The Combitube is a twin lumen device designed for use in emergency situations and difficult airways. It can be inserted without the need for visualization into the oropharynx, and usually enters the esophagus. It has a low volume inflatable distal cuff and a much larger proximal cuff designed to occlude the oro- and nasopharynx.

If the tube has entered the trachea, ventilation is achieved through the distal lumen as with a standard ETT. More commonly the device enters the esophagus and ventilation is achieved through multiple proximal apertures situated above the distal cuff. In the latter case the proximal and distal cuffs have to be inflated to prevent air from escaping through the esophagus or back out of the oro- and nasopharynx.

Watch that Big Fibrodenoma Removal Under Local Anesthesia

Many mothers notice engorgement, or over-filled breasts, at some point or the other while they are breast-feeding their baby and it is especially common to experience when your baby is first born and you are just starting to make milk. So for the first couple of days you make colostrum and then 2-5 days later your milk comes in. And sometimes it comes in with a vengeance and all of the sudden you feel really full and it can be painful and very uncomfortable. Normally your milk supply will even out and start to work well with your babys demand, so it is kind of a supply and demand type of function, but until then, if you feel engorgement, there are a few things you can do to relieve it. If you are nursing your baby on demand this will usually help to self-regulate and most young babies want to eat every 2-3 hours and sometimes even every hour. So, basically, the more often your breasts are emptied the more relief you will feel. But on the same hand, the more you nurse the more milk your body will probably produce. This is why it is good to go off of your babys cues because then you will make what your baby needs and hopefully not much more. But if you are making more than your baby needs and you find that you are still full after feedings you will probably have to either manually express some milk or pump it off, so have a good pump available in case you need to, and if you don't, you can manually express the milk by gently massaging from the armpit down towards the nipple. And you can also try using heat prior to nursing your baby or pumping milk off and this will also help to relax things and help you to get the milk out. Take a warm shower and then feed your baby or use a warm compress.

Prostate cancer is the most common cancer among men (after skin cancer), but it can often be treated successfully. If you have prostate cancer or are close to someone who does, knowing what to expect can help you cope. Here you can find out all about prostate cancer, including risk factors, symptoms, how it is found, and how it is treated.

Of course, these vocal cords are not mine, because I am the one who captured this video before I performed surgery for the patient. See how the cords are normal and freely mobile. Talkative persons have something else....imagine

So you want to be a cardiothoracic surgeon. You like the idea of open heart surgery and the glory that comes with being a CT surgeon. Let’s debunk the public perception myths of what it means to be a cardiothoracic surgeon, and give it to you straight. This is the reality of cardiothoracic surgery.

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TIME STAMPS:
00:41 - What is Cardiothoracic Surgery?
04:08 - How to Become a Cardiothoracic Surgeon
06:29 - Subspecialties within Cardiothoracic Surgery
07:49 - What You’ll Love About Cardiothoracic Surgery
09:10 - What You Won’t Love About Cardiothoracic Surgery
10:04 - Should You Become a Cardiothoracic Surgeon?

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Day in the Life Playlist: https://www.youtube.com/playli....st?list=PLTCN43UFAlB

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Disclaimer: Content of this video is my opinion and does not constitute medical advice. The content and associated links provide general information for general educational purposes only. Use of this information is strictly at your own risk. Kevin Jubbal, M.D. and Med School Insiders LLC will not assume any liability for direct or indirect losses or damages that may result from the use of information contained in this video including but not limited to economic loss, injury, illness or death. May include affiliate links to Amazon. As an Amazon Associate, I may earn a commission on qualifying purchases made through them (at no extra cost to you).

Reconstruction of a shoulder separation or acromio-clavicular dislocation.

Insertion of a Palindrome TDC in the right internal jugular vein under ultrasound and fluoroscopic guidance at a restructured hospital in Singapore

Clinical Anatomy Lecture Illustrate The Anatomy Of The Abdominal Wall

A spermatocele (SPUR-muh-toe-seel) is an abnormal sac (cyst) that develops in the epididymis — the small, coiled tube located on the upper testicle that collects and transports sperm. Noncancerous and generally painless, a spermatocele usually is filled with milky or clear fluid that might contain sperm. The exact cause of spermatoceles is unknown but might be due to a blockage in one of the tubes that transports sperm. Spermatoceles, sometimes called spermatic cysts, are common. They typically don't reduce fertility or require treatment. If a spermatocele grows large enough to cause discomfort, your doctor might suggest surgery.

