Awake Self-Intubation: Anesthesiologist Intubates HIMSELF!

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  • เผยแพร่เมื่อ 24 ส.ค. 2024
  • Do NOT attempt this at home or ever.
    In this video, Dr. Ian demonstrates awake intubation. A quick overview of real-world indications followed by a demonstration including flexible bronchoscopy.
    Check us out on Facebook for review questions and updates! ( / medschoolmadeeasy )
    Thanks for stopping by, and we love hearing from you!
    Disclaimer: the information in this video only represents the knowledge and property of the video’s authors- no one else. If you want/need medical advice, see your provider.

ความคิดเห็น • 58

  • @MaxFeinsteinMD
    @MaxFeinsteinMD 3 หลายเดือนก่อน +38

    Would love to see another! That was amazing.

    • @lesleynyborg2093
      @lesleynyborg2093 3 หลายเดือนก่อน +5

      Max, I'd like to see you do it!

  • @emilekinsultan7767
    @emilekinsultan7767 ปีที่แล้ว +77

    As a doctor I can say, you are legend sir.

    • @xChickenoftheSeax
      @xChickenoftheSeax ปีที่แล้ว +4

      Hahaha, I appreciate the sentiment, but I'm just a simple country doc trying to spread some knowledge 😄.

    • @ayndowney9401
      @ayndowney9401 4 หลายเดือนก่อน +1

      I disagree, this male is a Moron and the disparaging remark I am making is because untrained professionals or lay People will watch this and think this is a party trick. Like eating the Tide Pods, or swallowing bleach, or playing the Assassin Game with water guns. We have enough people coming into the ER, OR, and Trauma center trying to practice medicine without being properly Trained and could kill themselves. When this idiot decided to inhale the soap liquid into the Endotracheal Tube he could have aspirated and Died!; That is an inaccurate and precarious method of exposing people to unnecessary RISKY Practices! He needs to be Sanctioned by the AMA and Licence Permanently Removed!;End of Story. Good Riddance!

  • @synovium
    @synovium 10 หลายเดือนก่อน +18

    The sacrifice for medical education is exemplary. An outstanding demonstration of courage and the desire to teach students. You most definitely get the gold star after this demonstration.

  • @MichaelTV44
    @MichaelTV44 ปีที่แล้ว +23

    This doc seems like a dude who is really smart but also partied in college.

  • @tomipunmira
    @tomipunmira 2 หลายเดือนก่อน +2

    I have a patient with severe ankylosing spondylitis, unable to move his neck and back, scheduled for umbilical hernia surgery.
    We will try to perform an awake intubation.
    Your video and insight for the procedure is priceless

  • @MonicaHelton
    @MonicaHelton 3 หลายเดือนก่อน +6

    There is no way I could do that. There is one way I could be awake while that is being done. He is amazing!

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  3 หลายเดือนก่อน +1

      he truly is amazing, thanks Monica

  • @xChickenoftheSeax
    @xChickenoftheSeax ปีที่แล้ว +23

    Hey everyone, this is Ian here! I just wanted to elaborate on a few things that I didn't mention in the video.
    1. Administering IV glycopyrrolate or another antimuscarinic is important not only for improving your view on the fiberoptic scope, but also for increasing the efficacy of your topicalization by drying the laryngopharyngeal mucosa.
    2. Although I implied it, I should explicitly state that when performing a transtracheal block, your target injection site is through the cricothyroid membrane. You want to aspirate as you advance the needle and STOP advancing once you aspirate air in order to avoid lacerating the posterior tracheal mucosa. Also, it is helpful to have patients at least partially expire before injecting and then subsequently take a deep inspiration to trigger a robust cough, which will help aerosolize the local onto the inferior aspect of the vocal cords. A secondary benefit of performing transtracheal blocks is that they offer you some experience locating and entering the cricothyroid membrane, which may be a life-saving skill if you ever need to perform a cricothyrotomy in can't intubate/can't ventilate scenario.

  • @drdhamodharanram4197
    @drdhamodharanram4197 ปีที่แล้ว +9

    Haven't seen such a passionate doctor like you sir .... My Respect towards your work ❤️👍🏻

  • @asl2g4u
    @asl2g4u ปีที่แล้ว +17

    Thanks for doing this. I'm an anesthesiologist who didn't do transtracheal blocks in residency, but I took a job at a cancer hospital and I've had to do them a couple times this year and found they work great. I am starting to gain trust in my awake fiber optic technique but not sure if I will even believe in it enough to try it on myself 😂. Thanks again for a great video

    • @xChickenoftheSeax
      @xChickenoftheSeax ปีที่แล้ว +5

      Most definitely! I am glad you enjoyed the video and appreciate you sharing your experiences. Since leaving residency, I have been very surprised that so few of my colleagues got the opportunity to practice airway blocks or topical-only awake intubations during training! Granted, I have only ever done transtracheal blocks, but I think they are incredibly useful, especially if you need to rapidly secure an abysmal airway, as you have undoubtedly experienced. I also think it's helpful to show trainees just how well airway topicalization/blocks can work if you take just a little bit of time. Finally, I think it can help patient buy-in if you let them know that you've done it to yourself to no ill effect 😁.

