I’m a little confused: it’s a known difficult intubation and what’s the plan? Why not an awake nasotracheal intubation with fibroscope? Why not videolaryngoscopy with fibroscope as backup? Why not Transtrach or Urgent Tracheotomy set opened? And in the end: difficult intubation and tube not secured that the ventilator’s tubes accidentally detached?! A lot of skills to improve i think.
i remember when i was in this situation last nov.2,2022😢 because of accident. my jaws was cracked. i was so scared until they putted anesthesia and i felt my tears when i felt something they putted inside my nose until i fell asleep😢 when i woke up, i'd lost my breath for a while i can't speak. but thanks God, i survived. this time,i can say that i'm not totally healed but gradually heal.😇
I love watching!!! I had 14 general anesthesia in my life, last one 3 weeks ago and I have been curious how they do it. Amazing the wisdom God has given doctors to help us. God bless them all.
So I noticed a few things. 1. Pt was kept spontaneously breathing - only some propofol were given. Maybe to facilitate aborting the case if needed and basically waking the patient up as necessary. 2. Direct laryngoscopy was attempted. Options may include using glidescope if available and Magill forceps to pull the tube through the vocal cords. Why not use a smaller ETT from the start? 3. Using a bougie. I would prefer preloading a bougie with an ETT rather than struggling. 4. No fiberoptic scope? This is the classical way of doing it but with limited view of oral airway topicalizing may prove to be a challenge. 5. Raise the table up to you so you save your back. anyways, good job.
this was a interesting case showing the difficult intubation good to see the re applicatication of the face mask between attempts i also think a awake intubation with a fibrescope would have been a good option for this case
@@mirasingh7428 HI meera it was a difficult to intubate as they was struggling to see the vocal cords with the facial disfigament causing limited opening of the mouth but as you see they do succeed
I was shocked they didn’t do a tracheotomy on him, with the issues for intubation being difficult and with all the surgery he needs on his face and mouth it just seemed to me a more effective intubation, as a whole.
Que Deus abençoe TDS vocês abaixo de Deus VCS são Abençoado Por essa Linda Profissão que Deus te RECOMPENSARÁ Com muita saúde mais Muitas SAÚDE Mesmo ,,, mais do que nunca VCS Precisam que somos Nós Sem VCS pra SOCORRER NOS ,,, Parabéns Por esse DON Maravilhoso Que Deus te Deu 🙏🙏🙏
Poor patient reassurance, and interpersonal skills from all staff, he must have been scared., Think of the human skills not just the technical ones please,
Agree, it doesn't distract much to offer words of comfort...even a nurse or technician could have done that if the anesthesiologist was concentrating on his job.
doctor, what would be the price of an orthoginatic surgery for a class 3 patient... what would be the price of facial amortization... I really admire your spectacular work..
Very interesting procedure as can considered as diff intubation anticipation...maybe can rise up the table for better view while direct visualise the v.c
Unbelievable! The Anesthesiologist just got up after intubation without first securing the intubation tube to the patient and then the ventilation source gets disconnected falling on the floor. Terrible operating room standards. Dropping sterile items on the floor and then putting right back on the patients semi sterile intubation tube.
@@RichardsonsFaceHospitals So it's your practice to leave your patients intubation tube unsecured to the patient and then someone else had to secure it as the vent tubing falls off the ET tube and on to the floor? Your saying that didbt happen yet we can see clearly it has.
@@Ryanboy2020 Not here to critisise ..but a lot of notable mistakes from onset..no armboards..ecg leads placed on fully dressed patient..table to low..machine is postioned wrong frm patients head…neck not extended when preoxygenating…after failed intubation no guedal etc etc
@@MrShobanem I couldnt agree more. I am here to criticize and I cant believe they are trying to defend their actions by saying "This is the best team and the best care anywhere".. really? If you cant follow basic O.R. sterilization protocols then you are risking your patients lives.
Job well done, with care and compassion, I am guessing that the patients condition made identifying landmarks normally visualized a lot harder to see and approach? I assume the surgery went well, and I hope this young man is doing well.
Parabéns a toda equipe , quanto mais assisto, mais quero assistir , excelente..... Pena que não mostra todo procedimento cirúrgico ....mas Parabéns aos médicos e equipe 👏👏👏👏👏🇧🇷🇧🇷
The amount of sounds and mobile ringing behind is totally a mess while you are doing GA for a already panic patient. You should maintain the OT clam and silent which is a must.
