extubates

Eliza Extubated Eliza not hooked up to the ventilator

Final angiogram reveals exclusion of aneurysm from circulation.avi the sluggish flow was normalised after removing the balloon and microcatheter. Post embolisation ct revealed no infarct. patient was extubated and neurologically gcs 15/15 power 5/5 . patient discharged on 7 th day .. ct revealed no evidence of infarct.

Mikella04232009 After Mikella was extubated after her 3rd Open Heart Surgery - 04/23/2009 - She had to do things herself but was still a little drugged up to fully function.

Zoe directly after being extubated Directly after extubation, the respiratory therapist is getting Zoe ready for an oxygen tube under her nose(hence the stickers he's putting on her face. The steam had some epinephrine in it to reduce any swelling in her air passageways.

Preventing Errors w/ Neuromuscular Blocking Agents (Aug. 06) ISMP recently issued a Safety Alert called "Paralyzed by Mistakes," which warned about inadvertently giving neuromuscular blocking agents such as pancuronium to patients who aren't receiving ventilator support. This can lead to respiratory arrest. Some patients have died or incurred permanent injuries as a result of these errors. ISMP notes that some of the errors are due to look-alike packaging and labeling. In one case, an ED nurse administered pancuronium instead of flu vaccine because the vials and labeling looked very similar. Look-alike drug names have also caused problems. In one case vancomycin was misread on a faxed medication record as vecuronium. Giving the neuromuscular blocking agent after the patient is extubated has resulted in serious problems, too. In one case, an infusion bag of vecuronium was left in a patient's room after ventilator support had been removed. The bag was later mistaken as potassium chloride infusion and administered to the patient. Serious patient injuries have also been caused by the opposite problem ie, administering the neuromuscular blocking agent too soon, before the patient is intubated. Some errors have resulted from preparing syringes from a multiple-dose vial and neglecting to label them. In one case, an unlabeled syringe of vecuronium ended up in a supply of saline flush syringes and was given to a 3-year old child. Unsafe storage is another cause of serious mistakes. Seven infants in a hospital nursery received atracurium ...

Battle Scars Short clip taken in the UCSF ICU after I was extubated, showing my my battle scars.

Maddie is born again!!! Maddie's breathing tube is removed!! Maddie helps the nurses extubate her. Maddie is breathing on her own now! - June 12, 2008

Laparoscopy -- perforated DU and septic shock A 40 years old female recently diagnosed with Child C liver cirrhosis and portal hypertension was brought to the Emergency Department with an acute abdomen; she was in septic shock, anaemic (Hb 82), acidotic, hypotensive, tachycardic, tachypnoeic, hypoxemic, dehydrated, anuric, febrile, jaundiced (Brb 160), coagulopathic (INR 2.1), hypoalbuminemic (18); LFT's were elevated; on examination she was lethargic and had a grossly distended abdomen. She was rushed to the operating theatre and underwent a laparoscopy ( a Visiport was used through a right paraumbilical approach to create the pneumoperitoneum and three 5mm trocars to complete the procedure laparoscopically): free fluid, collections and fibrinous deposits were found throughout the abdomen; the large and small bowel was grossly distended; the liver was rigid with cirrhotic appearance and the veins in the falciform ligament were of impressive size; the gallbladder was also distended. After aspiration of the fluid and drainage of collections, the gallbladder was lifted and loops of small bowel were removed from early adhesions in the right upper quadrant; a punched out perforation was identified on the anterior wall of the duodenum. This was sutured with a figure of eight 2/0 Vicryl and patched with omentum; the abdomen was further lavaged and drained. The patient condition improved immediately and in spite of low Hb she did not required postoperative transfusion; she required a tracheostomy to be extubated, but a week ...

