My sister is an anesthesiologist and your videos have really shown me just how complicated her job is. I myself have had over 50 surgeries and I appreciate this inside look at what really happens to me.
Max, what I love about your videos is that they help me as an anesthesia tech learn more in depth what my providers mental checklists are & how I can always be one step ahead to assist them.
My answer before watching the video: They monitor the ever-living snot out of the patient and make subtle adjustments as needed in order to maintain that sweet spot where the patient is paralyzed and unfeeling but not starting to die.
It's been said the anesthesiologist is the most qualified person in the room during sugery.. Fun fact; most hospitals before anaesthesia located operating theaters on the top floor so that the screaming wouldn't carry into the streets.
You're hilarious. I can't beleive that i can spend hours watching your anesthesia videos. I am not in the medical field but just started watching your videos on a whim. Well, i can honestly say that I have learned so much (useless to my everyday exisitence) but very interesting. If i ever need surgery, I hope my anesthesia doctor is just like you, Max.
I appreciate your videos. I'm not a student but I am a patient who has had 5 abdominal surgeries with my last one two weeks ago. I have always wanted to know exactly what happens when I am off in sleepy land. Thank you so much! ☺️🩺🥼👨⚕️
Never forget in nurses training in surgery (1965) seeing the anesthesiologist who was also editor of state medical journal sitting with legs crossed pumping a breathing bag with one hand while holding the medical journal on his lap with other hand reading it
Wow no newspaper lol. Our town passes them out every weekend. No one ever reads them they eventually turn to pulp on the sidewalk 😂. My parents actually read them though. Great vids keep it up !
Thanks for explaining this. I recently had surgery at UCLA in Los Angeles and remembered to ask for bubble gum flavor for my pre oxygenation mask you mentioned in a previous video! It smelled so good as I drifted off to sleep! 💤.
Yeah, adults should also get something that doesnt taste like crazy glue.... in the Netherlands, my son got operated on in 2018; they explained to him that the "air" comming from the mask could taste strong... so in NL not even the kids get bubble gum? :(
I think you should address the concerns about Crnas taking over anesthsia as it will help anesthsia aspirants get better clarity about what to expect in the near future
I had emergency surgery once, and I was upset as I had just eaten a large meal. I kept telling everyone "I have a full stomach of food! I can't have surgery!" Well, they kept assuring me, the anesthesiologist would take care of it. Now I know how they took care of it!
If it was a emergency surgery you probably should remember getting the gastrical tube, because with a full stomach, you do this before inducing the anesthesia, not after.
@@lwolfstar7618 because it was a emergency cesarian. No time to loose. But a emergency surgery can be everything, you just can't wait 6hrs after the last meal :)
@@lemboshauser4700 to be fair they also didn't get a chance, between contractions I grabbed the mask and took the mother of all inhales and blacked out on the spot lmao
@@lwolfstar7618 because this is a real emergency. There a different levels of emergencies where your different amount of time To prepare the patient and make general anesthesia safer for him. There are basically not many ones where it is like in a emergency cesarian section.
Hi Dr Max, hello from Brisbane Australia. I really enjoy your videos ! You seem really confident and l would feel very comfortable having you as my anaesthetist, as we refer to you here. Best wishes for your future career.! Barbara
Your video really enlightened me what I went through under GA when I had to go through with two surgeries within a period of 6 weeks. Both time I was reminded to keep breathing after I woke up .
Hey DOC, I JUST WANTED TO SAY THAT I LOVE YOUR VIDEOS AND BEING IN THE MEDICAL FIELD I STILL LEARN A LOT FROM YOU. I WAS A CORPSMAN IN THE MILITARY, WHICH IS A BATTLEFIELD MEDIC AND I ALWAYS LIKE TO LEARN MORE. THAT IS WHY THEY SAY THAT DOCTORS PRACTICE MEDICINE, BECAUSE THEY ARE ALWAYS LEARNING. THANK YOU FOR WHAT YOU DO
Hey Doc, I love your channel! I am convinced if I would have had my first surgery at a young age and seen the awesome team work that goes on in the OR, I would have become an anesthesiologist. I just had my first surgery. The gasses made my throat and head burn before I went out. I wonder what they were.