Acupuncture Weight Loss

Macrolides Mechanisms of Action and Resistance

Anatomy of The Gastrointestinal Tract GIT

Anatomy of The Superficial Face

What Is Phonemic Awareness, Reading Program For Kids, Phonics For Children, Teach Your Baby To Read---- http://children-learning-reading.good-info.co----- What is Phonemic Awareness, Phonemic Awareness is defined as the ability to identify, hear, and work with the smallest units of sound known as phonemes. It is NOT the same as phonological awareness, instead, it is a sub-category of phonological awareness. For example, phonemic awareness is narrow, and deals only with phonemes and manipulating the individual sounds of words - such as /c/, /a/, and /t/ are the individual sounds that make up to form the word "cat". Phonological awareness on the other hand, includes the phonemic awareness ability, and it also includes the ability to hear, identify, and manipulate larger units of sound such as rimes and onsets. Phonemic awareness can be taught very early on, and will play a critical role in helping children learn to read and spell. While it's not set in stone on when a child can learn to read, however, I do believe that a child that can speak is a child that can learn to read. Children as young as two years old can learn to read by developing phonemic awareness, and they can learn to read fluently. Please see a video of a 2 year old (2yr11months) reading below. Below are several of the most common phonemic awareness skills that are often practiced with students and young children: Phonemic identity - being able to recognize common sounds in different words such as /p/ is the common sound for "pat", "pick", and "play". Phonemic isolation - being able to recognize the individual sounds of words such as /c/ is the beginning sound of "cat" and /t/ is the ending sound of "cat". Phoneme substitution - being able to change one word to another by substituting one phoneme. For example changing the /t/ in "cat" to /p/ now makes "cap". Word Segmenting - the parent says the word "lap", and the child says the individual sounds: /l/, /a/, and /p/. Oral blending - the parent says the individual sounds such as /r/, /e/, and /d/, and the child forms the word from the sounds to say "red". Studies have found that phonemic awareness is the best predictor of reading success in young children. Research has also found that children with a high level of phonemic awareness progress with high reading and spelling achievements; however, some children with low phonemic awareness experience difficulties in learning to read and spell. Therefore, it is important for parents to help their young children develop good phonemic awareness. Being able to oral blend and segment words helps children to read and spell. According to the National Reading Panel, oral blending helps children develop reading skills where printed letters are turned into sounds which combine to form words. Additionally, word segmenting helps children breakdown words into their individual sounds (phonemes), and helps children learn to spell unfamiliar words. As a young child begins to develop and master phonemic awareness skills, they will discover an entirely new world in print and reading. You will open up their world to a whole new dimension of fun and silliness. They will be able to read books that they enjoy, develop a better understanding of the world around them through printed materials, and have a whole lot of fun by making up new nonsense words through phonemic substitutions. For example, we taught our daughter to read at a young age - when she was a little over 2 and a half years old. Before she turned three, she would run around the house saying all types of silly words using phonemic substitution. One of her favorite was substituting the letter sound /d/ in "daddy" with the letter sound /n/. So, she would run around me in circles and repeatedly say "nanny, nanny, come do this" or "nanny, nanny, come play with me" etc... Of course, she only did this when she wanted to be silly and to make me laugh, at other times, she would of course properly refer to me as "daddy", and not "nanny". She is well aware of the differences between these words and is fully capable of using phonemic substitution to change any of the letters in the words to make other words. Give your child a head start, and.. pave the way for a bright, successful future..Click here to learn how to easily and quickly teach your child to read. http://children-learning-reading.good-info.co

Histology of Aorta

At URBN Dental, we provide you with top oral hygiene tips to help keep your mouth clean, healthy, and happy. Your manual toothbrush usually comes equipped with a tongue cleaner on the back of its head. That can be helpful in scrubbing your tongue, or you can also use a tongue cleaner. By using simple forward motions on the tongue, you can rid the area of plaque and bacteria which often cause bad breath, gingivitis, and harmful mouth ulcers.

Watch that video to know the Serious Side Effects of STEROIDS on Human Body