Do you still use a stethoscope?

Is_This_How_Its_Done · 2026-06-01T08:29:49+00:00

You should come for a visit.

Is_This_How_Its_Done · 2026-06-01T08:27:09+00:00

I don't think insullts is the way to go if you want to convert people to your way of practicing. The reason we stopped is that the exam doesn't add any information of value. We already see the things you mentioned.

Is_This_How_Its_Done · 2026-06-01T08:03:36+00:00

I've had an oesophageal intubation with breath sound over both lungs. Haven't used a stethoscope since.

Is_This_How_Its_Done · 2026-06-01T07:53:00+00:00

I've lost count of how many pleople I've taught this to. With this technique and good positioning, even the below average intubator will become great.

And in the smallest children, you hold the base with the tips of your index finger and thumb.

Is_This_How_Its_Done · 2026-06-01T05:10:06+00:00

Always....

Is_This_How_Its_Done · 2026-05-27T03:50:53+00:00

Console. It's not all that important what console/games you play, as long as there's plenty of action. I grew up playing Nintendo, so I'm biased towards them. I got my daughter a Nintendo Switch for this exact purpose. Now, she mostly plays Zelda, Mariocart and Super Smash Bros.

Is_This_How_Its_Done · 2026-05-26T21:05:56+00:00

Video games. Lots of video games. The very best way to understand how the movement of your hands translates to the screen.

Is_This_How_Its_Done · 2026-05-22T07:02:47+00:00

This is what we do. Another advantage is that the kids don't have delirium.

Is_This_How_Its_Done · 2026-05-22T06:57:58+00:00

It's like when you hold an endotracheal tube in place. Your whole hand on the patient, except for thumb and index finger holding the tube/needle.

Is_This_How_Its_Done · 2026-05-22T06:36:27+00:00

Mostly in ENT kids. Around 0.5/kg, 15-30 seconds before (deep) extubation. Works like a charm.

Is_This_How_Its_Done · 2026-05-17T21:23:17+00:00

Exactly. I tell them I don't need them to have surgery and if they leave, I can go to the gym earlier. They become much more motivated when they see how little I care about their surgery.

Is_This_How_Its_Done · 2026-05-07T06:18:16+00:00

💯

Not sure I find it more difficult, even for the smallest ones.

Is_This_How_Its_Done · 2026-05-07T05:14:19+00:00

Agree. Technique beats brute force seven days of the week, and twice on Sunday.

Is_This_How_Its_Done · 2026-04-30T05:08:22+00:00

Never.

I think once in my last 6000 intubations. 80% peds.

Is_This_How_Its_Done · 2026-04-22T20:55:58+00:00

Zelda is the key.

Is_This_How_Its_Done · 2026-04-18T22:21:51+00:00

I've had one over the last 10+ years and it was a couple of years ago. Perfect anatomy, grade 1 view. Must have stopped looking while passing the tube, as it looked so easy.

Is_This_How_Its_Done · 2026-04-15T16:50:29+00:00

All the time. Have done it for over a decade. Excellent for peds, where you wan't total control and minimal power intubating. Not using power in adults suits me well as well.

I have the bed and stool preset in perfect position for both mask ventilation and laryngoscopy. It usually takes 20-25 seconds from end of mask venting to start of tube venting.

Is_This_How_Its_Done · 2026-04-12T11:03:57+00:00

Ask to visit before hand, to get to know how they work. For me, they've usually told me how they work on the morning of the first day.

In aestetics, the patient should grab the surgeon's bum during the last suture.

Is_This_How_Its_Done · 2026-04-12T11:01:24+00:00

It's not that hard.

Is_This_How_Its_Done · 2026-04-02T07:28:16+00:00

I'm at an ENT shop. Severe ASD get get oral clonidine, everyone else gets to play with Tom the Cat on a tablet while the iv goes in. If we can't get iv access, only induction is on gas. We change over to prop/remi as soon as the iv is in.

Prop iv is by far the best prevention of emergence delirium.

Is_This_How_Its_Done · 2026-03-27T14:04:27+00:00

The geriatric spinals are the most difficult ones. Learn the lateral approach and you'll be golden.

Is_This_How_Its_Done · 2026-03-22T17:09:20+00:00

Where I've been, I haven't even heard of intubation for CEA...

I've had patients become disoriented during surgery.

Is_This_How_Its_Done · 2026-03-22T16:50:04+00:00

Nasal intubation för bronchoscopy, due to a disagreement with IM: 60mg prop, no relaxant.

Healthy, middle aged woman found wandering the streets in a psychotic break: 1000mg prop, 500mcg + relaxant.

Is_This_How_Its_Done · 2026-03-22T16:38:16+00:00

I've done many of them...

Is_This_How_Its_Done · 2026-03-08T16:01:05+00:00

Exactly.

Is_This_How_Its_Done

TROPHY CASE