It's the sound of the monitors and OT anaesthesia equipment. Not the sound of phones. Sometimes music and sounds calm the nerves of surgeons and anaesthetists during OT procedures
From an outsider looking in it seemed like they didn't know what they were doing! Not easy through the nose I guess. Poor guy. I wanted to watch the surgery!!!
Wdout using newer Tecq. fibro, and intubating by using trannasel bougie wd cool & confidently shows the expertise and experienced Anaesthesiologist. Hv you got my point.
Cierto, demasiado les falta, parecía que la asitente no sabía que hacer y el médico tantos intentos que se le cayó al suelo la punta del tubo de conexión pobre paciente, que terror , a veces no sabemos en que manos vamos a parar.
I believe you mean anesthesia? Amnesia is memory loss. The anesthesia doesn't come out of the mask, I think it's just oxygen for preoxygenation. The actual anesthesia is the white liquid injected into his iv.
@@rosegranger2872 i think when i am going through surgery, anesthesia wont work for me im going feel everything, despite technically being in sleep phase
And that's why making sure you have a good anesthesiologist is so important. They're the ones who make sure you don't die...
my father is an anesthesiologist and im really proud of him
The bravery of this young man , to walk into his surgical procedure , and the professionalism of this staff bravo .
Yes correct only 👍👍👍
Professionalism of staff?…..are you joking?
It was nothing but a circus act!
That’s how you go in ,you walk on your feet. Only if you can’t go awake that’s something else
@@jmw0368 Thank you for your response , have a pleasant Wednesday 🌞
@@Maddddddd765 Thank you for response.
No doubts Indian doctors are best skilled and also humble
I’m a little confused: it’s a known difficult intubation and what’s the plan?
Why not an awake nasotracheal intubation with fibroscope?
Why not videolaryngoscopy with fibroscope as backup?
Why not Transtrach or Urgent Tracheotomy set opened?
And in the end: difficult intubation and tube not secured that the ventilator’s tubes accidentally detached?!
A lot of skills to improve i think.
Please contact us with pic and details to our what’s app number +919443182860
Thank you! I was hoping someone would point these out
i remember when i was in this situation last nov.2,2022😢 because of accident. my jaws was cracked. i was so scared until they putted anesthesia and i felt my tears when i felt something they putted inside my nose until i fell asleep😢 when i woke up, i'd lost my breath for a while i can't speak. but thanks God, i survived. this time,i can say that i'm not totally healed but gradually heal.😇
I love watching!!!
I had 14 general anesthesia in my life, last one 3 weeks ago and I have been curious how they do it. Amazing the wisdom God has given doctors to help us.
God bless them all.
not to mention years at university
Even I had an anestesy total 2 years ago and Im even curiosy to see ho they do it to me 😮
Hatsoff to the calmness and cool behaviour of surgeons👍.
Thank you I love every single one I see and I love how you showing it
So I noticed a few things.
1. Pt was kept spontaneously breathing - only some propofol were given. Maybe to facilitate aborting the case if needed and basically waking the patient up as necessary.
2. Direct laryngoscopy was attempted. Options may include using glidescope if available and Magill forceps to pull the tube through the vocal cords. Why not use a smaller ETT from the start?
3. Using a bougie. I would prefer preloading a bougie with an ETT rather than struggling.
4. No fiberoptic scope? This is the classical way of doing it but with limited view of oral airway topicalizing may prove to be a challenge.
5. Raise the table up to you so you save your back.
anyways, good job.
Thanks 😊
Good teamwork. Anesthesiologist performed really well 💯
Please tell me who is an Anesthesiologist in this video
@@ananyasharma3530 the person with green mask, installing the ET tube
Nonsense! Worst technique I've ever seen!!! Should have a nurse anesthetist!
@@gilesbowman1189 if I had a hemangioma like this and knew a nurse anesthetist was intubating me I would walk out.
@@QwertySkill omg really
Such a calm person.difficult for me 😭
He doesnt Talk with the Patient....heartless und makes me anxious.
