The Gas-passer at work

[George K]

I have some quibbles, and I did things a bit differently. But you get the idea.

Link to video

[Mik]

Very interesting.

[George K]

One criticism, and it's a matter of discussion. The "stylette" is that curved metal piece that's in the endotracheal tube when he intubates the "patient".

(Did you see the "patient" close his eyes?)

Keeping that piece of metal in a somewhat soft endotracheal tube makes it a stiff piece of plastic, and more likely to cause injury. I always used it when I needed to "direct" the tube in a specific duration. I was also taught to never, if possible, advance the tube into the trachea with the stylette in place. Position the tip of the tube at the vocal cords and feed it off the stylette.

But that's just me.

(did you notice how the heart rate fell after the midazolam was given?)

Nice simulator.

[George K]

Here (magnified) is the view of the larynx I would get:

[George K]

I find this guy annoying. But annoying doesn't mean he's not right.

The Anesthesia Machine. This is much MUCH fancier than I used back in the last century. Nothing I used had touch screen controls. Simple dials and valves.

Link to video

[George K]

Something a bit more complicated.

Link to video

And how it all goes together.

Link to video

On a good day, I was able to get a couple of IVs started, insert an arterial line, get the patient off to sleep and intubated and get a catheter into the heart via the jugular vein in about 25 minutes.

Although, my record is a bit less than that.

[Tom-K]

Since each and every one of an anesthesiologists patients are passed out for almost the entire time the business transaction between doctor and patient occurs I'd say its a pretty good job. Back when I was in business I would have liked a lot more unconcious customers!