What is general anesthesia, & why it matters to patients & surgeons
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- Опубликовано: 14 июн 2024
- What is general anesthesia and how is it different from sedation? In this video, I explain the different depths of anesthesia and why the differences matter to patients, surgeons, and anesthesiologists.
📚 $25 off your first tutoring lesson on Wyzant: trywyzant.com/MaxFeinstenMD-1
0:00 Start
0:32 Introduction
0:56 Minimal sedation
1:56 Moderate "conscious" sedation
2:21 Deep sedation
3:13 General anesthesia
7:17 Paralytics
9:08 Patients
10:38 Surgeons
11:51 Anesthesiologists
Music:
Subtle Swagger by Ron Gelinas: / atmospheric-music-portal
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool 
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Just had surgery. It lasted more than 2 hours but from my perspective it took less than 30 seconds. I'm really grateful that these guys have the skills and equipment to do the great job they do. And grateful for the generations of dedicated scientists who grew the knowledge to where it is today. I hate to think how people suffered hundreds and thousand of years ago, and still do in some countries.
I have a MRI on next Wednesday i believe and I’m supposed to be put under and I’m a bit nervous. The MRI isn’t supposed to be super long though.
@@AshtonG2022, why would you need to put out for an MRI?
I've had a few and never had any level of anesthesia. Just been told to hold still.. Even when I was getting an MRI on my sinuses.
Anesthesia as we know it is a mid 20th century thing. Forget a hundred years, it was brutal in the 1920s and surgery was life threatening before the advent of antibiotics in the 1940s. Many died after having a successful surgery from infection. An ancestor was a surgeon from 1867 to 1897 and kept records which still exist, , he only considered a surgery successful if his patients lived and factored in the benefit to risk on every surgery, he only operated on people who would have a life changing improvement from the operation as the risk was death.
@@AshtonG2022 The only time you should need a 'general' for an MRI is for a hi-res brain scan using a cage. This was done with my GF to plan her Parkinsons DBS implant placement route. Hope yours went well if the same!
"Here bite down on this" as the doc casualy saws off your leg!
I was under general during a surgery 20 years ago. I told the surgeon later that I could hear conversations going on between him and the other surgeon and the nurses. He said I was mistaken. I told him what the conversation was about…his jaw dropped and said that wasn’t supposed to happen. He called for the anesthesiologist and we had a rather humorous conversation about it. I had no ill feelings toward him.
At least you didn't feel pain!
I hear the coversation and had pain as hell end coudend tell it.😪
Yes you are lucky not to feel the cuts and prodding. This is actually a scary event if you are not totally under. I can understand why the doctor was shocked.
When I had my first born by c-section, I was screaming in my head, I could feel the first uterine cut, then the second!!! The pain was unbelievably unbearable but there was NO way I could make any of the joking doctors aware of what was going on. I couldn’t move a limb, my mouth went numb, all sorts of crazy things were happening! I later found out during a physcian’s conference with those present in the room, that the reflexes go first(to sleep) and the nerves that reflect pain are the last to go to sleep! It was horrifying to say the least. I’m still traumatized and that happened 40 years ago!! More like PTSD to say the least. Half the cause of my insomnia to this day. I heard all about the wkend activities the doctors took in, everything about the past 3 days I could relate back to them. They realized it wasn’t all a figment of my imagination when I asked what purpose there was in yanking my head back as far as they did(to put the breathing tube down my throat). So much horror to a situation that should never have occurred. I had 6 doctors present in the surgical area while I related my horror story to them. I could barely put how I felt into words. I’ve been horrified ever since. I had another surgical procedure done in 2007 and was under for 5 hrs. The anesthesiologist administering the anaesthetic said I had😢no worries that time as the waiting time for the drug to take effect is longer and since she knew about my horror 😊story that would never happen again. She was in awe. She also said my story would be written up in a journal of pain medication errors during surgeries. My children feel I should write my own journal about it, along with the other stories, some good, some bad, of my life. As I said before, I really do suffer a traumatic event from that day, long ago.
*waiting time for drugs to take effect now is shorter. This is a edit correction to a typo in my story. You’ll know it when you read it!
I had 6 back surgeries in 1 year from an accident. The very last surgery I woke up basically about 1/3rd of the way through the surgery. They told me that they could not give me any more without the risk of basically killing me. They gave me the option to stop and finish later and I chose to finish. The attending nurse crouched down to see my face through the table and grabbed my hands and started talking to me through the rest of the surgery. She is an amazing person, and I will be forever grateful to her. That was the most pain I have ever felt and that is saying A LOT because I have been through some serious pain in my life! I have had 3 kidney stones at 1 time to say the least!
I really like max he's very informative good luck with your career 😊
How old are you ?
Max is a great guy; candid, informative and genuinely helpful in bridging that physician/ patient gap. Best wishes on a long and successful career.
I had surgery at this hospital and they were excellent-my only issue was that I was either not told or forgot that I was not under "general" but had a nerve block low in my spine so they could do a hip replacement. I was asleep but woke up during the surgery screaming "Im awake" they gave me more medication (Profolol maybe?) and I went back to sleep. Never found out what was making me sleep but I think profolol which I had during a colonoscopy and was semi-awake.