@@thomaswerner9432 was this a late night talk show
this was a interesting case showing the difficult intubation good to see the re applicatication of the face mask between attempts i also think a awake intubation with a fibrescope would have been a good option for this case
Why this was a difficult intubation
Can u explain please
@@mirasingh7428 HI meera it was a difficult to intubate as they was struggling to see the vocal cords with the facial disfigament causing limited opening of the mouth but as you see they do succeed
I was shocked they didn’t do a tracheotomy on him, with the issues for intubation being difficult and with all the surgery he needs on his face and mouth it just seemed to me a more effective intubation, as a whole.
@@aprilanderson-daum4559 Tracheotomy is too invasive and always the last option, and shouldn’t be considered an option just for surgery purposes.
Oh mi good 🥺
Fogging is utmost disturbing🙏🏻 done with excellence sir...
Use fiber optics if difficulties
A case of easy to ventilate difficult to intubate.
Thanks for sharing
Think if will be scenario can not ventilate can not intubate challenge
Que Deus abençoe TDS vocês abaixo de Deus VCS são Abençoado Por essa Linda Profissão que Deus te RECOMPENSARÁ Com muita saúde mais Muitas SAÚDE Mesmo ,,, mais do que nunca VCS Precisam que somos Nós Sem VCS pra SOCORRER NOS ,,, Parabéns Por esse DON Maravilhoso Que Deus te Deu 🙏🙏🙏
Só tenho de agradecer o doutor pela sua explicação sobre menstruação com sangramento
٤قققققققققققققق
Sir you are great doctor 👍👍👍👍❤️❤️❤️
Poor patient reassurance, and interpersonal skills from all staff, he must have been scared., Think of the human skills not just the technical ones please,
He is so cold and heartless...nothing for me. He forgets the humanity.
That is a good point.
Agree
Agree, it doesn't distract much to offer words of comfort...even a nurse or technician could have done that if the anesthesiologist was concentrating on his job.
But he’s not aware
doctor, what would be the price of an orthoginatic surgery for a class 3 patient... what would be the price of facial amortization... I really admire your spectacular work..
I know how it feels to be in ot scared but trust me end product is very satisfactory and having anesthesia is so good i was stonned 😅 ✌🏻
The anesthesiologist performed really good under pressure.
K buen programa me encanta🌹❤️👍🇨🇱😍
This is horrible..
That’s what we are trained to do - “maintain equanimity under duress” 😊
Very interesting procedure as can considered as diff intubation anticipation...maybe can rise up the table for better view while direct visualise the v.c
Unbelievable! The Anesthesiologist just got up after intubation without first securing the intubation tube to the patient and then the ventilation source gets disconnected falling on the floor. Terrible operating room standards. Dropping sterile items on the floor and then putting right back on the patients semi sterile intubation tube.
Hello, there are two anesthesiologists and two anesthetists in the room!!
So watch again!!
Can’t get done better anywhere else in the world!!
@@RichardsonsFaceHospitals So it's your practice to leave your patients intubation tube unsecured to the patient and then someone else had to secure it as the vent tubing falls off the ET tube and on to the floor? Your saying that didbt happen yet we can see clearly it has.
@@Ryanboy2020 Not here to critisise ..but a lot of notable mistakes from onset..no armboards..ecg leads placed on fully dressed patient..table to low..machine is postioned wrong frm patients head…neck not extended when preoxygenating…after failed intubation no guedal etc etc
@@MrShobanem I couldnt agree more. I am here to criticize and I cant believe they are trying to defend their actions by saying "This is the best team and the best care anywhere".. really? If you cant follow basic O.R. sterilization protocols then you are risking your patients lives.
@Richardsons Face Hospitals Difficult situation, why not use fiberoptic intubation?
The ot activities are highly effective . Thanks for it. We can learn many of the modern medical science.
Nossa que mulher estúpida. Machucou o paciente todo.
Job well done, with care and compassion, I am guessing that the patients condition made identifying landmarks normally visualized a lot harder to see and approach? I assume the surgery went well, and I hope this young man is doing well.
Excellent clip. We are very much benefited.. keep posting please..
