A day as an Anesthesiologist Assistant in Endoscopy/GI
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- เผยแพร่เมื่อ 8 พ.ค. 2021
- This is an example of a 12 hour shift in Endoscopy/GI as an anesthesiologist assistant. It is more of what a typical day would be like instead of my other videos. You can appreciate the routine more in this: Setup, induction, case management, emergence, return drugs, repeat for the next case. I go into the medications for each patient a little more as well.
Thank you for all your support and 1000 subscribers!!!! 🥰🥰🥰
Comment down below on what you would like to see in the next video!
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Don't ever quit TH-cam. I know it's hard but your a big inspiration. Keep going :)
Thank you so much! I will keep at it
E 😭eees
You’re like the only AA on TH-cam I’ve been looking for videos
Hopefully they’re helpful for you!
@@Anesthesiasal Right??? I've been trying to research the career more after my advisor mentioned it to me and it's so hard! Thank you Sally!
th-cam.com/video/qQTmHGGI_Ug/w-d-xo.html
Highly educated and trained. A talented skilled physician. Lucky to have her!
Thanks for being a competent anesthesiologist our life is in your hands, God bless
I went to st mary hospital in korat Thailand 🇹🇭. I had a fantastic experience. So nice doctors and scub nurses. Consultant on Monday all done by Tuesday mid day. Definitely do it if you have pain like i did for over three yesrs in my side back.
I've been looking into going to school to be an anesthesia assistant here in Canada. The route for school here is a bit different, you have to be an RRT or a critical care RN and then apply to the programs. I love your videos and you are the only person I have found who vlogs their life as an anesthesia assistant! Thank you sooo much for showing us your life!! You're videos make me want to reach this goal even more! Keep it up :)
Thank you so much girl I appreciate it! Good luck!
Same here! 🇨🇦 Wondering how competitive it is to get into Michener institute
@@haldol4all first of all I love your username lmao I think it's extremely competitive. About two or three years ago I was looking at CV perfusion there and I stumbled upon a reddit forum about Michener and the application process for all programs seems intense. It's either Michener or I think there's a school in BC but I don't want to move all the way out there! I'm hoping to get into Toronto General at some point and maybe that will make the admission process a bit easier since they are partner institutions. Good luck to you, friend!!
I’m seriously considering Anesthesiologist Assistant. I’m a nurse but I’m in Florida and with my school situation it may actually be a shorter path to become an AA over a CRNA (talked to the advisor and everything) it’s very interesting
The anesthesiologist I shadow still isn’t allowed to have me in the OR due to the pandemic so your videos are really helpful and enjoyable☺️
So happy to see fresh content from an AA. It helps me to keep my goal in sight (without having to reroute just to do crna) thanks!
Great stuff keep up the good work 💯%
I love your videos. I have medical conditions that require frequent sedations with the mix of Propofol and Fentanyl but I also need GA’s often too. So the team I have includes an anaesthetist. Because of the frequency of procedures or surgeries I usually have the same 2 anaesthetists my surgeon uses for me so thankfully we are familiar with each other and he already knows my history with GA’s and is aware that I don’t come out of them quite affected. I never used to have any issues waking up or straight after surgery but because I’ve become extremely underweight and malnourished that I now and it takes everything out of me. I also have POTS and extremely low bp so they always place a catheter for a few days because I’m a falls risk. My low bp is so bad that I can’t even walk to the toilet without fainting. Being an Anaesthetist is SOOOOOOO involved and complex. I knew to a degree that it takes a highly educated person to be able to do what is needed. You would have to be 100% prepared, not just for the drugs used for a GA but have drugs at hand ready if a complication arises. I didn’t realise that prior to surgery you not only need to get the anaesthetic drugs but also drugs anticipating that you will need to use them. Obviously being good at mathematics is a HUGE must in your specialty to get the right dose needed for each individual. Your videos are very educating and showing us how involved your job is and showing how vital and important the part you play in the OR. Ultimately you are keeping someone alive. Keep making these videos, it gives so much insight. I always like seeing BEHIND THE SCENES, especially if your showing what happens to me during surgery.
Hi! Thank you for this ! Always enjoy watching as I am planning on applying next cycle to hopefully become an AA one day !!
Yes! Good luck on applying!
Awesome video!
Very good video!
I love it when I go in for a EDG I had a transhiatal esophagectomy pull up seven years ago they all want to see how it looks
Absolutely love your content, Sally! Keep up the remarkable work & I look forward to future vids :)
You rock !!!
I have been waiting for several days to see your video. Finally, I watched your new video last night. Felt.. Worth for waiting..👍
😭 Thank you. They will get better
@@Anesthesiasal Yes, I saw that one also..👍👍
Your Videos are so informative, Thank you for continuing your content..
Glad you like them!
Love ur videos
Thank you so much Sally! I was wondering does your department allow undergrads to shadow you or another AA in-person?
