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Anatomical Landmarks When Intubating

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  • Опубликовано: 2 ноя 2017
  • In this video George uses a Glidescope to help identify airway anatomical structures of the airway that are useful for endotracheal intubation. After that, see how well it goes when he tries to insert the Glidescope into his own airway without any medications to alleviate his pharyngeal reflexes...or any reflexes for that matter.

Комментарии • 147

  • @lers4201
    @lers4201 4 года назад +101

    George, trying to pass the bronchoscope down your throat was crazy and wild. I’ll give you a 10 for trying. Thank you for the clear and quick tutorial.

  • @coyotez5
    @coyotez5 4 года назад +212

    I wish I could work under someone so dedicated to learning they’d self glide scope lol

  • @ttbonam
    @ttbonam 4 года назад +4

    Really appreciate your posting this. Thank you for your time!!! Super informative

  • @akashmenanmenan50
    @akashmenanmenan50 3 года назад +15

    How dedicated he is 😱👌!!

  • @TheTribalButterfly
    @TheTribalButterfly 5 лет назад +6

    I'm not a medical student or professional.
    I'm a patient who recently had a surgery where intubation was necessary, and I was pretty freaked out by the thought of it.
    This video was really helpful for me, because now I have more of an understanding about what was done to me and why my throat was sore for a few days afterwards.
    I know a lot of patients do not want to see RUclips videos about what is going to happen to them during surgery, but I personally find it comforting to know exactly what is happening while I am asleep, so that I can eliminate any mystery, fear through confusion, and have a better understanding about why I feel how I feel, what was done to me, and how it's affected my overall quality of life.
    Thank you so much for videos like this. You not only help the future students of Medicine, but also us more curious patients. :)

    • @Vicmot
      @Vicmot 5 лет назад

      Did you get any psychosomatic sensations?

    • @TheTribalButterfly
      @TheTribalButterfly 5 лет назад +2

      @@Vicmot just a sore throat for a few days.
      Nothing more interesting than that.

  • @gg038
    @gg038 4 года назад +1

    Much thanks and respect!!!! More power to you sir!

  • @jakenbacon5322
    @jakenbacon5322 3 года назад +1

    Thank you so much for this entertaining and educational video! 10/10!

  • @benebutterbean2737
    @benebutterbean2737 4 года назад +4

    Thanks, I will try this tonight. I MacGyvered a bunch of equipment this morning, and I am eager to apply all my newfound knowledge. No epiglottis will resist my forceful advance.

  • @cschaka1
    @cschaka1 2 года назад +2

    A nurse here, thank you so much for the video, I needed it as to the anatomy of Larynx and esophagus as seen from above, so thank you 😊

  • @jenniferhiggins4133
    @jenniferhiggins4133 Год назад

    Thank you for all the videos! Truly appreciated

  • @walterestrada9523
    @walterestrada9523 5 лет назад +2

    Amazing video , thanks again 🙏

  • @katushabedoreen453
    @katushabedoreen453 4 года назад +2

    wow, using yourself as a specimen, its epic! Thank you

  • @vsg5549
    @vsg5549 5 лет назад +15

    thank you sir for this lovely presentation and the fact you took it one step further for us to see the real life anatomy is everything clearly you like to educate........thank you

  • @Jenniekinz
    @Jenniekinz 5 месяцев назад

    Listen you did a phenomenal job! Thank you

  • @dr.aditirana204
    @dr.aditirana204 4 года назад +3

    Thank you so much 🙏 It was really helpful for a new intern doctor in India 🇮🇳😊

  • @anant02jan1
    @anant02jan1 4 года назад +1

    Thank you so much Sir... Not many people would be this committed 😎

  • @waynekenoff5532
    @waynekenoff5532 5 лет назад +4

    Best video for intubation!

  • @Emmanemanemm
    @Emmanemanemm 5 лет назад +3

    I'm just here because I was curious and doing research for a story I'm writing. This was interesting, informative and overall awesome. I learned a lot and it has only increased my respect for the medical profession. Great video and great job!

  • @alfonsoolmedag
    @alfonsoolmedag 3 года назад

    Perfect video, it helped me so much, thank you. Regards from Mexico.

  • @FaisalKhan-xj1qu
    @FaisalKhan-xj1qu 4 года назад +4

    Love you professor for demonstrating on your self 😄❤

  • @Amitsuman101
    @Amitsuman101 Год назад

    much appreciable and informative... big thanks!

  • @mercedesmaribelbaldo3609
    @mercedesmaribelbaldo3609 4 года назад +1

    Quick and easy tutorial.thanks a lot

  • @namratakundu8090
    @namratakundu8090 4 года назад

    Lively to learn from you...made it more interesting ..

