It is on our ABC

It is quite inactive blog for a while, but we are frequently posting on the facebook page. On that page, we have asked for comments from our readers. So, if you are interested in anaesthetics, we are still there, however, we are still here too.

ABC

Shared Airway

We have posted about shared airway between surgical team and anaesthetic team before, but today it was about a share between our team and the dentist!

In order to promote grow in children with difficulty eating/ swallowing, they must pass through this.

enjoy

Teachers' Day

Today Jan 16th, here in the Kingdom we cerebrate the Teachers' day, some schools are closed, some are business as usual. Even the Google web page still runs a special event for this occasion.

As a medical teacher, I would say that I never ever need a smart with high score ranked students or residents, but I would be proud when they are good guys or gals, do everything right not cheated, not selfish, with their best quality heart.

The link below is a music video on youtube about this special day. Enjoy...
A Reward for Teacher

Fibreoptic Assisted Endotracheal Intubation II

The previous post that I mentioned that I cannot upload the video, so i tried a new means of doing it, upload vial the Google+.

So, it you are interested in the real event happened at the operating theatre, please move to the G+ link to the clip below.

enjoy

The Original Clip

Scoring an ESSAY

A MedStudent Response to an ESSAY about an aged man with anemia and colonic mass

1. Hypochromic microcytic anemia is likely iron deficiency from lower GI bleeding. The consequences of anemia is reduced oxygen content leading to hypoxaemia which will stimulate the peripheral chemoreceptor and sympathetic system to increase the work of breathing, and stimulate the CVS to increase cardiac output to increase tissue oxygenation and myocardial oxygen demand.
Therefore, we have to concern hypoxia and myocardial ischaemia during his anaesthetics

2. An ageing man: look for his hidden underlying diseases; DM, hypertension, with lower metabolic rate and reduced renal function would affect the motabolism and drug excretion, and prone to drug toxicity

3. Colonic mass : the mass could affect peristalsis, bowel function, increase the risk of delayed gastric emptying then prone to pulmonary aspiration, delayed feeding in postoperative period and malnutrition

Great, isn't it?

Fibreoptic Assisted Endotracheal Intubation

What I tried to add the original video clip for the anaesthetic management for this patient, but I cannot do it, may be the size of the original one is so large that it will never happen in the blogger, so i did try to repost it with the utilisation of my not smart phone.

You have to differentiate the plan in airway management especially the expected difficult airway, when the plan is organised for a known difficult airway, the scene will be smooth as silk if the essential airway devices are in position and ready to be used. In the other way round, the unexpected difficult airway is usually problematic and can induce a chaos if you cannot help ventilate your patient 's lungs. In this video, the patient was an employee of the Electricity Generating authority, when he was injured, it caused him scar contracture which can reduce the airway motion and create a difficult airway to challenge anaethetist in charge of him.

Can't help with the quality of the clip, but it is better than nothing...

A review of Anatomy: Vid clip w/o Sounds

It is a post to remind you about preoperative evaluation in your patient, with modern technology you do have to review the film by yourself so that you can learn something about it. You may read the report of any imaging studies by the radiologists, but after that reading you should get back to the plain film or slide to identify where the pathology is hidden.

For this video clip, what you can learn from it? After you have evaluated the patient, then you can make your plan how to manage the patient's airway, what you can do and cannot do to help him/her.

enjoy....