How an Anesthesiologist Sets Up an Operating Room for Surgery 

Thanks Greg! I can tell you that it took 4 years of college, 2 years of part-time premedical classes, 5 years of medical school (normally 4, but I did an extra year of research), and now into my 2nd of 4 years in anesthesia. It's a lot, but it's been an enjoyable and rewarding journey!

AND FOR ALL THAT- THEY ARE THE HIGHEST PAID MDS- LOOKS LIKE THEY SHOULD BE

@@franklehmann6874 More than plastic surgeons?

@@sharonsolana yeah, I thought that the high end plastic surgeons are the highest paid M.D.s as well?? But damn @Max Feinstein, MD has been in school for quite a while. They give their lives to their jobs.

@@amandala00 Many professionals do.

That's awesome! Good for your brother making an excellent career choice.

Mark: Thank you to your brother! I believe anesthesiologists are unseen and under appreciated heroes! God bless you and your family.

Thanks guys!

This comment made me cry lmao, good for y’all!!!!!

He went to medical school to sit in a lounge and whine about CRNAs. Great.

Thanks Kyle I appreciate the nice feedback!

Me too

, same comment , awesome doctor, iam from saudia arabia Anaesthesia practitioner . Regards

Me too!😺

I live in the UK and have had only ONE COLONOSCOPY but much to MY DISAPOINTMENT WAS'NT given ANY ANASTHETIC so I personally found it quite painful and uncomfortable

Hi Gigi, thanks for the nice feedback! I've noticed the same thing with a lot of doctor/nurse videos as well. I also have to fight the temptation to make those types of videos, it's just tough with privacy and HIPAA. My hope is to find a good way to approach patients and ask for their consent to film things like intubations, line placement and other procedures. We'll see!

Yes!!!!

​@Max Feinstein, MD I watch the news every night, and due to Covid the major networks have filmed patients in all stages of treatment. You may want to approach the networks' legal departments, and ask them the best way to approach patients. I would be _very interested_ in watching and listening to you consult with the patient, and then watch you throughout the entire surgery and planned wake-up phase. The more narration and information you share the better!

I agree so much! It frustrates me to no end, since Im the straight to the point kind of gal

I couldn't agree more. :) You got it, Gigi (future) RN. ;)

Yes, in fact a lot of comparisons are often made between anesthesiology and flying airplanes.

@@MaxFeinsteinMD So true. I am a pilot and veterinary "nurse anesthetist". It's all about checklists. People are held by the level of your concentration and discipline. Checklists save lives.

Normally, it is done by surgical technicians

The Checklist Manifesto brings all of this together, if anyone is interested :)

@@MaxFeinsteinMD Like 99% uneventful and 1%...

I remember my first day shadowing in the OR, I thought it looked so hard and scary, but once I got into school and you start doing it like anything else it's actually very easy in general (some surgeries are more work of course). From the outside I could say the opposite, we really just have one very specific focus in anesthesia. Where primary care you have to sort out what's going on from all sorts of things and try to manage systemic problems that don't get instant response like we do in the OR from our drugs! That sounds challenging to me.

Couldn’t agree more. Thanks!

Spending 1 sec per bottle is better than spending 30 minutes resuscitating a patient from a fuck up and months in the following legal battle and risk your career. Easier said than done, though, as my boss always says, simple things are not essentially easy.

What does redundancy mean

@@007shumr excessive, as in making sure there is no room for error.

Have you noticed any long term side effects?

@@TheDankDev From the anesthesia specifically? No, I don’t believe so. Thus far, I’ve been pretty lucky in that regard. I used to get horrible post-op nausea while coming out of anesthesia but they’ve luckily been able to eliminate that with other meds. That’s really the only side effect I’ve notice from the anesthesia.

@@hydrorougeI’ve never been put under. But I may be put under in a few months to get a hernia removed. Thank god it’s a common surgery!

Hi Julie, I think I would feel the same way if I were a patient! I personally find the operating room very fascinating and love working in one. I'm glad you've had positive experiences with anesthesiologists! One of the most important aspects of the job is helping patients feel comfortable before they undergo a potentially stressful surgery.