What types of changes in vitals would you expect to see if your patient goes into anaphylaxis? (Asking as someone with several medication allergies including some meds you might commonly administer.)
What!! I was told that there was Sudoku in the OR, on the anesthesiologist's side of the surgical drape... :)) Just kidding- I know you're there, among all the other things, to keep things from going sideways during surgery.
An alternative post intubation checklist from Australia - also using ABCDE :) airway - confirm tube placement, depth, and secure circuit breathing - O2 sats, CO2, gas flows and ventilation parameters circulation - HR, BP stable and cycling regularly drugs (4 As) - anesthetic (have you turned it on?), antibiotics, antiemetics, analgesics. environment/everything else - temperature monitor, Bair hugger, blood sugar level/ABG, head to toe pressure care and DVT prophylaxis (stockings, calf compressors) If haven’t done it before induction, surgical safety checklist / time-out prior to skin prep
Well thank you , now I won’t roll my eyes when the doc asks me to go get a blanket for a sedated patient after the patient ( when still awake 😂) adamantly refused a blanket . I learn a lot from you Dr Max!!
Speaking on anaphylaxis during surgery, it happened to me. See, I'm allergic to latex. During the surgery, they changed my I.V. site, and placed a Band-Aid over the old site. I was 13, but I remember them telling me that almost instantly I broke out in hives and my oxygen dropped. I also went into anaphylaxis from Vancomycin (probably spelled that wrong) a few years ago. I was fully awake and remember it fully. Scary stuff!
F could just stand for fever. How do you check for a fever you need a thermometer. I'm an old respiratory therapist and as soon as you aid vent settings I started running through what vent settings I would start for someone my height and size and history lol. I do miss working in the field! Love watching your videos Doctor!
I met the anesthesiologist but during the procedure he put a nurse anesthetist in charge who did a lousy job, me waking up in pain. The anesthesiologist was sitting in the office reading and I complained to him and he acted surprised I woke up in the procedure.
No we do not, although I've had anesthesia before and it was just like time traveling from the moment the meds went in until when I woke up in the recovery room.
Very nice guy he answered everyone of my questions and even when I repeated them still answered him he shrugged his shoulders and I said no offense if I knew that I was going to have a Breathing tube down my throat and literallouis be in a slight medical coma I'd be asking every question under the sun a 100 times more than youdown
After all that is done can you chill for a while ? What about the 2-3 hour surgeries, can you sit down and do something else ounce the patient is taken care of?
It really depends on the surgery and how stable the patient is. In general, I wouldn’t say that we can chill, since we always need to be vigilant 100% of the time for any changes in vital signs, surgical issues, problems in the operating room, and so forth. Having said that, it’s not unusual to have relatively extended periods of downtime during long surgeries with stable patients.
I induced general anesthesia and used vecuronium as my paralytic (hospital was out of rocuronium). Had an anaphylactic reaction within 40 seconds of administration. It was the most scared I’ve ever been at the head of the bed. Truly an acute dying spell. Had lots of good help and pt made it out fine, PTL🙏
I'm sure I don't have enough information to give for a good answer but I have a question. When I had a roux en y bypass in 2003 I woke up to the nurses saying I was super blue. I freaked out because my biggest fear was waking up on a vent. Turns out I was physically blue, I aspirated the dye the surgeon used to check for leaks in my new stomach. Did I probably just vomit at some point? It never came out of my hair and just grew out. that stuff doesn't mess around. Thanks!
I've had a D&C and 3 C-sections, so I very much appreciate Anesthesiologists. Who is the person who comes into the L&D room to administer the epidural? Is it usually a Nurse Anesthetist, or would an MD like yourself sometimes do them?