  • @cas_lovesjake8219
    @cas_lovesjake8219 7 หลายเดือนก่อน +6

    For a 17-year-old who considers joining the emergency service, I can definitely tell you that this video was extremely helpful. Would definitely like to see more videos like this in the future! ❤

  • @HaythamAlsayed
    @HaythamAlsayed ปีที่แล้ว +9

    It's kind of funny to watch how his voice gets hoarser and hoarser

  • @soup1746
    @soup1746 3 วันที่ผ่านมา +2

    Just gripped my shit while watching this. Good job.

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  19 ชั่วโมงที่ผ่านมา +1

      way to protect the goods! thanks for watching

  • @wakeandbake210sa
    @wakeandbake210sa ปีที่แล้ว +5

    Omg, that was gnarly!! Keep em coming, that was awesome!!

  • @alirezazareie8115
    @alirezazareie8115 ปีที่แล้ว +4

    that was a perfect job im anesthesilogist too it needs a lot of courage

  • @meracoon211
    @meracoon211 ปีที่แล้ว +4

    Would love to see more videos on this topic! Thank you!

    • @drsaadnaeem
      @drsaadnaeem ปีที่แล้ว +2

      An absolute legend Sir, much respect

  • @nirmaljitkaur8869
    @nirmaljitkaur8869 ปีที่แล้ว +5

    This is incredible sir 👏

  • @bassem9545
    @bassem9545 ปีที่แล้ว +3

    This is amazing, you’re a legend 💪🏼

  • @ventilator98
    @ventilator98 ปีที่แล้ว +5

    You should have connected yourself to the ventilator, and given us an ETCO2. You know. Connect to the ventilator, go on Volume control, and then stay after a few minutes, discontinue mechanical ventilation, and propperly extubate yourself.

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  ปีที่แล้ว +3

      that's the easy part, Peter!

    • @xChickenoftheSeax
      @xChickenoftheSeax ปีที่แล้ว +5

      Even better, maybe I'll throw myself on APRV in the next video while placing a RIC in my EJ for a real good time.

    • @ventilator98
      @ventilator98 ปีที่แล้ว +2

      @@xChickenoftheSeax YES. TOU SHOULD. PLEASE

    • @xChickenoftheSeax
      @xChickenoftheSeax ปีที่แล้ว +4

      @@ventilator98 Even more better, I'll see if I can find an eager med student who is desperate for a CV bullet to serve as the vict... I mean model.

  • @softnemo5310
    @softnemo5310 ปีที่แล้ว +2

    This was very very very interesting keep going We need MORRRRE !

  • @colkemker
    @colkemker ปีที่แล้ว +4

    Some of these tricks might come in handy in a non-clinical setting too ...

  • @tylerfoster7666
    @tylerfoster7666 ปีที่แล้ว +3

    THIS WAS AMAZING.

  • @cardiacmyxoma4073
    @cardiacmyxoma4073 ปีที่แล้ว +4

    That was incredible. As a second year med student, I aspire to be you haha

  • @Advokitt
    @Advokitt หลายเดือนก่อน +1

    Well…now I know that’s off the table.

  • @iqbal-ewsjk
    @iqbal-ewsjk ปีที่แล้ว +3

    Sir, u r legend

  • @minutemanmedic4143
    @minutemanmedic4143 6 หลายเดือนก่อน +1

    He looks like a paramedic with that stache lol

  • @sanders511
    @sanders511 ปีที่แล้ว +7

    So.. next up tracheostomy?

  • @mehrimahdenizoglu3311
    @mehrimahdenizoglu3311 ปีที่แล้ว +2

    Perfect

  • @caymansharp623
    @caymansharp623 9 หลายเดือนก่อน +3

    Late comment but, I understand that you cant talk while intubated because it goes through your vocal cords, but what happens if you tried really hard to talk, would it hurt? would you be able to make any noise at all?

  • @samgrasso3869
    @samgrasso3869 ปีที่แล้ว +5

    Haha! Stud!

  • @dratharkhan2535
    @dratharkhan2535 ปีที่แล้ว +2

    😄superb sir

  • @stevenwynn7162
    @stevenwynn7162 5 หลายเดือนก่อน

    This is an awesome video but when would this technique be applicable? I’m not a doctor but there are a lot of steps involved that require the patient to cooperate which probably isn’t likely to happen in most cases.. Also how many takes did you have to make to get this right lol?

  • @eztmeguszt
    @eztmeguszt หลายเดือนก่อน

    russians make it without lidocain and with a standard laryngoscope

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  หลายเดือนก่อน +1

      that's too bad. hopefully someday they'll catch up!

    • @eztmeguszt
      @eztmeguszt หลายเดือนก่อน

      @@MedSchoolMadeEasy was a joke mate

  • @noteven3085
    @noteven3085 7 หลายเดือนก่อน

    Wtf

  • @sarthakyashvi
    @sarthakyashvi 7 หลายเดือนก่อน +1

    The casual tone in which he says that you would get to see resuscitation if he starts getting seizures legendary🫡

  • @AT-yj8gl
    @AT-yj8gl ปีที่แล้ว +1

    How are you not gagging wtf

    • @xChickenoftheSeax
      @xChickenoftheSeax ปีที่แล้ว +1

      Clearly a combination of essential oils and powerful crystals... Nah, the numbing medicine blocks the signals from the nerves (CN IX, afferent) that trigger the gag reflex (CN X, efferent).

    • @MedSchoolMadeEasy
      @MedSchoolMadeEasy  ปีที่แล้ว +8

      all of the lidocaine administered during the first half of the video helps