Anesthesia for Endoscopy with
ฝัง
- เผยแพร่เมื่อ 29 มิ.ย. 2021
- Just a routine day in the endoscopy suite with gastroenterologist @Doc_Schmidt!
FYI: This video is for entertainment purposes only and is not medical advice. It does not represent the views of Mt. Sinai Hospital.
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Find Max Feinstein, MD online:
Instagram: @MaxMFeinstein
Twitter: @MaxMFeinstein
Website: www.MaxFeinsteinMD.com
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The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
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#Anesthesiology #Residency #MedicalSchool - วิทยาศาสตร์และเทคโนโลยี
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Now all we need is Dr glaucomflecken
Yes Glaucomflecken!
@@MaxFeinsteinMD Agree !!!!
@@MaxFeinsteinMD That would be an epic collab! :D
PLS .. THE THREE OF U!!! 😆
@@MaxFeinsteinMD I hear stories of patients becoming aware during anesthesia. They often talk about feeling pain, but aren’t they given pain killers when they are unconscious?
I didn't know at the time, but my anesthesiologist who was there in 1987, when I had my son, I was his first patient at that hospital. Years later, in 2007, when I had my gallbladder removed, he remembered me. And I was also one of his last patients. It was his last day.
That's pretty amazing!
He retired after only 20 years?
@@TaraMichelleMD He developed MS
The collab we needed but didn't deserve!
This is hilarious! I am a tech in Endo and will have to show this to my anesthesia providers and gastroenterologists
This is scary and has confirmed my fears and heightened my anxiety.
When I was a kid, I had an endoscopy performed without anesthetic (had an adverse reaction to versed and no other drugs were administered afterwards), leading to lifelong trauma. To this day I’m terrified of most medical procedures and can’t even use anesthetic measures to ease the process (leading to me avoiding the dentist for years, I’ve had excruciating reoccurring pain in a wisdom tooth for a long time now and I’m too terrified to be in a surgical situation again so I haven’t addressed it) solely because of that experience. I was told years later that the doctor CHOSE not to administer further drugs because he thought I was anorexic/bulimic and wanted to “teach me a lesson” so I’d stop those behaviors. I was 8 years old, underweight and malnourished because of a stomach ulcer….they were doing a final scope before I was discharged, so he knew EXACTLY why I hadn’t been eating. Anyways, I guess what I’m trying to say is thank you, for having integrity and educating people on the ins and outs of the anesthesia process, hopefully with people like you no one will have to experience what I did.
I can't even think of this really happening. Didn't you sue the bastard??????
@@Chickenface12345 unfortunately not, at the time my family was struggling enough financially (it was during the recession, we were a family of 5 so things were hard enough without all the medical bills we now had to pay) and there’s no way we would’ve been able to afford that :( To this day I still deeply regret never being able to get justice, but I’ve been able to work on overcoming that trauma somewhat over the years.
told years later is definitely more trustworthy than the fact that anesthesia can kill a malnourished patient
@@windy8544 this was prior to my hospital discharge, I was far healthier and definitely stable by that point. The medication they had intended to give me was conscious sedation, no support or intervention needed to protect my health and they had given it to me with no ill effect multiple times before that point for the insertion of NG feeding tubes (that includes when I was in a more unstable, malnourished state)
ETA:
To clarify the “told years later” part, the information about the doctor was known to my parents at the time but they didn’t tell me until it came up during my young adulthood because a. I was 8 when it happened so I wouldn’t understand it anyways and b. It was incredibly traumatic for years afterwards so they didn’t see any point in making things worse by telling me
@@MissMystery1412 i'm sorry if that's a real story but if the doctor said something like "you gonna have to eat better to have anesthesia" it could've been misunderstood
refusing anesthesia to anorexic patients (regardless of why they aren't eating) isn't a punishment for "bad behavior"
I love this collab. So great. Thank you so much 💓
I love your videos they crack me up. This hits really close to home for me. A friend of mine went in for a colonoscopy and the prep hadn’t worked. So, the GI doctor said we’ll just give you an enema and went ahead with the procedure. Somehow it pushed all the fluid in her digestive track and stomach then aspirating her. She lived on a vent and ECMO about 6 weeks later. My pulmonologist took care of her and the first time I saw him I thanked him for trying so hard even though it wasn’t successful. He just shook his head and said he’d never seen that happen and he’s not a young doctor.
that is soooo sad! :(
Horrible!!!
learnt adenosine on my current emergency medicine rotation. Feels good when you get the joke lol
What doesn’t feel good? Getting a shot of adenosine.
