It was most informative and thank you mam can hear your voice for weeks and months..huge respect❤️ 'The best was we are blaming each other ,senior shouting to junior and junior shouting to someone else '
Excellent but I have some points to make Those who r not dealing at front line are no aware about ground situation You say we r good at plan A Now there is study first pass success in tertiary care hospital in South India and first pass success is only 58% So we need to improve upon that There is no point in playing with words Calling for help is always there in anesthesia.its there since CRM of aviation and applied to anesthesia It's a tall statement that we intuduced the term. What American do when they have unanticipated difficult airway Just stand there no They do call for help There is no gain in playing with words rather have we designed any new techniques for our work culture And human factors need to b discussed first ,it's expected that everyone knows human factors but sadly no Needle cric is long dead ,it's not oxygen but co2 which is not expelled by needle so expidating cardiac arrest So please don't mention it ,the way is only surgical cric If someone is having complete ventilation failure it's understood that those coming for help is situationally aware And with pattern recognition they shud be able to find out Human factors r really missing from Indian scenarios I have yet to see a working jet insufflator it's more of a theoretical concepts than practice. Good and cut the membrane if you can puncture you can srab also , simulate and learn but nobody is doing that High stake scenarios is nt for Indian settings,we don't do simulation,we don't have a plan ,we don't premorttem Yes we do discuss and feel happy,please show us cric done by you or your dept Let's do things I m appalled why you or any one else have some intuitive thinking about skill like levitan, Kovacs Just copy paste Repeating ad nauseum Surgical cric is not a difficult procedure yes making decisions is So dwell on timely decision making in stress and pressure scenario And it's not the same person whibis struggle with intubation will take the cut No the person who is applying burp and continuously palpating larynx Now in obese pt You first five incision from neck to sternal nothc , dissect and then feel the ct spacte that's the ways Not ultrasound I sometimes feel until or unless you have faced such situations it's difficult to understand Regarding capnography it's non existent because of its cost I have nt seen in emergency dept anywhere It ll b prudent to have capnography with bvm so that you know ventilation is happening or seal is effective There r govt hospital nt doing intubation at all So our priority is not difficult intubation But Intubation itself and that's what leaders shud focuss Thinking that tube will b rail raoded over stellate gives me shiver What's kind of general std concepts our doctor have and that too from anesthesia And sadly cases quoted by you could have been done in regional block USG guided ,that's one aspect which can b explored Efona ,or surgical cric or emergency surgical cric Is this need that elaborated discussion Not at all Scalpel finger bolugi is std concepts If you r not confident in cutting neck pl practice butvdont recommend needle cric for God sake Surgical cric is emergency procedures It's nt only for 24hr ,pl update Subglottic is threortical complications nt real Efona doesn't convey urgency How come .good luck
It was most informative and thank you mam can hear your voice for weeks and months..huge respect❤️
'The best was we are blaming each other ,senior shouting to junior and junior shouting to someone else '
Management of Unanticipated Difficult Airway: 😊👍🏼
th-cam.com/video/_qjaELNLi7Q/w-d-xo.html
Wonderfully presented.very simple & Informative.
Simply outstanding
Unanticipated Difficult Airway Management Video (DAS Guidelines) :
th-cam.com/video/_qjaELNLi7Q/w-d-xo.html
Madam when do you use bougie and when is stylet used?
Excellent but I have some points to make
Those who r not dealing at front line are no aware about ground situation
You say we r good at plan A
Now there is study first pass success in tertiary care hospital in South India and first pass success is only 58%
So we need to improve upon that
There is no point in playing with words
Calling for help is always there in anesthesia.its there since CRM of aviation and applied to anesthesia
It's a tall statement that we intuduced the term. What American do when they have unanticipated difficult airway
Just stand there no
They do call for help
There is no gain in playing with words rather have we designed any new techniques for our work culture
And human factors need to b discussed first ,it's expected that everyone knows human factors but sadly no
Needle cric is long dead ,it's not oxygen but co2 which is not expelled by needle so expidating cardiac arrest
So please don't mention it ,the way is only surgical cric
If someone is having complete ventilation failure it's understood that those coming for help is situationally aware
And with pattern recognition they shud be able to find out
Human factors r really missing from Indian scenarios
I have yet to see a working jet insufflator it's more of a theoretical concepts than practice. Good and cut the membrane if you can puncture you can srab also , simulate and learn but nobody is doing that
High stake scenarios is nt for Indian settings,we don't do simulation,we don't have a plan ,we don't premorttem
Yes we do discuss and feel happy,please show us cric done by you or your dept
Let's do things
I m appalled why you or any one else have some intuitive thinking about skill like levitan, Kovacs
Just copy paste
Repeating ad nauseum
Surgical cric is not a difficult procedure yes making decisions is
So dwell on timely decision making in stress and pressure scenario
And it's not the same person whibis struggle with intubation will take the cut
No the person who is applying burp and continuously palpating larynx
Now in obese pt
You first five incision from neck to sternal nothc , dissect and then feel the ct spacte that's the ways
Not ultrasound
I sometimes feel until or unless you have faced such situations it's difficult to understand
Regarding capnography it's non existent because of its cost
I have nt seen in emergency dept anywhere
It ll b prudent to have capnography with bvm so that you know ventilation is happening or seal is effective
There r govt hospital nt doing intubation at all
So our priority is not difficult intubation
But
Intubation itself and that's what leaders shud focuss
Thinking that tube will b rail raoded over stellate gives me shiver
What's kind of general std concepts our doctor have and that too from anesthesia
And sadly cases quoted by you could have been done in regional block USG guided ,that's one aspect which can b explored
Efona ,or surgical cric or emergency surgical cric
Is this need that elaborated discussion
Not at all
Scalpel finger bolugi is std concepts
If you r not confident in cutting neck pl practice butvdont recommend needle cric for God sake
Surgical cric is emergency procedures
It's nt only for 24hr ,pl update
Subglottic is threortical complications nt real
Efona doesn't convey urgency
How come .good luck
BURP