It's Time to Intubate. Now What Do We Do?

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  • Опубликовано: 22 дек 2024

Комментарии • 113

  • @95sohaibawan
    @95sohaibawan 2 года назад +111

    I'm an anesthesia resident and I'm binge watching your videos. We rotate through the ICU a lot and I'm finding your content very helpful both for the ICU and in the OR. Keep up the good work!

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +8

      So cool! Glad to hear you have enjoyed the videos and wishing you the best as you finish up your residency!

    • @mujjuman
      @mujjuman 2 года назад +3

      @Medical St same

  • @hazelfrond1830
    @hazelfrond1830 Год назад +9

    Beautiful, comprehensive video. New to ICU and had my 1st patient intubation. Next time I'll have that liter of saline (we needed it). Amazing review of the process!

    • @ICUAdvantage
      @ICUAdvantage  Год назад +1

      Thank you so much for this! Yeah I had definately been there without fluid back in the day. I get it. Glad this video helped in some way for the next time.

  • @sumanbiswasmd
    @sumanbiswasmd Год назад +11

    Thanks a lot ICU advantage. IM resident and proud husband of a ICU RN / now NP. I learnt a lot from you. Genuine thanks.

    • @ICUAdvantage
      @ICUAdvantage  Год назад +2

      Very cool! Thanks for taking the time to leave a comment!

  • @kidslearnthroughplaying9155
    @kidslearnthroughplaying9155 2 года назад +21

    Youre such a great ICU Nurse. Youre way knowledgeable than most doctors! Keep it up. Thanks for sharing your knowledge.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +17

      I appreciate the kind words but certainly not more knowledgable than the docs! Just doing my best to share quality info and glad you enjoyed it.

  • @vivianaelizabeth3280
    @vivianaelizabeth3280 Год назад +2

    New grad ER nurse here and OMG! Im in love with your videos! SO helpful. It all makes sense now after graduating nursing school🥲

  • @aluriaparks7330
    @aluriaparks7330 10 месяцев назад +1

    Thank you for sharing your knowledge about nursing through your talent of teaching! I always find your videos so helpful in molding my practice and approach at the bedside.

  • @Tactical12gauge
    @Tactical12gauge 2 года назад +3

    The Liter of saline helps eliminate all the flushes needed, and also you have a bolus ready to go whenever. Biggest tip preceptor showed me.

  • @vivsgm7538
    @vivsgm7538 2 года назад +10

    As I'm preparing for another ACLS certification, I'm going over basic ICU and ER topics as well, and this video is GREAT for pitfall proof preparedness. Thank you so much.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +2

      So great to hear this! Good luck on your recert! Really glad to know this video was well received.

  • @eyang7
    @eyang7 Год назад +4

    Excellent video Eddie. All your videos are very useful for us ER nurses as well. Keep these videos coming. Much love. 🫵👍👏🤩

  • @heatherbiddy9427
    @heatherbiddy9427 2 года назад +7

    I sent it to all of our new ER RNs! I think this is great to "slow down" and know the whats and whys!

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +1

      So cool! Thank you for helping to spread the word. Yeah the hope was to provide an opportunity to talk about it all, which obviously isn't going to happen well in the moment as the focus is on the patient and the situation.

  • @amauriortiz525
    @amauriortiz525 2 года назад +3

    Thank you for this videos !! I’m applying to start working in the ICU and your content is extremely helpful for me to get ready for what is coming !😊

  • @jaimeguadian5558
    @jaimeguadian5558 Год назад +2

    Pending the difficult intubation clip. Thanks for all that you do!

  • @cristian.14ml
    @cristian.14ml 2 года назад +3

    Thank you so much, this kind of stuff saves people lives in ICU

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +1

      Glad you enjoyed it Christian!

  • @brenwick14
    @brenwick14 7 месяцев назад

    Thanks!