Ur welcome
Omg it’s so scary, my hands and legs are shaking
Parabéns a toda equipe , quanto mais assisto, mais quero assistir , excelente..... Pena que não mostra todo procedimento cirúrgico ....mas Parabéns aos médicos e equipe 👏👏👏👏👏🇧🇷🇧🇷
Principalmente a parte em que a mangueira cai no chão e volta direto para a canula
@@martinsjunior4288 kkkk Kkkkk boooooaaaa
@@martinsjunior4288 Triste
Verdade eu amo ver isso, poderiam filmar até o final da cirurgia. Inteira.
Fui salva com este procedimento Parabéns à todos que fazem este trabalho. Obrigado
Congratulations sir for 1 Million Mark.
More to go.
⚡🇮🇳⚡
Well done. ❤ May I ask what was the patient’s history?
Whats app +919443182860
The amount of sounds and mobile ringing behind is totally a mess while you are doing GA for a already panic patient. You should maintain the OT clam and silent which is a must.
It's the sound of the monitors and OT anaesthesia equipment. Not the sound of phones. Sometimes music and sounds calm the nerves of surgeons and anaesthetists during OT procedures
@@yeah7620 Notice it carefully....Its not all about sounds of OT equipment...I do OT too.
Sir you do very well and you are our aspirants
Vcs médico precisam fazer mais cursos e estudar mais prá se prepara , nosso q falta de amor é de cuidado,. Meus deus
To aflita com esse video, essa realmente não é minha área, vou ser comissária mesmo , jesus
Gute Arbeit Herr Doktor 👍🏼
PLEAEEASEEE TELL ME YOU HAVE THE WHOLE SURGERY
a Real heros this anesthetic team♥♥
Impressive teamwork and skills.
What type the inhalation anesthetic use
Please I wand answer
Получилось удалить гемангиому?
Nas minhas orações sempre peço ao Espírito santo para auxiliar e conduzir todos vocês médicos 🙏🏽🙏🏽🙏🏽🙏🏽🛐
Dear drs thanks for saving lives
Make me think about all the times I’ve been intubated. Wow! That was VERY difficult.
اتفق
me too
Its easier than that but this case is special bec of his disease
It’s much easier, but this case has facial trauma and mouth bleeding
Why do they not talk to him?!
yeahhhh 😅 as if they were performing it in a mannequin 😂
Cuz he’s sleep?
@@kiranjohn8501 no, when he is awake they don't talk to him.
Heartless and snobby Doktor!
Pero que clase de doctores son 🙄🤦 es la primera vez O que?
No me quiero imaginar la cirugía de verdad
Parabéns toda equipe
Tem outro meio de fazer isso não
Minha mãe morreu por falta de mal intubação
Muito angustiante ..parece aula para estagiario ...
what is the outcome of the procedure? how's the patient now?
Came out very well… she is doing well.
Do we know what we are doing?
From an outsider looking in it seemed like they didn't know what they were doing! Not easy through the nose I guess. Poor guy.
I wanted to watch the surgery!!!
I agree. It seems like they are practicing. Poor guy
Defenitily not practicing, this was a difficult intubation
It’s a difficult intubation because of the facial abnormality.
@@aimeerendon7529 no one is practising here, who practise in OT?
Sir bahot khoob isse bahot kuch sikhane ko mila hai
سبحان الله وبحمده عدد خلقه ورضا نفسه وزنة عرشه ومداد كلماته حسبان الله الخالق سبحانه علم العناسن مالام يعلم الله يشفيك
Amém 🙏🏻
🙏🙏
I hope his ok
Wondering why ET intubation was selected over NT?
Até fazer a cirurgia já passou o efeito da anestesia 😬
Was there no fiberoptic equipment available?
Wdout using newer Tecq. fibro, and intubating by using trannasel bougie wd cool & confidently shows the expertise and experienced Anaesthesiologist. Hv you got my point.
Love ❤ u all I'm also anesthesia student
Please in the anesthesia videos do not cover the patient's eyes with the hands of the anesthesiologist when he falls asleep
Look how smooth they move
Thank you guys
Should have gone for fibreoptic intubation . But still very well managed difficult airway
Some ppl in comment section trying to be over smart by giving advice without know properly about patient history , scenerio , results , etc
Outstanding intubation!!
Aun no puedo creer q se les cayó a l piso el tubo lo levantaron y se lo colocaron..así vienen las i fecciones interhospitalarias
Pues como no es familia de ellos les vale fueran familiares de ellos hibas a ver sino hiban a tener higiene
Por este tipo de personas irresponsables e inumanas han fallecido muchas personas por eso agarran bacterias que luego complican todo
Se possibile, evitate video in sala operatoria...
