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Thanks for this. As a patient who was on ECMO for 3 mths, I was intubated and trached. Waking up not able to speak is beyond scary. I came across this video in an effort to understand what was done to me. Tip to the nurses, learn to read lips!
Eddie, I can't even thank you enough for creating these videos. I can't imagine how much time you spent gathering this information and presenting it in a way that is understandable. You are so knowledgeable! I'm a senior nursing student and will be starting in a surgical ICU as a new grad. I've already watched several of your videos, but my plan is to binge them all before my orientation starts :) thank you again!!!!
Please never stop making videos! As a nursing student in COVID your videos have been super great as I dont have much clinical experience due to the pandemic! NEVER STOP
So sorry I missed this at first Lucy! Thank you so much for this and I will certainly keep making these videos. Really glad to hear that you have found them helpful especially after going through school during this pandemic. I can't even imagine!
I'm currently in Paramedic school (nurse in a box) I've been watching these as supplemental study materials. Thank you! It helps to have the how's and whys on the other side of the equation.
I love watching your videos! I started using them while in nursing school to prepare for exams, and now I just graduated & got a job in NICU! Really looking forward to continuing to use the concepts you teach to be able to be a competent nurse! Thanks again for creating such clear, easy to understand & visually appealing content!
Congrats Vanessa! I bet you are glad to be done! And way to go on the new NICU position. Sorry I don't have anything specific for NICU as its a completely foreign world for me, but I'm sure a lot of these concepts still apply in many ways. Best of luck to you.
@@ICUAdvantage Thank you so much! And no worries at all--the concepts definitely apply to better understand critical care!! Appreciate you and wish you lots of success on your channel & beyond! :D
I'm on television and these videos help so much in assessing my ot if they need to be incubated and go to ICU I am a nurse for only one and a half years so your videos help ty
This was a very good respiratory video I’m taking my first class and it definitely helped a lot thank you for posting this video because I should help me a lot for my skills test coming this Tuesday that I need to pass
Only thing I have to say is make sure you pick a MPOA that you trust to follow your wishes!! Having a family member change the code status last minute is something I see often. That to me is one of the hardest things about working in the ICU.
Yes this is so true. Unfortunately when people feel they are the one making the decision to live or die, it becomes very difficult for them and far too often we see it reversed. It’s tough
Just a fact check: Routine EGDs never have intubated patients. These patients get MAC anesthesia which is mostly propofol. If things go wrong, nasal trumpets can be inserted. Never seen an EGD need to be intubated. The doctor can visualize and distinguish trachea from esophagus, and puts the EGD scope down the esophagus. Also, at 5:35 you say bronchoscopy REQUIRES an ET tube in place to perform it. This is false. Doctors just guide the bronchoscope down the trachea instead of the esophagus. These are even done at bedside. Commonly, these are done by giving MAC anesthesia like Propofol.
No need to "fact check" here. I'm not trying to spread disinformation. Just one guy trying to help educate and I've always welcomed clarifications and corrections. Valid point with the EGD, but in many cases of emergent EGDs, the patient has often been intubated prior (for various different reasons). As for bronchs, I may stand corrected. I, personally though, had never seen a single one done on a non-intubated patient in the ICU.
@@ICUAdvantage That’s fine. I’m not trying to offend- you’re speaking from your experience and I’m speaking from mine. I just wanted to clear something up since you make educational content.
Can you please do a video on intubated patients that are desaturating. For example how do you approach a patient on 100% FiO2 and is not saturating well.