This was like so true. What exactly do u do when a surgeon jumps down your throat for no reason? Or wants u to do something unethical ? Love as always your videos!!
Hilarious! Just what I needed.
I think it's crazy how fast anesthesia works. I got my wisdom teeth taken out 2 years ago, and they had to cut a little bit to get them out so they were going to out me under. The last thing I remember after they put the oxygen mask on me and got me ready was the anesthesiologist telling me to my mom I love her and then boom, I was out like a light. What was even weirder was that it seemed like I woke up mid procedure for lime half a second and everything was tinted yellow and then I was back asleep. Strangest experience I've ever had.
You probably did. They want to keep you under but conscious and responsive. It’s not uncommon for patients to wake during anesthesia, what is uncommon is for them to remember it.
Lol that's awesome, this is exactly how I refer to my procedures whenever I have to go back to Keck USC. From my endoscopy to my biopsys and my gastric resection. I actually enjoy my procedure because of the very thing that you labled it... A GREAT NAP! Lol I'm new to your channel and have enjoyed each of the videos I've viewed.
Waitin’ for the next one! Lol ✌️
Corn?? “ what are you hungry??” Ben that was a distasteful line…🤣
Love your channel !
Ow I love this combo
Doc what's the best day and time to have surgery?
Great video man! I enjoyed it
I was watching an older video and was wondering why they put up the blue drape.
This showed up in my feed while I'm watching videos in recovery from an EGD. TH-cam obviously knows way too much about me.
Great videos Dr. Feinstein, glad I found them. Random question for you. Last year I was about to have a 3-4 hour long surgery. The last thing I really remember before that was the anesthesiologist giving me something that he said would cause ringing in my ears and a metallic taste in my mouth. Sure enough, within seconds I had both those experiences. What drug(s) might that have been, and what were they for? (Why they'd cause that kind of reaction is another question, but probably too much for an answer here). Thanks!
Hi Randy, that was almost certainly lidocaine which we commonly use for a number of benefits including pain control, reducing the amount of other anesthetic we need to give, and improving vowel function after surgery. Hope that helps!
@@MaxFeinsteinMD It does, thanks! It was just so wild that they mentioned this seemingly unrelated and strange side-effects, and within seconds I was experiencing those exact things. Then it was lights out. :)
@@MaxFeinsteinMD vowel function? As opposed to consonant function? JK
@@randyschgmail hahaha I remember being amused like you when they told me I’d feel some burning and 2 sec later I went “wow you’re right! this oxygen is spicy”
Was a typo, he meant Bowel...
Any anesthesia videos on endoscopy for endonasal surgeries??
You know, it's really funny how all of this hits home even more after you've been a surgery patient and had some people from anesthesia work with you? XD It's just .... different. Everything seems more familiar.
I laughed when you mentioned corn, I have an ileostomy and corn does not digest lol (I also had my colon removed)
You are an excellent anesthesiologist , your considerate of hospital costs too. I noticed the air-filled syringe saving waste of medications and other liquids. LOL I enjoyed this one. BTW when the ortho guys would say it looks wet can you lower the mean and we were already at 60 in an 80 yo I would say no but if you talked less and worked faster it would be less wet ( .....say that only after years of being pals with the ortho guys though >>>)
Love that nap. I dreamt and wasn’t fighting the Gi doc. The other sedation didn’t work. At all.
I just had a colonoscopy and that was the best nap ever lol
Max, it’s funny you put this up. I just had both endo and colonoscopy. They started with endo, gave me versed and fentanyl. I started dreaming I was choking. Guess what? I was! Woke up to the doctor suctioning me. Lol. We laughed about it after. Anyway put me back under and all went well. Crazy
Here in Finland you receive NOTHING. it wasn't even that bad.. the upper endoscopy I mean.. I literally waited over a year to go get it because of all the horror stories..
Haha can you just slow down his heart a little. There’s every anesthesiologists dream question
What? Why?
took gastroscopy once with a gastrocsope 9.6 mm in diameter and without sedation. Sore throat afterwards, but I came to hospital at 10 and left at 10 45. 25$ for gastroscopy and 25$ for 3 pieces of biopsy. Here such routine things are often paid out of pocket, which allows to make an appointment without a reference from family doctor, save time and money.