  • @zizzolizzo1
    @zizzolizzo1 3 года назад

    You rock! Love your videos! 🥰

  • @MrDaanjanssen
    @MrDaanjanssen 6 лет назад +83

    5:34 Some quality content right there haha

    • @GeorgeORRT
      @GeorgeORRT  5 лет назад +12

      I've got a pretty active gag reflex. I attempted it again without the camera.........had the same effect

    • @solomongrundy2211
      @solomongrundy2211 5 лет назад +2

      I'm gonna say the n word

  • @GabrielaSardella00
    @GabrielaSardella00 2 месяца назад

    Amazing video. Thank you

  • @elgharbiazza9186
    @elgharbiazza9186 6 лет назад +3

    thank you for the video it is helpful hard work

  • @nunchukgrl2
    @nunchukgrl2 3 года назад

    This is such a valuable video. Thank you!

    • @GeorgeORRT
      @GeorgeORRT  3 года назад

      Thanks very much. Glad it helped.

  • @rumycacchioncella7321
    @rumycacchioncella7321 3 года назад +4

    really thank you so much for that video!!! i'm a nurse, recently started to work in OR, always seen intubation in ER, never seen one in person. I'm doing my training in anaesthetic, and couldn't really understand what happens once the ETT is inside. know I can understand what really happens, and I can do the "think ahead in case the anaethetist will need something different from the original plan". really appreciated, thanks you so much!!!

    • @BoogieDownProduction
      @BoogieDownProduction 3 года назад

      How did your training go?

    • @rumycacchioncella7321
      @rumycacchioncella7321 3 года назад +1

      @@BoogieDownProduction all ok, thanks. There has been emergencies, and i knew what to do and anticipated the anaesthetist. I was soooo happy about it!

  • @user-zp7qj3km9n
    @user-zp7qj3km9n 8 месяцев назад

    Thank you so much for this video and your best teaching abatomy of structure that retain in ETI

  • @user-iy1sm9rg1s
    @user-iy1sm9rg1s 10 месяцев назад

    This absolute mad lad tried to intubate himself while awake and no numbing lol. 10/10

  • @ucnguyentrung8078
    @ucnguyentrung8078 4 года назад

    thanks for your effort showing us

  • @MedSurvival
    @MedSurvival 5 лет назад

    To the point and very well presented👍👍👍👍👍👍👍👍

  • @evil2devil
    @evil2devil 5 лет назад +1

    Excellent video George

  • @profmasteracful
    @profmasteracful 4 года назад +1

    Such a Master at teaching . My respects to you.

  • @asucena5575
    @asucena5575 2 года назад

    Thank you this video was really helpful!

  • @kamnasainimahawar7831
    @kamnasainimahawar7831 4 года назад

    Best video
    Dr.Bhanu

  • @edufaria77
    @edufaria77 6 лет назад +1

    Great video!!

    • @GeorgeORRT
      @GeorgeORRT  6 лет назад +1

      Thank you for your nice comment!

  • @nigelthomas4820
    @nigelthomas4820 5 лет назад

    Great video

  • @Gtugcu
    @Gtugcu 6 лет назад +1

    Great resource. Thanks!

  • @robertdemitro1520
    @robertdemitro1520 3 года назад

    Good teacher !

  • @Subjectivereviewsfully
    @Subjectivereviewsfully 6 лет назад +8

    Pls do make video on various nerve block techniques

  • @genesisdayrit1
    @genesisdayrit1 6 лет назад +46

    Hahaha self-glidoscope was hilarious

    • @GeorgeORRT
      @GeorgeORRT  6 лет назад +4

      Glad you liked it. Getting the nerve to attempt inserting an OPA on myself too. Stay tuned

  • @burakuzun2045
    @burakuzun2045 5 лет назад +2

    I thought it was a bad joke at the begining of self procedure but it wasn't 😀 And I liked the way you teach George O. RTT

  • @abdulaleem750
    @abdulaleem750 3 года назад

    Very dedicated sir, inspired.

  • @vukken99
    @vukken99 2 года назад +2

    George thank you for a great video.
    I wanted to ask you what brand and the model of your manikin you are using???
    The landmarks looks excellent. Thank you!

  • @XX-ru5wu
    @XX-ru5wu 5 лет назад +4

    Finally 1 best video ! Thanks 1000x times. Great. Great tipss, great landmarks, great explanations!!! Please similar vidoes for RSI -medications for adult +childs with drugs in mg etc + ventilation-values etc after intubation child+adult. Respectful greetings from Germany.

  • @hayfamustafakhudher2920
    @hayfamustafakhudher2920 4 года назад

    Thank you 😊

  • @Lonesoul9791
    @Lonesoul9791 4 года назад

    Very helpful video!