I had a very bad reaction to succinylcholine. I was stiff and rigid for almost 3 days post-procedure and couldn't even bend to sit down. I'm surprised my heart didn't stop beating since my entire muscles in my body were virtually paralyzed (severe myalgia).
tell anesthesia to give you a pre-fasiculating dose if they have to use SUX next time to prevent myalgia. Source: I'm a CRNA
the 'save me' intro🤩
Utah approved AA but still no programs here to take. Only out of state. One day. For now, I'm going for P.A. Love your videos though. Very informative
I’m preparing for my first endoscopy on the 27th I am having a EGD I’m nervous but praying for some answers on my GI issues
Hi @Sal,
Question...what are your thoughts ( and your colleagues') on the job outlook/ saturation of AA say in the next 5 years? It seems like it's starting to pick up and becoming more competitive, too....
Subscribed!
Thank you!!!
New sub, ty!
I’m a highschool student looking into this profession. Thank you for making these videos!!! Was AA school super difficult? and how did you study proficiently?
Same here.
Hi I’m about to to have endoscopy procedure in couple days. Just a quick question if you can help, what’s a light sedation and are you awake and remember things during the procedure? And what kind of medicines are gonna be used on me ? I heard fentanyl I’m so nervous, can I do without it? And are they allow endoscopy without sedation ?
What bolus dose do you give for EGD? I find EGD's to be the most challenging anesthetic to give because even if the patient is asleep they still cough once the endoscope is inserted.
Hey Sally! I see you kind of rotate around to different specialties at your hospital. Is that standard for most AAs or just your hospital? I think the diversity would be so interesting
Yes. Unless you’re specifically cardiac or peds
What did you use in place of fentanyl if a patient does not want to have that?
Interesting
How often would you say you experience complications with patients when they’re under? Once a month? Once a week?
Can you do a video about how you got into real estate and how you balance both jobs :)
I just found your channel and I’m in luv💕
I get them every 6 months all i remember is the mouth piece and it's good night 😊i wake up in recovery feeling talkative and Goofy thanks my dr is so awesome dr John Lipham Keck USC Hoag Hospital 👍
I just had this done 3 days ago and when I woke up I immediately was just shaking my entire body was shaking can you explain why
Could you please direct me to where I can get more information for UK CAAs that would like to work in America? or if it's even possible; it is a fairly up-and-coming occupation...
What’s the deference between Mac and general anesthesia
Hello,
What state are you working in ? I ask this because I see AA can only work in limited states which sucks because those are not places I want to relocate to . Do you know if they just hire you under a different name title like Anesthsia Technologist or something? I just don't understand that if you went to the schooling for AA you should be able to work anywhere but all I see is CRNAs . Did you ever take any nursing classes as well ? Im just really curious about which state you work in and your schooling. I enjoyed the video . Thanks in advance!
HELLO
WHAT STATE
who gives cricoid for your patient when you don't have any assistants? do you change your circuits and soda lime for each and every of your cases? do you use sugammadex for all of your patients for reversal(if aminosteroidal NDMR is used)?
Hi.. Nurse Anesthetist here in Germany. We do cricoid when assisting Dx during difficult to see glottis.. normally for us, circuits are only changed at the end of shift. Standard for OPs from the neck up, we do change the circuits for the longer ones as the patient’s head will be farther from the anesthesia machine. Soda lime is changed when 1/3 turns purple or if CO2 level on the circuit itself is 3 up.. sugammadex is also rarely used as muscular blocking agents are adapted to length of procedures and usually wears off before OP ends.. in some cases where it is used throughout the OP say for GI or hip replacement(where surgeon wanted very relaxed muscles)then either sugammadex or neostigmin+atropine are used.
As an AA, do you ever do cases yourself or are they always under the anesthesiologist?
do you intubate as an AA?? love your videos ^_^
AA’s work under the supervision of an anesthesiologist. They are not with you the whole time because they’re supervising 2-4 rooms at a time. Only during induction, and sometimes extubation .
@@Anesthesiasal who pays you, the doctor or the company?
@@lilrabbitcuz generally the hospital. But private practices will definitely hire midlevels (CRNA/CAA) as well
Do patients breath on their own when sedated with propofol IV for a 3-10 mins upper endoscopy for GERD?
Patients can stop breathing with propofol, that's why a provider trained in general anesthesia is required to administer the drug. There is a sweet spot where the patient is breathing but does not respond to painful stimuli. This is called "titrating to effect".
can you apply to AA school with a bsn?
Can you talk about the salary of CAA’s and your challenges in school
Certified Registered Nurse Anesthetists (CRNA) are Doctoral Educated and trained and you can work anywhere in the US and many other countries. You can also practice independently and bill insurance companies directly in many states. If you are an RN I would advise you to pursue the CRNA route.