  • @emilyadams1967
    @emilyadams1967 2 года назад +21

    Thank you for utilizing RTs!! We’re the people behind the scenes but we’re always in place no matter what! 😊

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +8

      Far from behind the scenes! Right there on the front line! We appreciate the crap out of you guys and we wouldn't be able to do it without you! ❤️

    • @nicholasthompson8772
      @nicholasthompson8772 Год назад +1

      I love my RTs

    • @Pokedawn100
      @Pokedawn100 Год назад +1

      Thank goodness for RTs!!! ❤

    • @joestevenson5568
      @joestevenson5568 Год назад

      Yeah, RTs are everywhere. Except in literally every country except the USA...

  • @mduduzigama5534
    @mduduzigama5534 9 месяцев назад +1

    Great presentation. Watching from South Africa

  • @cheta1677
    @cheta1677 Год назад +2

    Many many thanks. Excellent and will go a long way for me. God bless you.

  • @baynehritz5328
    @baynehritz5328 2 года назад +2

    I swear everytime I think of a video you could do, you magically add it

  • @ghieoptimist
    @ghieoptimist 2 года назад +1

    Thank you so much , i just finish the whole video and its really a good refresher for me as I'm going back to grind in ICU . More Power !

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

      Right on! Get some! Glad you enjoyed it and best of luck back in the ICU

  • @wangxunlipeng9745
    @wangxunlipeng9745 10 месяцев назад +1

    Amazing educator. Thank you!

  • @kingcapricornio1193
    @kingcapricornio1193 10 месяцев назад

    Greatful for all doctors God bless you I had a stroke curious about the process 🙏

  • @justin.fairchild
    @justin.fairchild 2 года назад +5

    Great video as always!! One thing I would add is, depending on hospital policy, restraints may be needed once the intubation is performed.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +2

      Yes, very true!

    • @shelbychilingirian1479
      @shelbychilingirian1479 11 месяцев назад

      @@ICUAdvantage. Can I do it at my nursing school and it does connect to valve ambu bag. Do I have to squeeze 30 times per minute.and it also connects to the monitor.so if my patient needs to be hyperventilating.lung sounds. And I bring my stethoscope.🩺

    • @PeteHob
      @PeteHob 8 месяцев назад +1

      Restraints? Why would the patient not be kept unconscious if they have been intubated if I were fortunate, or unfortunate enough to survive such an ordeal after being intubated, awake alert, and restrained,There would be some fucquing major code red going on between the providers who initiated that policy and myself

  • @cassandregousse4792
    @cassandregousse4792 2 года назад +4

    Thanks for sharing this great and detailed info!

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

      My pleasure. Glad you enjoyed it Cassandre! 😊

  • @cumaiseng8112
    @cumaiseng8112 Год назад +1

    thank you so much for the information, your video very helpful for me

  • @Rescue9411
    @Rescue9411 2 года назад +1

    We are discussing Ketamine for the sedative & analgesic with succinylcholine for the paralytic, have you seen that used?

  • @grahammckain4492
    @grahammckain4492 2 года назад +2

    Awesome! Working as a tech I had no clue how to help set up and was honestly a little terrified of being expected to help. I appreciate this video sincerely.
    Edit: I appreciate all your videos haha

  • @jasony8002
    @jasony8002 Год назад +1

    When stated about inspiration and expiration and looking for change in color what exactly do you mean.... looking for blue to pink when having O2 vs. no O2? Slightly confused with color change on inspiration and expiration .... unless you meant watch for cyanosis to make sure there is a clear aerobic pathway ?

    • @katiekat8997
      @katiekat8997 Год назад

      I think he was referring to the color change on the end-tidal co2 detector. It would be changing from purple to yellow.

  • @jillthompson4280
    @jillthompson4280 Год назад +1

    Reminder that if a pt has been in trendelenberg post op there may be edema in that area that may be a problem if they crash and need to be reintubated.

  • @nimochoudhary6265
    @nimochoudhary6265 2 года назад +1

    Amazing .. plz make some videos on FASTHUG BID and antibiotics /feeding cholries of icu patient ..if u consider my request. Bundle of thankx .

