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Excellent presentation. Unfortunately it also made me aware of all the deficiencies in the ICU treatment I was subjected to. Massive oversedation with Midazolam (RASS -4/-5), no daily SATs and SBTs, no mobilization, 5 days severe delirium after extubation, restraints, no contact to the family. Mistreatment of the delirium with Promethazine (antihistamine) and Lorazepam (benzodiazepine) IVs. 4 years later I am still not fully recovered. And the worst thing is that intubation/ventilation was actually never required in my case since I was merely fluctuating between a mild and no ARDS. But they did it anyways.
Thank-you. This video helped to firmly decide to never ever have surgery again. No one told me this was going to happen. If they did, I would have canceled the surgery pronto. In fact, this video makes me abhor hospitals and doctors even more.😣😣😔😔
Aaaaa....ummmm....um..a.aaaa...ummmm...sorry, great material, but impossible to listen... trying to listen prior to my CRRT class...couldn't...horrible speaker
I spent 5 months on a ventilator, Ecmo and a dialysis machine due to covid pneumonia. I had internal bleeding among other problems and was only given a 3% chance of living. Coming off Ecmo was one of the hardest things I've ever had to do. It saved my life but left me handicapped, i have severe nerve damage to my right leg and foot.
well, it might be a "mannekin" stuff, but, blade was leaning on upper teeth. Secondly, you never introduce your endotracheal tube all the way with the stillet in. Anyway, great video for a GENERAL idea.
I am expressing an opinion here as I think more data is needed to answer this question, but I think, from my personal experience, that the "bigger" difference in results is likely in the longer duration of treatment, and not necessarily the total dose or mechanism of delivery. Again, only an opinion from personal experience .
Hi, I've been using the Mac blade, I believe I am profecient with it now. but I have a hard time visualizing the way the miller blade "clips" into the Epiglotis. Assuming I choose to sweep the tongue as I go in and see the epiglottis, do I rock and put it under the blade? Or is it better to go in without sweeping assuming where the epiglotis is and pull back slowly.I don't understand the "Clipping" sorry.
Bearing in mind that there are many variants in techniques to using the individual blades, a common approach to using the miller blade is to go straight in midline. This is because the miller blade technically doesn't have a tongue sweep design. Then, going in mid-line, a common approach is to intentionally go in deep. After this, you do your typical lifting of the blade out and up at a 45 degree angle, and, concomitantly, you slide the blade back until you "clip" the epiglottis and visualize the vocal cords. A way some anesthesia residents learn to use both blades is to use both of them on every patient they encounter in the OR. In that learning environment you can gently enter the oral cavity with the MAC blade, visualize the vocal cords, then come out and go in with the Miller blade and intubate. Using this learning model one can begin to quickly gain experience knowing what type of blade would be most useful depending on your patient's unique anatomy.
The same problem happened recently with me. Short and thick neck male patient with limited mouth opening. I choose blade number 3 which was big mistake. I saw only long floppy depressed epiglottis. Desatureted very quickly. Inserted LMA. Ventilated somehow. Difficult ventilation even with LMA. Started to bleed from mouth. Desatureted bellow 40. It was nightmare. ThankGod started to wake up. And successfully awakened up.😢
I can never find a diagram or picture that shows the arytenoids, the corniculates, AND the cuniform cartiledges all in one. Were they all visible in that view?