Indeed! I’ve had about 30 total and a few spinal taps and blood patches throughout my life. The only time I nearly punched the doctor was during one of the blood patches and he struck a big nerve. Had the nurse not have been holding me as still as possible, and him being much stronger than I was, I probably would have jumped and caused more problems. Plus I was sick to my stomach as well. Needless to say that was excruciating to say the least and I had never been one to make much sound when I was in pain. So I suppose I did have one bad experience but it was no fault of the doctor. I was just a bit critical at the time.😟 On the plus side, the spinal taps and other blood patches I’ve had,didn’t bother me at all. I never understood why people had said how terrible those were, unless they had the same issue I did that time.

Erm nobody ever goes into theatre awake you are knocked out first in the ansetic room the wheeled into theatre when you are asleep and inubated

@@doyouhearthepeoplesing2 not true. Here in the US we can stay awake all the way back to the OR.

@@janetsmith818 why? That’s why you have an ansetic room because theatre is sterile

Thank you for what you do for us! I had a double lung transplant. You cardio thoracic professionals are rock stars!

Most?😵

@@BamaTraveller There's crappy people in every profession. I remember being surprised realizing just because someone is educated doesn't mean they are smart or do a good job!

OHH they do

@@bigmohammedbby6474 haha youre right!

I'm a Nurse Anesthetist and I'm sure I've done way more cases than this resident. Nurse Anesthetist do most of the anesthesia not MD's.

Agree! He’s handsome

Lol, fresh

I've got through quite a few medical procedures in my life and have some pretty good looking anesthesiologist knock me out.

@Gabe Hernandez depends where you live, over here in The Netherlands we pay about 100€ a month to get medical treatment witch includes these things, medicene etc.

@Gabe Hernandez living in Germany, it's all free boo 💸💸💸💶

Haha I think the tripod is superior in this case, civilians win.

Doctors are civilians too no? I think only police and military personnel are considered not civilians

@@Ahn-mu3db There are also doctors and other medical personnel in the military and law enforcement!

Glad you had a positive experience with your anesthesiologist! Thanks for watching this video, too.

Yes there’s a lot that goes into it! Most are very short acting drugs.

@@MaxFeinsteinMD also, how come everytime ive had surgery, when yall put the mask over my face yall say "its just oxygen" ... isnt that what knocks me out is the anesthia from that mask?!

@@nizzy1057 it's really just oxygen the drug that knock you out is administered into your cannula right second before it

@@suzy8254 but there really is, it is called sevoflurane (there's another one that I forgot the name since it is not commonly used where I work at). Though there are times wherein plain oxygen is being used.

Thanks for watching!

That's awesome, enjoy!

Yes, at the end of the day, the patient is why I went into medicine, nothing else is more important.

Glad to know you're doing well after those intense surgeries!

I had spinal fusion for scoliosis back in 2008, it was my first surgery and I was 17. It was really rough for me but a perk is I’ve not been scared of the other surgeries I’ve had(unfortunately I’ve had a lot of them but none have been as big) I’ve had about ten other surgeries, anesthesiologist are always my favorite drs always so kind

I'm glad you had a positive experience at Mount Sinai Hospital! I've had the opportunity to work with most of the prostate surgeons and they're a great bunch.

That's very interesting! Did you receive special training in anesthesia or are nurses able to assist with giving anesthesia without pursuing additional specialization?

@@MaxFeinsteinMD We have 2 years specialty program here , we prepare operating room like you did in this video, then we place iv and adminster drugs (but doctor decide what dosage of the drug we should administer)... doctor intubate, place central lines etc.

I think anesthesia is so interesting, it’s just not something that gets a lot of attention. Enjoy your rotation!

Haha I am very used to the “blame anesthesia” mentality although mostly just in jest and not for real!

Yes it’s pretty crazy. This video didn’t show some of the other anesthesia medications that are very commonly used which you may or may not have also received.

@@MaxFeinsteinMD thank you

Lol uhhh I think part of the idea is to reduce pain along with reducing consciousness 😂

dude legendary LOL if only you had a picture of it man

You’re welcome! Enjoy the rotation.

That's why they are doctors!❤️🔥 Docs from all over the world have to go through the same level of training, but some don't get the appreciation they deserve

Some people absolutely love studying.

Same my anesthesiologist was a cute guy and there was other anesthesiologist in there too and they were rlly funny and gave me a blanket 🥺

Glad to know you had such a positive experience with anesthesia!

Hello beautiful how are you

Thanks Abdul, I appreciate it!

Hello beautiful woman how are you

That’s part of the reason I started making these videos- my parents don’t know what I do other than what I tell them! Congrats to your son on finishing residency.

I hope she enjoys the journey!

@@MaxFeinsteinMD Thank you, that's my prayers.

