cool,but the model doesn’t have such a realistic display effect ,maybe you can give it a try kzread.info/dash/bejne/hZqCsqiuadPKe5c.htmlsi=bPcZrP6imQIHNjiE
@dr.emiliovelazquez74964 ай бұрын
greatly done! frecuent mistake is to push with the holder and over passing the tube instead of just hold and slide off the LMA like you did. beautifull . does this needs lubricant?
@225maury6 ай бұрын
I got a quick question how long should I do the pressure tester for ?
@RossHofmeyr6 ай бұрын
Doesn’t have to be long. You just get up to test pressure and watch to see if the needle drops steadily/quickly once you stop pumping.
you need to disconnect ventilation before isolation and surgerical incision right? Because if you isolate one side without disconnecting the ventilation..........the lung is not collapsed
@red66321 Жыл бұрын
You're so cool. hahahaha the licking process is totally humorous. 😂 😂
@sahiraftab Жыл бұрын
What size bronchoscope were you using?
@OpenAirwayorg Жыл бұрын
This was demonstrated with either a 3.2 or 3.5 mm fiberoptic bronchoscope - forgive me if I can't recall which! One needs a "paediatric" (4.0 mm or less) bronchoscope, but it is ideal if it has a working channel so that you can suck out any secretions or soiling if encountered.
@JokerdanFF Жыл бұрын
Good information
@OpenAirwayorg11 ай бұрын
Thank you!
@jodysink Жыл бұрын
its a Shikani or Shixin I think...
@user-rf3cn1wp7f Жыл бұрын
Price plz
@freestylie Жыл бұрын
Nice video, only comment - if the bougie is rotated 180 degrees once in the trachea prior to the tube railroading, the tube is less likely to get hung up on the arytenoids
@davidzhai01 Жыл бұрын
Very useful information.
@225maury Жыл бұрын
Thanks for sharing your knowledge
@OpenAirwayorg11 ай бұрын
It is a pleasure!
@safaaalami32042 жыл бұрын
Perfect explanation 👌
@vukken992 жыл бұрын
This videos repeats the sin of other cric videos....lack of systematic anatomical identification...too simplistic to say palpate slide finger down to find the cricothyroid membrane....
@OpenAirwayorg2 жыл бұрын
Thanks for the comment, Vukken. Care to elaborate more on how you think it should be explained/taught?
@pyotrpumpkinhead22232 жыл бұрын
What is the outer diameter of EZ Blocker?
@OpenAirwayorg Жыл бұрын
The shaft of a EZ-Blocker is 7 French, so 2.33 mm
@shayadarwish87022 жыл бұрын
My husband was put on ventilator 3 days ago, for covid pneumonia oxygen with vent started 90% today hospital called me to let me know they have the ventilator oxygen on 60.%. Please let me know if this is good or?
@RossHofmeyr2 жыл бұрын
This is not the ideal medium for medical advice, Shaya, and I'm sorry to hear that your husband is so ill, but I can say that being able to reduce the oxygen concentration from 90 % to 60 % is a good sign.
@shlaapy2 жыл бұрын
Everything you're doing is in the upper left hand corner of the screen, buddy, you should try to focus your cam in the middle of the screen so I can actually see what you're doing.
@keanuhill94812 жыл бұрын
For a respirator mask fit check like that, I'd like to call this method the huff n' puff effect.
@fatmakacan24013 жыл бұрын
Great video
@soli48383 жыл бұрын
Hi, I was doing a lung case with a E-Z blocker.. After the OLV in progress...all of a sudden the ETCO2 tracing went flat and I could nt ambue. I met a lot of resistance. Sats were in the high 90s but remained stable. What happened in the lung to create this event? Thank you!
@sahiraftab Жыл бұрын
Did you recheck with a bronchoscope?
@OpenAirwayorg Жыл бұрын
Interesting! My first guess would be the blocker slipping back a bit and thus obstructing the trachea. Sometimes if one overinflates the balloon, it will "herniate" over the carina and give this problem. One can maintain oxygenation with small ventilation volumes, but the resistance to flow is high and lack of adequate Vt leads to little or no EtCO2 trace.
@GustavoMontanha3 жыл бұрын
good video. thanks!
@outoffears3 жыл бұрын
Thank you🌿
@omarnatour32223 жыл бұрын
what do you do with the expensive scope if they are leaking? you repair them ?
