The unexpectedly dangerous part of anesthesiology

How do anesthesiologists safely transport a critically ill patient in the hospital? In this video, I shed light on this under-appreciated but crucial aspect of patient care by describing the equipment, medications, and thought processes involved.

Music:
Road Tripzzz by Ofshane (on YouTube music)

The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.

#Anesthesiology #Residency #MedicalSchool

[ivyedan]

I crashed in pacu 8 years ago...it took a whole team to move me to ICU..thank you for all you do...I'm alive today because so many Drs and nurses cared..

[jackaman]

Quite right, and important information. I had my own "travel bag" much like yours and I've taught 30-plus years of ICU staff that "road trips" are by far the most hazardous thing we do, and accordingly, the CT room is the most dangerous place in the hospital for critical care patients. Nicely done video, Max.

[Pete]

Great video. It brought back memories from two years ago when I survived level 1 trauma and 8 surgeries. Mounting your camera on the gurney was genius.

[michaelm]

You’re a great Dad! Working hard to give your Daughter a better life as the cost of every day expenses are constantly rising…. I had to quit school in 11 grade, my father broke his pelvis and both legs. I wanted to go to arts school, but i leaned how to connect high steel. Afraid of heights too.

[karlkascha]

Always great information. When I had a craniotomy for a meningioma, I remember going from the recovery room to radiology for an MRI. I felt every expansion joint and elevator threshold. It was a regular patient transport person who took me there. Yes, I was on portable telemetry and oxygen. I don't remember the trip from radiology to the ICU.

[cherylj]

I found this channel researching my colonoscopy. I find this young man uniquely fascinating. I plan on telling my anesthesiologist about him before my next colonoscopy. 😁🤗👍

[jessicabarsse]

I had surgery and the anesthesiologist that I unfortunately had couldn't put me to sleep with the 1st med he gave me and said Jesus! And then pushed a whole thing of proporfol in me and smacked me! Of course this was obviously absolutely unprofessional and just horrible of him but he acted like I was using up his own personal supply! I feel like a lot of these guys are drug addicts! A horrifying experience that was! At least this guy seems good 👍

[DavidTiptonJr]

Fun video style! I'm impressed you did this with so few edits and cuts.

[Mjln]

Last year, while in the hospital after surgery for pancreatitis, I developed cellulitis. One morning my blood pressure dropped to 80/60. One of the scariest thing for me was when the nurses placed a portable cardiac monitor on me and one nurse and two surgery residents took me to an emergent CT and then to ICU. I understood why the three of them were transporting me rather than an orderly — because they were afraid I would become unstable. I greatly appreciate that they took the required precautions to keep me safe during transport, but it underlined to me that I was in a bad way. That was a bad day.

[Stripping_Bolts]

How the hell do you have time to film and edit these videos?? I'm an engineer and I'm trying to start making videos too (about motorcycles) but finding the time, and mainly energy, to make and edit videos is tough. Can't imagine doing what you're doing as a resident! Props to you man, I wish I went to med school.

[lenelloyd]

Coming home from placement to see you've posted! I'm a med student in my 1st year of clinicals (we have 3 in NZ so I feel very much like a baby) and we don't get a heap of anaesthetics time. Your videos really peaked an interest for me, talking to the anaesthesitists is secretly my favourite part of being in theatre now hahah. Such an interesting job - everyone has been so welcoming and passionate! Not to mention your content has been really helpful in orienting me.
Thank you!!

[wp]

The IR department at my hospital is right next to the main OR and ICU. But MRI is in the basement next to ED. Which is probably why I try to avoid it like the plague.

[simonrokeby]

RT here Max! What's your threshold for bringing portable suction? I personallly always bring one, mostly due to the older generation of RTs and their horror stories of getting stuck in elevators without it. Interesting content as always. Will you be persuing a fellowship?

[lindawilliams]

Back in 2019 I had a hysterectomy I felt searing pain saying the pain the pain my head moving side to side could not open my eyes, but for the few seconds before they injected me I guess I went under . When it was over I told them it felt like a hot red poker not even an apology. This was in a London hospital

[AdvancedBoerboels..]

I can only imagine the look on everybodys faces when I woke up with no pain control screaming my head off at the top of my lungs and they had to turn around and take me to an isolation room to finish waking up. My surgeon told me he got harrassed for 3 weeks about it. I opted for no nerve block due to previous issues and unfortunately those responsib, le for pain control at that point had already gone home. I also lost my ability to see and thought I was already in the morgue because no one talked to me. I heard them all around me but no one acknowledged me no matter how loud I was. So finally I asked if they would take me out of the drawer if I am not dead. Ptsd was so bad that when I was finally home and able to sleep I did not hear a knock on the door from home health worker. She panicked, called the police. A cop complete with gun at the ready, health worker and 2 neighbors charged into my bedroom after breaking in my house and woke me from my first wonderful bit of deep sleep in 3 weeks! Next week I get the same surgery again other side. Nobody is looking forward to this!!!!

[amsimms]

Quick question. Have you dealt with putting someone with narcolepsy under anesthesia? I have narcolepsy and was curious to if there are any differences in the experience, intubation, meds used, testing beforehand, etc. At 45 I’ve never been put to sleep and the thought of it really scares me. Watching your videos gives me a little bit of “ease” thinking about it.

[archemicon]

Thanks doc! Love your informative vids. SUBSCRIBED.

[thewholeroll]

Really interesting as always. Can Max or one of the doctors in the house answer one curiosity I have? Do the scenes you see in medical dramas of staff jumping onto the gurney and straddling the patient doing chest compressions while still rushing to the destination actually ever happen in real life? Or is it just a bit of dramatic license?

[ShermanGranados]

Awesome. Absolutely true. Anesthesia Machine (an so other stuffs) transform any place in a safe place. November is coming my friend. Pan de Bono for the soul.

[andream]

I suspect there were a couple doctors and nurses squirreled away in a room watching you talk to the camera and giggling.