Thanks Tracy!

Hello beautiful woman please can we have a chat

That’s very nice of you to say, thanks so much!

Thanks for watching! Hope your surgery went well.

Thanks! It’s serious work and important to treat it that way.

We are very lucky to have pre-made labels! And in some cases, even some pre-made syringes filled with meds! In addition to being a nice time-saver, those are both good strategies for reducing medication errors.

Hi Erica, you're right that anesthesiology does entail taking over breathing and other essential aspects of a person's physiology that keeps them alive. That's a big part of the reason I wanted to become an anesthesiologist! Thanks for following along with the video.

Thanks for the nice feedback! Best of luck with your residency.

Thank you very much! Glad you found this video interesting. Yes, there is a lot of prep work that goes into providing anesthesia care safely for patients.

Thank you for the nice feedback, and also happy to know you're interested in the field! I love it so much.

Very kind of you to say, thank you!

Enjoy!!

@@MaxFeinsteinMD subscribed :D

Haha I don't know if we're the most respected - I hope that's the case! - but it's definitely true that if the anesthesiologist says no, the surgery doesn't happen.

@@MaxFeinsteinMD Have you ever said "no" to a surgery? If so, can you please tell us about it?

@@sharonsolana I haven't personally, but I am also relatively new in my role as anesthesiology resident. I have seen attending anesthesiologists cancel cases, typically if a patient has eaten recently and the surgery is elective (ie. not urgent or emergent). That would put someone at a higher risk of aspirating food/liquid into their lungs and causing problems.

@@MaxFeinsteinMD Thank you for commenting!

Sure thing!

Hey Lukas that's awesome, thanks for following along. Looking forward to meeting you when you get into the ORs. You're at a great place to get involved with anesthesia as a med student (Sinai anesthesia was my #1 choice) so soak it up. See you around!

Thanks very much, I appreciate the nice feedback!

Hello beautiful woman how are you?

The double checking is deeply ingrained! Thank you

And you cant spell its you're for you are your is the posssesive you dumb dumb

That's great to know, thank you!

Hey Cloud Nine thanks for watching and leaving such nice feedback! Anesthesia is an awesome field but I didn’t have any exposure to it until I was an MS3- glad to know it’s caught your attention early on. Enjoy your journey through med school!

Thank you! Glad you enjoyed the video

@@MaxFeinsteinMD welcome I’ve had a lot of surgeries in my life time seeing what you all do before hand is crazy, remembering all of this and having no room for error! #Respect!’ Thank you for all that you do.

I couldn't recap needles the way he was doing. I would definitely stick myself. I have to do the one-hand method.

Hi beautiful woman

@@greganthony6577 Hi to you too baby.

Can we have a private chat on WhatsApp please

I was also surprised as I learned more about anesthesiology!

@@MaxFeinsteinMD Can you do a video on the drugs used to anesthetize a person and what would happen if they were overdosed? Also, the drug that is used to bring a person out of anesthesia - how does that work? How come we don't feel pain under anesthetic? Sorry, so many questions but I find this so fascinating! 😊

Thanks for the good ideas for future videos! If we give people too much anesthetic, it's typically not a problem because all of the medications eventually wear off. Some may cause temporary, unwanted drops in blood pressure, but that's usually easy to offset with other medications. Most of our anesthetics don't actually need to be reversed by any other drug. Instead, we just carefully time turning off the anesthesia so it wears off right about when surgery finishes. The only drug that we usually need to reverse is neuromuscular blockade (ie. drugs that paralyze the muscles temporarily) which we commonly use a medication called neostigmine to do. It's actually not necessarily the case that no pain is felt while someone is under anesthesia. I often see a patient's heart rate increase, for example, when the surgeon makes their incision despite the patient being deeply anesthetized with general anesthesia. We usually do give medications to help with pain, even when someone is completely unconscious and has no awareness of anything happening.

@@MaxFeinsteinMD Thank you for taking the time to answer my questions 😊 So we can feel pain while under but just don't remember it? That's a scary thought! 😅 Not that I understand how any of this works but would it be fair to say that the purpose of an anesthetic is to render one unconscious and to block memory of what goes on while under?

Hello beautiful

Good, glad you find it calming. Your anesthesiologist will also help you feel much more comfortable!

The last person that can lose control in the OR is the anesthesiologist. Even the surgeons can freak out, but we must keep it together to reassure them everything is going to be ok.

Thanks Collin!