho. Obrigado
Sir you are great doctor 👍👍👍👍❤️❤️❤️
What type the inhalation anesthetic use
Please I wand answer
Job well done, with care and compassion, I am guessing that the patients condition made identifying landmarks normally visualized a lot harder to see and approach? I assume the surgery went well, and I hope this young man is doing well.
Why do they not talk to him?!
yeahhhh 😅 as if they were performing it in a mannequin 😂
Cuz he’s sleep?
@@kiranjohn8501 no, when he is awake they don't talk to him.
Heartless and snobby Doktor!
Excellent clip. We are very much benefited.. keep posting please..
Ur welcome
Very interesting procedure as can considered as diff intubation anticipation...maybe can rise up the table for better view while direct visualise the v.c
My assumption is that the bed is at max height or they would have done that.
I think it being a hospital in India that the surgical height may be fixed.
Make me think about all the times I’ve been intubated. Wow! That was VERY difficult.
اتفق
me too
Its easier than that but this case is special bec of his disease
It’s much easier, but this case has facial trauma and mouth bleeding
Sir you do very well and you are our aspirants
From an outsider looking in it seemed like they didn't know what they were doing! Not easy through the nose I guess. Poor guy.
I wanted to watch the surgery!!!
I agree. It seems like they are practicing. Poor guy
Defenitily not practicing, this was a difficult intubation
It’s a difficult intubation because of the facial abnormality.
@@aimeerendon7529 no one is practising here, who practise in OT?
Pero que clase de doctores son 🙄🤦 es la primera vez O que?
No me quiero imaginar la cirugía de verdad
The amount of sounds and mobile ringing behind is totally a mess while you are doing GA for a already panic patient. You should maintain the OT clam and silent which is a must.
It's the sound of the monitors and OT anaesthesia equipment. Not the sound of phones. Sometimes music and sounds calm the nerves of surgeons and anaesthetists during OT procedures
@@yeah7620 Notice it carefully....Its not all about sounds of OT equipment...I do OT too.
Impressive teamwork and skills.
Use fiber optics if difficulties
Please in the anesthesia videos do not cover the patient's eyes with the hands of the anesthesiologist when he falls asleep
Omg how terrified the patient is😿😿😿😥😭
They didn't communicate with him at all. That was very strange to me. Some therapeutic communication would have been very beneficial.
@@tayashley3539 yeah
Creo q con este vídeo vemos lo que no debe hacer, muchos se preguntarán por qué no lo intentaron con una fibro y estando despierto, en fin 🤷🏻♀️.
Cierto, demasiado les falta, parecía que la asitente no sabía que hacer y el médico tantos intentos que se le cayó al suelo la punta del tubo de conexión pobre paciente, que terror , a veces no sabemos en que manos vamos a parar.
Ay Dios nos libre de esos procedimientos x eso ay k encomendarse al mejor médico y k pedirle k ponga buenos doctores durante las cirugía🙏
a Real heros this anesthetic team♥♥
PLEAEEASEEE TELL ME YOU HAVE THE WHOLE SURGERY
سبحان الله وبحمده عدد خلقه ورضا نفسه وزنة عرشه ومداد كلماته حسبان الله الخالق سبحانه علم العناسن مالام يعلم الله يشفيك
Amém 🙏🏻
🙏🙏
what is the outcome of the procedure? how's the patient now?
Came out very well… she is doing well.
Wondering why ET intubation was selected over NT?
Dear drs thanks for saving lives
Tem outro meio de fazer isso não
Minha mãe morreu por falta de mal intubação
Até fazer a cirurgia já passou o efeito da anestesia 😬
Should have gone for fibreoptic intubation . But still very well managed difficult airway
Se possibile, evitate video in sala operatoria...
.
Rispettiamo la riservatezza di un momento delicato.
Was there no fiberoptic equipment available?
Wdout using newer Tecq. fibro, and intubating by using trannasel bougie wd cool & confidently shows the expertise and experienced Anaesthesiologist. Hv you got my point.
Получилось удалить гемангиому?
Look how smooth they move
Thank you guys
Aun no puedo creer q se les cayó a l piso el tubo lo levantaron y se lo colocaron..así vienen las i fecciones interhospitalarias
Pues como no es familia de ellos les vale fueran familiares de ellos hibas a ver sino hiban a tener higiene
Por este tipo de personas irresponsables e inumanas han fallecido muchas personas por eso agarran bacterias que luego complican todo
Some ppl in comment section trying to be over smart by giving advice without know properly about patient history , scenerio , results , etc
Love ❤ u all I'm also anesthesia student
Scary the patient is still awake
At what point? Once they induced he was not.