If you don't mind mam what's the salary from beginning
What are the qualifications for Nurse Anesthetic assistant? :)
Hi ,do you give the anaesthetic,admin of the drugs ,manage airway..... Retired anaesthetic practitioner.UK WALES 🏴 BEST WISHES
Hi i’m confused i want to become a caa i live in pennsylvania which isn’t one of the states i can practice in is there any way around this
No. You have to move to another state to work. Either move or become a CRNA (nursing school instead of premed courses, 2 years working as a nurse usually in the ICU then CRNA school). Hopefully in the future more states will open up to AA's
I am having an upper GI endoscopy under anesthesia. I had a friend who passed away a week ago
Passed away from what? An endoscopy?
@@integrachic2953 my friend died of a drug overdose and when I had my endoscopy they said they never seen anyone this frightened like I was. Now I'm waiting to see a surgeon for the next surgery.
You are doing great ✌
Any Anesthsia assistant scholarships for south asian students?
Not many scholarships out there for AA in general
@@Anesthesiasalso this career path has to go through college route ? I wonder how that is and also if this position is easier than scrub tech.
🌹🌷⚘
Can you tell about how many off days in a week please.!!
Nd salary also. 😁
Do you actually intubate the patients, or does the anesthesiologist do that most of the time??
I intubate most of the time, probably 95%
Are u Vietnamese? I wish one day i would be like you ❤️
Yes I’m Vietnamese!
@@Anesthesiasal im in school for BSN. I will finish it with all of my best 😊 U r inspiring me ❤️
@@Anesthesiasal
Do you use ETT for ENT or LMA
How common are sore throat’s in male adult patients afterwards?
Mam, may I know your salary per month. And what is ur country name? Pls kindly reply 🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻🙏🏻
I'm googling Endoscopy videos (having one done tomorrow) and I find this video and it starts with BTS. Army!!!
Hey! im about to be a 1st year biomedical science college student and were just looking at other options besides med school. so im comparing Dentistry vs Anesthesia assistant and one factor is the price I know dental students come out 400k plus debt with averaging 150k wish how much is aa school on average and average pay big factor since I have very small scholarship funds
Depends on if you stay in state or not. I'm in my 1st year of AA school but it looks like I will end up with ~140k in student loans
Hey man! So you are spot on in your debt differential and pay assessment. Two more cons for dentistry. It is 2 years longer of a training path and the field itself is becoming over saturated in many areas that are not the boonies. Starting pay for a associate dentist and AA is roughly the same. Associate dentist probably makes 150-165k and new grad AAs make 150-180k depending on location. An experienced AA probably edges out a experienced dentist associate considering your pay doesn’t increase with experience in dentistry as a employee typically in the way that it does for AAs. Veteran AAs can expect W-2 compensation base’s in the 180-230k range, with most pay scales topping out at 200k. Dental specialists can make more as associates and business partners ranging anywhere from 250k (orthodontistry and perodontistry corporate) to 500k+ (OMFS, endodontisry. But the catch there is that the vast majority of a dental class will not have the grades to specialize. And many residencies for these specialties are 2-4 years long and even cost MONEY to go to them. So if you want to specialize in dentistry to make big bucks, you’ll spend even more time in training and most likely much more debt. There are many periodontist, orthodontists and endodontists in 600-700k of student debt..... Now the last big question, do General practitioners in dentistry that own their own practices make more than CAAs? Yes but it is complicated. I’ve anecdotally heard that practice owners in dentistry make around 250k. Buuut the asterisk are that it is very stressful to run your own business, no longer being a 9 to 5 job. People can call you for concerns at weird times in the day, worrying about overhead, staffing issues, insurance companies, facility maintenance etc. not only that, but as a business owner you’ll get no benefits. Lastly, to buy a existing practice or build your own you’re likely looking at increasing your debt by 700k-1 million dollars. There are dental practice owners that make 350k+ but they hustle and do a lot of specialty procedures in a in need rural area typically. Don’t expect it. Most dentists end up as dental associates making as much as new grad AAs with twice the debt and 2 years more of schooling. And if you really want that 250k dentist owner Moneu, you can get there as a AA. Either go to ruralish area where the starting is 180k and work 10 hours OT (you’d probably would’ve put that extra 10 hours of work a week anyway when you’re running a practice) or wait till you’re experienced mid career with a 200k base. Then 1.4-1.5x base per hour of OT work can easily take you there. I had a similar dilemma, and in my opinion AA is the better financial move.
This actually makes me feel a lot more comfortable going in for my procedures. Thank you 🥹
Isnt Fentanyl a bad drug 😲?
Fentanyl is meant to be used in the medical field by trained professionals, not on the streets.
I'd trust you to put me under😭
Can I get your email id please since I want to pursue the same AA and need a lot of information on this..
Current I am on internship in bsc operation theatre and anesthesia tecchnology,,from India
The music is annoying when you are trying to understand this procedure...
Keep the music out of the videos