Nope....I'll pay
I had what I'm pretty sure was an emergency endoscopy(something about my bile duct giving me sudden jaundice? Ended up needing to remove gallbladder. ), only down my throat, and was awake the whole time. Can't remember what they gave me, but it literally gave me like a one second memory and after my mom still tells me how hilarious it was, I don't remember obviously.
it was so funny!! haha
Is it common for cardiothoracic anesthesia to pursue a double fellowship or is it quite rare?
It’s increasingly common for people to pursue fellowships in both Cardiothoracic anesthesia and ICU medicine.
Doctors tell the best jokes!
I got 2 endoscopes before. That anesthesia stuff is amazing. They try to kick you out as soon as they realize you're awake so pretend to be sleeping. It will feel like a Saturday morning when you can sleep into the afternoon anyway
They didn’t wait for me to wake up. They shook me violently till I woke up. And I was on fentanyl.
It was impossible for me to pretend to be sleeping. As soon as I woke up my heart spiked to 150 (that’s not unusual for me) and set an alarm off lmao
Did the anesthesia put u right out or did you experience blurry vision & black spots before falling asleep? I ask because another person said she experienced that & tried to fight it , it scared her worse. I’m petrified of this. I’ve never had any procedures or anesthesia before, most are saying it’s a great nap & no issues. But that one has me extremely worried 😟
So cool to see Bo Burnham in one if these skits.
Wondering if you can do a video about nerve blocks, when they are done, how they are done. Also how do they affect how much and what drugs you give. I'm having a partial wrist fusion in a few weeks and I am curious.
Actually, last year I had ankle surgery and my block did nothing so I woke up screaming. So am wondering how much that actually happens and how it should be resolved.
Also curious how you use all your monitoring equipment when only one arm is available. I figure you probably use a leg, but don't know.
Those sounded like very interesting questions - shame they weren't answered. I hope your procedure went well and the nerve block worked better this time.
There many differnet types of nerve blocks. The block is done with a local anesthesic, like lidocaine, injected into the area. Some blocks can last for longer periods of time. For your ankle, sounds like they didn't get the whole area blocked - which can happen. If you have ever had a dentist do work on a cavitiy and the numbing didn't totaly work - that's what happened with your foot. Sometimes they need to do several tries to get deep down, but they likely did that when you were under sedation, as it can be painful.
Anesthesia docs have all the good meds! My knee surgery he came in and said hey I’m dr. Feelgood, how are ya? I’ll be good shortly right? Ohhhhh yeah. Then the anesthesia doc and the nurse were betting on what number I’d say last before fallin out on the countdown from 10…I don’t remember the number, but anesthesia always wins that bet!
Im terrified :( I was out for my wisdom tooth extractions years ago and I don’t remember. They stuck something in my arm when I didn’t know it. But never a gas mask thing and I have to get an endoscopy soon to check for cancer. Its scary to be out like that though. My sister said she was loopy but awake for hers
@@brip799 yeah there’s different levels of anesthesia and some procedures they call “twilight” where you’re kinda there, but not really.
There’s nothing to be scared of if the good Lord is in you!
God bless~
so in your opinion max which would be more irrorating to throat the camera being passed through or a et tube ?
Based on what I've read, the ET tube in the trachea is most irritating. Based on what I've seen, patients are always anesthetized for either the ET tube or the scope, so it's hard to say!
@@MaxFeinsteinMD in england they tend to give only sedation with nasal o2 for scopes not too pleasant
I have an EGD next month and now I'm more nervous 😬
Better for cancel the appointment tho. I’m just done with my endoscopy and I’m discomfort eat 😪😪😪😪
"What, you hungry?"
It's good that Dr. Feinstein has found another ham to add to his theatrical troupe. No more leaping in and out of costumes.
Are you going to ASA conference this year?
That’s the plan! Although we’ll see if it actually happens. I hope so.
Do anesthesia for a little kid...those are always interesting...😁
Is it weird that this is the reason I’m interested in Anesthesiology 👉🏾👈🏾
Those hourly 15 minute breaks do sound good 😅
yes.