@CooperHatesYou2 жыл бұрын
Yeah. Send back to manufacturer with indication that there has been a leak
@OpenAirwayorg11 ай бұрын
Yes, if the leak is in the exterior sheath, it can often be repaired. If liquid gets inside - especially cleaning solutions - it can wreck the scope beyond repair.
@alexwonner74693 жыл бұрын
Can you used this scope as a cystoscope ?
@RossHofmeyr3 жыл бұрын
That particular fibreoptic scope has an outer diameter of 5.0 mm - would probably work, btu I'm not familiar with the ideal diameters for the adult urethra!
@alexwonner74693 жыл бұрын
@@RossHofmeyr Thanks a lot for the answer. Kind regards. Alex
@asmabelgacem73964 жыл бұрын
Very useful device really ! We can oxygenate and intubate the patient with the same material :) thank you :)
@jasonkahn30104 жыл бұрын
After suctioning the mouth prior to extubation, the Yankauer suction nozzle should probably remain in it's packaging.
@OpenAirwayorg4 жыл бұрын
We've taken to pulling a (clean) red bin close enough to put the Yankhauer directly into the bin.
@sunilsatav48274 жыл бұрын
Good and informative
@amyjohnson89884 жыл бұрын
So not only do you go through the hell of extubation you feel extra suffocated by plastic wrap lol
@OpenAirwayorg4 жыл бұрын
You're not wrong, Amy - we're very aware that this could be confusing or cause claustrophobia on extubation. We're trying to mitigate this by keeping the sheet loose, having a good flow of O2 into the mask so it's easy and comforting to breathe, and removing it promptly.
@neerukiran36174 жыл бұрын
Cost
@seesheenmedical15954 жыл бұрын
Hi Neeru,pleas contact me at [email protected] This one is our video flexible laryngoscope, thanks. More informaiton, check www.seesheen.com
@user-fi5mn8gv4z4 жыл бұрын
Informative and helpful video , thanks .
@RossHofmeyr4 жыл бұрын
Khalid Isam Thanks Khalid! These are getting older, but I’m very grateful that they are proving useful. Please don’t hesitate to ask questions or suggest future content.
@ruthgemperlein76064 жыл бұрын
ummmm NOT...so many mistakes
@RossHofmeyr4 жыл бұрын
Ruth Gemperlein Thanks for engaging, Ruth. Care to point out what you would recommend instead?
@RossHofmeyr4 жыл бұрын
@Prateek Dutta Gupta Fair point Prateek - this was a demo with clean blades, so little need for gloves. However, a fair point can be made for routine cleaning without gloves in any case, as laryngoscope blades are only exposed to saliva, unless there is trauma/soiling/bleeding.
@ruthgemperlein76064 жыл бұрын
read and follow the IFU...
@abelos15184 жыл бұрын
Thanks !!
@moisestyu125 жыл бұрын
Great video.
@jrelgran1on15 жыл бұрын
GLOVES
@red66321 Жыл бұрын
I think thats for demo purposes
@pritam1445 жыл бұрын
Great efforts by Doctor 👌😊🌷
@nilsvondelft79315 жыл бұрын
Hi Ross, Nils here ;) love your videos - just a comment: could/ should you not also apply your protip nr 2 (video: endoscopic intubation through SGA), where you attach your bronchoscopic airway adapter (onto SGA instead of ETT) for this Aintree technique?
@RossHofmeyr5 жыл бұрын
Hi Nils! Thanks for the kind comments, and good question/suggestion. The answer is going to be a little less satisfying: "It depends." The Aintree is designed with an internal diameter to fit the majority of paediatric flexible bronchoscopes, and so the outer diameter is just narrow enough to fit comfortably into a 6.0 mm ID ETT. This means that it is already fairly thick, but below the diameter of an "adult" (5 mm ED or greater) bronchoscope. Hence, it depends on the model and design of the bronchoscopic adaptor/catheter mount. If it is designed for adult bronchoscopes, it will fit fine while introducing the Aintree, but you'll have to remove it before railroading the ETT (a 6.0 mm ID ETT has an external diameter of around 8.5-9.0 mm depending on brand). You'll buy some time, especially during the tricky scoping period, but you won't be able to ventilate throughout. Hope that helps!
Great video. Perfect explanation and demonstration. Thank you.
@surgeon366 жыл бұрын
thank you for this video
@OpenAirwayorg6 жыл бұрын
Thanks Violet! Please let us know if you have suggestions for other videos and future content you would like to see.
