Sure thing... we talk about the "Nazi" and the "Waltz" positions. The first refers to a having the arm holding the scope raised out high in front of you, as if giving the salute popularized by the Nazi political movement. This is unpopular today as it is uncomfortable and inefficient for performing endoscopy. The better position is the "Waltz" position, with the hand holding the scope pulled back comfortably to your shoulder, as if holding the hand of a dance partner while doing a waltz. This is more comfortable, less fatiguing, and allows more rotational control.
cool，but the model doesn’t have such a realistic display effect ，maybe you can give it a try ru-vid.com/video/%D0%B2%D0%B8%D0%B4%D0%B5%D0%BE-SfNPFu9pdK4.htmlsi=bPcZrP6imQIHNjiE
greatly done! frecuent mistake is to push with the holder and over passing the tube instead of just hold and slide off the LMA like you did. beautifull . does this needs lubricant?
you need to disconnect ventilation before isolation and surgerical incision right? Because if you isolate one side without disconnecting the ventilation..........the lung is not collapsed
This was demonstrated with either a 3.2 or 3.5 mm fiberoptic bronchoscope - forgive me if I can't recall which! One needs a "paediatric" (4.0 mm or less) bronchoscope, but it is ideal if it has a working channel so that you can suck out any secretions or soiling if encountered.
Nice video, only comment - if the bougie is rotated 180 degrees once in the trachea prior to the tube railroading, the tube is less likely to get hung up on the arytenoids
This videos repeats the sin of other cric videos....lack of systematic anatomical identification...too simplistic to say palpate slide finger down to find the cricothyroid membrane....
My husband was put on ventilator 3 days ago, for covid pneumonia oxygen with vent started 90% today hospital called me to let me know they have the ventilator oxygen on 60.%. Please let me know if this is good or?
This is not the ideal medium for medical advice, Shaya, and I'm sorry to hear that your husband is so ill, but I can say that being able to reduce the oxygen concentration from 90 % to 60 % is a good sign.
Everything you're doing is in the upper left hand corner of the screen, buddy, you should try to focus your cam in the middle of the screen so I can actually see what you're doing.
Hi, I was doing a lung case with a E-Z blocker.. After the OLV in progress...all of a sudden the ETCO2 tracing went flat and I could nt ambue. I met a lot of resistance. Sats were in the high 90s but remained stable. What happened in the lung to create this event? Thank you!
Interesting! My first guess would be the blocker slipping back a bit and thus obstructing the trachea. Sometimes if one overinflates the balloon, it will "herniate" over the carina and give this problem. One can maintain oxygenation with small ventilation volumes, but the resistance to flow is high and lack of adequate Vt leads to little or no EtCO2 trace.
Yes, if the leak is in the exterior sheath, it can often be repaired. If liquid gets inside - especially cleaning solutions - it can wreck the scope beyond repair.
That particular fibreoptic scope has an outer diameter of 5.0 mm - would probably work, btu I'm not familiar with the ideal diameters for the adult urethra!
You're not wrong, Amy - we're very aware that this could be confusing or cause claustrophobia on extubation. We're trying to mitigate this by keeping the sheet loose, having a good flow of O2 into the mask so it's easy and comforting to breathe, and removing it promptly.
Khalid Isam Thanks Khalid! These are getting older, but I’m very grateful that they are proving useful. Please don’t hesitate to ask questions or suggest future content.
@Prateek Dutta Gupta Fair point Prateek - this was a demo with clean blades, so little need for gloves. However, a fair point can be made for routine cleaning without gloves in any case, as laryngoscope blades are only exposed to saliva, unless there is trauma/soiling/bleeding.
Hi Ross, Nils here ;) love your videos - just a comment: could/ should you not also apply your protip nr 2 (video: endoscopic intubation through SGA), where you attach your bronchoscopic airway adapter (onto SGA instead of ETT) for this Aintree technique?
Hi Nils! Thanks for the kind comments, and good question/suggestion. The answer is going to be a little less satisfying: "It depends." The Aintree is designed with an internal diameter to fit the majority of paediatric flexible bronchoscopes, and so the outer diameter is just narrow enough to fit comfortably into a 6.0 mm ID ETT. This means that it is already fairly thick, but below the diameter of an "adult" (5 mm ED or greater) bronchoscope. Hence, it depends on the model and design of the bronchoscopic adaptor/catheter mount. If it is designed for adult bronchoscopes, it will fit fine while introducing the Aintree, but you'll have to remove it before railroading the ETT (a 6.0 mm ID ETT has an external diameter of around 8.5-9.0 mm depending on brand). You'll buy some time, especially during the tricky scoping period, but you won't be able to ventilate throughout. Hope that helps!