BTW when I awoke, they put me back "under" very quickly-maybe because I was freaking out and almost broke the table ( as the surgeon told me in a joking way) So, good job!
@@glenbearh9109 Hell I woke Up While Getting 3 Stents ,Allmost 5 Hours procedure ,Saw Big Screen Monitor to my Left and all these Little Rivers on it and then saw One Blow up like an Baloon. I Said Damn that Dosen’t Look Good and Surgeon Yelled He’s awake and I said Something and He said shut the F..k. Up ,Then woke up in Hallway and Surgeon was talking to my Wife and I said did You tell me to shut the F..K. up and He said You remember that? and I Laughed and said don’t wory about it! They tried to insert stents through my arm and couldn’t so went up the Groin.
@@darylhoskins5696 Wow can be scarey for sure.
@@glenbearh9109 Yes Sir and Yours Too! I woke up after an Car Accident .when I was 16 Well one eye swollen Shut and was getting Last Rights , Fractured neck ,Dislocated Right Shoulder ,Fractured multiple ribs on right Side which Pierced my Lung which Collapsed and I Drowned in my own Blood ,Kinda woke again when They Chest tubed me and Saw Blood Splatter on Nurses and Then they Paddled Me Twice to revive Me which I don’t remember.
Surgeon Told My Parents to Think about Service’s Because Didn’t think I was Gonna make it ,now 50 Years Later ,Looking at Neck Surgery from that Accident ! But got it made compared to an Lot of Others! Wish You Well!
As a patient that has undergone multiple surgeries with general anesthesia and other types as well, I think anesthesiologists are the most important physicians in the operating room for the patient. When patients are under general anesthesia they are the patient’s advocate and they are the ones that have more knowledge about what is going on in the operating room (as far as monitoring) than anyone else. I have only met one anesthesiologist who was a complete ass, most are very willing to listen to you and what has worked for you in the past and very thorough in explaining what will be happening every step of the way. Surgery is scary for anyone, anesthesiologists (and nurses) make you feel safe, in my experience.
100% the best of the best! Always comfortable under their guidance. I've had a minor investigation done under twilight just by the surgeon and always felt more anxious
I agree!!
I agree! For my knee surgery my anesthesiologist was a rude woman, just wasn’t nice at all and just very rude! After surgery I felt like I’d been beaten with a bat the following day! My knee was sore but the rest of my body was hurting so bad! The next surgery I had on my hand after almost cutting off two fingers in a work accident. The anesthesiologist was amazing! Dr Lim was very thorough with his questions and made me feel very relaxed before surgery. After surgery, although my had hurt but the rest of my body felt great! I can’t get a good answer why my body felt like being beaten with a bat! It was just minor knee surgery to clean up my meniscus because it was torn and unrepairable and only about an hour and a half surgery. Where my hand was around 4-5 hours and that was to pin the bone where it was broken, reattach arteries, tendons, ligaments and nerves and clean all the wounds.
I am elated at your words today as I too believe the anesthesiologist on deck at my procedures along with a few compassionate nurses, is the key success to quick recovery and feelings of being cared for as if we are related. My team of reconstructive surgeons which I have had 19+ years also have the warm, fuzzy compassion that only a true doctor can provide. Without them, my quality of life today would very limited. So FlyGirl, thank you for your eloquent description of what really matters the most in your personal situation and surgical procedure. Your words are true and concise with a layer of honest compassion needed not just by the surgeon but also the PATIENT !! Thank you again and best wishes in future endeavors.
Also agree with you!
I recently had a medical procedure involving Propofol. I remember them saying they were giving me the medicine to help me relax And I remember thinking "that stuff burns" when I felt it entering my bloodstream and that's the last thing I remember before waking up in the recovery room, which I'm grateful for.
I recently had a medical procedure that involved Propofol. That stuff was immediately "lights off" for me. No "I think I'm going under". It was one second being conscious and the next like not existing. I found it rather notable and for me, "alien". I keep remarking about how quickly it put me out.
I received a large syringe of propofol (along with 2 large syringes of clear liquid) and I was elevating my head watching the thing go into my IV line and 3 or 4 seconds after the propofol injection I lose all strength, put my head down and it goes dark within 1 second. But for me it wasn't like an instant switch, it was a 1-second fade.
Barry..glad it was a good experience for you Propofol..
It was use for a colonoscopy I had..said if I did not havd it they would not do my test !!!!!
I did not like that stuff..that is the stuff Michael Jackson used and died from..I can see why.
I did not like it because I am extremely sensitive to chemicals and that is what these are and all medications
The issue was. When I received Propofol it put me out immediately..this was not good for me because if there was a problem..I could not cry out..
Where with others I could..
Seriously, need to be careful..
When I was young lady married with children..I went to a dentist and allowed anesthesia for a tooth ..it was a horrible experience..I was having trouble. ..and could not speak..thank my God..upheld my life. ..