  • @ShahrulKurtAdam
    @ShahrulKurtAdam 2 года назад +21

    This is very comprehensive, usually when it come to intubations, ill use MALES mnemonic to prepare my self and the team.
    M - meds
    A - airway / bvm / opa
    L - laryngoscope
    E - ett / stylet
    S - suctions

  • @caomailan1986
    @caomailan1986 2 года назад +1

    I love watching your videos.

  • @ICUAdvantage
    @ICUAdvantage  2 года назад +1

    ❤ Show your support with an ICU Advantage sticker! 👉🏼 adv.icu/support
    💲 10% off EACH Month @ Nurisng Mastery membership: 👉🏼 adv.icu/mastery
    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

    • @nimochoudhary6265
      @nimochoudhary6265 2 года назад

      Hii. First thing. Thnkw soo much sir as crtical care technologist learn aloot of things through ur vides .. real mantor✨ Plz make some videos on FASTHUG BID and antibiotics /feeding cholries of icu patients thnkw if u consider my request..

  • @chikamsoiwuala3770
    @chikamsoiwuala3770 2 года назад +1

    Outstanding lesson as always. Thank you so much

  • @osielalvarado1921
    @osielalvarado1921 2 года назад +1

    Crazy that we do all of that in the back of an ambulance. Equipment, meds, tube, vent. Cool to see how it goes in the hospital.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +1

      Yeah I have so much respect for y'all for doing so much of this stuff not in the "controlled" environment of the hospital! Hats off to you!

  • @falcony100
    @falcony100 2 года назад +2

    Thank you millions of times🙏🏻

  • @frankthecarrot3118
    @frankthecarrot3118 2 года назад +13

    Can you please add more pictures in every slide

    • @ICUAdvantage
      @ICUAdvantage  2 года назад +4

      I try to include them when I think necessary. What else would you have wanted to see?

    • @subhodiproy536
      @subhodiproy536 2 года назад +5

      @@ICUAdvantage images of each equipment pls, along with the writings

  • @dinishselvaraju
    @dinishselvaraju 2 года назад +1

    Very comprehensive! Thank you 👍

  • @adoctorsdestiny
    @adoctorsdestiny 2 года назад +2

    Amazing as always!

  • @aminakishk6571
    @aminakishk6571 Год назад +1

    Is this done to get more oxygen ? Or are ventilators used as they are very expensive and hospital and everyone gains from that ?

  • @MaryKayLafon
    @MaryKayLafon 4 месяца назад

    Great explanation!

  • @snow86241
    @snow86241 2 года назад +1

    You did a great job!@ Thank you so much for your videos!

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

      Glad you like them and thank you!

  • @jessicacoleman1782
    @jessicacoleman1782 2 года назад

    This is one of your best videos

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

      Thanks for that Jessica. Really glad you liked it!

  • @sinclair657
    @sinclair657 8 месяцев назад

    Thank you

  • @shanekaervin6733
    @shanekaervin6733 Год назад +1

    Would you do a critical care video on Nimbex?

  • @PeteHob
    @PeteHob 8 месяцев назад +1

    OFTEN? Use sedation/ analgesia??? Unless the exception is in patients who have crashed and are already unconscious, they better be premedicating this patient or things will get nasty should I survive this episode

  • @munganiayvonne3548
    @munganiayvonne3548 2 года назад

    Amazing.. Thank you so much

  • @RoGnosis
    @RoGnosis 2 года назад +3

    Very advantageous.

  • @Darvby
    @Darvby 10 месяцев назад

    I’m assuming the bougie takes the place of the stylet?

  • @wesselpretorius4345
    @wesselpretorius4345 2 года назад +1

    thank you so much

  • @cxh1225
    @cxh1225 2 года назад

    Great video again. Thank you.

  • @gborowme
    @gborowme 9 месяцев назад

    Bought 2 t shirt to support us , from nurse Flower 🌺

  • @aminakishk6571
    @aminakishk6571 Год назад

    Is this like a ventilator ?

