Inside the OR with @justageneralsurgeon - demonstration on how to intubate someone start to finish скачать в хорошем качестве

Inside the OR with @justageneralsurgeon - demonstration on how to intubate someone start to finish

. . Without anesthesia, I could not do surgery. Anesthesiologists are the ones who manage the patient’s airway while the surgeon does the surgery. Here is an amazing demonstration on what goes through the general endotracheal intubation from start to finish! Thank you so much to my amazing patient to allow me to record and share this video!!! . Fentanyl is first injected into the IV, followed by lidocaine. Fentanyl is a narcotic. Lidocaine is a local anesthetic that coats the peripheral veins that some anesthesiologists use to help with the propofol. Propofol is the white fluid that makes the patient go to sleep almost immediately. It is quite uncomfortable as it goes through the peripheral veins. He then gives a paralytic (so the patient cannot move or react to the stimuli from the surgery). As the patient quickly goes off the sleep, the anesthesiologist oxygenates the patient with a mask, as she can no longer breath on her own. After pre-oxygenating her, he inserts a device to lift the tongue up and out of the way, to reveal the epiglottis and vocal cords. It is very difficult to record a clear picture of the vocal cords but you can see an upside down V with a dark hole in between at 3:33. These are the vocal cords and this visualization is the key part of intubation. He endotracheal tube is then inserted in between the vocal cords. . Once the ET tube is confirmed to be in the correct spot, it is secured to the face with tape. The ET tube should not be inserted too far in, otherwise it will go down one main bronchus (usually the right side). This will cause ventilation of only one of the two lungs. The anesthesiologist listens to both lungs to confirm there is air movement on both sides. . After the surgery is completed, the patient’s anesthesia is either reversed or allowed to wear off. The patient is now able to breathe on her own and the tube is removed. . . .