Never again would I have it for teeth
Although since then many changes have taken place in anesthesia..
depends who you see, training, and skill experience
Propofol is a dangerous drug...to me it was awful feeling..frightening..
To have a Dr also say this is what you must have to do this test...what is that!
Patients rights !!
Most of mine were like that. But the last one, the doc said I should be feeling the anesthesia soon. Just then my eyes crossed and I said yep it’s working! Then I woke up 😆
I love Propofol. Instant lights out and wake up feeling rested and relaxed, like after a good nights sleep. Best of all, no anesthetic "hangover"
Same. Recently had propofol and it was like instant lights out. Waking up was slower and very pleasant, the hospital bed and pillow seemed like the comfiest thing I’d ever slept on!
I had my elbow rebuilt. My anesthesiologist was wonderful. During my waking up I had the best dream, the whole surgical team was at the beach with me on a warm sunny day with gentle waves 😅 I had a great experience because of this wonderful team and my orthopedic and anesthetic doctors. You all really brought the ‘A’ game, thank you
Thank you for choosing this specialty! It is so comforting to have a nice anesthesiologist discuss what to expect and gently let you drift off.
I remember the Anesthesiologist saying " We'll see you on the other side" just before going out during my last surgery. Made me feel like I was expected to return.
that's good!
Ended up doing my final year elective in Anaesthesia and my research project topic was: Pain Expectations vs Reality and 100% of my subjects were in little to no pain post OP and 100% were in less pain than they expected. In other news, I finish med school in another 5 weeks!
UPDATE: I AM A DOCTOR NOW!!! 🥲
Congrats 👏
Congrats to you.
How many days left? Or did you finish? Congratulations!!!!!!!
@@sevenmilewhite1407 thank you, i have been waiting to reply to this comment, as of one hour ago... I AM OFFICIALLY A DOCTOR! I PASSED 😭
Congrats!!🎊🎉
I had a tonsillectomy at age 3. I remember waking up during the surgery but I don’t remember feeling anything. I do remember a nurse saying, in a rather panicked voice, “she’s awake”. The thing that was traumatizing was about 15 years later. I had knee surgery and was under general anesthesia. However, I wasn’t completely under when the surgery started. I don’t want to appear to be weak.. or childish .. anything like that. But , I have to admit that ever since then, when I have surgery, I’m always apprehensive. I felt the searing pain of the incision. I told the doctor everything that was said and what happened for the first few minutes of surgery. I’m so grateful that I went out after just a few minutes, whether I passed out from pain or by anesthetic. I’m just happy that didn’t last longer. I could not scream , except in my head. I could not open my eyes or move no matter how much I tried. I just couldn’t do it. So, now, I look the anesthesiologist in the eye and tell him/her….PLZ be sure I’m out. I don’t care what that means.. just make sure that I’m out. I know it sounds a bit like I’m a wimp.. I just don’t want to ever experience that again.
I know I’m headed for more surgery. I really wish you were my anesthesiologist. Without ever meeting you in person, I know I can trust you.
how many surgeries did you have ?
I always tell my anesthesiologist that I do NOT want to be "comfortable," I do NOT want to be "out of it," I tell them I want to be OUT. Totally OUT and unaware of anything and that I tolerate anesthesia very well so don't be stingy with whatever they are using! Not sure if that helps, but at least I've made my wishes known beforehand.
That's awful I have been under a few times I can usually remember counting back from one hundred 😉, and I have had only novacaine to have all four of my wisdom teeth removed, not all at the same time.
My mom woke up too. Your anesthesiologist would have noted an increase in heart rate, indicating pain and fear, and upped you a tad.
"sound like a wimp"?! I have heard that patients who are paralyzed but awake during surgery are absolutely traumatized and never forget what they suffered!!
Thank you Max for this information . I have undergone several general applications, and a few of the other less invasive. I woke up in the middle of surgery and could feel everything going on and was screaming through my throat so the nurse told the doctor , “ I think she is awake”. Now I do not know if she heard me or not, but i immediately went back under. It was a very scary thing to go through. I just want to thank you for taking time to explain the various methods.
Oh my!
The same thing happened to me. I came out briefly during a c-section. Was totally aware & could feel the pain and then I went back under. It scared me too.
@@lisaharrison1031 you were under general anesthesia for your c section? That sounds traumatizing on its own 🙁 I had a nerve block and was awake in the OR when my twins were born via c section.
Are you a red head? They are much harder to keep under due to genetics.
What a pleasant and informative young man. He’s very easy to listen to . Thank You for sharing with the public an area that “ falls through the crack” when having surgery.
Nice video. I'm a semi-retired, Biomed Support Engineer and specialist in anesthesia and life support equipment. Nice to see the clear facts presented and explained to the public on this potentially scary subject.
My anaesthesia during heart graft surgery was wonderful. Before going under I felt extremely euphoric and happy. When I came round several hours later I had no pain though was a bit hallucinatory which was interesting. The extraction of the breathing tube was no problem and for several days after had heightened sensations of taste, colour, smell and vision. Every meal, even a slice of toast was like a banquet. No qualms about having general anaesthetic again.
