Ok this is so sick. Literally making the videos I would want to make in the future, and I don't think I'm ever going to be able to top your simplicity and unique way of educating patients and future anesthesiologists alike. Bravo Max 👏
Max, I have a video suggestion for you: I've been watching my 600lb life and wonder if you can make a video explaining the challenges of anesthesising a bariatric patient
My dream job when I was younger was to become an anesthesiologist. I didn't become one but that doesn't mean I cannot enjoy such high-quality related content. The internet is an amazing thing. Thank you for this video Doctor.
Very informative. I have had too many surgeries in the last five years, but the most difficult one was the cardiac ablation. After the operation, which lasted five hours, the surgeon said that the first thing he does when the patient goes under is to try to induce A-fib. He said, “But you immediately went into A-fib spontaneously on your own!” I said, “I try to help out wherever I can.”
I laughed probably too hard at this. I say very similar things. "Just trying to make y'all's lives easier." Is probably my go to. I haven't had a cardiac ablation, but I've had between half a dozen and a dozen various procedures with sedation or general anesthesia. A bunch more if you count non-sedated infusions. I always try my best to keep things smooth on my end. 😅 MPs have things hard/stressful enough without me causing problems.
how interesting! I underwent surgery to remove my gallbladder one week ago, the anesthesia worked so incredibly fast! from when they put the oxygen mask on me, I barely had the time to say "my head is spinning, what's happ-" and I woke up in the recovery room.
My OR rotations were by far my favorite part of clinicals for Paramedic school. Getting to shadow anesthesiologists and practice intubation under their skilled observation was such a great experience to have as a student. I got a ton of good advice from the doctors.
i’m genuinely so thankful that you do this type of content doc. you don’t understand how much it helps. not just understanding anesthesia but also motivating me to become a doctor! i’m a first gen eldest daughter from egypt and it’s been a dream since i was little girl to become a doctor. im a rising senior in high school right now and i’ve been researching everything about my future! so these types of videos are EXTREMELY helpful 💗 thank you for all you do!
Incredible video, doctor! I appreciate you showing the uninterrupted anesthetizing before your annotated one. Would love to see more videos like this, showing complications patients may encounter.
Wow this video was very very cool and amazing! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist, it takes a special person to be a anesthesiologist or CRNA and you’re one of them, I look up to all anesthesiologist and CRNA! I really enjoyed this video! I have had 15 years because of my cerebral palsy, that’s one reason I wanted to be an anesthesiologist and I love the hilarious patient and I love helping people! You rock
Thank you. I’ve seen a few of your other videos. This one is especially important to me as I’m having a parotidectomy in four days. I like to know what is going to happen and what to expect. In understanding this process, I know I may feel a mild sore throat in the day or so after surgery and know that it is expected and normal. I’ve had several surgeries without really understanding the paralyzing part. Again, I want you to know that your videos are appreciated apparently by a wide range of people as well as us patients who have no medical background. That is probably why you make them but I did want to express my appreciation. I’m anxious about this upcoming surgery. I’ve had no issue with anesthesia but I still like to know what you folks will be doing while the lady is filleting my face.
Agreed. I've always found anaesthesiologist to be the least aspect explained to a patient during surgery and waking up with an unexpected and unplanned sore throat, or the taste of chemicals everytime you exhale is kinda annoying. I've had so many questions about anaesthesia that was finally answered in this video.
Dr Feinstein, just want to say how much I appreciate you sharing these videos with the public as well as with students! Last year I had surgery and I certainly didn’t expect a "Spanish Inquisition” pre-surgery from the anesthesia resident! Almost as if I was on street drugs and didn’t want to admit it! I had no questions to ask, so I kept quiet and didn't have much idea what was going on. It all makes a lot more sense now.
I have no connection to the field of anesthesiology or any kind of medical field for that matter, but I always find your videos fascinating - both for their subject matter and your calm manner of explaining things. Also made me less nervous about undergoing general anesthesia should I ever need it, just from seeing the breadth of knowledge and expertise that you guys and gals have. If I had been a little younger, your videos may well have inspired me to pursue a career in medicine. You seem like a great doctor, but you're clearly also a great educator. Thanks for all the time and effort you put into this channel :)
I have gallbladder surgery coming up, and I am most worried about the anesthesia part (and picking up Covid during a surgery again, ugg). This was a very cool and informative video! It's nice to know about the Propofol burning. When I received it during a previous procedure, I wasn't given any heads up that a drug was being administered so the last thing I remembered before falling asleep was the pain and thinking "oh !%$* something is wrong".
this is really cool video and then seeing in a first person point of view is even cooler!! thank you so much for sharing all your awesome videos and for putting all the effort in making them!
