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.

@tomasmacalik5463

2 жыл бұрын

Either the top floor or a whole other builiding several meters away from the main one.

@Aawsomeguy

2 жыл бұрын

Or even possibly the basement.

@chakritsasorn

2 жыл бұрын

@@Aawsomeguy lol….basement normally are for the dead😂😂….but i get what you men though

@greatgames5793

2 жыл бұрын

@@chakritsasorn yea we get what you men 😂😂🤣

@amalprasad8d333

Жыл бұрын

@@Aawsomeguy 0 ko

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.

@BoogieDownProduction

2 жыл бұрын

pretty accurate

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.

@theprmstrful1

Жыл бұрын

Over 50? How????

@looksirdroids9134

Жыл бұрын

Why the hell has everyone had so many surgeries? I am 37 and I haven't had a single one.

@theprmstrful1

Жыл бұрын

@@looksirdroids9134 good for you that you're in peak physical health and an alpha individual

@bryanthompson7165

Жыл бұрын

50 🤔

@penniesfromheavon

Жыл бұрын

@@theprmstrful1 I have a lymph node disease and cancer plus the basics like appendix, gallbladder, c-sections and 5 eye surgeries. It adds up quick.

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.

I like how creative you are to keep the us entertained as we learn. Stay humble! Love your videos!

Dr. Max that is quite ingenous. While this may seem simple to some, your approach covers a great deal of important detail, that might otherwise get over looked! You need to recommend ALL doctors learn their ABCs! Great video!

@Nachtgrabb

2 жыл бұрын

Air Book Chair

@josephdahdouh2725

2 жыл бұрын

Door, Eyes, Flights

I know your videos aren't targeted at patients, but this level of detail is exactly the kind of thing I am seeking. I am scheduled for anterior/posterior lumbar fusion and a laminectomy in less than a month, and for some odd reason, I've been obsessed with knowing all the facts of the General anesthesia and the associated details. Great job on the video and the many others you've publish ed!

@User0000000000000004

Жыл бұрын

The first time I read your comment, for some reason I thought it said "lumber fusion" which sounds like a terrible operation for someone to endure!

@moosehead1183

Жыл бұрын

@@User0000000000000004 that IS what he said, and there is a painful recovery afterwards.

@gailharris5685

Жыл бұрын

Me too

@kendallevans4079

Жыл бұрын

Lumbar fusion??!!.....Have you tried EVERY other option? Don't mean to scare you but that isn't for the faint of heart!

@HoosierGuy

Жыл бұрын

@@kendallevans4079 I definitely tried every other option. It's been 15 months since I had the surgery, and I am happy that I had it done. It is a painful recovery!

Its so obvious you love your profession. And we are lucky to have you

Props on the logo - much better than the vanity license plate on a late model BMW reading “INTUBATR”

I liked the way to remember those basics. I can't speak for anyone else, but for me I know that in your job you have a lot to consistently monitor. One of the first things I want to know when I have surgery is WHO IS MY ANESTHESIOLOGIST.

F could be Fever or Freezing?

Should have millions of subs...so humble...I wish he could induce me in a couple weeks

You and your colleagues do great work; and we patients appreciate these videos because none of you talk to us much while we're actually with you. So, thanks!

I love your videos!!! Keep up the awesome work Dr Feinstein!!👍😊

I watch every video hoping you were my next anesthesiologist! You are a consummate professional! Thank you for all the videos! Logo is great!

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! ☺️🩺🥼👨‍⚕️

thank you Dr for these videos. You explain in a natural way that sticks to memory

Great Dr.........You are Light For The Future, thanks for that piece, educative and fun🙏🏻

Sit and read the newspaper? Wow Dr Feinstein you look great for 84 years old!

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

these mnemonics are already in my muscle memory and im sure many seasoned anesthesiologists have done these without even thinking. im sure many would agree, that post induction is all about time control.working out phamacokinetics of TCIs and inhalationals and anticipating the next time reducing manoeuvres are the key to reducing cost and morbidity. trust me, if you just started anesthesia as your field of choice, your consultants always come at the right time.especially when we anticipate something to go wrong.

Love Dr. F's videos they are amazing.

I always get Mt, Sinai and Cedar Sinai hospitals mixed up. I also have wondered for years what you do after the patient is asleep. The TV is always misleading. 😊 You certainly teach me a lot! I’m probably gonna be much more talkative to the next anesthesiologist and telling them about your KZread channel.😀

I love your explanations. Thank You.

Loving the new logo chief 👌🏻

@MaxFeinsteinMD

3 жыл бұрын

Thanks Nick!

Great video man! I love the new logo! I learned a lot!

@MaxFeinsteinMD

3 жыл бұрын

Thanks Darrion, I appreciate it!

@darriontunstall3708

3 жыл бұрын

@@MaxFeinsteinMD you welcome

I always wait for ur video.Hope next year I be able to pass anesthesiologist PG induction exam.cheers.

@MaxFeinsteinMD

3 жыл бұрын

Best of luck!

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 .