Sounds like the fentanyl not the propofyl 😂
@@MorganHorse I have received fentanyl + midazolam many times for sedation, and there were never any effects that persisted after awaking.
At the oral surgeon, I was told that the meds I was on could sometimes cause patients to become combative. He seemed unconcerned and said he'd use a very large dose of Valium before the anesthetic. I remember asking if they were about to put me to sleep and they said no, it's just the sedative, but I don't remember anything after 45 seconds, except for one thing. I recall becoming aware, but not really aware I was aware, that they were pulling on something and snipping it in my mouth, maybe like sutures. I recall the vibe feeling very professional and under tight control, and I experienced no pain and certainly no anxiety about it. I saw nothing. There was a calm, unexcited, deep voice using short sentences. I remember a total pause in conversation, as though they became aware that I had become aware, and very shortly after that I was unaware again. I was very drunk leaving, accidentally causing a picture frame to fall and smash on the wall in the hall on the way out. I tried to be very apologetic and pick up my mess but suddenly about four people surrounded me and were very gentle but firmly insisted I do nothing to try to help and that I had done nothing wrong. An experience I remember to this day!
I had general anaesthesia earlier this week, and honestly It felt a lot longer than I thought it would. Still so incredibly thankful for the anaesthesiologist and the pain blocking, what a blessing
I would absolutely trust this young man being under his care.
i woke up during gen/ anaes and heard and saw the doctors ..the pain was horrific ..i fainted
💜
I've been watching a ton of your videos recently because I've had a recent awakening: I love anesthesia and the feeling of actually doing something. I'm currently in Nursing school and now have a huge want to pursue CRNA school in my future, so these videos are super awesome for me and for my learning of anesthesia principles! Thank you for the content, you're helping a lot more people than you realize!! :)
👏
Thank you Dr. Max! Thanks for all the anesthesiologists out there. You all have our lives in your hands. I’ve had general anesthesia twice and my concern was where is my anesthesiologist! Lol I never remembered a anything after being put out. Can’t thank you all enough for what you do.
I’ve had way too many surgeries and never really understood anesthesia. Thank you for your informative explanation. I love your videos and a, glad I found your channel. Keep up the good work!
Had brain surgery 6 years ago, I know they started with propofol that time. I heard the anesthesiologist asking for it before I was knocked out. And I had heart surgery this year. I know they started with entirely different meds this time. It felt different, but I'm not complaining, six hours gone by in a heartbeat :D (I'm very thankful for the advancement of medicine and science :) )
That sounds super scary hope you're out of the woods medically now!
@crimsonpatty Thanks :) Well, I see myself more like an interesting case? It helps. I am a rare disease patient, I'll always be at risk for something to go wrong, but one thing at a time. I was cleared to return to work, it's been ok 👍
My colonoscopy was not fun. I don't think they gave me enough sedation as I felt pain.
@Madara Kreišmane owgosh sorry to hear that but glad you're doing okay ATM ^_^
First time I had surgery was for a medical emergency where my intestines had rotated 540 degrees and were effectively shut off. They had been trying to “unscrew” them through the use of colonoscopy techniques, but they weren’t moving, so open abdominal surgery was needed. I recall going into the OR and telling the anesthesiologist I never had a general before and I was sure would fight it. He smiled, then said “Steve, what I’ll give you will put you out in…..” and that was the last I recalled until I woke up in the recovery room.
That can happen? That sounds horrifying 😳
@@sliedogg Yep. It’s called a volvulus, and, in my case, since it was my sigmoid colon, it was a sigmoid volvulus. About 18 inches of my colon had to be removed. For about three months, I had to wear a colostomy bag while the inflammation on the remaining sections of the colon reduced, then I had to have another surgery to reconnect the remaining sections. The twisting happened in early May and I got reconnected in mid-August. That was not a very fun summer.
@@stevenelson3515 Thank you for sharing. I had no idea something like that could happen.
I’ve been under general anesthesia a lot unfortunately. One of the times, I couldn’t remember my family, doctors or anything for over a week. My surgeon called it a global amnesia. Wasn’t sure if or when I’d come out of it. Thank goodness I came back to reality.
Wow!!
Damn. That's scary
I'm really glad you did too. There is absolutely no reason why you should experience brain injury or lasting cognitive impairment due to GA, don't be someone else's learning experience. Protect yourself (:
I have had many surgeries. I always make sure to appreciate the anesthesiologist as the super important Dr that they are. They are always shocked that I don’t defer more to the surgeon. Understand that my simplest procedures meant that the most important person in the room for those was in charge of my breathing and heart function and level of sedation. I’m so grateful.
My recent experience as a patient in for a colonoscopy procedure was fabulous! Lying on the table just before the anesthesia was administered, I listened to the background noise of equipment cooling fans, and after what I perceived was just four or five minutes, it was over! I didn't feel a thing, had no memory of anything, and other than being bloated, I didn't know anything had happened!
