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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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See Epsilon aminocaproic acid (EACA)
C.9. Two hours later, estimated blood loss (EBL) is approximately 2 L and the patient has been resuscitated with 3 units of packed red blood cells (pRBCs), 229 mL intraoperative cell salvage (cell saver), and 500 mL albumin in addition to 4 L crystalloid. The surgeon says the field is still "oozy" and there is ongoing blood loss. What are your concerns for resuscitation moving forward? How will you guide your resuscitation?
C.II-14. How do you prepare an intravenous (IV) infusion of sodium nitroprusside, nicardipine, and nitroglycerin? What are the usual doses? Which do you prefer to use?
C.2. Discuss the indications and use of available antifibrinolytic drugs. What dose should be given? Describe the side effects of antifibrinolytic therapy.
C.I-17. What antifibrinolytic will you use to reduce blood transfusions?
See Epsilon aminocaproic acid (EACA)
Ear (auricular) acupuncture
A.2. How is acupuncture practiced?
B.9. What is ear acupuncture or acupressure? Can it be useful for alleviating anxiety and pain?
EA
See Endobronchial ultrasound (EBUS)
Bronchoscopy, Mediastinoscopy, and Thoracoscopy
C.2. What are the benefits of advanced bronchoscopy in the diagnosis of suspected lung cancer? How would you monitor and anesthetize a patient presenting for robotic bronchoscopy?
C.4. What is cervical mediastinoscopy, and what are its indications and potential complications? How would you anesthetize and monitor a patient undergoing cervical mediastinoscopy?
A.1. How is the diagnosis of lung carcinoma made?
C.1. How would you premedicate, monitor, and anesthetize this patient presenting for endobronchial ultrasound (EBUS) for lung cancer staging?
C.3. What other types of bronchoscopes are available, and what are the intraoperative considerations for each one?
See Endobronchial ultrasound (EBUS)
See Extracorporeal circulation (ECC)
C.13. At birth, what should be done to minimize an infant's risk of meconium aspiration syndrome?
See Extracorporeal circulation (ECC)
C.I-3. How will you monitor the patient's temperature? Do you need to monitor it from multiple sites?
Echocardiography
Echothiophate iodide (phospholine iodide)
A.8. What are some factors that can lower PChE levels?
A.10. Are topically applied ophthalmic medications absorbed systemically? How can this absorption be reduced? Which eye drops can have effects that are of concern to the anesthesiologist?
Eclampsia
management of
definition
ECT
EEG
Elderly patients
ambulatory surgery in - B.6. In which patients is an electrocardiogram (ECG) necessary before outpatient anesthesia and surgery?
drugs with neurologic effects in
physiologic changes in - A.2. What are the normal physiologic consequences of aging for the various organ systems?
potentially inappropriate medication use in
drug dosages for
muscle relaxants in
postoperative cognitive dysfunction - A.3. Is there a link to a decline in memory and thinking with anesthesia and surgery?
TURP in - A.2. What are the normal physiologic consequences of aging for the various organ systems?
Electrical burns
Electrocardiography (ECG)
Electrocautery, and cardiac implantable devices
B.7. Would you recommend reprogramming this device to asynchronously pace before surgery? What would you recommend regarding the ICD functions of the device?
B.6. How do you preoperatively prepare the patient for surgery and anesthesia?
C.7. How would you prevent the effects of EMI from electrocautery on the pacemaker or ICD?
Electroconvulsive therapy (ECT)
See Bispectral index; Evoked potentials
in bariatric surgery
in cerebral aneurysm
in brain tumor and craniotomy
in sleep studies
Electrolytes
in kidney disease
in pyloric stenosis
studies, for awake craniotomy
in preterm infants
in traumatic brain injury - A.6. In addition to sodium and potassium, what other electrolyte abnormalities can be present after head trauma?
Electromagnetic navigation bronchoscopy
Electromyography (EMG)
in brain tumor and craniotomy
in myasthenia gravis
in sleep studies
anesthetic effects on
in low back pain
in postoperative neurologic dysfunction
in train-of-four ratio
Electrooculogram (EOG), in sleep studies
Eloquent cortex
current drug therapy and mapping
intraoperative management
medical disease and differential diagnosis - D.5. Discuss postoperative neurocognitive dysfunction following uncomplicated carotid intervention.
preoperative evaluation and preparation
underlying pathology - A.2. What is the underlying pathology?
definition
medical disease and differential diagnosis
postoperative management
procedure for mapping - C.8. How is the eloquent cortex mapped?
Embolic protection device, for carotid artery stenting
Emergence
in asthmatic patients
in cerebral aneurysm clipping
in noncardiac surgery for cardiac patients
in bariatric surgery - C.6. How would you maintain general anesthesia? What agents would you choose? How would you prepare for emergence?
in craniotomy - C.16. What is your approach to emergence? What if the patient does not regain consciousness?
in post-tonsillectomy hemorrhage
Emergency equipment
available to anesthesiologist
checkout of
EMG
See Electromagnetic interference, from electrocautery (EMI)
B.6. How do you preoperatively prepare the patient for surgery and anesthesia?
C.10. What precautions should be taken when a patient with a CIED is undergoing extracorporeal shock wave lithotripsy (ESWL)?
C.6. What are the potential responses of pacemakers and ICDs to electrocautery?
C.8. What are the effects of a magnet on pacemakers and ICDs?
Cardiac Implantable Electronic Devices
B.1. How would you preoperatively evaluate this patient?
B.7. Would you recommend reprogramming this device to asynchronously pace before surgery? What would you recommend regarding the ICD functions of the device?
C.5. Electromagnetic interference (EMI) from electrocautery results in significant noise on your cardiac monitor. You recall that EMI also can inhibit pacing function from the PPM. In this pacemaker-dependent patient, how can you determine whether inappropriate inhibition of the PPM is occurring?
C.7. How would you prevent the effects of EMI from electrocautery on the pacemaker or ICD?
C.9. During surgery, the patient developed unstable, ventricular tachycardia. What would you do?
D.2. How would you confirm that the CIED is functioning properly after surgery?
Enalapril
A.14. What is the mechanism of action of the major antihypertensive drugs?
D.1. What are the major concerns following craniotomy?
B.5. Are you concerned about this patient's blood pressure and heart rate? What treatment would you institute?
Encephalopathy, hepatic
B.4. What is a transjugular intrahepatic portosystemic shunt (TIPS) procedure? What is the role of TIPS in the management of patients with ESLD?
A.9. Discuss the neurologic manifestations of acute and chronic liver disease.
B.5. How are hepatic encephalopathy and elevated intracranial pressure (ICP) treated?
ECG
ECMO
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