Відео

have u ever dated a guy

No, never do that to me awake. Surgery is fine just make sure I'm. i just fired a cardiologist that did a heart cath on me awake and not numb.

I asked for a red bull after waking up last time i went under. I think i was over worked to say the least lmao

A friend of ours went into cardiac arrest during a tubal ligation days ago. Her heart rate climbed before it plummeted. They could not revive her. She was 43 and left 9 kids without a mother and her husband a widower. It just blows my mind that they were unable to save her. What could cause this?

That is pretty badass Geez

I haven't heard you talk about the special difficulties that arise when people have no functional version of key CYP enzymes (I am absent at least 5). Or conversely that have hyperfunctioning versions.

Great example of a glidescope. Thank you! For those of us with fused cervical and spinal vertebrae, the laryngoscope is impossible to use without breaking our necks. Glidescopes are essential.

Im going to have surgery before july hopefully for Barretts with dyspepsia. They tried doing it under light sedition but it didn't work. I need to have endoscopic mucosal resection , but really didn't want to go under a full GA but my anxiety is way too bad the doctor said he needed to do it under GA. Can high anxiety affect anesthesia?

Two weeks ago, I underwent bilateral Radio Frequency Ablation on lower spine, L1-L4. My pain management doc is an anesthesiologist and I’ve had this procedure multiple times before. But this time, I got Versed, fentanyl and propofol! I woke up at home in my bed not remembering anything after I got on the procedure table. took two to three days before my brain returned to full function. Turns out he really got busy with a lot of nerves and it took over a week before the RF started working. He has amazing skills because this is the best my lower back has felt in several years.

I love you max, I’ve watched you for years (this is a new account) and you have helped soothe my nerves before my surgery’s. I had emergency Dental Surgery today and watching you helped a lot. So thanks.

I would like to ask you a question about something seemed to go wrong after I woke up, which took a lot longer than any previous times.

I had polypectomy surgery yesterday and my anesthesiologist was great . His assistant poked me needles in my palm and he later came into the operating room and redid poking all by himself into my forearm so that I don’t feel more pain when he injected meds. Great guy he cared for his patients. I did feel more pain in my forearm when he injected medicines and am sure the pain would have been much worse if it was on my palm.

I wonder if some medical TV drama has had a doctor go "I gotta intubate myself!", since it's apparently very possible in real life. Great stuff! Always appreciate these kind of deep dives into something so cool, yet so commonplace in your field of work.

My first wife was a surgical RN and some of the stuff she told me about that goes one when the patient is under would curl your toes.

Here in Atlanta sadly we find used up Fentanyl vials and they look to be licked clean inside and not that anyone cares but they must be getting stolen from a pharmacy or hospital by the box because there are lot #s and drug info on the ones we've seen. On a new home we are wiring right near old stadium every day we sweep up used syringes on sidewalk and ones stuck into lumber piles that may injure our workers even with gloves. I just happened to see your utube because I'm getting ready to have a 3 hour neck spine surgery and curious how much anesthesia will be pumped into me during procedure. Great info I was going to go to Med school but decided I'd make more as board licensed electrician and zero school loans. Now I'm regretting that feeling all the injuries I've had over the years. A+ channel.

Hey friend and Dr. Thank you for everything you do to help others.

Im Premed and your videos give me so much inspiration to keep pushing for my dreams !

I had the flu, the pukey kind. It was for nursing boards but still not supposed to leave out the room and the bathroom was right there. I had my ID in my hand and the trash can in the other. Well the person stood right in front of me as if I were faking so it was a bad day for projectile without wanting to make things go airborne. Never even stopped me after the second time. Quite the memory. Congratulations!😊

Surgery went well but had to do an unexpected second surgery for 3 degree burns in your mouth from a brief fire that happened in your mouth

You should take diving courses incase they ever need you to dive into a cave that has flooded and sedate untrained victims so they can be extracted while unconscious and rescued

I wouldn’t mind waking up. I just don’t want to feel a thing. I woke up during my last surgery as a kid. I remember feeling a dull pain at the site of procedure. But I remember feeling so sleepy and groggy I wanted to just sleep more than address the pain I was feeling lol

I had a surgery to repair a hiatal hernia, and implant a linx device on my esophagus. I had to have a rapid intubation as they were worried I might aspirate during the procedure. I had no lidocaine prep for this. It happened so quickly, I went under before I experienced any discomfort, other than the pressure on my larynx just prior to insertion.

