Video montage of people whose eyes stay open under anesthesia

If any of you are into anesthesia, you might enjoy this video:

http://m.youtube.com/watch?v=FX3A7voHOdQ

Thanks for posting the link.

Thanks for posting. Having had a few surgeries with general anaesthesia it's interesting to actually see what happens.

After one surgery I was rendered unable to speak for three hours or so, I was told that the vocal chords are occasionally damaged by the laryngoscope during intubation.

I was unable to speak for three hours or so

Wonders will never cease Rockdoc 😉

Interesting, and they picked some fine looking ladies (and one gent) to video. What do you health professionals on here have to say about the lack of gloves, masks, etc. Most of the OR folks around here are double gloving these days. I don't know how they articulate with double gloves.... Thanks for posting.

That's because I made the video and I only put in my favorite clips. Otherwise they wouldn't look as good...

Rockdoc the laryngoscope never reaches the vocal cords during endotracheal (ET) intubation, damage or injury to the vocal cords results from the endotracheal tube itself (more specifically the cuff), being inflated in the cords or upward movement/dislodgement of the ET tube which can cause nerve and tissue injury. Another factor which can result in injury is the length of intubation, but this is commonly associated with the larynx as a result of ulceration and granulation.

This type of injury was more common with the older ET tubes , but modern hi/lo (high volume low pressure) tubes does reduce the risk but not eliminate it.

RN1993 Thank you for the information, I was speculating on the reason.

Interesting to hear the actual probable cause.

You're welcome Rockdoc. It's normal to have a sore throat and hoarse raspy voice following Endotracheal intubation even for a relatively short period. Some people also experience difficulty in swallowing for a period following extubation which can be caused by:

Direct trauma to the anatomy of the throat (vocal cords, tongue base, epiglottis, arytenoids) by endotracheal or tracheostomy tubes

Muscular weakness due to nerve and muscle damage (disuse atrophy; critical illness neuropathy and myopathy)

Loss of normal sensation in the oropharynx and larynx

Impaired sensorium generally (delirium, sedation)

Oh my! After reading all that I guess I was lucky.

Hi Rockdoc

Did not mean to scare or worry you. The complications listed are rare, remember each and every day thousands upon thousands of patients are intubated and extubated without any complications.

Good video! I love the videos on anesthesia.

What cracks me up about the video of the male patient is that the doc let him push his own propofol to knock himself out. Lol.

Mashie