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Orbital Intubation
Started by ucladoc2b
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One of my attendings in residency had very old photo of him doing an orbital intubation in the 80s/90s. Said he used a miller 3 and it was a literal straight shot through the cords.
As someone who has asked about simple retrobulbar blocks via anesthesiology on here and in various ORs, and who has gotten basically a straight up no/never, WTabsoluteF is going on here
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I'm upset the reviewer didn't catch the grammar issue of nare vs naris....
cittykat
Full Member
As someone who has asked about simple retrobulbar blocks via anesthesiology on here and in various ORs, and who has gotten basically a straight up no/never, WTabsoluteF is going on here
Patient was already blind in that eye. Can’t get blamed for causing blindness!
cittykat
Full Member
A little off-topic but this is one of the authors.
A little off-topic but this is one of the authors.
Interesting read of that lawsuit details, doc sounds absolutely insane.
I thought I was cool because I did a couple submental intubations…
Ron Miller during my interview for residency, recounted how he performed an orbital intubation in the Vietnam war. Pretty cool...
Looks like they’d had an exenteration, so everything was already out of the orbit at least.Patient was already blind in that eye. Can’t get blamed for causing blindness!
To quote my cynical oculoplastics mentor - “No eye, no problem.”
Add this to the list of things I would never let anyone do on me lol (dural puncture epidural being the main one)
Imagine watching an ETT being slowly advanced to your eye…
I kid- you gotta do what you gotta do, but still
I mean that's the point, he couldn't see it coming!
cittykat
Full Member
Interesting read of that lawsuit details, doc sounds absolutely insane.
Well he did write up a transorbital intubation.
Why bring up redness of the face as some lifelong condition he says Duke discriminated against? Lol.A little off-topic but this is one of the authors.
Depends. How red was his face?Why bring up redness of the face as some lifelong condition he says Duke discriminated against? Lol.
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This is crazy. Simple nasedoscopy or using those special soft nasal tubes would have been a far better solution. @ least with the nasal route its common and theres txa and ent. You screw around in the orbit and its whole different ballgame surely?
Well, presumably his other eye worksI mean that's the point, he couldn't see it coming!
I stick sharp things into eyeballs for a living. Thousands of times a year. Somewhere I have a nice video of me taking a fishhook out of an eye that scares pretty much anybody who’s seen it. This manages to terrify me.
Lol- if the other eye is working, it’s almost worse, bc he WILL see it coming, but will have no depth perception, so he can’t even judge when impact will happen! 😅I mean that's the point, he couldn't see it coming!