I can't express enough my love to you, Surgeons, Nurses, etc - for keeping me alive. for 50+ years.
So far, I've only had one surgery, the removal of my gall bladder (cholecystectomy). When I woke up in the recovery room, the anesthesiologist was right there waiting bedside to tell me that I was "difficult to intubate" and if I needed surgery in the future, I should tell the doctor. I asked the surgeon about this during a follow-up appointment and she responded vaguely, "oh yeah something wasn't where we thought it would be" and this situation had added about a half hour to the surgery.
I recently had a intrathhecal pump replacement. I do every 6 yrs. When the anesthesiologist told me I would nor be entubated my anxiety level increased 100 %. 1st time I wasn't. I must say it was the best post op experience. No I didn't feel a thing even though they closed the old muscular pocket and made a new one. I did have severe rib pain for 3 days for some reason. But all in all no incision pain.no awareness. That amazed me. I admire your field and your confidence.
What's the pump do/for? How long have you had it?
Awesome, another intrathecal pump user! I have a Medtronic running with morphine.
i had emergency surgery at yale new haven hospital in november. my anesthesiologist was a rockstar and made me feel so safe and cared for. thanks for all you guys do :)
That was super helpful. Thank you for posting it. I think it’s important that people know what is what and what to expect. Excellent work🥰
I go for laparoscopic surgery on my right ureter on 7/6/22. I feel better prepared for the experience after watching your videos. They have detailed information that I don’t hear or understand when I go for surgery. I love your videos and thank you for teaching patient and staff about what to expect. Thanks Dr Max!
How did it go?
@@Kupkaik it went well! They put me out at 1:30 and woke me up at 6:30. They freed my bladder and moved it up to meet my ureter after the bad part was cut out. They also removed my nyphrostomy bag. I go back for a cystogram on 7/20/22 and hopefully they will remove my catheter and uretal stent if everything is okay. Thanks for asking!
I just love this channel. ❤️ Thanks for another great video Dr. Feinstein !
I find your videos very informative. You also have a very relaxing voice and would be calming to patients prior to surgery.
I dont think a lot of people understand what general anesthesia is. I think its great that you made this video. A lot of people dont see that when you use general anesthesia, its a surgery. Not all surgeries use general anesthesia either but still are surgeries. I have had a couple surgeries under general anesthesia. I didn't wake up feeling like rainbows and sunshine but I was glad I didn't know what was going on. I was a child and scared but I am glad I dont remember anything, even as an adult. I see scars and know how I got them but I dont have to explain the details I dont even remember. There was a video that came up on my feed about a guy who says he was supposed to be asleep on general anesthesia but was awake and felt everything and couldn't respond. It would be nice to see you do a video for your take on that. I see your videos and even having been put under myself, I just wonder how it could be for this person.
Yes, please!
Ty for your channel. I have an upcoming surgery and watching your channel has giving me a sense of calm towards the surgery.
I just had a surgery involving my hand the other day, my anesthesiologist was amazing! I didn't feel a thing and wasn't aware of anything either. When I came to, I felt great and could have just walked out even though they used a wheelchair. No nausea or dizziness, she was my hero! I mentioned your videos and got a smile!
This is a great video with good information. One improvement might be to educate your viewers that nurse anesthetists also deliver safe anesthesia. Especially in more rural areas, nurse anesthetists provide over 80% of all anesthetics without the presence of anesthesiologists. No studies to date have shown any difference in outcomes regardless of the anesthesia provider. Yes, I am a nurse anesthetist, and I have practiced for 40+ years in mostly rural settings. Certified Registered Nurse Anesthetists (CRNAs) are fully qualified to provide every type of anesthesia in every setting where anesthesia is required. Full disclosure please.
Excellent presentation.
Thank you, you explained things in a clear and concise way.
This would’ve helped me tremendously in high school when I had my wisdom teeth removed, I have anxiety and struggled hard post operatively do to not fully understanding what kind of sedation I was supposed to have during the procedure and having it be the weirdest most helpless experience in my life so being prepared ahead of time would’ve gone a long way to adjust my expectations!
I felt completely paralyzed with fear yet totally conscious and although I could think I couldn’t speak and it was as if I drifted in and out of consciousness sort of but yet I heard everything going on and time stood still but simultaneously felt like it was at warp speed and I was completely trapped in a nightmare I couldn’t get out of.
I still remember hearing the crunching of one of the teeth being yanked and the dentist and his assistant talking completely oblivious to my awareness of what was going on and it freaked me out so bad because I was under the impression that I wouldn’t remember anything and was worried that my high pain tolerance effected my body’s response to the sedation/medication somehow but I had no way of knowing if my experience was normal or not.
Totally has effected my anxiety about having post weight loss skin removal surgery eventually because I never want to experience anything like that again, it was very traumatizing! So thank you tremendously for this video, it helped in more ways than you know!
Did you discuss all this post op with the dentist?? What did they say? Truly scary !!!!
