Awake Self-Intubation: Anesthesiologist Intubates HIMSELF!

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  • Опубликовано: 3 дек 2022
  • Do NOT attempt this at home or ever.
    In this video, Dr. Ian demonstrates awake intubation. A quick overview of real-world indications followed by a demonstration including flexible bronchoscopy.
    Check us out on Facebook for review questions and updates! ( / medschoolmadeeasy )
    Thanks for stopping by, and we love hearing from you!
    Disclaimer: the information in this video only represents the knowledge and property of the video’s authors- no one else. If you want/need medical advice, see your provider.
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Комментарии • 51

  • @MaxFeinsteinMD
    @MaxFeinsteinMD Месяц назад +32

    Would love to see another! That was amazing.

  • @emilekinsultan7767
    @emilekinsultan7767 Год назад +74

    As a doctor I can say, you are legend sir.

    • @xChickenoftheSeax
      @xChickenoftheSeax Год назад +4

      Hahaha, I appreciate the sentiment, but I'm just a simple country doc trying to spread some knowledge 😄.

    • @ayndowney9401
      @ayndowney9401 2 месяца назад +1

      I disagree, this male is a Moron and the disparaging remark I am making is because untrained professionals or lay People will watch this and think this is a party trick. Like eating the Tide Pods, or swallowing bleach, or playing the Assassin Game with water guns. We have enough people coming into the ER, OR, and Trauma center trying to practice medicine without being properly Trained and could kill themselves. When this idiot decided to inhale the soap liquid into the Endotracheal Tube he could have aspirated and Died!; That is an inaccurate and precarious method of exposing people to unnecessary RISKY Practices! He needs to be Sanctioned by the AMA and Licence Permanently Removed!;End of Story. Good Riddance!

  • @synovium
    @synovium 9 месяцев назад +15

    The sacrifice for medical education is exemplary. An outstanding demonstration of courage and the desire to teach students. You most definitely get the gold star after this demonstration.

  • @tomipunmira
    @tomipunmira 27 дней назад +1

    I have a patient with severe ankylosing spondylitis, unable to move his neck and back, scheduled for umbilical hernia surgery.
    We will try to perform an awake intubation.
    Your video and insight for the procedure is priceless

  • @MonicaHelton
    @MonicaHelton Месяц назад +5

    There is no way I could do that. There is one way I could be awake while that is being done. He is amazing!

  • @drdhamodharanram4197
    @drdhamodharanram4197 Год назад +9

    Haven't seen such a passionate doctor like you sir .... My Respect towards your work ❤️👍🏻

  • @asl2g4u
    @asl2g4u Год назад +14

    Thanks for doing this. I'm an anesthesiologist who didn't do transtracheal blocks in residency, but I took a job at a cancer hospital and I've had to do them a couple times this year and found they work great. I am starting to gain trust in my awake fiber optic technique but not sure if I will even believe in it enough to try it on myself 😂. Thanks again for a great video

    • @xChickenoftheSeax
      @xChickenoftheSeax Год назад +5

      Most definitely! I am glad you enjoyed the video and appreciate you sharing your experiences. Since leaving residency, I have been very surprised that so few of my colleagues got the opportunity to practice airway blocks or topical-only awake intubations during training! Granted, I have only ever done transtracheal blocks, but I think they are incredibly useful, especially if you need to rapidly secure an abysmal airway, as you have undoubtedly experienced. I also think it's helpful to show trainees just how well airway topicalization/blocks can work if you take just a little bit of time. Finally, I think it can help patient buy-in if you let them know that you've done it to yourself to no ill effect 😁.

  • @MichaelTV44
    @MichaelTV44 Год назад +19

    This doc seems like a dude who is really smart but also partied in college.

  • @wakeandbake210sa
    @wakeandbake210sa Год назад +5

    Omg, that was gnarly!! Keep em coming, that was awesome!!

  • @bassem9545
    @bassem9545 Год назад +3

    This is amazing, you’re a legend 💪🏼

  • @softnemo5310
    @softnemo5310 Год назад +2

    This was very very very interesting keep going We need MORRRRE !

  • @tylerfoster7666
    @tylerfoster7666 Год назад +3

    THIS WAS AMAZING.

  • @meracoon211
    @meracoon211 Год назад +4

    Would love to see more videos on this topic! Thank you!