Max, I love your videos but I don't have plans to become anesthesiologist, just watching for entertainment. Can you please make a video explaining if a fire in hospital happens and what are the steps for if is someone is under general anesthesia in the OR during serious STAT surgery? I don't remember if you have a video explaining this but I know you have done one if a patient needs to be transported from one floor to another for example MRI.
I have encountered your channel even before I entered med school, during the times when I was taking up my masters wherein I minored in Biochem. Always loved biochem and pharma so thats the reason why I considered Anesthesiology if ever I become a doctor. Now, I am on my 4th yr medical school (Junior Internship here in the Philippines) and my first rotation is Anesthesiology. I am a fan ever since! Albeit I am considering pursuing IM-Endocrinology after my Senior Internship and board exam (yes, we have 2 years of internship here in the Philippines before we take the boards 😭), I am still amazed about the field of Anesthesia. Enjoying my rotation so far, and I totally relate to this video as this is also what I have been observing so far in GA.
The most awaited vid since prescribing your channel, no doubt you have educated a lot about basics of anesthesialogy but as human we always want a ful ready made package ....lol Thank you for uploading ,plz do special cases same way for those working at peripheral areas in developing countries Nd are not blessed with any mentor or supervisor. Merci beaucoup.
I"m getting ambilical hernia surgery in a week and I watched this to make me feel better but now i'm absolutely terrified and having a full on panic attack.
It would actually be interesting to hear about your typical ETT tape routine lol... I've seen patients end up with injuries around their lips after surgery, and while it's probably not much compared to recovering from surgical wounds, it is still another annoying thing for them to deal with and we should definitely work to avoid it if possible. Especially as someone going into a field that will have to intubate patients from time to time but probably not often enough to learn all the little tips, knowing how you do this would actually be super helpful!
Thank you for the video. In my opinion the concepts of gas exchange based on pressure differences also having O2 and CO2 in the blood as gases which form bubbles are invalid and false, are there any other hypotheses out there? Atmospheric pressure continually changes based on wind, temperature and the elevation of the ground, it is almost impossible that O2 and CO2 as gases pass by each other in and out blood inside the Alveolus. Another problem is that the same pressure pushes O2 into blood and pulls the CO2 out, it doesn't make sense. Also we can not measure the CO2 or O2 gas volumes in the blood, the only gas forming in the blood after compressing and decompressing it is Nitrogen bubbles after a deep dive and rapid ascending in the water.
WOW! Thank you, Dr Max!!! AWESOME VID!!! Can you please enlighten us on how anesthesia handles a patient with sleep apnea? I've always wondered about that.
They will be paralyzed; they will not be breathing at all, likely, sleep apnea is not going to affect the outcome if everything goes as done in the video
I had surgery 4 days ago and had major anxiety. The doctor injected clear stuff that made me feel drunk. Then it was lights out. I had no oxygen mask while awake. Guess they knocked me out first? I was still on the gurney and freaked out when wheeled in and saw the buffet table of “tools” to be used. Omg I was terrified. Woke up groggy and head back and forth. Had oxygen in nose and leg compressors on. Sore throat for 2 days from tube. Hard to swallow and severe abdominal pain. Had laparoscopic gall bladder surgery. Felling better day by day but this has been not what i expected.
When I had general anesthesia for a tympanoplasty/mastoidectomy in March, the last thing I consciously remember was the anesthesiologist injecting midazolam into the IV. I had a brief memory/dream of talking to a couple people about the surgery while I was lying on a gurney, then found myself in recovery. The surgery took almost 5 hours but to me felt like no more than a couple minutes.
Please make a video of the different audio or sounds from the anesthesia machine like the sound when the patient’s blood pressure is abnormally high or low or if the oxygen saturation is abnormally low or if the heart has abnormal beat or rhythm etc.
I'm interested in anesthesiology, so this video was extremely helpful. You always make your videos top-notch. Absolutely fantastic, high-quality content. I've been subscribed to you for quite some time now, and can only hope you'll keep releasing superb videos! Thank you!
I’m not in the medical field but I really enjoy your channel - I find it fascinating and you present things nicely. Video idea: explaining all the different beeps/noises coming from the equipment generally in the OR. Across your videos I’ve heard some noises I’m not familiar with and I’m really curious haha. For example from another video I think there were 3 beeps that escalated in pitch, and this repeated periodically throughout the video. It was in an empty or prepped OR.