USP Statement on Preventing Errors w. Neuromuscular Blocking In a previous show, we told you about a report from the Institute for Safe Medication Practices (ISMP) which warned about inadvertently giving neuromuscular blocking agents such as pancuronium to patients who aren't receiving ventilator support. This can cause respiratory arrest, permanent injury, or death. ISMP noted that some errors are due to look-alike packaging and labeling, and recommended placing warning labels on vials, syringes, infusion bags and boxes that say "Warning: paralyzing agent, causes respiratory arrest." ISMP also cited unsafe storage as a cause of errors, and they recommended keeping boxes containing these agents in separate refrigerators and shelves. ISMP had several other recommendations. For example, allow floor stock of these drugs only in the OR, ED and critical care units, require an independent double check of the drug against the actual order before dispensing and administering, and isolate vials, syringes and infusion bags containing the drug as soon as the patient has been extubated or the drug discontinued. Now the United States Pharmacopeia (USP) has issued a similar statement warning about these kinds of errors. The USP report lists over 20 recommendations to help solve this problem. Here are a few of them: • When choosing neuromuscular blocking agents for purchase, select those that have distinctive labeling and packaging. • Use sealed intubation kits or anesthesia kits in areas outside the OR, which will restrict access until an ...

In loving memory of my baby - For Matteo/Pour Matteo - Severe Brain Damage Mattéo Riopel 05/12/29 - 08/11/04 Mattéo was born at 33 weeks with a tracheo and bronchomalacia and severe reflux, which required him to have 2 surgeries. On Sept. 25, he had his last surgery to correct the gastro-oesophagal reflux at the Montreal Children's Hospital. On Oct 17, we came back to Chisasibi, James Bay (where we live) and following his latest surgery, Mattéo was limited in his amount of food intake so for the next 3-6 months he was to receive gavages. But he was basically ok and he went trick-or-treating for Halloween, like any other kid, dressed as an elephant. On Nov 2, he went to bed and he was fine. He woke up an hour later complaining of headeaches and vomiting. I brought him to the Chisasibi Hospital and things started to deteriorate from then on. He was intubated at 6am and brought by medical plane to Montreal. A few hours after arriving in Montreal, tests confirmed that he had a blood clot at the brain stem. On Nov 4, he had cerebral death, he was extubated that evening and died a few minutes later. It was very quick, painful and inexplicable. He will be missed, but never forgotten. This song is FIX YOU by COLDPLAY on the album X AND Y 2005 Group : In memory of Matteo Riopel -- Mattéo Riopel, petit homme extraordinaire, qui restera toujours dans nos coeurs. Merci à Toto pour le vidéo. Groupe : In memory of Matteo Riopel -- Songs - Fix You by Coldplay & Blood Diamond Soundtrack No copyright infringement intended.

*** face Grace Getting Extubated. (Taking her off the ventilator and onto the SiPAP machine

NEW NOSE YAY #2 Just me and my face. bandaged. bleeding. I talked too much after surgery and I think it made me bleed more... I was super conscious after the anesthesia wore off (maybe a little loopy) so I was very talkative. I love my friends who took me there and I love the doctors and the nurses I am so glad I finally did this. I feel no pain just slight burning/stinging sensation- trying to hold off on pain meds as long as possible. I woke up while being extubated which was pretty cool.... I remember being moved from the operating table to the bed thing on wheels, and then after that nothing, and then I woke up and was pretty wide awake from being put under for a little over two hours. Only thing I'm worried about is that the plaster is coming loose on one side of my cast... I might have to go in and get a new one put on because this thing is kinda bloody and loose. My nose seems like it has a low profile like I wanted!! I'm so happy! I'll talk more about the surgery when I can talk more, but I'm trying to stay silent until the bleeding stops

Ryan Moore This was shot soon after he was extubated. Isn't he cute? He is doing much better.

Getting better after open heart surgery Luke getting better after his arterial switch operation. We were so happy to see his sweet face again when he was extubated.

