Managing Unanticipated Difficult Airway- Dr Sheila Nainan Myatra, Mumbai

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  • Опубликовано: 3 июл 2022
  • Managing Unanticipated Difficult Airway- Dr Sheila Nainan Myatra, Mumbai
  • РазвлеченияРазвлечения

Комментарии • 7

  • @nil5147
    @nil5147 2 года назад +2

    It was most informative and thank you mam can hear your voice for weeks and months..huge respect❤️
    'The best was we are blaming each other ,senior shouting to junior and junior shouting to someone else '

    • @RiyaAbilTheTravelCouple
      @RiyaAbilTheTravelCouple Год назад

      Management of Unanticipated Difficult Airway: 😊👍🏼
      ruclips.net/video/_qjaELNLi7Q/видео.html

  • @zameermuhammad943
    @zameermuhammad943 Год назад

    Wonderfully presented.very simple & Informative.

  • @arghyamohanty9473
    @arghyamohanty9473 Год назад

    Simply outstanding

  • @harshavardhan-zy7ur
    @harshavardhan-zy7ur 7 месяцев назад

    Madam when do you use bougie and when is stylet used?

  • @RiyaAbilTheTravelCouple
    @RiyaAbilTheTravelCouple Год назад

    Unanticipated Difficult Airway Management Video (DAS Guidelines) :
    ruclips.net/video/_qjaELNLi7Q/видео.html

  • @ashachaudhary2596
    @ashachaudhary2596 3 месяца назад

    Excellent but I have some points to make
    Those who r not dealing at front line are no aware about ground situation
    You say we r good at plan A
    Now there is study first pass success in tertiary care hospital in South India and first pass success is only 58%
    So we need to improve upon that
    There is no point in playing with words
    Calling for help is always there in anesthesia.its there since CRM of aviation and applied to anesthesia
    It's a tall statement that we intuduced the term. What American do when they have unanticipated difficult airway
    Just stand there no
    They do call for help
    There is no gain in playing with words rather have we designed any new techniques for our work culture
    And human factors need to b discussed first ,it's expected that everyone knows human factors but sadly no
    Needle cric is long dead ,it's not oxygen but co2 which is not expelled by needle so expidating cardiac arrest
    So please don't mention it ,the way is only surgical cric
    If someone is having complete ventilation failure it's understood that those coming for help is situationally aware
    And with pattern recognition they shud be able to find out
    Human factors r really missing from Indian scenarios
    I have yet to see a working jet insufflator it's more of a theoretical concepts than practice. Good and cut the membrane if you can puncture you can srab also , simulate and learn but nobody is doing that
    High stake scenarios is nt for Indian settings,we don't do simulation,we don't have a plan ,we don't premorttem
    Yes we do discuss and feel happy,please show us cric done by you or your dept
    Let's do things
    I m appalled why you or any one else have some intuitive thinking about skill like levitan, Kovacs
    Just copy paste
    Repeating ad nauseum
    Surgical cric is not a difficult procedure yes making decisions is
    So dwell on timely decision making in stress and pressure scenario
    And it's not the same person whibis struggle with intubation will take the cut
    No the person who is applying burp and continuously palpating larynx
    Now in obese pt
    You first five incision from neck to sternal nothc , dissect and then feel the ct spacte that's the ways
    Not ultrasound
    I sometimes feel until or unless you have faced such situations it's difficult to understand
    Regarding capnography it's non existent because of its cost
    I have nt seen in emergency dept anywhere
    It ll b prudent to have capnography with bvm so that you know ventilation is happening or seal is effective
    There r govt hospital nt doing intubation at all
    So our priority is not difficult intubation
    But
    Intubation itself and that's what leaders shud focuss
    Thinking that tube will b rail raoded over stellate gives me shiver
    What's kind of general std concepts our doctor have and that too from anesthesia
    And sadly cases quoted by you could have been done in regional block USG guided ,that's one aspect which can b explored
    Efona ,or surgical cric or emergency surgical cric
    Is this need that elaborated discussion
    Not at all
    Scalpel finger bolugi is std concepts
    If you r not confident in cutting neck pl practice butvdont recommend needle cric for God sake
    Surgical cric is emergency procedures
    It's nt only for 24hr ,pl update
    Subglottic is threortical complications nt real
    Efona doesn't convey urgency
    How come .good luck