Amazing I just had 3 hernias repaired. I had no idea all this went on. One day could you address patients that have NO memory for several days following surgery. 😊😊😊
I’m an RN and everyone keeps telling me that I should’ve become a CRNA but I don’t know if it’s right for me. I’m so torn between all the possible careers as an RN. I constantly come back to these videos because they are so informative and helpful in my decision making. Thank you for helping me understand what anesthesia providers do and think.
Can you please do a video about why anesthetic medications work the way they do and what goes on inside the patient’s body. For example, how does propofol induce unconsciousness and what does it do to the brain and body?
If I am correct - scientists do not know the exact mechanism of action for propafol. It works on the GABA receptors but the mechanism is not completely understood.
I’ve had seven major surgeries from December 2014 to May 2024. I don’t remember ever anything in the operating room. Nothing before, nothing afterwards. I’ve always been asleep before I ever get to the operating room, with the exception of when I had emergency surgery in 2017, when my colon had ruptured! But even then, I don’t remember much, other than being transferred from my hospital bed to the operating table. I think the medications to relax me, always knock me out cold, ha.
I had GA twice in 13 days. The 1st time, I was given something to "relax" me as soon as I entered the OR and it knocked me out. I never remember getting on the table or breathing thru the mask. I didn't like that at all. The next time I asked the anesthesiologist not to put me" under "until I got on the table and at least took breathes in the mask. He did as I requested and I liked it much better. Afterwards, when I wake up ,I always remember the exact second I go "out". Most ppl don't remember, but, I always do. Why is that? Thxs for the info.
I always remembered going into the OR and then going to sleep. I then remember waking up in recovery. One time I think I remember waking in the OR but after surgery.
@@JoeDFWAviation You have me beat. I have never remembered waking up in the OR, only in PACU. When I had my THR I only remember waking up in my room, many hrs. later.
@@JoeDFWAviation WOW! That's a lot of surgeries. I've never been in ICU (thankfully) I did get sepsis MRSA and was in the hospital for 6 wks. but, I was stable so no ICU. I've had 15 surgeries and hopefully that's all.
When I had my gallbladder removed, I was told afterwards by the anesthesiologist that I was "difficult to intubate." I mentioned this to the surgeon at a follow up visit and she vaguely responded, Oh yeah something wasn't where we thought it would be" Where could "it" have gone? /s It added 30 min. to the surgery but I was blissfully unaware. :-)
Thank you soooo much doctor now I can attend any induction with full of confidence.plz doctor try to make Vedio to continue surgery till the extubation.thank you
Very thorough and informative, though I know I'm not the target audience, lol. The blinking eyes of the training dummy is a bit unsettling, but still neat. I see so many vids where people are asked to count down, but I've never been asked to do so, to my knowledge/memory anyway, and this feels much more familiar, but with the advantage of seeing the parts after which I've never seen.
Hi loved your lab simulation it was amazing. Anesthesiology as a career has always excited but can you make a video about mid level entry of crna how it affects md anesthesiologist how we can distinguish ourselves cause crna are independent in 50 states
Could you please do a video on nasal intubation? In 2017 I had MMA jaw surgery, and was told that I would be intubated through my nose so the oral surgeon had access to my mouth.
This is awesome and very very helpful, 2week in CA-1 here! Thank you so much!! Also, it would be very helpful if you could do the same for emergence, and please show how you tape your tubes, I'm figuring out what I like at this point!
Great video! Hopefully we'll also see other parts of general anesthesia. As you mentioned in the video I'd like to ask you for video related to sounds and beepings of the machines and their function. We didn't have this topic much covered in the school and I was always confused whether it's pathological or not. Especially low tone beep-beep-beep randomly occuring during operation :D
When I had my colectomy in 2019 the anaesthetist said "Ok, we'll get started now". Knowing the propofol was going in and that I had only moments I had to say "once more unto the breach dear friends!" Last memory before waking up was the anaesthetist laughing. A week later one of the nurses from the high dependency unit I had been on for a couple of days after surgery brought another patient to the ward I was on. She recognised me and said that she'd accidentally woken me up whilst doing something. Apparently I opened one eye and said "I was dreaming about kittens. How f***ing dare you interrupt my dream!" and then went back to sleep. She thought it was funny, although I was mortified (I'm always nice to people who help me).