Most anesthesia groups employ to whom the anesthesiologist after and have to account for time with the patient. They should not supervise more than 5 patient's due to Medicare guidelines. When they do epidurals for labor and delivery, they place it and leave. In the case of the patient having an emergency c-section either the same or another MD will be in the delivery suite to monitor the patient.
I've had a few surgeries over my adulthood, I'm wondering why I feel so irritable after waking up? You know the nurse's are saying wake up, wake up! I've felt like punching them. Why is that? I enjoy your videos, thanks.
Have you cared for a patient with no response to Caine medications? My DDS has advised me that he will be referring me out to an oral surgeon for GA or conscious sedation for any further dental surgeries due to my poor response to procaine. He’s not the first DDS to have to max out my dose and dwell only to get marginal anesthesia for me. My son didn’t get any anesthesia from EMLA for his skin testing, and then I found that my sister also can’t get numb from caines. I like to joke that it sure explains my party times back in the ‘80s! Any idea as to the genetic metabolic aberration going on with us? Thanks! Enjoy your content as a nursing professor.
So far one of my wores memory's i have is when i got surgery to remove my Tonsils together with a cyst in my throat and i woke up after it. As soon as i was barly awake i startet to gagging for about 5min straight of course my stomach was empty for surgery so nothing came up. If i think about it, yeah i think it's my worst memory i have, i was 7 at that time. Even almost falling trough a hole from the secon floor to the basment wasen't that bad, i just say thick thighs safe lifes.
Yes well I’m a trained nurse & in our theatre the lead anaesthetist would make sure everything is stable& then if he had 2 student aneasthetic drs & 1 anaesthetist nurse with the patient & he would go to the Loo with a newspaper & often a patient would start to move his legs or other parts of their body as they didn’t have enough aneasthetic on board
Then someone had to rush to the loo to get the main aneasthetic consultant back to give the patient more sedation it’s happened a few times so trust me this does go on they start gagging on the ET Tube too COs they are waking up too soon & this shouldn’t happen
@@ninastansfield9590 I woke up during a colonoscopy and was trying to rip the tube out of my body! I appreciate what you’re saying. The doctor said next time we’re giving her fentanyl. Lol
@@5thdimension625 yes I had a polyp in my throat & it was making me Hoarse so I was fast tracked & was diagnosed within 2 weeks & 10 days later I went to day case unit to get it removed under General Aneasthetic a nurse friend came with me & theaneasthetist came to do his pre -op & my nurse friend came with me into the offiice & I said you will make sure I don’t feel any of the tubes won’t you !? Knowing they were lasering the polyp -deep in my voice Box- & he said have you had fentanyl before !? I said no !Anyway it was my turn to go in & he said don’t worry I’m giving you Iv Fentanyl He said ok the Fentanyl is going in youre Iv Now & the next think I’m back in the ward staring up at the screens it was Absolutely amazing I didn’t feel anything & after an hour I was allowed some iced water then they gave me a jug of iced RIBENA & I never felt a thing later I had a cold tuna Mayo sandwich with thecrusts off &that was heaven! Then I was away the Consultant came & said it looked like a polyp but he’d send it off to histology & it came back negative & I never felt a thing that Fentanyl knocked me out lol 😂
This is a question I think an anaesthesiologist can answer well even though it was about pain care reaction at dentist. Prepping for a long crown procedure dentist gave me lidocaine shot with epinephrine to make it last longer, but I started to feel panicky with rapid heart and breathing and told him I was having problems. He said it was probably the epinephrine. Later he packed a string with more epinephrine around my tooth. I went into a seizure and was soaking wet when I regained consciousness. What was going on and why was I drenched with sweat? Is this a sensitivity or allergy?
I had my gallbladder out and had the gas then the ercp and had it in an iv and my hand really hurt before I went to sleep I was complaining about my hand pain then I went off to sleep
