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Lesson 5 - Direct Laryngoscopy: MICU Fellows Airway Course
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- เผยแพร่เมื่อ 16 ส.ค. 2024
- At last, we arrived! All of the preceding chapters served as necessary to this -- the thing we usually think of when we mention an airway course. This is the way we put the tube in most of the time, after all.
Preparation is everything -- get the patient in a good position, the sniffing position, to align all the different axes so you get the "straightest possible shot" into the trachea.
Now that you have them lined up, induce with those agents/relaxants that work out best for this particular patient. Mask (unless this is a rapid sequence induction), scissors the mouth open, place the larygoscope blade far to the right (to the right of the tongue), go deep into the mouth, then pull back until the epiglottis falls down into view. Then lift along the direction of the handle, that will keep you pulling away from the teeth and avoiding damage. Once you see the cords, gently place that endotracheal tube through the cords.
"I would rather swallow my pride than hurt a patient."
wise words sir☺️☺️
@Nickey Price where is all this anger coming from
@Nickey Price Dod a doctor hurt you as a child?
I wish this Doctor would be my teacher. I like the way he explains things more easily than more professors. And he looks more friendly.
Agree!
Yeah most of the medical staffs in medschool were so asshole, they always blame medical students for their knowledge, ofcourse those staffs had been trained for years and yet they still blame their medical students when they can’t answer the way they want
He is... thru here... thanks INTERNET
@@DiegoGarcia-vz8rm Thanks
Same for me!
'it's okay to ask for help'
'bougie is not a sign of weakness'
Thank you Dr for your guidance.
I'm a paramedic student and prior military medic. I wish I had you as an instructor during my airway lectures and labs, especially before a deployment. Well done Doc!!
Whice course of peramedic are u study
It is the one video that each and everybody should watch again and again. It is not only for the clinicians but also very much fundamenta matter for the health care/volunters . THANKS for this video.
"Change something, don't reinforce failure." - Dr. Gallagher. Wow what a great quote and applicable in every aspect of life!
Thank you so much sir for making my life waaay easier.
I’m a med student and a fan of you now!! I appreciate that you put a free lecture video here with the most conscientious instructions I’ve ever seen.
If you're a med student, check out my series "Pound 10, get 2 more right." It's a review of the basic concepts (Physiology/Anatomy etc) you need to know. Good luck in your medical career.
Good morning Sir, Thank you for the wonderful video, apart from technique , a lot of wisdom and inspiration.I am watching it today, 7 years after you have posted , as I am getting ready to face the covid pandemic. Thanks again.
Best of luck to you!
@@DrGallaghersNeighborhood ....Yep!...Its mutually agreed!...Because hes gonna need it!
Ditto here sir ....I am a surgeon but have been posted in covid duty ...so I am revising the entire atls again 😃
It sure would have been nice to have this doc as a teacher when I was in training. He explains everything so well and simplifies and reviews the steps for success. Definitely will follow him
Sir, more than 21 years in icu.And intubated more than 6000 patients (in icu, in casualty, in ccu, in post op icu, in dialysis unit, in an ambulance, even road side -sometimes as emergency. God lives in a ventilator, so intubation and connecting to it is always like worshiping God. Each one appears seperate even after thousands. No other procedure gave me such a satisfaction. Thank God
Great teacher... I'm going to tell you the prideful measure he spoke about is a must.! Part of loving your patience is being able to ask another co-worker to step in just saying.
I’m on my first year program as RT and I really find your videos amazing!
You explained everything clearly, taking into account all possible classic mistakes and even patient's other medical conditions. Very thorough instructions. Thanks!
I just had this procedure done where they put a special balloon in my esophagus to stretch it wide so I can breathe better.
I was wrongly diagnosed with asthma for 3 yrs taking all those inhaler’s and prednisone.
Thank GOD it didn’t damage my Liver.
Love it! I’ve been a physician for 19 years trauma surgery and the past 7 years a PHP as well! Awesome explanation, but for reference... 90% of the time I personally do not use a stylet. I will also reinforce your statement never be too proud to ask for help.... if you are too proud to ask you’ll never make it as a good physician! ALL medicine is team work end of story!
I’m a new intern doctor in India, I was having trouble with intubation thanks for this 🙏 it was really helpful 😊
successful intubating a patient on the first attempt today using all of your tips. glad i watched it over and over. thank you, please keep sharing doc🙏🏻
you r a good doctor to your patients...and you are a good teacher to us...i am icu staff from tamil nadu...
Great video, super helpful, especially because you include some physiology to explain why the patients might crash when they get intubated!
Thanks doc! This helped alot. I just started my registry in anesthesia! Wish me luck!
Iam anesthesiologest from yeme
New Old dude no way
This doc is good at teaching 100%
the sound effects he does are too good I am dying (what a sweet man and great video!!!)
Sir, this is a wonderful video, you teach so well! You make it very easy to follow and understand!
Great teaching. Thank you!
I regret I ever started medical studies in Bulgaria. No teachers show up to teach. They only collect tuition fees
Thank you Dr. Gallagher! I was struggling to intubate and I think your video series really helped put it all together for me.
now i'm watching this video because in mexico there's not so many specialists and on this coronavirus pandemic, they're calling even freaking dentists to know how to intubate and damn, this video is like a blessing. thank you veryveryverymuch
Muchas gracias. Espero que les vaya bien durante este período difícil.