@@sevenmilewhite1407 no clue, I don’t really remember, my brother and I both had ours done back to back and our mom was in the waiting room with us and brought us home afterwards and that parts all kind of a blur because I was so worked up about what had happened. I know it wasn’t really the surgeons fault because he was like a 5 star surgeon in the area who’d been in business for a while (at least 20 years or a bit less because he did my dads too after they’d moved to the area) so it was probably just my sensory issues messing with me more than anything.
I had a similar experience with tooth extraction under nitrous oxide (and Novocain). I hated it and never allowed it again. The dentist was young and new and I heard tools drop to the floor and concerning talk with the assistant and he left the room for a short while; it took much longer than he predicted. Meanwhile my young daughter was waiting in the reception room all by herself. He prescribed a super strong painkiller, but I reminded him of what he already knew: As a single mother of a young child I couldn't be 'knowcked out'. I never went back.
I had my wisdom teeth out a few decades ago. In addition to an anesthetic, he oral surgeon administered the stuff commonly referred to as "laughing gas" which put me into a kind of very foggy consciousness. At one point, I became aware that he was having trouble extracting one tooth - but it was as if it were happening to someone else, like I thought, "oh that's interesting."
That's normal for twilight sedation. They should have told you that you wouldn't be totally unconscious.
As an Experienced Nurse, I Appreciate this Video! You are a Great Instructor, and Your Calm demeanor is Very Reassuring to me, and I'm sure, to Your Patients also! Thankyou So much!🙂
I just appreciate his chats so much.
I wasn’t put under enough when I had my wisdom tooth taken out, I told the doctor (my boss) after I woke up, what he said during surgery and I thought he was going to pass out😂 I’m just grateful I didn’t feel any pain, I just felt him turning my head & making comments so I’m always very leery of going under general!
Why would you Need an GA for one tooth to be taken out? 🤣
Max, you're a great RUclipsr. Keep up the great work.
These are the unsung heroes of surgeries. Most times people speak of the surgeon but the anesthesiologist job is just as difficult. I have been under quite a few times without any problems. I've had blocks as well without problems. I did have a penial block and that was really painful. I must point out that the procedure was done by a Urologist and not an Anesthesiologist. Three weeks ago I had a cornea transplant and there were two anesthetic procedure. One was what the Anesthesiologist called Twilight and the other was to block my neck and head. I was awake throughout the entire surgery. All was well. Lastly. Anesthesiologist make the most money out of all specialties.
I'm fascinated by Anesthesia. I regret not getting into it when I was younger. I've looked into going to school but at 51 all I hear is " you do know how much time is required to get into Anesthesiology." So now I spend my time trying to learn as much as possible.
Consider being an Anesthesiology Assistant! Our program has had people as old as 50 go into the field
How much time does it take.
@@SuperWiz666 Several years, my uncle has been in the field for over 2 decades!
Thanks for this great video. Now as a patient I will have a way better understanding now of what is involved in anesthesiology.
Thank God For people like you Max
Very informative and well done! Kept making me think about the vet video and thinking about how hard this must be to do on cats/small dogs/etc.. I haven’t seen a sponsorship on these vids before so if this is the first one congrats! I think a vid on budgeting/housing as a resident especially in a place like NYC would be awesome.
I was a nurse for lots of years. Thankful for bright thoughtful caring dedicated people like Dr Feinstein. He’s FUN too !!!!
Hospital pharmacy tech. The four most common meds I refill in an anesthesia pyxis: propofol, rocuromium, fentanyl, and midazolam. This video really explains why they the most commonly used.
Thanks for explaining the complexity of anesthesia. You guys ROCK
I recently had sinus surgery. I heard an Anesthesiologist talking to another patient about the difference in old drugs verses new. Something about how they get out of your system faster do you have less exhaustion. This is what brought me to you. I have been trying to find info on this. A week later, and I’m still exhausted.
Talk to your doctor!!! Heart issues can do that!!! See a doctor!
Wowwwzzzzaaaaaa. Recently I had cataract surgery. I was extremely nervous even though I had taken both of my parents 20-30 years ago and knew tons of people who had the same procedure. I believe it was less than 10minutes. Seeing a video of the process ,😎
Interesting podcast. Thank you Max💜
Great info. I'm due to have a couple more back opperations and you have given me some comfort.... cheers.
I have had too many surgeries, and this video would have been handy 23 years ago when I experienced my first time being put under for a UUVP. The experience was great. It was a long surgery. My next anesthesia was for a colonoscopy. In my opinion I was way over sedated. Since that one, I have had no sedation for colonoscopies. My next surgery was to repair/reattach the tendon connecting my bicep to my forearm. Again, a great experience. In December '15 I was under for 4 hours for a "simple" kidney stone removal from my right ureter. I remembered the moment I went under and the moment I came to, staring at a clock at both ends of the surgery. I was shocked that it took 4 hours. They chipped my top right front tooth during that surgery as well. Fortunately the chip was saved and a cosmetic dentist repaired it. They blew through my right ureter and left the stone requiring a return trip to the O.R. twelve days later to go after it. The second surgery lasted 20 minutes and the stone was removed. Much infections and complications followed. An endoscopy was next -- in and out. Then an arthroscopic to clean up my knee. No problem. At that time, I was still living with the thought that every time I was put to sleep it was general anesthesia. THEN I had a full knee replacement -- they used General Anesthesia, and man did I know the difference! No more if I can avoid. I had hallucinations for weeks afterward; not unpleasant or scary, some almost funny, but definitely hallucinations. Two separate shoulder surgeries after that, and anesthesia not as pleasant as previous. Before the surgeries, I was sent a link to watch and learn about "going under." But they covered none of what you did here. In none of my surgeries did the anesthesiologist explain what you stated they should. I had no idea until this video. Thank you! I don't plan on any more surgeries. But at least now, I've learned much about what is what. 👍
Always great information... Thanks Dr. Max!