.
Rispettiamo la riservatezza di un momento delicato.
Sir really great work and traned
Sir How much will the surgery of larynx and voice box cost?
What’s app
+918360128360
Hemangioma Patient undergoes Difficult Anesthesia and Tracheal intubation
Is this performed by bsc/msc anaesthesia technician or doctor.
Yes
No chest auscultation?
Oversatisfied by tracheal intubation!
Forgot and fatigued (..as took more than 8 minutes to intubate )to fix and auscultate the ETT .
@@awaneeshroy1701
As I always joke, “equally absent breath sounds.”
@@Amtcboytruly said!👍 auscultating physician's breath follows patients breath sound.
ALLAH YAR VE YARDIMCINIZ OLSUN
Creo q con este vídeo vemos lo que no debe hacer, muchos se preguntarán por qué no lo intentaron con una fibro y estando despierto, en fin 🤷🏻♀️.
Cierto, demasiado les falta, parecía que la asitente no sabía que hacer y el médico tantos intentos que se le cayó al suelo la punta del tubo de conexión pobre paciente, que terror , a veces no sabemos en que manos vamos a parar.
Ay Dios nos libre de esos procedimientos x eso ay k encomendarse al mejor médico y k pedirle k ponga buenos doctores durante las cirugía🙏
Omg how terrified the patient is😿😿😿😥😭
They didn't communicate with him at all. That was very strange to me. Some therapeutic communication would have been very beneficial.
@@tayashley3539 yeah
Alguém poderia me dizer o que está sendo feito? Prq a boca do paciente está machucada??
Eu também queria saber..
Anestesia geral tem esse pressentimento
Is he bleeding ?
Nice work
Sir during surgery hands are tighten ha?
What?
Lo Lastiman demasiado q 😥 triste
You may also keep one vedieo laryngoscope.. extraordinary performance by the anesthesiologist..
Thanks 🙏🏻
@@RichardsonsFaceHospitals tenho sonho de fazer rinoplastia e nao tenho condições, realize meu sonho Dr.
Why are you using the same blade multiple times ?
Doc i think its painful 😢😢
Great..🤗
Dios me libre de esto.🙏🙏🙏🙏
Thanks for sharing!
Thank you. 👍
Ay Dios mío qué terrible dolor
Please tell. Me what is the name of pump which introduced during entering tube?
Bougie
Is he alive?
Scary the patient is still awake
At what point? Once they induced he was not.
Waoo quisiera poder operar mi niño que tiene un hemagioma y aquí en República Dominicana no lo operan
Hai i'am from Indonesia 🇮🇩
Aye did they really have to make the whole hospital bright white
😭😭😭como somos isiquinifi cantes meu Deus, material muito frágil, daí se ver o quanto pressisamos cuidar da nossa vida espiritual 😭😭😭
What?
meu Deus 😢
Thanks 1:18
Why amnesia didnt work on him for so long time?
I believe you mean anesthesia? Amnesia is memory loss. The anesthesia doesn't come out of the mask, I think it's just oxygen for preoxygenation. The actual anesthesia is the white liquid injected into his iv.
@@rosegranger2872 i mean anesthesia didnt work on this patient for a long time, what was the trouble ?
@@tims7686 it did work, after the normal time spann. It wasn't via the mask, but via iv
@@rosegranger2872 i think when i am going through surgery, anesthesia wont work for me im going feel everything, despite technically being in sleep phase
@@tims7686 you think??
Pq não deram o bloqueador nele pô?? Tão doido?? Ficou difícil, não era pra ser dificil!!!
Well done docter.
NO, it wasn't
Meu Deus, que despreparo 😳
Vcs devem ser as entendidas não ???? Esse médico faz um excelente trabalho !!!!
@@marinalvafernandes4514 o que o rapaz tinha?
@@pampamela9885 provavelmente era cirurgia plástica que ia fazer , pois esse médico é cirurgião , faz trabalhos perfeitos na face .
Vc é louca?? Ele fez uma intubaçao mega difícil..
Meus Deus.. vai se informar
I think the man was deaf if you notice real closely one of them knew sighn language and was using it