Extubating an Animal 2 The procedure for finishing an anaesthetic on a patient - flushing a circuit; then watching the patients vital signs as they lighten, regain swallowing reflex and can be extubated and placed into recovery.

Extubated Maren Maren's off the vent!

Victor Extubating Rosie In this video, Rosemary's RT Victor succesfully extubated her just 18 hours after surgery. This has been the best post op recovery for her. She is still not quite out of the woods, but this was a fantastic start.

Matthew Hodgson - 3 days after heart surgery Matthew is doing well after his open heart surgery on 9/2. He was extubated today and put on nasal canula and he's doing well

PPROM Baby, Born @ 32 Weeks CLICK ON ARROWS to the right for full (P)PROM story: Bennett on Day 28 in the NICU, now weighing 4 lbs., 10 oz., born at 32 weeks gestation, weighing 3 lbs., 5 oz. at birth. This video is for all you (P)PROM moms awaiting the outcome of your pregnancies. In June of 2010, my water broke at 19 weeks (PPROM) and after hospital admission, the perinatologists and OB/GYNs recommended terminating the pregnancy, citing that I would likely get infected, hemorrhage or deliver within the first week. We chose to continue the pregnancy and prepared ourselves for fetal demise (if delivered before 24 weeks gestation) or for a severely disabled child (if born before 28 weeks). Although I never replenished amniotic fluid and my AFIs remained critically low (0-2.5 cm max), the pregnancy continued for another 12 weeks as I remained hospitalized on bedrest for 90 days until I went into labor at 31 weeks and 6 days. We knew that even though we'd made it gestationally farther than any docs thought possible, chances were high his lungs would be hypoplastic at birth and we would lose him in a matter of hours post-delivery. Born by emergency c-section, Bennett was unable to breathe at birth, diagnosed with Pulmonary Hypoplasia, was intubated and put on a high-frequency ventilator. Also diagnosed with Pulmonary Hypertension, he was hooked up to Nitric Oxide. After just four days, he was extubated, taken off the NO and put on CPAP ventilation. After just a day on CPAP, he was weaned to a nasal ...

Clarine is Back After 11 days on a ventilator battling viral (H1N1) pneumonia, our daughter Clarine was "extubated" and with us once again!!!

Zane Finaly wakes up on the 3rd day Zane is extubated and is now breathing on his own.

Self suction and extubation My 17th intubation for severe asthma. Shows me suctioning myself while on ventilator. Was extubated shortly after, but had to be re-intubated later that day. Kinda difficult to see extubation ( camera was sideways)

Amelia Lee - the journey so far..... Amelia is 29 weeks today! She has been extubated and has been breathing on her own without the ventilator. She is tolerating her feeds well. I miss her so much.....

A breath of fresh air extubated 10-8-08

Ryker John Gourley Our little heart warrior was born October 27, 2007. Ryker underwent his first surgery on Halloween. He was truly a fighter, also undergoing stomach surgery at 3 weeks to repair a tear in his stomach that was causing massive bleeding. He was doing so well that on December 15, they extubated him, and for some reason that we do not fully understand, he passed from this world to be with his sister Lilly. Here is his story of Hypoplastic Left Heart Syndrome (HLHS).

818-339-5064 Peter: Kangen Water REAL LIFE TESTIMONY. Intubation refers generally to inserting a flexible tube anywhere in the human body, but most people use it specifically to refer to tracheal intubation, which involves putting a down into someone's trachea to secure his or her airway. Intubation is often used in emergency medicine when a patient is having difficulty breathing, and it is also used during surgery to keep the airway open for the delivery of anesthetic drugs and oxygen. In addition, patients on mechanical ventilators will be intubated so that the ventilator can breathe for them. Intubation can be a dangerous procedure when it is not performed properly, and training in intubation is usually quite extensive.To perform a tracheal intubation, a doctor or emergency medical technician ideally uses a laryngoscope, a medical device which is inserted into the mouth to open the jaw. The laryngoscope also lets the doctor clearly see the patient's throat, ensuring that the tube is placed in the correct passage; if an intubation is performed improperly and the tube ends up in the esophagus, the results for the patient can be quite unpleasant and even deadly if not caught in time. An intubation tube is slowly threaded into the throat, with a doctor requesting a smaller or larger size if needed. If the patient is at all conscious, he or she may fight the intubation, since it feels extremely unpleasant. Once the tube is in, it is secured, and it can be attached to a mechanical ventilator, anesthesia ...