Sir bahot khoob isse bahot kuch sikhane ko mila hai
Outstanding intubation!!
Is this performed by bsc/msc anaesthesia technician or doctor.
Yes
Nas minhas orações sempre peço ao Espírito santo para auxiliar e conduzir todos vocês médicos 🙏🏽🙏🏽🙏🏽🙏🏽🛐
Sir How much will the surgery of larynx and voice box cost?
What’s app
+918360128360
No chest auscultation?
Oversatisfied by tracheal intubation!
Forgot and fatigued (..as took more than 8 minutes to intubate )to fix and auscultate the ETT .
@@awaneeshroy1701
As I always joke, “equally absent breath sounds.”
@@Amtcboytruly said!👍 auscultating physician's breath follows patients breath sound.
I think the man was deaf if you notice real closely one of them knew sighn language and was using it
Alguém poderia me dizer o que está sendo feito? Prq a boca do paciente está machucada??
Eu também queria saber..
Do we know what we are doing?
This was almost hard to watch. But I’m glad they got the job done made this person completely heal under the authority of Jesus and the authority of God… With God’s perfect love, gentle grace, and amazing mercy Heal him Lord in Jesus mighty name, amen
You may also keep one vedieo laryngoscope.. extraordinary performance by the anesthesiologist..
Thanks 🙏🏻
@@RichardsonsFaceHospitals tenho sonho de fazer rinoplastia e nao tenho condições, realize meu sonho Dr.
Muito angustiante ..parece aula para estagiario ...
Aye did they really have to make the whole hospital bright white
Parabéns toda equipe
Hemangioma Patient undergoes Difficult Anesthesia and Tracheal intubation
Erradissimo durante o procedimento, está, auxiliar do médico pegar no nariz, totalmente errado, e contra as regras da medicina...
That looks scary. I've thought just the mask will put them out.
Why are you using the same blade multiple times ?
Sir really great work and traned
Me parecen muy poco profesionales, no quisiera verme en manos de este equipo. 😭
Anestesia geral tem esse pressentimento
Doc i think its painful 😢😢
I hope his ok
Please tell. Me what is the name of pump which introduced during entering tube?
Bougie
Like a fucken boss. Respect.
What?
Not from me....horrible, not prepared, horrible position....clueless!
Is he bleeding ?
Nice work
😭😭😭como somos isiquinifi cantes meu Deus, material muito frágil, daí se ver o quanto pressisamos cuidar da nossa vida espiritual 😭😭😭
What?
Is he alive?
Thanks for sharing!
Why amnesia didnt work on him for so long time?
I believe you mean anesthesia? Amnesia is memory loss. The anesthesia doesn't come out of the mask, I think it's just oxygen for preoxygenation. The actual anesthesia is the white liquid injected into his iv.
@@rosegranger2872 i mean anesthesia didnt work on this patient for a long time, what was the trouble ?
@@tims7686 it did work, after the normal time spann. It wasn't via the mask, but via iv
@@rosegranger2872 i think when i am going through surgery, anesthesia wont work for me im going feel everything, despite technically being in sleep phase
@@tims7686 you think??
Блин долго интубируют,есть ощибка ,лучше дайте молодым специалистам, старикам лучше учить молодых специалистов
التخدير سئ جدا ليسوا على كفاءه 👎🏿
आप et tube नही डाल रहे, बल्कि फॉलोअर्स बढ़ा रहे हैं, इतनी देरी थोड़े करनी होती है
Desastre estos anestesiologos. Lo único bien que ventilan y a medias. Pero intubar así atrasan bastante. Los invito a ver como trabajamos en el hospital san martin de la plata buenos aires , argentina así aprenden a manejar la vía aérea difícil de manera adecuada bajo estándar internacional.
Sir during surgery hands are tighten ha?
What?
Lo Lastiman demasiado q 😥 triste
That guy still awake omg
ALLAH YAR VE YARDIMCINIZ OLSUN
Pq não deram o bloqueador nele pô?? Tão doido?? Ficou difícil, não era pra ser dificil!!!
Quando o manguito cai no chão e a sereia ao lado pega e conecta a a sonda sentir ver vergonha. Desses profissionais