  • @santiagoalejandrogomezcelis
    @santiagoalejandrogomezcelis 5 лет назад +1

    Grate video!

  • @swamychenalla5772
    @swamychenalla5772 2 года назад

    Thank you 🙏

  • @myawho5317
    @myawho5317 2 года назад

    didnt expect that self glide scope though hahaha ..thank you sir for the video

  • @drmukeshpatel1348
    @drmukeshpatel1348 4 года назад

    Excellent

  • @Some_Beach
    @Some_Beach 4 года назад

    Oh man you're crazy! Amazing dedication, thank you so much for the video!!!!

  • @mridulaba8084
    @mridulaba8084 5 лет назад +1

    thank you for your kind information sir....

    • @GeorgeORRT
      @GeorgeORRT  5 лет назад

      Glad you found it informative. Have a great day

  • @ravekieran319
    @ravekieran319 2 года назад

    Thank you

  • @samiksharana5496
    @samiksharana5496 6 лет назад +9

    No matter who taught me intubation on a patient always showed me the cords and told me to insert the tube... Nobody focussed on the basics of laryngoscopy. I feel taught now.

  • @spartacus6436
    @spartacus6436 4 года назад

    loved your video

    • @GeorgeORRT
      @GeorgeORRT  4 года назад

      Thank you. Be and stay safe.

  • @dangabbor3072
    @dangabbor3072 6 лет назад +10

    Thank you, today I had my first attempt but the tube was to big for the space between the vocals cord. And the resident took over the procedure. I'll try tomorrow again , thank you

    • @GeorgeORRT
      @GeorgeORRT  6 лет назад

      Generally we assume that certain sizes of ETT's would work during ETT insertion for a male versus female patient regardless of the size of the patient. Occasionally what we think will be adequate doesn't work when you visualize the internal laryngeal structures of the hypo or laryngopharynx..specifically the glottis and vocal cords. Another way to guestimate the size of tube to use is by looking at the size of the patient's little finger, but this method of estimation is quite variable and open to interpretation. Hope you have a successful intubation the next time you try.

    • @GeorgeORRT
      @GeorgeORRT  6 лет назад

      Excellent. I wish you much success in the future! Time it with inspiration and go for it. Proper prep up to the actual insertion is vital.

  • @luqmankhan2934
    @luqmankhan2934 3 года назад

    Amazing

  • @tpna
    @tpna 3 года назад

    😂 loved it! And I have the same stethoscope 🤸🏾‍♀️ il take that as a sign of me being a good anaesthesiologist one day 😉

    • @GeorgeORRT
      @GeorgeORRT  3 года назад +1

      Right on!! Keep it up and the future is yours

  • @jjack2542
    @jjack2542 3 года назад

    Nice video

  • @shandusa
    @shandusa 4 года назад

    Perfect

  • @morelhunter3966
    @morelhunter3966 6 лет назад +16

    "Hi it's Me again!" Hi Me!

  • @davidaritonang
    @davidaritonang 5 лет назад

    keep make the movie sir,..it is great..

  • @elsir5089
    @elsir5089 9 месяцев назад

    woooooow, that escalated quickly.. defenitly subscribe!

  • @martyyoung1047
    @martyyoung1047 4 года назад

    Awesome

  • @elgharbiazza9186
    @elgharbiazza9186 4 года назад

    thank you

    • @GeorgeORRT
      @GeorgeORRT  4 года назад

      Thanks for your comment. I appreciate it!!

  • @drdoolittle8727
    @drdoolittle8727 3 года назад

    Thank u

  • @amimameiza5102
    @amimameiza5102 4 года назад

    Thank u sir

  • @daftpunk5656
    @daftpunk5656 3 года назад

    Best ever

  • @andrewlee6576
    @andrewlee6576 4 года назад

    So relevant today. Is there a video about for example say, you have an unconscious patient, still breathing, you don't have any anesthesia drugs, but the patient needs ventilation, however there is no mechanical ventilator available. There is oxygen though. So what I am asking is, could you intubate someone unconscious without anesthesia and ventilate them manually using a bag hooked up to an oxygen supply?

    • @qiongwan6265
      @qiongwan6265 4 года назад

      You can do it. Specially if patient show signs and symptoms of resp distress. However you can do Bag mask ventilation if you are not comfortable to put tube for pt. Oral airway or nasal airway is a good option.

  • @KillJoy_Since2017
    @KillJoy_Since2017 4 года назад

    4:40 great content

  • @khizarhayat2937
    @khizarhayat2937 5 лет назад +3

    Sir how will we know we are indeed lifting the epiglottis when we are using a laryngoscope

  • @DentalChick854
    @DentalChick854 5 лет назад

    Hahaha! What a Trooper Doc.