I have had multiple times when I started getting the hang of intubating quickly where patients crash immediately after and resuscitation fails. Asked multiple consultants and none of them could give me an answer as to why. Here I have finally reached that answer. Thank you very much
I've been a Firefighter/Paramedic for 25 years and went to Paramedic school in 1995. We learned endotracheal intubation on mannequins and even did our cardiac and trauma megacodes on them. We then went and spent 2 full weeks in the O.R. under an Anesthesiologist tubing patients the entire time. We had to have a minimum of 25 adult successful and 5 pediatric intubations. We graduated and ive intubated my fair share of easy as well as difficult airways. Remember another technique for anterior anatomy..cricoid pressure and I totally agree if you don't get them intubated.. Pass it off to your partner. Very nice video, Doc..great refresher course.
Thanks, and thanks to ALL the paramedics out there!
Great demonstration with extra rescue tips. Thanks so much. I just finished RN school. This is very helpful.
i love it! educational as well as entertaining! kept me engaged
I m from india .... The lecturing process is outstanding doc...
It's amazing.. I'm also a pharmacist...
Really love this video found it very informational. He is very kind also very professional and saying don't be too proud to ask for help it's better to ask for help then to hurt a Patient beautifully said.
Excellent video, as a med student going into EM this helped a ton
"Big BMI" is now added to my vocabulary.
great video sir...i am an RT and i really appreciate such teaching skills..very useful...life saving ...
so i just got from EMT class, we learned to intubate a person in case we need to assist a doctor. Got my first intubation right, didn't know how, but i would have broke his teeth... rest of my group... they oxygenated the stomach... but if we do it again, hope this tips come handy. thanks :)
Exceptional, gifted teacher!
This is a good Doc I would let him secure my airway in a second .
Cody Peterson hopefully there’ll never be a reason he has to ☺️
I had this happen to me, and it was the last thing I remember before being put into an induced coma for a month.
I get flashbacks now after two years. I had about 10 people holding me down.
Wow ..really thankful to you sir , m an ent surgeon , seen lots of massacre d/t faulty technique in intubation..
It will surely help all people working with airway.THANKS...
If you're getting some rough handling of airways, I highly recommend getting some version of a Glidescope to help your patients.
@@DrGallaghersNeighborhood
Hi Dr. Gallagher, remember, a year ago, I did a translation of your video on fiberoptics into Russian, not the worst kind of translation btw :)). Well again I'm really thinking over an issue of translation of this one, because it is really brilliant, light and full of courage educational movie scene..!!!! Great respect! Eto ochen krootoe kino!!!
@@evgenyhomenko3034 Da, konechno! Yesli ti dumaesh shto eto pomozhet, potom poshli!
You are a very good teacher!
Thank you sir , I wish this doctor would be my teacher
This is a brilliant explanation and demo.
2:39 ayyyyy imma give u a heart too for explaining this so well :D
Thank you for this lesson doctor!
The best TH-cam videos on this subject !!!!!
thank you soooooo much! amazing video 🙏🏼
Thank you Dr Gallagher. Your video is very helpful.
Dhanyavad!
Excellent teaching! Great video.
Thank you so much doctor for this amazing explanation, I really wish you were my professor.😊
You Excellent doctor ⚘ and get it completely. Thanks
Thank Doctor so much,you are really God teacher,God bless you.
Excellent video. Thank you!
I 💛 these airway videos! Thanks! Becky, RRT-ACCS
This is the wonderful video..... thank you sir
Thanks so much! I loved the tios especially for when things don't go so smoothly
@Nickey Price you're here too?
wow ! thank you so much Doctor! Such a good tutorial.
Awesome advice. Thanks for putting this together!
your character is marvelous! great tips!
Great explanation, thank you!
Thank you , that was very informative 💖💖
thanks doc, very good tips, nice work
I'm in Paramedic School. We haven't gotten to intubation yet (going on week two) but when it comes to medical repercussions and adverse effects of interventions, I'm always keeping an eye open and a ear on lookout for useful information that I can take to my clinicals, ride-outs, and eventually, to my career once I get my license. By no means will I know everything but I'll tell you, I want to know something about everything that I could run into so that I can be prepared for it.
Excellent tutorial
I love this video! Very helpful
You made it really simple. Thanks
I wish the person who intubated me during my surgery had you as a teacher because I had to remove my dentures before my surgery and when I woke up I had injury to my gums and roof of my mouth and still hurts all the way back to my throat my nasel cavity bones hurt as well I had a laceration on my gums as well . This was 5 days ago
Very nice, i loved it so much
Love you! God bless you. ❤️❤️
GREAT LEARNING VIDEO
amazing video!
Thanks Doctor ☺️
amazing thank you very much for this it is very very helpful
I just started intubation in AEMT school and we used bougie instead of the stylette. bougie was a lot easier.
Nice video.nice information
So informative and helpful.
Had a difficult intubation just now.
Thank you so much.
This guy is amazing!!
Very informative lesson thankyou 💥💥🎊🎊
Thank you!
Very useful sir
Excellent video
Amazing :) thanks a lot! Grettings from Poland!
Dziękuję bardzo!
I was crossed 1000 intubations still learn some more tips from you sir.
Thank u sir for doing this helping a lot thanx
Sir you can teach, you are excellent
wow ,excellent tutorial.
This was very helpful, thank you 👌🏽
Great video!! First year PA student 🙂
TX to make this video 🙏🙏🙏🙏🙏🙌🙌🙌🙌
amazing!!! thank you
Thank you sir❤️
Have you seen our vicious komodo dragon seniors who act and behave as an animal!
This gentleman’s attitude is unique nowadays.
I'm wondered how can we see larynx from the mouth.
Learning very effective
thank you sir
well done, really well done!
Very very very good. I tip my hat to yo. Respekt 🤙
Thank you so much for the video, well explained and well demonstrated! I'm currently in my anesthesiology rotation so it's very helpful :)
Very good video!!
Thanks sir..Respect from Bangladesh
Saya!