Hmm, I'm going for an endoscopy next week and was told that I'd be put under totally with propofol. I had an endoscopy maybe 25 years ago, they didn't put you out completely. Personally I prefer being out completely, some doctors have bad breath! Anyway, my question is , how do you awaken someone after propofol? Or do you just normally wake up? Obviously I'm not a doctor or I'd probably know.
The way to wake someone up after propofol is simply to stop giving it, then within a relatively short time the patient will wake up!
@@MaxFeinsteinMD Thanks for the response. It was odd, I've had propofol 5 times in the past 3 years. 3 cataract surgeries, one colonoscopy and now this endoscopy. For all the prior ones when I came aware again I felt almost like I'd been given speed. This last time I actually felt tired. I did attempt to stay awake by focusing on the heart monitor but to no avail! lol
"Ready for a nice nap" "Yeah that would be awesome" That was absolutely hilarious. All this man needed was that bowel cleanse they kept advertising in the 90s and early 2000's on that info commercial, the one that had cayenne pepper in it. That would have nuke his entire system, instead of being put under for the day. He would have been on the toilet for the entire day if not the whole week instead.
I remember enemas being very "in" for a while, but oh my goodness one with cayenne seems like a torture device! Talk about a painful exit.
No colon cleanse is going to remove polyps, those have to be removed by a doctor, to preven colon cancer. Patients are supposed to be totally cleaned out before they undergo a colonoscopy. When you have your first one, you will find out. If you are over 50 and haven't gotten one - go see your doctor. It's an important cancer screening tool.
I’m having an endoscopy tomorrow
Real question is how many times can you eat corn and have it still coming out looking the same
Is it really someone who thought this to be the real thing? Just curious as usual. Your videos are great by the way.
I’m getting a endoscopy on Tuesday
Enjoy. Seriously, it’s not that bad. I’ve had 2 of them in the past year.
Alimentary my dear Watson.
I’d rather have anesthesia than a vacation. Love me some propofol.
Awesome video! Can you do an educational video about anesthesia for ECT? 👍🏻
This is a great idea, thanks for suggesting it!
That'd be awesome...
0:11 You just called yourself, “Anesthesia!”
Too funny!
Corn? Hungry?????lol!!!!!
those eye rolls tho
Who has the last word you or the surgeon? And why? What about the patient?
Everyone has the last word. If the patient, surgeon, or anesthesiologist doesn’t feel comfortable proceeding, then the case won’t happen.
Haha…I’ve lost count on how many times the GI doc has asked me to do something to make the colon stop moving so much. “He’s breathing too much!!!!!”.
You hungry???? 😂😂😂😂
How often do you have to tell a surgeon that he or she will have to abort?
.... As Jonathan waits in the Hall... 😁 oops!😜wrong Dr. Lolz 😉
Does anesthesia just drift you off to sleep or will I see blurry vision & black spots before going to sleep? I’m petrified of this. I know I should get off TH-cam & stop stressing but the not knowing is killing me. Never had any health issues up until now & getting an upper endoscopy on Monday. I don’t want to go
I’m in high school right now and I want to become a doctor. I’m dual enrolled so I’m also in college right now. Do hospitals allow you to come in and watch ? I know patient privacy is very important, I’m just curious and want to see what it’s like.
🧠
😂😂😂😂😂😂 Hilarious
My anethesia did not work during my endoscopy and it hurt and i felt it all ended up having 3 seizures then they put me in a medically induced coma for 3 days yup horros from the hospital smh
Lmaoooo
0:51 An air embolism will give you a nice long nap, that's for sure.
Twitter dms man...I'm sorry but I need to ask something
EGD after the colonoscopy? Eeew! Always do clean before dirty! 😆
They do not use the same scope.
I just tell the anesthesiologist about the last time I "crashed" under general and they NEVER leave me alone then! Seriously, they watch me like a hawk. I want an M.D. keeping me alive not some tech.
stop the heart beat to remove a polyp.
You don't do an endoscopy through the butt! That's a colonoscopy!
Colonoscopy is a type of endoscopy.
HAHAHA!
😂
Wtf, as someone that has had surgery and dental work without analgesics or sedation this was not funny; Yes Dr’s did this all the time until about 1980s because kids can’t feel pain; once again WTF
I had open heart surgery in 1969 and was not given pain medication after my surgery because as you say it was believed that younger kids didn't feel pain.
Ah yes. Atropine. The greatest drug ever made to induce bradycardia ☠️☠️
First to watch.
Technically I was after I edited it!