I'm having abdominal surgery in August, and I am going to have to force myself to not grill the anesthesiologist on these 😂

@_emmaxx9

3 жыл бұрын

Don’t worry about it ❤️when I had my operations I would ask so questions they don’t mind

@acesarge2

3 жыл бұрын

My dad is a paramedic and he brought his CRNA a crossword puzzle book when he got his rotator cuff done.

@ninastansfield9590

2 жыл бұрын

Ask fo propofol please milk looking at him right in the eye !? 99 per cent of aneasthetic is fine so don’t worry you’ll have a good Nap & wake up in recovery or not remember & then wake up back in youre Bed x

@ninastansfield9590

2 жыл бұрын

It’s A very rare thing for a patient to wake up especially in a big operation so don’t worry mention youre fears & hell he will listen & you are going to be Fine I promise you to wake up it’s very very rare in an Abdominal operation Cos you will be given relaxants which make sure you don’t wake up x

Really interesting!!! Thanks Dr F! I always enjoy your videos. Do you sometimes work with a respiratory tech? I ask as during one of my surgeries, there was one and we were chatting a bit. Again, so interesting! She was the one that put the mask over my nose and I "fell asleep." The anesthesiologist was also there.....he asked what music I'd like to drift off to!! Smooth jazz.... it really makes a huge difference when the medical team treats you as a person and not "just" the next surgery. Cheers from 🇨🇦👍😊

@NikkieRoxxx

2 жыл бұрын

THE doc F :) the original one!!

BEST AND EASY. Thank You Dr.

Another great reason for being diligent watching a patient's to temp if there's a personal history of malignant hyperthermia. When I worked in surgery, we always had an MH cart in the room just in case. Dantrolene is a wonderful thing if something happens...

@user-hr8lp2cf8s

2 жыл бұрын

isn't MH a rare condition? always having a MH is so unusual according to my textbooks!

@intrepidtomato

Жыл бұрын

Can I ask you a stupid question? Is it true that they often put in a rectal thermometer during surgery or do they place it elsewhere? Just morbidly curious.

@devendarjain7037

Жыл бұрын

@@intrepidtomato where you would like it?

That was very entertaining & explaining to us reg folks & pre med idiots what needs to happen prior to surg....thank you.

Woah, loving the new logo

@MaxFeinsteinMD

3 жыл бұрын

Thanks Ryan!

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

Thank you for this video! I like your sense of humor!

Love the new logo Max!

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

Educational & fun. Well done. You should write a book too, Anaesthesia 😁 after all, you have the ideal sponsor. No but seriously you must have so many stories to share!!!

It’s crazy how much I love these videos! I’m not even remotely in the medical field! They are so interesting!

@MaxFeinsteinMD

3 жыл бұрын

Glad you found them so enjoyable!

Thank you so much , video very informative very educational.

Your camera quality is EPIC

Fast and interesting presentation of applying anesthesia

You provided a lots of insights

Max, you are adorable. I am watching these videos after having had shoulder surgery a few weeks back. I am finding them very interesting!

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 I work Doing OR nursing assistant and I’m learning about anesthesia tech at work this videos it helps me a lot greetings ,it helps me because I not need to bother no one

I had to have eye surgery a while back and the anesthesiologist was wonderful. (They all were honestly.) We were all joking around until i passed out.

Logo looks Great 👍 Love your Video’s!

Great video, and I really enjoy your videos. Sadly not all Anesthesiologists are like you. I have been awake unknown to the Anesthesiologists, even if I had told the Anesthesiologists that I had Anesthesia awareness, and what goes on post induction is grotesque and irresponsible.

@NikkieRoxxx

2 жыл бұрын

I am like a horse, despite my 155cm. The meds take longer to kick in, or work less and i wake up in a blink. So, I ve :ben thru: intubations and extubations.... not nice.... very not nice grrr

GREAT video.!!!!❤

LMFAO still dreaming of that CT donut. Great video. Love the humor.

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.

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!

@lemboshauser4700

2 жыл бұрын

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

2 жыл бұрын

@@lemboshauser4700 they didn't do that while I was awake before my emergency cesarian 🤷‍♀️

@lemboshauser4700

2 жыл бұрын

@@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 :)

@lwolfstar7618

2 жыл бұрын

@@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

@lemboshauser4700

2 жыл бұрын

@@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.

I LOVE a bair hugger. When the patient’s unconscious I’m sure they’ll let me have a corner.

I LIKE YOUR NEW LOGO😷 HAVE A FABULOUS WEEK!! GREETINGS FROM BEAUTIFUL SAN DIEGO🌴

Dr Max is the bomb!

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! 💤.

@NikkieRoxxx

2 жыл бұрын

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? :(

Hi Doc Max, love the new logo. Ha Ha needles ah terrified. Wish you were here in the UK. Would be happy to be put out if my anesthesiologist was as good looking and fun like you are. Phew you can breathe a sigh of relief I am a young oldie of 68 years on the mileage. Hoping all my bits and pieces keep in good working order for a good while yet.