@halukozdemir75686 жыл бұрын
Very good and informative video.Thank you very much for preparing and sharing.Good luck to you.
@OpenAirwayorg6 жыл бұрын
Thanks Haluk! Please let us know if you have suggestions for other videos and future content you would like to see.
@pmbhatti19695 ай бұрын
@@OpenAirwayorg In fiberoptic endoscopic process Endoscope will insert till lower esophageal sphincter ?
@jaym.84587 жыл бұрын
Great video
@OpenAirwayorg6 жыл бұрын
Thanks Jay. Please let us know if you have suggestions for other videos and future content you would like to see.
@orio97 жыл бұрын
Fantastic
@OpenAirwayorg6 жыл бұрын
Thanks Mohamed! Please let us know if you have suggestions for other videos and future content you would like to see.
@allansiqueira8 жыл бұрын
Hi there! What is the name of this system?
@OpenAirwayorg8 жыл бұрын
This is supplied in South Africa by Phoenix Medical and Consept Medical, but it is manufactured in China. I'll have to check the manufacturer's details and get back to you.
@allansiqueira8 жыл бұрын
As soon as you know the manufacturer's give me a heads up! thx Nice content by the way!
@mehmet_taspinar6 жыл бұрын
allansiqueira Did you find an endoscope manufacturing company?
Пікірлер
I love watching this stuff
cool,but the model doesn’t have such a realistic display effect ,maybe you can give it a try kzread.info/dash/bejne/hZqCsqiuadPKe5c.htmlsi=bPcZrP6imQIHNjiE
greatly done! frecuent mistake is to push with the holder and over passing the tube instead of just hold and slide off the LMA like you did. beautifull . does this needs lubricant?
I got a quick question how long should I do the pressure tester for ?
Doesn’t have to be long. You just get up to test pressure and watch to see if the needle drops steadily/quickly once you stop pumping.
thank you !
FONA video: kzread.info/dash/bejne/gIyCuMiinMTdj8o.html
Thank you whoever posted this!
You are welcome!
Good
you need to disconnect ventilation before isolation and surgerical incision right? Because if you isolate one side without disconnecting the ventilation..........the lung is not collapsed
You're so cool. hahahaha the licking process is totally humorous. 😂 😂
What size bronchoscope were you using?
This was demonstrated with either a 3.2 or 3.5 mm fiberoptic bronchoscope - forgive me if I can't recall which! One needs a "paediatric" (4.0 mm or less) bronchoscope, but it is ideal if it has a working channel so that you can suck out any secretions or soiling if encountered.
Good information
Thank you!
its a Shikani or Shixin I think...
Price plz
Nice video, only comment - if the bougie is rotated 180 degrees once in the trachea prior to the tube railroading, the tube is less likely to get hung up on the arytenoids
Very useful information.
Thanks for sharing your knowledge
It is a pleasure!
Perfect explanation 👌
This videos repeats the sin of other cric videos....lack of systematic anatomical identification...too simplistic to say palpate slide finger down to find the cricothyroid membrane....
Thanks for the comment, Vukken. Care to elaborate more on how you think it should be explained/taught?
What is the outer diameter of EZ Blocker?
The shaft of a EZ-Blocker is 7 French, so 2.33 mm
My husband was put on ventilator 3 days ago, for covid pneumonia oxygen with vent started 90% today hospital called me to let me know they have the ventilator oxygen on 60.%. Please let me know if this is good or?
This is not the ideal medium for medical advice, Shaya, and I'm sorry to hear that your husband is so ill, but I can say that being able to reduce the oxygen concentration from 90 % to 60 % is a good sign.
Everything you're doing is in the upper left hand corner of the screen, buddy, you should try to focus your cam in the middle of the screen so I can actually see what you're doing.
For a respirator mask fit check like that, I'd like to call this method the huff n' puff effect.
Great video
Hi, I was doing a lung case with a E-Z blocker.. After the OLV in progress...all of a sudden the ETCO2 tracing went flat and I could nt ambue. I met a lot of resistance. Sats were in the high 90s but remained stable. What happened in the lung to create this event? Thank you!
Did you recheck with a bronchoscope?
Interesting! My first guess would be the blocker slipping back a bit and thus obstructing the trachea. Sometimes if one overinflates the balloon, it will "herniate" over the carina and give this problem. One can maintain oxygenation with small ventilation volumes, but the resistance to flow is high and lack of adequate Vt leads to little or no EtCO2 trace.
good video. thanks!
