Nathan Tighe

42 timestamped statements across 2 collections — auto-found in recorded discussions, each timestamp jumps to the exact moment.

Aerodigestive / ENT · guest expert

Featured diaries

▶ Ep 20 · 1:13
We can help make better decisions ahead of time and probably spend less time in the operating room with a child under anesthesia if we have a good look at what that child's airway looks like before we start.
quote · Aerodigestive / ENT
▶ Ep 16 · 1:13
We can help make better decisions ahead of time and probably spend less time in the operating room with a child under anesthesia if we have a good look at what that child's airway looks like before we start.
quote · Esophageal Atresia
▶ Ep 20 · 1:33
Akinesis or keeping the kids still can be very challenging in these small children, especially when intraoperative neuromonitoring is involved.
quote · Aerodigestive / ENT
▶ Ep 16 · 1:33
Akinesis or keeping the kids still can be very challenging in these small children, especially when intraoperative neuromonitoring is involved.
quote · Esophageal Atresia

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Aerodigestive / ENT 21 entries

QUAD #7 Anesthesia for Thoracoscopic Techniques with Dr. Nathaniel Tighe

▶ Ep 20 · 0:53
quote Birth history is really important and how big the child is. ↗
▶ Ep 20 · 0:53
clinical Birth history and patient size are important preoperative considerations for esophageal atresia repair. ↗
▶ Ep 20 · 0:57
clinical Physiologic status from ventilation and cardiac standpoints is particularly important in preoperative assessment. ↗
▶ Ep 20 · 1:13
clinical Preoperative visualization of the child's airway allows better decision-making and potentially less time under anesthesia. ↗
▶ Ep 20 · 1:13
quote We can help make better decisions ahead of time and probably spend less time in the operating room with a child under anesthesia if we have a good look at what that child's airway looks like before we start. ↗
▶ Ep 20 · 1:33
clinical Akinesis (keeping children still) can be very challenging in small children, especially when intraoperative neuromonitoring is involved. ↗
▶ Ep 20 · 1:33
quote Akinesis or keeping the kids still can be very challenging in these small children, especially when intraoperative neuromonitoring is involved. ↗
▶ Ep 20 · 2:25
quote As far as the anesthetic goes, it precludes our use of neuromuscular blocking drugs like urouronium, Becuronium, and others. ↗
▶ Ep 20 · 2:25
clinical Intraoperative neuromonitoring precludes the use of neuromuscular blocking drugs like rocuronium and vecuronium. ↗
▶ Ep 20 · 3:00
clinical Patients with compliance abnormalities often require higher peak inspiratory or mean airway pressures, resulting in the need for very high insufflation pressures. ↗
▶ Ep 20 · 3:20
clinical Lung isolation utility is restricted by patient size and airway anatomy and requires expertise and specialized equipment. ↗
▶ Ep 20 · 3:34
clinical Three dimensions are important for lung isolation: tracheal diameter (particularly AP diameter), bronchial diameters, and the length of the right main stem bronchus between carina and right upper lobe takeoff. ↗
▶ Ep 20 · 3:34
quote There's 3 dimensions that are really important. ↗
▶ Ep 20 · 4:05
clinical Regular endotracheal tube is the most common device for lung isolation in neonates because it is relatively straightforward to mainstem into the left bronchus, which has a good landing zone for the balloon. ↗
▶ Ep 20 · 4:05
quote Regular old endotracheal tube is probably the most common in neonates because it's relatively straightforward to mainstem. ↗
▶ Ep 20 · 4:24
clinical Bronchial blockers or Fogarty catheters require enough space between the carina and right upper lobe takeoff for balloon placement. ↗
▶ Ep 20 · 4:39
clinical In kids with a pig bronchus, bronchial blocker placement becomes very difficult and may require selective lobar blockade. ↗
▶ Ep 20 · 4:58
clinical Bronchial blockers can be helpful in kids with abnormal parenchyma when higher ventilatory pressures are needed but higher insufflation pressures should be avoided. ↗
▶ Ep 20 · 5:55
quote Unrepaired single ventricle kids are really sensitive to changes in their ventilation. ↗
▶ Ep 20 · 5:55
clinical Unrepaired single ventricle patients are sensitive to changes in ventilation because they can have swings in circulation direction based on pulmonary vascular resistance. ↗
▶ Ep 20 · 6:18
clinical Insufflation causes changes in preload, and patients with passive pulmonary circulations are particularly sensitive to this insufflation. ↗
Esophageal Atresia 21 entries