  • @aminakishk6571
    @aminakishk6571 Год назад +1

    During Covid we had nurses who put in the ventilator tube wrong, it blew up the lungs as they were not told how to properly operate the thing…dead patients….

  • @taylormcneill-es4kb
    @taylormcneill-es4kb Год назад

    What animation software do you use?

  • @mollyhumphries894
    @mollyhumphries894 2 года назад

    Not to be dramatic, but I’m living my life for this videos 😂❤😂

  • @sreeparvathypillai9082
    @sreeparvathypillai9082 Год назад

    Informative vidio

  • @DrManar-mx1bw
    @DrManar-mx1bw 2 года назад

    Very interesting

  • @BoredT-Rex
    @BoredT-Rex 2 года назад +1

    Do you have to scan all the meds in before giving? Since it's emergency. Or can you do that after.

    • @ICUAdvantage
      @ICUAdvantage  2 года назад

      So this will depend on your hospital policy, but typically no. We double check with another RN and then give emergently then chart after. This is also why it’s important to have someone documenting during codes/emergencies.

  • @bradleygonzalez1160
    @bradleygonzalez1160 Год назад +1

    excellent video bro. Jesus Saves!

  • @henriquelopes9596
    @henriquelopes9596 2 года назад

    Wonderfull!

  • @Pokedawn100
    @Pokedawn100 Год назад +1

    Video laryngoscope! Wow! I've been out of the business for awhile.

    • @ICUAdvantage
      @ICUAdvantage  Год назад +1

      They are quite cool and used frequently

    • @RitaMBuda-tz6bi
      @RitaMBuda-tz6bi День назад

      ​@@ICUAdvantagenot if you're on the receiving end of it. It's barbaric and degrading for the patient. NEVER AGAIN!!!!!!!!!😣😣😠😠😡😡😡🤬🤬🤬

  • @theviron6
    @theviron6 2 года назад +1

    Don't forget Blood gases in the room! Good video!

  • @summerbrown2962
    @summerbrown2962 2 года назад +1

    EMTs don’t intubate, that’s a paramedic’s job. All paramedics can intubate, in certain localities RSI is a separate skill that they will need to be cleared to perform.

  • @megaautopsia
    @megaautopsia 2 года назад +1

    Doesnt need to be flat!

    • @StevenVelasquez
      @StevenVelasquez 2 года назад

      Barring certain circumstances, the majority of my pre-hospital intubations are performed in approx 30 deg. head-up position.
      Our patients are not fasted and are more likely to have just left the Chinese Buffet before badness happened.
      Head-up helps promote diaphragmatic off-loading, increases functional reserve capacity, allows for alveolar recruitment, mitigates the aspiration risk, and contributes to promoting "safe(r)-apnea."
      I've shown this method to in-hospital providers as well to overcome the height of the bed by utilizing the step stool often reserved for chest compressions. Watching providers immediately flatten the patients we have optimized before delivering them in = or > condition is maddening, particularly when followed by the predictable and thus preventable sequalae.
      If it's inconvenient to lower the bed for the majority in the room, at least elevate the provider performing instrumentation. This isn't an attempt to broadside or offend in-hospital providers. We've learned this through reading your literature and correcting our previously incorrect approach.
      The outcomes? Improved first pass success. Increased control of the team as the patients are less-likely to decompensate causing emotional responses like over bagging. Less risk of aspiration, decreased length of stay/cost of care. It just seems like a much better approach for the patient. My observations are anecdotal, but the differences I've observed have been real. Really wish people like you could shine a brighter light on this to make us all better.
      Enjoyed your content and wish everyone here a successful 2023.
      onlinelibrary.wiley.com/doi/full/10.1111/acem.13805
      www.ingentaconnect.com/content/wk/ane/2016/00000122/00000004/art00021

  • @jmeree
    @jmeree 2 года назад +1

    You talked for like 35 minutes and said nothing at the beginning of the video 😟😫😫😫

  • @drshriramsiwach1959
    @drshriramsiwach1959 Год назад

    Black background and small sized words make the subject less understandable and impressive