Applying firm, steady upward pressure at a 45-degree angle, the curved laryngoscope is used to lift the epiglottis and expose the vocal cords. Once the glottis is visualized, the operator will ask the respiratory assistant to place the endotracheal tube with the malleable stylet on the operator's right hand
So I am actually watching your content to help me in writing more accurate fiction. Future sci/fi no less. But even future medicine will have some basics in modern. You still need to give a patient fluids and drugs intravenously even if the IV doesn't use a needle. You still need to maintain their airway and a tube down their throat is the most effective. I am writing about a character getting run through with a sword. He ends up with a pneumothorax and while it is future medicine the most effective way to rapidly deal with his collapsed right lung is a needle chest decompression. And in order to maintain his airway they do intubate him though it is mentioned it is far less common but getting run through with a sword is a pretty extreme circumstance. I have even watched videos of intubations and needle chest decompression so I can write it better. 😺
Yes. I am a Respiratory therapist and we are required to obtain malpractice insurance for this reason. You also have to get separate certification in addition to the Resgistred Respiratory therapist (RRT) credential in order to do intubations. Since this certification is optional, not all therapists have them. I have been certified to intubate for 5 years. The intubation certification gives you an edge because they will offer you higher pay if you have it. Also RTs are called "therapists" or "practitioners" not techs. 😁
Absolutely you certainly can and if it is reversible, then no need to intubate. But if its persistent, then this is when we would be needing to intubate and put on a ventilator so we aren't BVMing them the whole time 😊
Ventilators or intubation patient specially covid patient who already suffering from Hypoxia is definately dangerous and confirmed killed of a patient!
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❤🙏🏼 Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support
Notes for this lesson (and all previous lessons) are availably only to RUclips and Patreon members. Links to join both here ⬇
► RUclips: adv.icu/ym | ► Patreon: adv.icu/pm
Thanks for this. As a patient who was on ECMO for 3 mths, I was intubated and trached. Waking up not able to speak is beyond scary. I came across this video in an effort to understand what was done to me. Tip to the nurses, learn to read lips!
Glad to hear ECMO was available to you and that you made it through!
As for the lip reading, I'm not going to lie, its really hard sometimes!
Basic asl helped Mr communicate
Eddie, I can't even thank you enough for creating these videos. I can't imagine how much time you spent gathering this information and presenting it in a way that is understandable. You are so knowledgeable! I'm a senior nursing student and will be starting in a surgical ICU as a new grad. I've already watched several of your videos, but my plan is to binge them all before my orientation starts :) thank you again!!!!
Please never stop making videos! As a nursing student in COVID your videos have been super great as I dont have much clinical experience due to the pandemic! NEVER STOP
So sorry I missed this at first Lucy! Thank you so much for this and I will certainly keep making these videos. Really glad to hear that you have found them helpful especially after going through school during this pandemic. I can't even imagine!
I'm currently in Paramedic school (nurse in a box) I've been watching these as supplemental study materials. Thank you! It helps to have the how's and whys on the other side of the equation.
I love watching your videos! I started using them while in nursing school to prepare for exams, and now I just graduated & got a job in NICU! Really looking forward to continuing to use the concepts you teach to be able to be a competent nurse! Thanks again for creating such clear, easy to understand & visually appealing content!
Congrats Vanessa! I bet you are glad to be done! And way to go on the new NICU position. Sorry I don't have anything specific for NICU as its a completely foreign world for me, but I'm sure a lot of these concepts still apply in many ways. Best of luck to you.
@@ICUAdvantage Thank you so much! And no worries at all--the concepts definitely apply to better understand critical care!! Appreciate you and wish you lots of success on your channel & beyond! :D
Starting my first ICU RN job next week. Super grateful to have videos like this to teach me this crazy important stuff before I hit the unit :).
Congrats on the new ICU position and wishing you the best! Its a heck of an adventure!
I'm on television and these videos help so much in assessing my ot if they need to be incubated and go to ICU I am a nurse for only one and a half years so your videos help ty
It’s a never ending learning process! Glad you find the videos helpful Patti and thanks so much for your support!
This was a very good respiratory video I’m taking my first class and it definitely helped a lot thank you for posting this video because I should help me a lot for my skills test coming this Tuesday that I need to pass
As Weaning begins with intubation, could you create a video for SAT and SBT?
Or generally the abcdef Package?
Thanks man, great content as always
Glad you liked it! And yes, I do have those on the todo list! Thanks for the suggestions.
I am 3 weeks in ICU thanks for these videos
I also wanted to check have you done a intubation grading video
Thanks for this explanation, just in time for my current modules.
Only thing I have to say is make sure you pick a MPOA that you trust to follow your wishes!! Having a family member change the code status last minute is something I see often. That to me is one of the hardest things about working in the ICU.