QUAD #7 Anesthesia for Thoracoscopic Techniques with Dr. Nathaniel Tighe

▶ Ep 16 · 0:53
clinical Birth history and patient size are important preoperative considerations for esophageal atresia repair. ↗
▶ Ep 16 · 0:53
quote Birth history is really important and how big the child is. ↗
▶ Ep 16 · 0:57
clinical Physiologic status from ventilation and cardiac standpoints is particularly important in preoperative assessment. ↗
▶ Ep 16 · 1:13
clinical Preoperative visualization of the child's airway allows better decision-making and potentially less time under anesthesia. ↗
▶ Ep 16 · 1:13
quote We can help make better decisions ahead of time and probably spend less time in the operating room with a child under anesthesia if we have a good look at what that child's airway looks like before we start. ↗
▶ Ep 16 · 1:33
quote Akinesis or keeping the kids still can be very challenging in these small children, especially when intraoperative neuromonitoring is involved. ↗
▶ Ep 16 · 1:33
clinical Akinesis (keeping children still) can be very challenging in small children, especially when intraoperative neuromonitoring is involved. ↗
▶ Ep 16 · 2:25
clinical Intraoperative neuromonitoring precludes the use of neuromuscular blocking drugs like rocuronium and vecuronium. ↗
▶ Ep 16 · 2:25
quote As far as the anesthetic goes, it precludes our use of neuromuscular blocking drugs like urouronium, Becuronium, and others. ↗
▶ Ep 16 · 3:00
clinical Patients with compliance abnormalities often require higher peak inspiratory or mean airway pressures, resulting in the need for very high insufflation pressures. ↗
▶ Ep 16 · 3:20
clinical Lung isolation utility is restricted by patient size and airway anatomy and requires expertise and specialized equipment. ↗
▶ Ep 16 · 3:34
clinical Three dimensions are important for lung isolation: tracheal diameter (particularly AP diameter), bronchial diameters, and the length of the right main stem bronchus between carina and right upper lobe takeoff. ↗
▶ Ep 16 · 3:34
quote There's 3 dimensions that are really important. ↗
▶ Ep 16 · 4:05
quote Regular old endotracheal tube is probably the most common in neonates because it's relatively straightforward to mainstem. ↗
▶ Ep 16 · 4:05
clinical Regular endotracheal tube is the most common device for lung isolation in neonates because it is relatively straightforward to mainstem into the left bronchus, which has a good landing zone for the balloon. ↗
▶ Ep 16 · 4:24
clinical Bronchial blockers or Fogarty catheters require enough space between the carina and right upper lobe takeoff for balloon placement. ↗
▶ Ep 16 · 4:39
clinical In kids with a pig bronchus, bronchial blocker placement becomes very difficult and may require selective lobar blockade. ↗
▶ Ep 16 · 4:58
clinical Bronchial blockers can be helpful in kids with abnormal parenchyma when higher ventilatory pressures are needed but higher insufflation pressures should be avoided. ↗
▶ Ep 16 · 5:55
quote Unrepaired single ventricle kids are really sensitive to changes in their ventilation. ↗
▶ Ep 16 · 5:55
clinical Unrepaired single ventricle patients are sensitive to changes in ventilation because they can have swings in circulation direction based on pulmonary vascular resistance. ↗
▶ Ep 16 · 6:18
clinical Insufflation causes changes in preload, and patients with passive pulmonary circulations are particularly sensitive to this insufflation. ↗