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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Halothane
for malignant hyperthermia-susceptible patient, avoiding
for myasthenia gravis patients
for cleft lip/palate closure
for malignant hyperthermia testing
Hand acupuncture
Headache
chronic, acupuncture for
postdural
Head elevation, for intracranial hypertension
Hearing protection, for MRI
See specific types and diseases
invasive monitoring
ischemic - A.5. What are the risk factors for perioperative myocardial infarction (MI) in patients with ischemic heart disease? What can be done to reduce the risk of ischemic events in these patients?
monitoring during cesarean section
preoperative medications in - B.10. What preoperative medications, if any, would you give this patient?
transposition of the great arteries
congenital - C.I-9. Discuss the principles and clinical applications of intraoperative two-dimensional transesophageal echocardiography (TEE).
ischemic
maternal, in pregnancy (See Mitral stenosis [MS], maternal [in pregnancy])
noninvasive tests in
rheumatic - A.13. What causes rheumatic heart disease?
Heart injuries (cardiac trauma)
See specific systems
Pyloric Stenosis
B.2. How would you evaluate a heart murmur?
Hemodynamic compromise, in lung cancer (lung resection)
Hemodynamic instability
in mechanical ventilation - G.1. What is the cause and treatment of the hemodynamic instability associated with mechanical ventilation?
in lung transplantation - C.9. What hemodynamic alterations would you expect during graft implantation and reperfusion? How would you correct them?
Hemoglobin
impaired function, in massive transfusion
plasma, renal threshold in cardiopulmonary bypass
in preterm infants
saturation with oxygen
Hemoglobin C disease
See Sickle cell disease
A.4. What are some other common hemoglobinopathies and what are their clinical features?
A.6. Describe the different types of sickle cell crisis.
A.3. What is sickle cell trait?
A.5. What are the clinical features of sickle cell disease?
Hemolytic transfusion reactions (HTRs)
C.11. What are the complications associated with any blood transfusion?
C.13. What complications can occur from transfusion of blood products?
See specific types and procedures
antepartum - A.1. What are the leading causes of maternal mortality, and what role does anesthesia play in this mortality?
intracerebral
postpartum - C.4. How is postpartum hemorrhage (PPH) defined, and what are the etiologies of this bleeding?
subarachnoid - D.1. What are the major concerns following craniotomy?
classification of
pos-heart transplant - D.7. What are the causes of posttransplant bleeding?
subarachnoid
Hemorrhagic shock
hemothorax and
crystalloid, colloid, or blood products for
initial treatment of
Hemothorax
A.6. What is the definition of massive hemothorax? What are the signs and symptoms of hemothorax?
A.8. How are pneumothoraces categorized?
massive, definition
thoracotomy for
A.7. What are the indications for thoracotomy to treat hemothorax?
C.3. Is the patient likely to require tube thoracostomy? Should this be placed before managing the airway?
signs and symptoms of
Hemoximeter
A.12. How is a two-wavelength pulse oximeter calibrated?
A.10. What is a pulse oximeter, and what is a hemoximeter?
Heparin
for bariatric surgery
for ECMO patients
half-life and elimination of
mechanism of action
reversal after
unfractionated
and anesthesia in AAA repair
for cardiopulmonary bypass
for perioperative myocardial infarction - D.6. How would you manage a patient with a suspected PMI?
in tetralogy of Fallot repair - C.8. How does heparin administration and activated coagulation time (ACT) monitoring for CPB differ in children when compared to adults?
monitoring dosage of
reversal after - C.8. How does heparin administration and activated coagulation time (ACT) monitoring for CPB differ in children when compared to adults?
Heparin-induced thrombocytopenia, in cerebral aneurysm clipping
See Liver disease
A.7. What causes acute kidney injury (AKI) in patients with cirrhosis?
C.3. How does the liver disease affect intraoperative medication management?
A.18. What are the contraindications to ECMO?
B.2. What factors can alter sensitivity to nondepolarizing NMBAs?
See Liver disease
Hepatic encephalopathy
A.9. Discuss the neurologic manifestations of acute and chronic liver disease.
B.5. How are hepatic encephalopathy and elevated intracranial pressure (ICP) treated?
See Liver failure, acute
A.4. What is the model for end-stage liver disease (MELD) score and how is it used in liver transplantation evaluation?
See Liver failure, acute
B.5. How are hepatic encephalopathy and elevated intracranial pressure (ICP) treated?
Hepatic steatosis, morbid obesity and
A.15. What derangements of the gastrointestinal system are associated with MO?
B.1. How would this patient be optimized for surgery preoperatively? Would you use preoperative screening questionnaires to diagnose OSA? Summarize the workup for this patient.
Hepatitis B
kidney transplantation and
transfusions and risk of
Hepatitis C
kidney transplantation and
transfusions and risk of
Hepatobiliary disease, in morbidly obese patients
Hepatopulmonary syndrome (HPS)
A.4. What is the model for end-stage liver disease (MELD) score and how is it used in liver transplantation evaluation?
A.11. What is the differential diagnosis for hypoxemia in patients with cirrhosis?
Hepatorenal syndrome (HRS)
C.3. How does the liver disease affect intraoperative medication management?
A.7. What causes acute kidney injury (AKI) in patients with cirrhosis?
See High-frequency oscillating ventilation (HFOV)
C.3. What are the options regarding induction of anesthesia and tracheal intubation?
F.2. What rescue strategies can you use for refractory ARDS?
B.2. What immediate treatment should be given to improve respiratory status preoperatively?
E.1. Which mode of mechanical ventilation will you choose? Describe the features of that mode.
See High-frequency oscillating ventilation (HFOV)
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