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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Left circumflex (CX) branch of the LMCA
Left-heart bypass (LHB), in thoracoabdominal aortic aneurysm repair
C.2. How is open repair of thoracic aneurysms performed?
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
Left main coronary artery
Left upper extremity ischemia, thoracoabdominal aortic aneurysm repair and
Left ventricle
function, evaluation of - B.2. How would you evaluate the patient's left ventricular function?
in perioperative myocardial infarction - D.6. How would you manage a patient with a suspected PMI?
loading conditions in valvular heart disease - A.2. What are the major changes in the loading conditions of the LV that result from the four different lesions? Why do they occur? What changes result from them?
monitoring, in CABG - C.I-9. Discuss the principles and clinical applications of intraoperative two-dimensional transesophageal echocardiography (TEE).
morbid obesity and
TEE vantage points for imaging
venting, in CABG
Left ventricular assist device (LVAD)
Left ventricular ejection fraction, hypertension and intubation effects on
Left ventricular end-diastolic pressure (LVEDP)
A.4. What are representative P-V loops for the four valvular lesions?
A.5. Draw the pressure/time curves for the LV, left atrium (LA), pulmonary artery (PA), and aorta for a normal patient and for patients with each of the four valvular lesions.
B.2. How would you evaluate the patient's left ventricular function?
Left ventricular end-diastolic volume (LVEDV)
Left ventricular end-systolic pressure (LVESP)
Left ventricular end-systolic volume (LVESV)
Left ventricular outflow tract (LVOT) obstruction, in transposition of the great arteries
A.1. What defines the cardiac situs?
A.10. What is the differential diagnosis of d-TGA and how is the diagnosis made?
A.11. What preoperative interventions can help stabilize a patient with d-TGA?
A.2. What is dextro-transposition of the great arteries (d-TGA)?
D.5. What are the long-term outcomes after Rastelli repair for patients with d-TGA with left ventricular outflow tract (LVOT) obstruction?
Leptomeningeal pathways
Leukotriene receptor antagonists, preoperative use of
Levalbuterol, for intraoperative bronchospasm
See Left-heart bypass, in thoracoabdominal aortic aneurysm repair (LHB)
C.2. How is open repair of thoracic aneurysms performed?
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
Lidocaine
Li-Fraumeni syndrome
Liposomal bupivacaine
Lisinopril
A.14. What is the mechanism of action of the major antihypertensive drugs?
B.10. What instructions should the patient be given with regard to continuing or discontinuing lisinopril in the perioperative period?
B.7. If the patient who is on lisinopril develops hypotension intraoperatively, how would you manage it?
Liver disease. See specific diseases
Liver failure, acute
Liver function, burns and
Liver metabolism, of medication
Liver transplantation
Living donor transplant program
See Laryngeal mask airway (LMA)
B.4. How would you preoperatively optimize the ability to secure the airway in the operating room?
B.9. What precautions should be taken for airway management?
C.1. What factors would alter your anesthetic technique from that used for a nonpregnant patient?
C.2. Can a laryngeal mask airway (LMA) be used?
C.2. Describe techniques other than direct laryngoscopy that would be useful for securing the airway in this baby.
C.2. The American Society of Anesthesiologists (ASA) Difficult Airway Algorithm provides a guideline for management of the difficult airway. How do the comorbidities in patients with MO and OSA modify implementation of the algorithm?
C.2. The patient did not have an asthmatic attack in the operating room, and you proceed with induction of anesthesia. How would you induce anesthesia? Would you use a supraglottic airway device instead of an endotracheal tube?
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?
Robotic-Assisted Laparoscopic Surgery
See Laryngeal mask airway (LMA)
LMA Fastrach
LMA-FT
LMA Supreme
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