Anesthesiologist reaction to 'anesthesia challenge'

What is wrong in this anesthesia video that has been viewed millions of times? Let's watch together as I explain some basic DOs and DON'Ts of anesthesiology.

0:00 Start
00:29 Context
01:18 Pre-induction problems
02:52 Induction issues
05:18 Airway atrocities
05:51 Not-so-vital signs?
07:34 Takeaway points

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

[catharsis]

So, in other words, the anesthesiologist who did this is criminally negligent.

[ssoknrl]

I had surgery on my hand a few years ago and asked if I could put myself out. “Absolutely…” I was told “…as soon as I make it safe for you to do that.” Then came the blood pressure cuff, ECG leads, pulse ox sensor and a few minutes with the oxygen mask. Then, when the doc was satisfied with the situation, she handed me that same syringe and said jokingly “Knock yourself out!”

[gotnokush]

I’d want this guy to put me to sleep. The whole index finger with the oxygen checker thing. The small detail that most people wouldn’t pay attention to. He’s on top of it. Good luck to you brother.

[hailla]

I just had surgery and did the "how high can I count before going under?" 5. It was 5. Funny thing is I woke up counting😂😂

[oleggeraschenko]

Letting a patient self-administer anaesthesia, neglecting safety, hygiene procedures and checking vital signs, filming ‘anaesthesia challenges’ - is anaesthesia a game to them?? Good job explaining just how incompetent, neglectful and irresponsible the guys in the video were

[CharlotteB]

We provide the same level of care for animals! We never induce a patient until we have an EKG and a Doppler in place for blood pressure monitoring along with pre oxygenating for 3-5 min as long as they tolerate it. Thank you for promoting standard of care!

[kdawson]

As a person who's been under general anesthesia enough for two lifetimes (3 ENT surgeries, 1 thyroid surgery, brain and spinal surgery and induced coma, radical exodontia, wisdom teeth) I respect the fact you put safety first. I've signed an informed consent that was slightly shorter than War and Peace with the words "death or paralysis" used almost as frequently as the word "and." I've survived some pretty horrible crap, I don't want to be taken out because someone got lazy and forgot to turn on the stuff that makes you not die.

[hidbee]

I had surgery in august and as I was going under, I remember saying “my eyes feel funny” and the anesthesiologist said, “good that means it’s working” 😂

[jordan]

I've watched tons of reaction videos by "med-fluencers" and this video is by far the best one I've seen. Not over the top with every single reaction but so informational. The calm disappointment and explanation was great. I had watched this video a while ago and really didn't pick up on a lot of things that you talked about here.

[samrutster]

I am a nurse who retired last year after almost 40 years in practice. Thank you for this critique of this insane video. Many times in the OR in my career and I have to say thankfully I have never witnessed this level of malpractice. Thank God this young man obviously made it safely through surgery, otherwise they would have had a great Form of evidence to convict this anesthesiologist of what was blatant malpractice.

[dr.funsox]

Surgeon here. If I saw this for my patient, I would’ve thrown a shit fit, called another anesthesiologist in, kicked out the current anesthesiologist, completed my case, and then march to the CEOs office.

[cherigrubbs]

I was a critical care/ER nurse for 35 years and this video makes me extremely anxious/angry. Reminds me of physicians in a hurry to do a procedure who would rush in and start slamming drugs before the pt is even hooked up to a monitor/VS baseline taken/IV checked for patency, etc. So glad I am retired! And yes, I was always grateful when a conscientous/skilled practitioner such as yourself came along!

[michael-m]

I remember watching that video a while ago and to be honest, as a person with little medical understanding, this is beyond concerning. Thanks for what you do Doc. Love the channel.

[ctobolsk]

As someone who has to have frequent surgeries, I hope I never come across an anesthesiologist this unprofessional.

[BG_CRY_]

I have a major phobia of anesthesia and needles in general because of a traumatic experience with oral surgery when I was younger (story below), but your thorough explanations of everything were really helpful in helping me understand all of the work that goes into making sure someone stays safe during surgery. Planning on watching more of your videos to see if I can help ease my fears.

So when I was about 8, I was getting a second set of 4 teeth removed because of concerns of teeth not growing in properly unless the baby teeth were removed. A few years prior, I had the same surgery on different teeth and, being a child who was already afraid of needles, screamed and cried when they injected me before taking me to the operating room to completely put me under. So, this time I asked the anesthesiologist when she came out to talk to my parents if there would be any shots and she said no, that I didn't have to worry about any needles. A little while later, here comes my dad with an alcohol wipe, which I knew meant there would be a shot. The anesthesiologist walked me back to an office room and sat me on a chair while my dad tried to hold me as she administered the injection. I panicked and pulled my arm out of my dad's hold, causing the needle to rip a gash a couple of inches long in my shoulder as I fell off of the chair. I'm nearly 18 and still have the scar, and now when I get any kind of vaccine at the doctor's office, I have to be given anxiety medication, numbing gel on my legs, and at least 3 nurses have to hold me down on the table to make sure I don't panic, and even then I still cry like a little kid.

Long story short, maybe DON'T lie to an incredibly anxious child because you might just traumatize them for life!

[egyphon]

I underwent anesthesia a couple months ago, very glad to see they did everything right, had me hooked up to all the measuring tools. Not sure which finger. I always wondered about "let's have you breathe into the mask a couple minutes before we're actually ready to start" and now I know why, it's good and it's called pre-oxygenation! Thank you.

[PhilLesh]

This reminds me of a "game" some of the kids in my neighborhood played in middle school where they would do rapid deep breaths and then stand up and hold their breath while a friend pushed on their chest to restrict blood flow, in order to pass out. I never understood it, but these guys are basically those kids, all growed up.

[wol_ves]

Dr. Feinstein, nothing wrong with doing reaction videos, especially when you provide so much added value! Thanks for the video :)

[vociferonheraldofthewinter]

I'm actually quite shocked. I've had 14 surgeries and my children have had several as well. Every single anesthesiologist I've ever interacted with seemed to be the most caring, concerned, and careful out of all the specialties. They're my favorite kind of doctor and I can't imagine any of them acting so unprofessionally.

[silverserpent]

Probably just me. But I don't want my physicians doing Tik toks when I am putting my life in their hands.