ICD Intracardiac device for synchronized pacing in a patient with cardiac failure. Patient was extubated right after the procedure.

Extubation!! Bernie is extubated successfully after 6 weeks on the ventilator!

Charlotte Extubated

Sam on C-Pap Baby Sam after his first night on C-Pap being held by his Mom. This is his 4th try at being extubated...so hopefully this one will work! Go Sammy Go!

MY MIRACLE BABY admission diagnosis: Cardiopulmonary arrest aspiration discharge diagnosis: esophageal reflux Hospital Course Summary: At 19 days of life. patient became apneic and pulseless following coughing during feeding, in the setting of a 5 day history of URI symptoms. Patient was resucitated with approximately one minute of chest compressions and rescue breathing. He was taken by EMS to Rady Children's Hospital where he was noted to have coarse breath sounds and retractions refractory to suctioning and nebulizer treatment. Therefore , patient was intubated , cultured for rule-out sepsis. and started on empiric ampicillin and cefotaxime. Ptient was transferred to Naval Medical Center San Diego and monitored in the Pediatric ICU. CXR showed a R perihilar opacity. Head CT showed no acute intracranial abnormality but MRI showed evidence of left occipetal infarction. EEG showed spikes that could be within normal limits. Neurology recommended no further intervention unless patient demonstrated symptoms. Patient showed no focal neural deficits during his hospital stay and acted appropriately. Therefore, no further work-up was done. Patient did well during his stay in the PICU. He had no apneic events. He tolerated NGT feeds well. Extubation was attempted on day 4 of admission but patient failed and required re-intubation. Patient was successfully extubated on day 7 and transferred to the pediatric ward. After thorough work-up, it was felt that patient's cardiopulmonary arrest was likely ...

Aryana's extubated ! 3 months- 10/8/09

Cayden Cries!!! On February 15, 2009 Cayden was Extubated, meaning, his breathing tube was taken out and he was put on CPAP (Continuous Positive Airway Pressure) This is a step up and it is the first time we heard him cry since he was born.

Kryssi smiling and playing after being extubated.

Loen's first cries Loen making noise after being extubated

Weaning off the Ventilator My 16th intubation for asthma. 1-3-2010. Was sedated for a couple of days on vent till my lungs opened up. This video taken by my camera happy partner , while I was weaning off the ventilator. I was extubated successfully 30 minutes later, but ended up back on Bipap for another day.

Haiti baby: would she live? When the baby arrived at the Medishare Hospital in PAP, it was clear that she was septic and profoundly dehydrated. IV access was near impossible and her hemodynamics were tenuous, to say the least. Gently induced anesthesia and the surgeons prepped and draped the baby. it was an incredibly sad moment when I looked over the drape when the 2 surgeons opened this lovely baby's arm - pus just poured out; her thigh was also filled with pus. Death seemed inevitable... And yet, there is such strength in Haiti, even among the youngest of children. This little love was extubated the following day and we found her nursing greedily in her Mama's arms. A true privilege and honor to care for our patients in PAP.

Aryana's extubated - making noise! Sorry for the moving camera - ( no she did not fall)

GRANT OUT OF HOSPITAL.wmv Grnat has just come out of hospital on 13th october 2010. He had been in hospital for 12 days and was in ICU twice and was intubated/extubated twice. He is working hard towards getting back to championship mode

After Extubation A few minutes after being extubated. She's happy to have that tube out!