Anaesthetic Induction: training video for clinicians

A training video on anaesthetic induction for clinicians, recorded by Barts Health NHS Trust.

[christinevogt-klimshuk]

This is probably one of the most honestly delivered explanations of general anesthesia! The procedure isn't always a trip to an amusement park for kids as most videos show. Parents and children need to know what to expect and not have any freaky surprises or if the child will feel pressure or pain and why! They need to be prepared (not scared; it can be done properly) for what pre-ops/post-ops are going to happen whether they're scary, painful or embarrassing. Even the small involuntary twitches that happen during induction need to be explained to the family. It totally freaks them out if they think surgery will be done on their kid while the kid isn't totally out! Yeah, it can come across that way to a worried parent who is about to walk out of the room and let someone cut their child open in some way. Kids don't always find a mask over their face to be a pleasant experience and the falling asleep process isn't something they always think of as all that great either! Some really freak when they start to lose the control that being awake allows. When they wake up, it's not always pretty. Some are really mad! It's normal but they can be really upset. When we see them either just going under or just waking up that's the time we mostly watch that they don't pull out the IV. Children's hospitals usually do everything they can to make things comfortable for a child but kids aren't all cookie cutter critters! Every child, just like every adult must be treated and respected as an individual. Some will have an experience that is just dandy while others have a stressful experience. Not every kid is going to act as if there's no pain, or fear and not every parent will be as solidly comfy about a kid going through surgery as most videos show. There will be pain, fear, possibly vomiting and other icky stuff but these are normal and planned for in the event that they occur. Always nice to know they are expected and that there's already a plan in place for "YOUR" kid! Notice in many of the vids how often the participants look like they're all smiles and having the time of their lives. This one certainly is much more realistic than almost all of the others I've seen, Yeah, I'm a nurse.

[lisagordon]

Excellent! She did a great job explaining, very compassionate.

[Robby]

Well done to all our NHS staff a great service - Thanks

[jeffreymay]

I believe you help children safe that very great thank you safe client and nurse wonderful job keep safe

[PPikes]

I had surgery at 6 and 7 years old, I do actually remember the gas very well because I loved the smell

[subhash]

I think she got best job she can ever have she is on Anastasia all time

[Monica_Leigh]

Wow, no one did any of this for me when I had my tonsils removed. I was without my parent in OR, laying down while they did all this to me. I was allowed to bring my stuffed animal but they said it had to stay at the foot of the bed. Wow, thanks. I was determined to brave it all out despite being scared. However, I felt a tear slip out as I was mentally counting backwards from 10. 😩

[devinjoy]

What is the name of the female anesthesist at the hospital. Does she anesthesia young adults Male who needs to have spinal fusion surgery for their scoslisis.

[AshleyMickelsen]

....in the U.S. they don't use numbing cream or gas, they just jab you. One time I was poked 9 times to try and start an I.V., so now I am terrified of needles.

[mememaster]

Too bad they don’t do these types of explanation in the US

[packingten]

My generation got SCREWED ON EVERYTHING!. I was put to sleep w gas and they had about 6 or 7 people hold me down and didn't give a rats a$$ what I thought or felt. Now they got to cuddle little Jr....and make sure its okay w him!.

[davidkellymitchell]

Just give the patient hope. Tell them some don't wake up but most do.

[jos]

I was about 4 when I had my first operation and I'd had cannulas in my hand before and knew I didn't like them. When my parents were asked whether to use gas or IV induction and my parents actually asked me what I wanted and I chose gas (mainly because it was more like what I saw on the tv). BIG MISTAKE! They warn you on here that your child may wriggle and cry, well that was an understatement for me, I thought I was suffocating or something and I remember it tasting horrible and fighting the doctors and my parents, they told me to count down from 10 but I was too busy trying to get away from the gas. Apparently by the time I was asleep I'd knocked off most of the sensors and they had to be reapplied. Should've just gone for the IV, but also my parents shouldn't have let a 4 year old make the decision. Never used gas again.

[knutholt]

I do not watch such videos to get information. I watch them to see what they do not tell about but that I know will happen. For example will they give the child medicine to paralyze their muscles and breathing, and thereafter give the child oxygen and anesthetic gas by artificial ventilation through a tube inserted down the trout. She did not tell that the child most probably will get a catheter inserted in hisher urethra and much more during preparation.


She does not tell about risks of many kind and injuries to the central nervous system that is amply associated with general anesthesia. She is honest enough though to tell that the anesthesia might be stressful. What she does not tell is that one often use general anesthesia more to hide things done than to avoid pain and anxiety during a procedure, and that many procedures will be more comfortable and safer for the child with simpler types of handling.



There is a general principle in the medical community that the children shall know as little as possible about what is done to them under a procedure and that parents neither shall know very much, neither about technicalities nor about risks of general anesthesia.In addition they want to hide that one often do additional procedures with the child under general anesthesia that they will not tell about and want to be free to do so by use of general anesthesia. These additional procedures can be of many types. Sometimes they use the child as teaching object for students. Sometimes as research objects. Sometimes secret procedures are ordered by authorities to investigate paranoid suspicion about sexual abuse, just to mention a few of the reasons. .Also one of the reasons for this shielding is that staffs are often afraid of being accused of sexual abuse if details are revealed.

The women tells that they will also discuss options for anesthesia with the parents, but she tells that ultimately the anesthetist decides. By analyzing her behavior and bodily reactions during her narrative I tend to conclude that they intent never to listen to wishes of the parent, only pretending a discussion to manipulate the parents to accept something they already have decided. .If a parent upon what they know is best for their child regarding any procedure, deeply disagree with the staff, they should disrupt the preparation, take the child home and find some other place.

[rachelelabbady]

You need to keep the gas continuously on because it wares off within 5 mins.

[mirleakinney]

How disrespectful over 200 dislike this is a child what if ur child(ren) have to go through this.

[catherinenyberg]

That wasn’t a training video for clinicians.
It wasn’t even helpful for how to manage a child
The whole things was patronizing and talking to the parent as though they were a child.
Please a bit more proof acts and a lot less gushy opinion.

[lindathrall]

I'D LIKE TO SEE THE NURSES UNIFORM TO BE A NATURAL LOOK WITHOUT THE PLEATS IN THE FRONT AND BACK PLEATS THEY DON'T BELONG WITH THE UNIFORM

[stevenscottoddballz]

If a person has had the Nissen Fundoplication. this means they can no longer vomit. What happens if, when they wake up, they feel nauseous? Can it be treated before they feel like they need to vomit?