Is it possibile that an unconscious patient refuses the tube (gag reflex....). In this case how would you do? If refuses the tube are we sure that can't protect his airways?
All 5 of your videos related to the intubation procedure are greatly appreciated. I just have one question: Patient has an Cortrak NG tube in place, not used yet only once for medication administration by the nurse. 5 hours later patient is being intubated and during the procedure attending also places OGT, which is then 3 hours later removed. Question is: in what situations there would be a need for an OGT to be placed during an intubation procedure once patient already has Cortrak NG tube in place? Curious?
I don't see any need to place an OGT if there was an existing functioning NGT in place unless the existing tube was removed during the intubation procedure.
I still wanted to clarify something else with you when it comes to NG tube and the OGT tube: Is it appropriate to place an NG tube in patient who is conscious and/or semiconscious, but OGT should be placed only when patients are unconscious, otherwise there’s an increased risk for aspiration. Is that correct or am I wrong?
It’s much simpler than that! Try put an OGT in an awake patient, it’s very uncomfortable feeling and the patient will keep gagging, that’s why we reserve OGT for intubated patient, and NGT for conscious patients
You always try to get the patient weight, if not possible try to estimate based on the size of the patient, it should be charted in the patient chart, try to underestimate rather than overestimate
That’s why you should have the suction device ready to use! Just keep suctioning until you get a good view! Remember these are likely acutely ill patients. If still unable to view get a help from a more experienced professional like anesthesia
This is simply the best intubation video that I've seen online. Absolutely amazing job!
Very glad you found it useful!
Very good
Amazing
I had one with spine surgery , dont remember a thing , thank the lord
What if patient is still not sedated after giving propofol and midazolam?
Is it possibile that an unconscious patient refuses the tube (gag reflex....). In this case how would you do? If refuses the tube are we sure that can't protect his airways?
All 5 of your videos related to the intubation procedure are greatly appreciated. I just have one question: Patient has an Cortrak NG tube in place, not used yet only once for medication administration by the nurse. 5 hours later patient is being intubated and during the procedure attending also places OGT, which is then 3 hours later removed. Question is: in what situations there would be a need for an OGT to be placed during an intubation procedure once patient already has Cortrak NG tube in place? Curious?
I don't see any need to place an OGT if there was an existing functioning NGT in place unless the existing tube was removed during the intubation procedure.
I still wanted to clarify something else with you when it comes to NG tube and the OGT tube: Is it appropriate to place an NG tube in patient who is conscious and/or semiconscious, but OGT should be placed only when patients are unconscious, otherwise there’s an increased risk for aspiration. Is that correct or am I wrong?
It’s much simpler than that! Try put an OGT in an awake patient, it’s very uncomfortable feeling and the patient will keep gagging, that’s why we reserve OGT for intubated patient, and NGT for conscious patients
very informative but I have a question how can I calculate the dose for drugs if I don't know the patient weight ?
You always try to get the patient weight, if not possible try to estimate based on the size of the patient, it should be charted in the patient chart, try to underestimate rather than overestimate
@@Hospitalista many thanks please dr keep going your videos are well organized and very helpful
And please give us brief information about yourself 🙂🙂
Sure, I will soon
I’ve always had a problem with so much secretions whenever I try to view vocal cords.
That’s why you should have the suction device ready to use! Just keep suctioning until you get a good view! Remember these are likely acutely ill patients. If still unable to view get a help from a more experienced professional like anesthesia