  • @abhinavjay2126
    @abhinavjay2126 3 года назад

    Hello sir
    I noticed a swelling on your palate
    Probably palatal torie ..
    I hope u have got it checked atleast once

  • @COOLDUDE83602
    @COOLDUDE83602 5 лет назад

    Which paralytics are usually used? Great video! Very informative.

    • @GeorgeORRT
      @GeorgeORRT  5 лет назад +1

      Hi: Succinylcholine is used in the ER's in our area (assuming that patients in the ER that require resuscitation may have gastric contents) and Rocuronium in the ICU's. Local anaesthetics like xylocaine/lidocaine may also be applied too. Propofol is another aid to intubation as well.

    • @sayantanighoshhazra9027
      @sayantanighoshhazra9027 4 года назад

      Thank you for addressing this question! 💟

  • @atheer9632
    @atheer9632 Год назад

    Hhhhhhhh the best video ever

  • @RalphDratman
    @RalphDratman 2 года назад

    Very basic question: what does the word "blade" signify in the context of the laryngoscope?
    I'm guessing that this kind of blade is not an instrument used for cutting.

    • @valentinemcdermott
      @valentinemcdermott 2 года назад

      It refers to the flat metal part of the laryngoscope that is advanced into the patients mouth and throat to help guide the endotracheal tube into the airway. You’re right that it’s not used for cutting, really just called a blade because it it’s flat and made of metal.

  • @parampam2408
    @parampam2408 4 года назад +2

    thankyouuu

  • @elvlogbasico7166
    @elvlogbasico7166 4 года назад +3

    Anybody was reccomended this video during covid-19??

  • @neigeepierrot4694
    @neigeepierrot4694 4 года назад

    Damien that is awesome you can see the patients entire airway

    • @GeorgeORRT
      @GeorgeORRT  4 года назад +1

      Thanks. Remember to ensure proper positioning when intubating. That being said, always be prepared for the patient that has a difficult airway and what your backup plan is should intubation turn difficult to impossible.

    • @neigeepierrot4694
      @neigeepierrot4694 4 года назад

      @@GeorgeORRT thank you for the advice as well as for making such wonderful videos, hopefully, I get to put it to use

  • @mistergood1352
    @mistergood1352 4 года назад

    What we should do if the patients who have gag reflexes ?

    • @qiongwan6265
      @qiongwan6265 4 года назад +1

      Give more sedation drugs and relaxent.

  • @babatundebabalola8478
    @babatundebabalola8478 4 года назад +1

    Thumbs up

  • @mr.spicyhotdog
    @mr.spicyhotdog 3 года назад

    Please teach us cricoid pressure

  • @flandrescarlet1111
    @flandrescarlet1111 3 года назад

    everyone gangsta unti he's self glidescope himself

  • @geurimbyilju6857
    @geurimbyilju6857 3 года назад

    omg i was so surprised

  • @noshortstuff488
    @noshortstuff488 Год назад

    wow! a like and subscribed haha

  • @KillJoy_Since2017
    @KillJoy_Since2017 4 года назад

    Why is it upside down ?!?!?!?!

  • @ricardoramirez848
    @ricardoramirez848 4 года назад

    🤣🤣🤣 best demonstration ever

  • @Some_Beach
    @Some_Beach 4 года назад

    So if someone doesn't have a gag reflex, do they need the numbing?

    • @GeorgeORRT
      @GeorgeORRT  4 года назад

      Hi: If they're completely unconscious and un responsive then you won't need to numb their airway. You'll know if they have an active gag reflex as soon as you try to insert an OPA or a laryngoscope/video laryngoscopy.

    • @Some_Beach
      @Some_Beach 4 года назад

      George O. RRT I see, interesting! I know some people who just don't have one for one reason or another, that's why I asked

  • @rudeboy5127
    @rudeboy5127 2 года назад

    I saw a man die when the paramedic could not Intubate. How hard can it be?

  • @rollacosta41
    @rollacosta41 5 лет назад +11

    I laughed when he gagged. Lmaoo

  • @natalyashynhera2241
    @natalyashynhera2241 3 года назад

    George, you are so wonderfully crazy 🙃

  • @NN-rn1oz
    @NN-rn1oz 4 года назад

    Self-cric coming up.

  • @Bourneagainright
    @Bourneagainright 3 года назад

    Youre funny doc

  • @thegoodwillstudios3698
    @thegoodwillstudios3698 4 года назад +2

    Lissa Ann wld be a good specimen....she has no gag reflex

  • @jordanm618
    @jordanm618 6 лет назад

    Eee

  • @thealprax2190
    @thealprax2190 3 года назад

    Me ...dyamn

  • @ginagalmenin7578
    @ginagalmenin7578 4 года назад

    Covid19 brought me here.