LOVE THE BEAR HUG. ive had a lot of surgeries and i love that thing

I had major surgery done recently and wow the cost to pay the anesthesiologist is higher than the cost to the surgeon. I was so shocked, haha. The bear hugger is so nice. I got to use one in my recovery and for a few days. My surgery site has to be be kept warm. Thank you wonderful medical science and wonderful medical professionals!!! I am eternally grateful!!!

@Ink30

Жыл бұрын

They deserve every penny, there smart and one mistake your dead

@Dandelion_flight

Жыл бұрын

@@Ink30 Well yes I agree LOL.

Very interesting. I found general anesthesia to be completely fine, but understand peoples concerns. Since switching to RSI protocols in EMS, I admit I’m not a technician that is ‘happy’ using RSI pre-hospital, but that’s the way EMS is moving. (Talk about being on top of ones game, least you all have a controlled setting, try it in a vehicle that is half way down an embankment or a moving ambulance hehe)

I continue to learn more from you than my brother Ron who is an anesthesiologist. Somehow in the future, you two have to get together and discuss what happens in a complicated case like a heart/lung transplant

@MaxFeinsteinMD

3 жыл бұрын

I had a nice chat over email with him, thanks for connecting us!

B explains why I always feel so cold after surgery!

Thank you for your work on identifying sex-differences between men and women in presentation and outcomes in myocardial revascularization!

I admire your intelligence ❤️

Hi Dr. Feinstein, Can you please do a video of post spinal/epidural headaches? Thanks!

I didn’t know the alphabet posted ads on KZread! Keep up the great work! 😊

I always love when this one pops up :)

In London we read Metro and Evening standard between Monday to Friday during our commute to and from work. Both are free....more than our NHS.

Love the logo.

Helpful video Max, thanks for posting.

What happens when a patient already has a tube going from their nose to their stomach? Do you leave that one in? I ask because I had one in my nose till surgery and when I woke up after surgery, it was gone

Do you want to wake up an anesthesiologist Say “closing” .😂😂😂😂😂

@MaxFeinsteinMD

2 жыл бұрын

Hahaha that's pretty good

Love your videos! They are informative yet funny! What role does a nurse anesthetist play in your day to day? Just wondering…

I love your cap or hat thing, whatever you call it! 😍

@MaxFeinsteinMD

3 жыл бұрын

Thanks I got it from a company called Tack!

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 am so glad to know I have never been just laying there freezing

Is it normal for my taste being off (nothing tastes right) after surgery and if so how long does it last? In November I had 2 stints replaced, December i had a quadruple bypass and last week I broke my hip and basically everything tastes off

You should do on about the steps of induction

I'm an anaesthetist and I agree with you!😄

Hello doctor can you please make a video about how we wake somebody up after anesthesia

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!!

I come from a long line of doctors, and I've heard most of them tell me that "It's the anesthetist's surgery. They're the boss. What they say, goes."

Thanks Doctor for this another interesting video. A question: why is it necessary to keep the patient warm? I was thinking the opposite...

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

@5thdimension625

2 жыл бұрын

This would be an excellent topic!! Discussing what cases go to physicians vs CNRA’s

@tmercari8807

2 жыл бұрын

CRNA’s have been doing anesthesia since the 1950s. Shut up

@BoogieDownProduction

2 жыл бұрын

@@tmercari8807 If only some CRNA's took more pride in their title instead of fighting to be called doctor.

I was nasally intubated for my last surgery. That actually was worse than the surgery. Where my nasal septum joins my upper lip hurt for months afterward. Hope I never need nasal intubation again!

While that surgery table looks more narrow every time I see it and while I enjoy the sensation of I'm about to fall off this table, please make it more narrow so that I feel like I'm actually falling. LOL Enjoy your videos very much. I am learning a lot.

I like your cap, it's so cute.

I love you videos

F from fever maybe? 🤒.. Love the new logo!

When my son had to be put to sleep for a biopsy, I asked the anesthesiologist if he was going to stay in the room. He said yes and told me I watch too much tv. But at that time, there was a problem with them walking out of a room. Made me feel better to ask

I like the new Logo💉

You can add centigrade to the C part of your mnumonic

Many years ago I had an A/P fusion that was very lengthy. According to my family, I was cold to the touch and quite pale. The doctor explained that because I was young and fit he was able to really slow down my breathing and heart rate and blood pressure. This also helped reduce blood loss to only two units (which I had previously donated). Is this practice still done? I had another A/P fusion done in 2018 and no one remarked that I was cold or pale.

Hey we have that vent in some of our ORs here.

first thing i do is turn on old yeller... (sevo)... then all the other stuff (vent settings, tape tube, yada yada)

@MaxFeinsteinMD

3 жыл бұрын

lol old yeller, love this

Just had anesthesia yesterday bro woke up ready to fight people. Terrible anxiety. First time that happened.

@MaxFeinsteinMD

3 жыл бұрын

Happens relatively commonly, particularly in younger patients.

@michellenainkristinabusch1221

Жыл бұрын

I always am violent when waking up, even at 37 years old.

Wonderful video! I have a question for you how often do you deal with patients who have Autonomic Dysreflexia?

You’re funny! Love you