    • @drsaadnaeem
      @drsaadnaeem Год назад +2

      An absolute legend Sir, much respect

  • @cas_lovesjake8219
    @cas_lovesjake8219 5 месяцев назад +5

    For a 17-year-old who considers joining the emergency service, I can definitely tell you that this video was extremely helpful. Would definitely like to see more videos like this in the future! ❤

  • @alirezazareie8115
    @alirezazareie8115 Год назад +4

    that was a perfect job im anesthesilogist too it needs a lot of courage

  • @nirmaljitkaur8869
    @nirmaljitkaur8869 Год назад +5

    This is incredible sir 👏

  • @HaythamAlsayed
    @HaythamAlsayed Год назад +7

    It's kind of funny to watch how his voice gets hoarser and hoarser

  • @colkemker
    @colkemker Год назад +3

    Some of these tricks might come in handy in a non-clinical setting too ...

  • @ventilator98
    @ventilator98 Год назад +5

    You should have connected yourself to the ventilator, and given us an ETCO2. You know. Connect to the ventilator, go on Volume control, and then stay after a few minutes, discontinue mechanical ventilation, and propperly extubate yourself.

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  Год назад +3

      that's the easy part, Peter!

    • @xChickenoftheSeax
      @xChickenoftheSeax Год назад +5

      Even better, maybe I'll throw myself on APRV in the next video while placing a RIC in my EJ for a real good time.

    • @ventilator98
      @ventilator98 Год назад +2

      @@xChickenoftheSeax YES. TOU SHOULD. PLEASE

    • @xChickenoftheSeax
      @xChickenoftheSeax Год назад +4

      @@ventilator98 Even more better, I'll see if I can find an eager med student who is desperate for a CV bullet to serve as the vict... I mean model.

  • @iqbal-ewsjk
    @iqbal-ewsjk Год назад +3

    Sir, u r legend

  • @mehrimahdenizoglu3311
    @mehrimahdenizoglu3311 Год назад +2

    Perfect

  • @cardiacmyxoma4073
    @cardiacmyxoma4073 Год назад +4

    That was incredible. As a second year med student, I aspire to be you haha

  • @xChickenoftheSeax
    @xChickenoftheSeax Год назад +21

    Hey everyone, this is Ian here! I just wanted to elaborate on a few things that I didn't mention in the video.
    1. Administering IV glycopyrrolate or another antimuscarinic is important not only for improving your view on the fiberoptic scope, but also for increasing the efficacy of your topicalization by drying the laryngopharyngeal mucosa.
    2. Although I implied it, I should explicitly state that when performing a transtracheal block, your target injection site is through the cricothyroid membrane. You want to aspirate as you advance the needle and STOP advancing once you aspirate air in order to avoid lacerating the posterior tracheal mucosa. Also, it is helpful to have patients at least partially expire before injecting and then subsequently take a deep inspiration to trigger a robust cough, which will help aerosolize the local onto the inferior aspect of the vocal cords. A secondary benefit of performing transtracheal blocks is that they offer you some experience locating and entering the cricothyroid membrane, which may be a life-saving skill if you ever need to perform a cricothyrotomy in can't intubate/can't ventilate scenario.

  • @dratharkhan2535
    @dratharkhan2535 Год назад +2

    😄superb sir

  • @sanders511
    @sanders511 Год назад +7

    So.. next up tracheostomy?

  • @caymansharp623
    @caymansharp623 7 месяцев назад +3

    Late comment but, I understand that you cant talk while intubated because it goes through your vocal cords, but what happens if you tried really hard to talk, would it hurt? would you be able to make any noise at all?

  • @minutemanmedic4143
    @minutemanmedic4143 4 месяца назад +1

    He looks like a paramedic with that stache lol

  • @stevenwynn7162
    @stevenwynn7162 3 месяца назад

    This is an awesome video but when would this technique be applicable? I’m not a doctor but there are a lot of steps involved that require the patient to cooperate which probably isn’t likely to happen in most cases.. Also how many takes did you have to make to get this right lol?

  • @samgrasso3869
    @samgrasso3869 Год назад +4

    Haha! Stud!

  • @noteven3085
    @noteven3085 6 месяцев назад

    Wtf

  • @AT-yj8gl
    @AT-yj8gl Год назад +1

    How are you not gagging wtf

    • @xChickenoftheSeax
      @xChickenoftheSeax Год назад +1

      Clearly a combination of essential oils and powerful crystals... Nah, the numbing medicine blocks the signals from the nerves (CN IX, afferent) that trigger the gag reflex (CN X, efferent).

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  Год назад +8

      all of the lidocaine administered during the first half of the video helps

  • @sarthakyashvi
    @sarthakyashvi 5 месяцев назад

    The casual tone in which he says that you would get to see resuscitation if he starts getting seizures legendary🫡