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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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D (Doerges) blades
C.4. There are many new airway devices in the marketplace. Which of these devices have been particularly successful in patient with MO or OSA?
C.6. How would you maintain general anesthesia? What agents would you choose? How would you prepare for emergence?
C.5. How would you induce anesthesia? Describe the tracheal intubation technique.
Dabigatran (Pradaxa)
B.1. What is dabigatran (Pradaxa)? How is its effect measured? How far in advance of elective surgery should it be stopped? Can its effect be reversed?
A.3. Does the patient's atrial fibrillation need to be addressed prior to surgery, and if so, how?
Damage-associated molecular pattern molecules (DAMPs)
See Dantrolene
C.9. How does the new formulation of dantrolene (Ryanodex) compare with the previous formulations of dantrolene (Dantrium or Revonto)?
Malignant Hyperthermia
C.6. Twenty minutes into the procedure with sevoflurane anesthesia, the patient develops increasing tachycardia with ventricular premature beats and mottled skin. What emergency measures should you take?
Dantrolene
Mannitol
Dantrolene
for malignant hyperthermia
new vs. previous formulation - C.9. How does the new formulation of dantrolene (Ryanodex) compare with the previous formulations of dantrolene (Dantrium or Revonto)?
for malignant hyperthermia - C.9. How does the new formulation of dantrolene (Ryanodex) compare with the previous formulations of dantrolene (Dantrium or Revonto)?
Dapagliflozin
See Double burst stimulation (DBS)
B.9. What is double burst stimulation (DBS)?
See Double burst stimulation (DBS)
Postoperative Residual Neuromuscular Weakness and Prolonged Apnea
See Donation after cardiac death (DCD)
A.11. What is donation after cardiac death (DCD)?
A.4. What is the role of donation after circulatory death (DCD) for heart transplantation?
Kidney Transplant
A.1. What are the potential graft options for liver transplantation?
A.16. How is a donor kidney preserved?
Heart Transplantation and Subsequent Noncardiac Surgery
See Donation after cardiac death (DCD)
See Desmopressin (DDAVP)
A.3. What is the treatment for a patient with von Willebrand disease?
B.6. Should this patient be transfused with fresh frozen plasma (FFP) prior to surgery?
A.5. What are the principles of perioperative donor management?
See Desmopressin (DDAVP)
DDD pacing
Dead space
A.11. What changes occur in intrapulmonary shunt (QS/QT) and dead space (VD/VT) in MO? Describe the shunt equation and the physiologic dead space, or Bohr equation.
B.8. Give the equations for shunt (QS/QT) and dead space/tidal volume (VD/VT). What are their normal values?
Deafferentation pain
Decelerations, in fetal heart rate
Deep hypothermic circulatory arrest (DHCA)
C.17. What are the indications for deep hypothermic circulatory arrest?
C.6. What is hypothermia, and how is it classified? What is low-flow CPB? What is deep hypothermic circulatory arrest (DHCA)?
C.2. How is open repair of thoracic aneurysms performed?
Deep venous thrombosis (DVT), postoperative, in cerebral aneurysm clipping
Dehydration, in pyloric stenosis
A.5. How would you treat this infant?
A.3. What are the metabolic problems in this newborn secondary to his disease?
A.7. How would you correct the metabolic alkalosis?
Dekompressor probe
Delirium, postoperative
A.3. Is there a link to a decline in memory and thinking with anesthesia and surgery?
postoperative cognitive dysfunction vs.
See Meperidine
C.5. What anesthetic agents would you use? Discuss inhalation versus intravenous agents.
See Meperidine
Denervated heart, posttransplant
implications for subsequent cardiac surgery - E.6. What are the significant implications of the denervated heart?
pathophysiology of
Desflurane
and cerebral blood flow, metabolism, and intracranial pressure
bronchospasm with
for appendectomy in pregnant patient
for children, effects of - C.5. What is the effect of inhalation anesthetics on airway reflexes, myocardial contractility, systemic vascular resistance (SVR), and pulmonary vascular resistance (PVR) in children?
for hypertensive patients
for myasthenia gravis patients
and malignant hyperthermia
for ambulatory surgery
for cerebral aneurysm procedures
for coronary artery bypass grafting
for kidney transplantation
weight-based dosing scalars for
Desmopressin (DDAVP)
for von Willebrand disease
preoperative, for liver transplantation
Dexamethasone
and duration of nerve block
for postoperative nausea/vomiting prophylaxis
for croup
for post-tonsillectomy hemorrhage
Dexmedetomidine
and cerebral blood flow, metabolism, and intracranial pressure
for awake craniotomy - C.10. How will you conduct this anesthetic?
for children, during intubation
for laryngeal laser surgery
for MRI
for asthmatic patients
for bariatric surgery
for children, with congenital heart disease
for lung cancer (lung resection) - D.2. Why is it important to control postoperative pain? How would you achieve this?
mechanism of action
Dextrose-containing solution, avoidance, in cerebral aneurysm clipping
Diabetes mellitus
Diabetic nephropathy
Diabetic neuropathy
B.3. What are the signs and implications of autonomic neuropathy in a patient with DM?
A.5. How are the different forms of DM treated?
C.2. What anesthetic techniques should be considered?
Diameter index safety
Diastolic aortic pressure (DAP)
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