Thank you for the video. In my opinion the concepts of gas exchange based on pressure differences also having O2 and CO2 in the blood as gases which form bubbles are invalid and false, are there any other hypotheses out there? Atmospheric pressure continually changes based on wind, temperature and the elevation of the ground, it is almost impossible that O2 and CO2 as gases pass by each other in and out blood inside the Alveolus. Another problem is that the same pressure pushes O2 into blood and pulls the CO2 out, it doesn't make sense. Also we can not measure the CO2 or O2 gas volumes in the blood, the only gas forming in the blood after compressing and decompressing it is Nitrogen bubbles after a deep dive and rapid ascending in the water.
Mine was nothing like this. I was barely on the OR table when the CRNA said here comes the good stuff and next thing I know I woke up in post op in a crapload of pain. My surgeon was very anti pain meds.
I was given too much anesthesia. I could feel my left leg being put in different positions, no pain. I remember rubbing my fingers in each hand as there was numbness. I had a hard time in recovery and heard one nurse say, “they always remove the patients too soon to us.” I could hear what they were saying. Hospitals. Should be aware of that.
Hello Max, hope all is going well, sir. Nice to see you practicing as a full anesthesiologist. :) I see you like the Mac blade. I was always a Miller man myself ;)
Max I've read that Midazolam affects memory. I've always refused it from my orthopedic surgeries and I did just fine. Tell me is it really necessary to administer it ?
Hi Max, medical student here very interested in specialising in anaesthesia. I really like your videos and would appreciate if you made one about the future of anaesthesia / the effect on mid-level encroachment (CRNA) etc. on job outlook for physicians. Thank you!
Propofol can definitely be unpleasant. First surgery I ever had, they used it, I was like "Why is my arm burning?" (Didn't really get to ask before I was out since I was "out" in seconds, but asked later)... Never felt it in any later surgery, but I'm sure they used it which means they probably were more careful about it.
yesterday had an surgery and i was very nervous once i was in the O.R. To be honest you dont feel nothing . just leave the doctors doing their job and once they start gives you the drugs through IV you'll be out in maximum 1 minute . 3 hours later woke up in recovery room like nothing happened. Next time i'll go in the O.R. like in holiday.
Max, I saw that you're doing peds too! That;s awesome! I'm 14 and I've wanted to be in medicine since I was around 4 (dad's a paramedic, he inspired me). And 2 years ago, I found out about pediatric anesthesiology. I'm going to do all that's in my power to be a paediatric anesthesiologist when I'm older. Do you have any advice, or tips or tricks? I want to follow in your footsteps! You're such an inspiration! Who knows, maybe one day I'll be your resident.
That's awesome! My advice is to focus on doing well in school and pursue hobbies that interest you (eg. clubs, sports) whether or not they're related to medicine. Then in college, of course take pre-med classes, but you can additionally take coursework that isn't related to medicine. I'm sure there's a lot of good advice you can see on RU-vid, but overall my takeaway message is to focus on both your coursework and doing what makes you happy. Best wishes on your journey!
Great job doctor Feinstein but you forgot a step checking your patient’s identification also I would like to see you putting more complex patients under anesthesia ie heart failure I would like to see a full complex mock case
Great job Max! Very informative video. I wish my anesthesiologist had explained a lot of this when I had surgery and communicated more with me both pre-op and in the operating room. One question if I may. What are the typical reasons why a patient may be hard to intubate?
Hi Dr. Feinstein, quick question... what are your thoughts on turning on the anasthetic gas while bag masking and when checking that you are where you are suppose to be with the ETT?
Hi,Max, My mom is Kenny Ruglio and I had general anesthesia for a urethral stent procedure and my anesthesiologist Dr.Marisa Petricelli didn't use an endotracheal tube because I told her that I was afraid of my vocal cords being injured so she used a L.M.A. and while she was pre oxygenating me she was cracking jokes she said Kenny breathe my 100% clean fresh New Jersey air and I asked her is it smoke free? and then she injected some propohol and next thing I know I was in the recovery room. Kenny Ruglio
Thanks for the video. Recently had this done and have a question that I couldn't get an answer to from the staff while I was there. They stated that I had big lungs during the pre-oxygenation stage and I felt a very sudden stop in the gas supply on breathing in on every breath, did I max out the gas supply somehow as I got what felt like approximately 80% of a breath every time? The effect was just like a valve that closed instantly on the end of my inhalation.
Ahh, I always wondered why the eyes get taped. Just curious-who decides what post-surgical pain relief to administer? I know that certain blocks can be administered.
Why non depolarising Rocuronium instead of depolarising Succinylcholine, would it primarily be due the former having longer half life and better predictable reverse ability via Sugammadex?
I know thats a dummy... but i would seriously hope you would give more time in between the sleepy stuff and the paralytic. def something to talk to my anethesiologist about for my upcoming surgery