Yes this is so true. Unfortunately when people feel they are the one making the decision to live or die, it becomes very difficult for them and far too often we see it reversed. It’s tough
I love your videos. Can you please go over some common bedside procedures that nurses do in ICU and more lectures on different systems.
Thanks Bandana! I do have a lot of stuff on the todo list to get around to eventually!
You should make ICU ADVANTAGE under scrubs!!!
Just a fact check: Routine EGDs never have intubated patients. These patients get MAC anesthesia which is mostly propofol. If things go wrong, nasal trumpets can be inserted. Never seen an EGD need to be intubated. The doctor can visualize and distinguish trachea from esophagus, and puts the EGD scope down the esophagus.
Also, at 5:35 you say bronchoscopy REQUIRES an ET tube in place to perform it. This is false. Doctors just guide the bronchoscope down the trachea instead of the esophagus. These are even done at bedside. Commonly, these are done by giving MAC anesthesia like Propofol.
No need to "fact check" here. I'm not trying to spread disinformation. Just one guy trying to help educate and I've always welcomed clarifications and corrections.
Valid point with the EGD, but in many cases of emergent EGDs, the patient has often been intubated prior (for various different reasons). As for bronchs, I may stand corrected. I, personally though, had never seen a single one done on a non-intubated patient in the ICU.
@@ICUAdvantage That’s fine. I’m not trying to offend- you’re speaking from your experience and I’m speaking from mine. I just wanted to clear something up since you make educational content.
Can you please do a video on intubated patients that are desaturating. For example how do you approach a patient on 100% FiO2 and is not saturating well.
Applying firm, steady upward pressure at a 45-degree angle, the curved laryngoscope is used to lift the epiglottis and expose the vocal cords. Once the glottis is visualized, the operator will ask the respiratory assistant to place the endotracheal tube with the malleable stylet on the operator's right hand
Thanks for sharing!
In respiratory failure we can use NIV to avoid it
It's not standard
I'd say its standard if the patients condition warrants it for sure.
So I am actually watching your content to help me in writing more accurate fiction. Future sci/fi no less. But even future medicine will have some basics in modern. You still need to give a patient fluids and drugs intravenously even if the IV doesn't use a needle. You still need to maintain their airway and a tube down their throat is the most effective. I am writing about a character getting run through with a sword. He ends up with a pneumothorax and while it is future medicine the most effective way to rapidly deal with his collapsed right lung is a needle chest decompression. And in order to maintain his airway they do intubate him though it is mentioned it is far less common but getting run through with a sword is a pretty extreme circumstance. I have even watched videos of intubations and needle chest decompression so I can write it better. 😺
Are all patients intubated during balloon artheoplasty?
I'm thinking about going for Respiratory tech school, can you get sue by family or the patient if you make a mistake?
Yes. I am a Respiratory therapist and we are required to obtain malpractice insurance for this reason. You also have to get separate certification in addition to the Resgistred Respiratory therapist (RRT) credential in order to do intubations. Since this certification is optional, not all therapists have them. I have been certified to intubate for 5 years. The intubation certification gives you an edge because they will offer you higher pay if you have it. Also RTs are called "therapists" or "practitioners" not techs. 😁
Thanks
You’re welcome
Nice!
Thanks Hayleigh!
In apnic patients, can we use (mask) to ventilate ?? Why ??
Absolutely you certainly can and if it is reversible, then no need to intubate. But if its persistent, then this is when we would be needing to intubate and put on a ventilator so we aren't BVMing them the whole time 😊
WHO is intubation?
Who is intubating? Or just having a fun play on words? 😊
I can only imagine how uncomfortable it would be to undergo intubation! It is not an appealing thought lol
For sure. This is why we sedate typically
It's nothing more than human torture. It's also very degrading😣😣☹️☹️
It can cause death to a patient!!!
No doubt. I'm still embittered by the whole thing, especially since nothing was explained to me beforehand and I could have refused.
Ventilators or intubation patient specially covid patient who already suffering from Hypoxia is definately dangerous and confirmed killed of a patient!
Very helpful! Thnx