Thank you for this. I haven't had general anestesia since I was 16, so 40 years ago. I was scared but this really helped.
You guys are geniouses. Complicated, critical and very dangerous job. I've heard you look for increasing heart rate as indicating fear and pain. I quit breathing last surgery. Came to briefly being yelled at to breathe.
Great video man! That was great info! I learned a lot, I can’t wait to start Donating to the anesthesiologist Foundation in August since It was hard for me to go to college to be a anesthesiologist after I graduated high school in 08 because of my cerebral palsy, I’m excited! I have had 14 surgeries because of my cerebral palsy I’m 32, Anesthesiology is a great field!!! You rock man! I have always wanted to be a anesthesiologist every since I was a kid!
Brilliant young man. You can take care of me because you explain everything so well.
I wish I had seen this video sooner. I have an ablation in two days and I really hope the anesthesiologist will explain it all to me this clearly.
great surgeries would not be possible without anaesthesia and doctors who are trained to use it. thank you.
I just had surgery and was there one minute and boom out the next! Waking up after the surgery was easy. My anesthesiologist Ned, was the bomb!
great video, great doctor, its a gift from God to have such a good doctor to work in any hospital.
This video is fantastic, thank you very much! Everything is very well explained!
Great video presence, Max. Very understandable.
Dr. Feinstein: 30 years in the OR as a RN....you are a great communicator and it was hilarious when you were "playing" irrate surgeon!! Lol!!! Many, many changes have occured during my tenure. Love my anesthesiologists, they really are the best
You're great at what you do.
Absolutely love this video. Informative, funny and yes, Kobe is a good touch. well he's being him just as he should be. Really sweet. 🥰.Tks for all your videos, I'm learning to be an Anesthesia Tech and I find this info important as I get to understand what from a physician perspective expects of me and what my role is in the OR.
Nice! Max FEINSTEIN! Thank YOU!
Educational, to the point, well presented.
So glad to come across ur channel. Great info.
The most important thing I've learned is to describe my past experiences with anesthesia. Some really good and some really bad.
When I describe what happened, they seem to understand immediately and will adjust. I never have those situations duplicated. Communication is key. Give them a thorough history of your experiences.
Thank you for this video. I learned a lot! You are a great educator!!
Interesting. Informative. Thank you.
I was under Anesthesia for 5 hours. Seemed like 10 minutes. I didn’t remember anything. I woke up in recovery…..the anesthesiologist and the Medical staff were so caring and professional
Thx. Doc. Great presentation! Brilliant insights into anesthesiology. I’ve had my share of surgeries and I always look forward to meeting my anesthesiologist. Typically the friendliest of the surgical team and my best friend for the next hour or two. 😊😊
Great presentation Doc. !!!!
Getting knuckle replacement surgery soon due to arthritis, your video helps me to comprende, gracias Doc. !!
While the surgeons are believed to be the super star of the OR, and so many are worthy, I noticed from an early age that the anesthesiologists are true heroes. You meet them briefly for a very important discussion before your surgery, and then in the OR and that is it! Kudos to all the hard work you do! You are awesome!
Thank you for this clear and informative video. I had my first general op last year. It was a minor op (I was out for about 30 mins apparently,) and was given IV sedation and I believe gas (I had a mask popped onto my face before going completely under.) As they put the mask on, I felt a rush of tingling up into my face. The last thing I remember was a nurse asking me what my favourite drink was. I got as far as "Cherry Co...." before everything went black. Next thing I remember was being wheeled into the recovery ward.
The only slightly crappy thing was that in the weeks following the procedure, I was having breathing issues/chest tightness. Best way I can describe it was feeling like a band around my chest and being hyper aware of my breathing. I did get this checked out and they found nothing alarming with my heart or lungs, but did put it down to "potential mild pleurisy". It resolved after maybe a couple of weeks, but I've always wondered that kind of reaction is at all common?
Great video, Max. Very helpful information. And nice informed consent touch, too.
Great video. Thank you Max.
Thank you for this. My son has to have some dental work done under anesthesia (he has Autism and gets full on panic attacks even under gas and anti-anxiety meds). I'm a little anxious about him being under anesthesia and I appreciate the understanding your video provided. Thanks so much!
Thanks for this informative video!