Thank you🌿
what do you do with the expensive scope if they are leaking? you repair them ?
Yeah. Send back to manufacturer with indication that there has been a leak
Yes, if the leak is in the exterior sheath, it can often be repaired. If liquid gets inside - especially cleaning solutions - it can wreck the scope beyond repair.
Can you used this scope as a cystoscope ?
That particular fibreoptic scope has an outer diameter of 5.0 mm - would probably work, btu I'm not familiar with the ideal diameters for the adult urethra!
@@RossHofmeyr Thanks a lot for the answer. Kind regards. Alex
Very useful device really ! We can oxygenate and intubate the patient with the same material :) thank you :)
After suctioning the mouth prior to extubation, the Yankauer suction nozzle should probably remain in it's packaging.
We've taken to pulling a (clean) red bin close enough to put the Yankhauer directly into the bin.
Good and informative
So not only do you go through the hell of extubation you feel extra suffocated by plastic wrap lol
You're not wrong, Amy - we're very aware that this could be confusing or cause claustrophobia on extubation. We're trying to mitigate this by keeping the sheet loose, having a good flow of O2 into the mask so it's easy and comforting to breathe, and removing it promptly.
Cost
Hi Neeru,pleas contact me at [email protected] This one is our video flexible laryngoscope, thanks. More informaiton, check www.seesheen.com
Informative and helpful video , thanks .
Khalid Isam Thanks Khalid! These are getting older, but I’m very grateful that they are proving useful. Please don’t hesitate to ask questions or suggest future content.
ummmm NOT...so many mistakes
Ruth Gemperlein Thanks for engaging, Ruth. Care to point out what you would recommend instead?
@Prateek Dutta Gupta Fair point Prateek - this was a demo with clean blades, so little need for gloves. However, a fair point can be made for routine cleaning without gloves in any case, as laryngoscope blades are only exposed to saliva, unless there is trauma/soiling/bleeding.
read and follow the IFU...
Thanks !!
Great video.
GLOVES
I think thats for demo purposes
Great efforts by Doctor 👌😊🌷
Hi Ross, Nils here ;) love your videos - just a comment: could/ should you not also apply your protip nr 2 (video: endoscopic intubation through SGA), where you attach your bronchoscopic airway adapter (onto SGA instead of ETT) for this Aintree technique?
Hi Nils! Thanks for the kind comments, and good question/suggestion. The answer is going to be a little less satisfying: "It depends." The Aintree is designed with an internal diameter to fit the majority of paediatric flexible bronchoscopes, and so the outer diameter is just narrow enough to fit comfortably into a 6.0 mm ID ETT. This means that it is already fairly thick, but below the diameter of an "adult" (5 mm ED or greater) bronchoscope. Hence, it depends on the model and design of the bronchoscopic adaptor/catheter mount. If it is designed for adult bronchoscopes, it will fit fine while introducing the Aintree, but you'll have to remove it before railroading the ETT (a 6.0 mm ID ETT has an external diameter of around 8.5-9.0 mm depending on brand). You'll buy some time, especially during the tricky scoping period, but you won't be able to ventilate throughout. Hope that helps!
thanx @@RossHofmeyr
What endoscope is this?
this is our endoscope, you can contact with us, [email protected]
Thank you sir
Great video. Perfect explanation and demonstration. Thank you.
thank you for this video
Thanks Violet! Please let us know if you have suggestions for other videos and future content you would like to see.
Very good and informative video.Thank you very much for preparing and sharing.Good luck to you.
Thanks Haluk! Please let us know if you have suggestions for other videos and future content you would like to see.
@@OpenAirwayorg In fiberoptic endoscopic process Endoscope will insert till lower esophageal sphincter ?
Great video
Thanks Jay. Please let us know if you have suggestions for other videos and future content you would like to see.
Fantastic
Thanks Mohamed! Please let us know if you have suggestions for other videos and future content you would like to see.
Hi there! What is the name of this system?
This is supplied in South Africa by Phoenix Medical and Consept Medical, but it is manufactured in China. I'll have to check the manufacturer's details and get back to you.
As soon as you know the manufacturer's give me a heads up! thx Nice content by the way!
allansiqueira Did you find an endoscope manufacturing company?
@@allansiqueira seesheen, [email protected]
@@mehmet_taspinar this is our laryngoscope, you can contact with me, [email protected]