This happened to me. Initially I had no memories of it- some sort of drug-induced amnesia? Gradually the memory came back. They say I awoke fighting- I think retrospectively fighting the awake intubation maybe? Emergency, so no explanations given though I think some sedation. I thought at the time that it was odd that I was taken conscious right into the operating theatre but assumed it was because it was a small provincial hospital. Horrific but life-saving. I watch these videos to try to make sense of what happened to me and also to gain some familiarity with the cold alien environment that is the operating theatre. Thank you!

Since I watched this video, in one of my recent surgeries, I asked the anesthesiologist what breathing apparatus they were going to use. They said they were going to use an LMA, so I didn’t have a sore throat afterwards.

Meanwhile, I gagged twice just watching that self-intubation

Nothing beats JEE Advanced test

Had to stop watching. Nope

No I couldn’t tolerate that

I had the most wonderful dream when I was under anesthesia to have my tonsils out when I was five or six. I tried to tell everyone about it as soon as I woke up, but they wouldn't let me talk, and it just sort of slipped away. For years and years, every night I would try to remember it as I went to sleep.

This is one of my questions. Thanks for the video

No way you better put me out

I insisted that I receive some medication before receiving a Pacemaker replacement. The first time was a nightmare.

The ounce of prevention at current lidocaine prices is about 20 cents. A pound of Nutrilipid is... more.

A little odd but I once had to do a conscious nasotracheal intubation on an ICU pt. who also happened to be my Father. Went well and I'm not even an anesthesiologist.

Forget dealing with awake intubation. How about dealing with an awake trans-tracheal block!

If I'm going to have a procedure done or a surgery, I want to be knocked out, I don't want to know a thing.

Would you hyper-oxygenate the patient prior to doing an awake intubation?

Yea um Doc every surgery I've ever had I've always been given propofol to put me to sleep my ear surgery I was given anti-anxiety medication that knocked me out but the surgeon woke me up and says David we're putting you to sleep but yeah the only medication I've ever been given to knock me out for surgeries is Propofol

"we are just going to stick a SMALL needle through your trachea for numbing". That's a big bunch of nope!

How do you deal with someone with a severe gag reflex ?

heck no,! done an NPA on myself (lay description - nasal airway is a short tube that goes to the back of the throat but does not go past the vocal cords and down the trachea) and that was more than enough for me. We just did it to show medics - civilian and military to teach them you can do it on awake conscious patients. Self intubation, hard no!

Nope. I had this done once for a TEE. It was the scariest and most uncomfortable procedure I've experienced. Never again.

I was happily unconscious and unaware of an intubation problem before having my gallbladder removed. The anesthesiologist was waiting for me to wake up so he could inform me that I'm difficult to intubate. I mentioned it to my surgeon in the follow up visit and she said, vaguely, "oh yeah something wasn't where we thought it would be" and informed me that it caused the surgery to be a half hour longer than expected. In case anyone's wondering about life without a galllbladder - it's great! No issues at all. I eat whatever I want.

Thank you Dr. Ian.

My last surgery i was soo stressed about the actual surgery and how much was riding on it it was such a hard experience ive had 6 knee surgeries on my knee and 9 on my leg (due to a farming accident) sitting in the anaesthetic bay and uncontrollably crying just sobbing. I couldn't help it. Usually im pretty good with surgery. My surgeon came and asked if i wanted to back out of the operation there and then. But like i told him if i dont now i mighten have the courage to go back. But thankfully my anaesthetist was amazing. I told him keep going even if i cant stop crying. With tears streaming down my face he was so comforting and got me through it, they all did. But absolutely my worst preop freak out. But going back for 2 more this year. Possibly 3 but hopefully i dont freak out again. I mean ive had upwards of 17 surgeries. Waking up in recovery has been hugely traumatic. I had the worst pain instantly when i woke up and u have little control in that first few moments. I was in agony and the nurse in recovery got right down next to my face and called me a hyperchondriac and if i dont stop crying she aint bothering to do anything just a junkie she called me. Whilst being in my early 20s working as a nurse and paramedic. The reason for the crazy pain... they didn't realise that when they did the compartment releases i had an occluded artey in my popoteil fosser. With the swelling it was causing it to cut circulation and give me the worst pain. I was impailed by a fence post when i dropped 30m down a massive hill picking mangoes. I reported her but i get a lot of anxiety around waking up and shes there and wants a second go and being a complete bitch.

This guy is a legend but so are you Dr Feinstein, learned a lot about anesthesia watching your videos!

I am terrified, and amused.

Thank you for talking through up front what the video contains. I enjoy most of your content, but know this would be difficult to watch for me. I won't be watching this one, but look forward to your next video.

I feel claustrophobic just thinking about being awake for intubation...

As someone with a freak lidocaine insensitivity, this is something I hope I don’t have to experience.