I experienced my first anesthesia (other than tonsils at age 5) when I had a hip replacement due to osteoarthritis. Being a typical engineer, who prefers being "in control", I was very apprehensive and did not sleep for two days ahead of the surgery.. I wish I had had some counseling, which this video is outstanding.
I really enjoy your videos. I have always been interested in medicine, but electrical engineering won out as a career.
Extremely interesting , thank you Max !!!!!
I woke up during a procedure once when I was young. I don’t know how the anesthesiologist missed the fact I opened my eyes and started screaming, but he did. I saw them quickly draw up some propofol and I was out again, but when the procedure was over and I was in recovery, I was pissed off beyond all comprehension. I remembered about five minutes of being open, on the table, draped, and with an oral airway stabilizer in my mouth. Fortunately I wasn’t’ t paralyzed so I was able to sound the alarm that all was not well. I’m very thankful no paralytic had been administered and my heart goes out to those who became conscious but were unable to make the physicians aware of what was going on and that they could hear and feel everything.
Sir, your videos are fantastic. I've been following your videos for quite some time. This has helped a lot of med students like me. I recently went through a post about single lung ventilation on Instagram and I was wondering if you could make a video on that explaining everything about it like why it should be done? When it should be done and possible complications associated with it. This will help a lot.
Just had surgery last week and was being put under for the first time. As a person that suffers with severe health anxiety …I was terrified and having a total panic anxiety. I was a mess crying,vomiting, etc…I was given a sedative to relax yet I was still scared, the anesthesiologist told me he was administering the med, and last thing I remember was telling him I didn’t want it yet, and then I was waking up in recovery. Surgery was 3 hrs but time felt like it never passed.
If you’re reading this and scared, I promise you’ll be fine. Take it from someone that was terrified as hell.
Now, I can go under without being as nervous as I was. A lot of people say they wake up feeling well rested, but I didn’t really get that affect. I was just more in pain from my surgery procedure.
I’d had surgery before, it was no big deal. What freaked me out was when I had to have a DNC and hysteroscopy done. I was told I would be given “twilight sleep” and wouldn’t be totally asleep so I might remember what happened but chances were I wouldn’t remember anything. I have anxiety, so this wasn’t good and was a frightening explanation. When I got in the procedure room, they had to put my arms out to my sides and strap them down. I freaked… I was freaking out on the nurse, crying, asking her to please let me out. While I was looking at her, the anesthesiologist was on my other side and I felt a stab in my hand. I said, “Ow!” still crying, then I suddenly started feeling loopy. Apparently he’d given me an anti anxiety before whatever he knocked me out with because I was freaking out so bad. I remembered nothing and that shot kept me calm all day. Next was a year or 2 later, an endoscopy. Same deal. They used propofol. I was worried I’d remember what was done but nope, not a thing. I’ve had 2 endoscopies, 3 colonoscopies and another DNC and hysteroscopy since, all with propofol. I don’t remember a thing. The down side to the colonoscopies is they need to put the IV in my right arm. That vein collapses a lot so it’s painful to have it in there. I asked the anesthesiologist if he could please push the medicine slowly as it was already hurting (my vein was an unhappy camper) and told him why. He happily agreed then said, “Plus you’ll get a nice buzz before you konk out!” and laughed 😂 Hey, works for me! So he did and I got a great buzz! They also used propofol on my dog to knock him out before they put him to sleep… When the vet told us what she was going to do and mentioned what meds she was going to use, I said, “Oh! Propofol is good stuff! You’re going to like that, Nobu, you’ll feel all loopy and stupid!” The vet looked at me and smiled and told me that was why she loved me, because I did my research and knew so much about what was going to happen. I told her I’d taken many propofol naps myself, that’s how I knew. Needless to say, I told her to push it in slow so he’d go out with a nice buzz and she did. My last gift to my old friend. ❤
It’s amazing what anesthesiologists do for a living. And they’re just as important as the surgeons. Even more so, actually. They have to make sure we stay out during procedures and surgeries and if we’re too anxious, we get a shot of something nice to calm our nerves before we even get anywhere near the OR because they know we need it. They deserve more thanks than they get 😊❤
Thanks for this awesome doc - really interesting, well presented and the best part, I leaned a few things I didn't previously know. I didn't realise the even when anaesthetized properly - the bodies sympathetic response could cause so much trouble.
I can't tell you how grateful I am for the work my anesthesia colleagues perform on our shared surgical patients! And, no thank you. I am not switching to anesthesiology lol.
Love this guy!
Had a tonsillectomy yesterday. Was put to sleep at around 2pm, the operation lasted around an hour and I was awake by 3:30pm! I don't remember any of the operation. I remember laughing and joking with the nurses in theatre while I was being injected with anaesthetic and the next thing I remember is waking up in the ward after 🤣 It went really well and I didn't even feel groggy after i'd woken up. No dizzyness or nausea, which is what I was expecting. The NHS here in the UK are incredible and as stretched as they are right now, they do an amazing job.
I admire your field. Best wishes on a long and successful carrer. Thank you.
That was really interesting. It is more complex than I thought.