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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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LMA Unique
Lobectomy
C.17. A right middle lobectomy was performed. Would you extubate the trachea at the end of the procedure?
D.1. What are the immediate life-threatening complications that follow lobectomy or pneumonectomy?
See specific anesthetic agents and procedures
cardiovascular effects of - C.2. What is the systemic toxicity of local anesthetics?
classes and clinical pharmacology of
CNS effects of - C.2. What is the systemic toxicity of local anesthetics?
epinephrine addition to
for brachial plexus block
for malignant hypothermia-susceptible patient
onset, potency, and duration of block - B.11. What factors determine the onset, potency, and duration of local anesthetic block?
Local anesthetic systemic toxicity (LAST)
Loeys-Dietz syndrome (LDS)
aortic aneurysms with
aortic aneurysms with - A.3. What is the pathogenesis of aortic aneurysms and what genetic conditions predispose to their formation?
aortic dissection with
Loop diuretics
Lorazepam
hepatic dysfunction and
preoperative
Low back pain
Lower extremity, nerve blocks of
Low-flow cardiopulmonary bypass (LFCPB)
Low-lying placenta
A.6. What is the usual obstetric management for placenta previa?
A.7. What is vasa previa and how is it managed?
Low-molecular-weight heparin
and anesthesia in AAA repair
for perioperative myocardial infarction - D.6. How would you manage a patient with a suspected PMI?
Low-pressure cardiac tamponade
Low-pressure systems, checkout of
A.25. How is the anesthesia machine checked for leaks?
B.1. What should be included in the equipment checkout in preparation for anesthesia?
Low tidal volume ventilation
See Laser TURP (L-TURP)
C.3. Does neuraxial anesthesia result in a lower incidence of perioperative mortality than general anesthesia?
C.4. What intravenous fluid would you use during TURP?
C.5. A spinal anesthetic was performed and a sensory level of T10 was confirmed prior to the start of the procedure. About forty minutes after initiation of monopolar TURP (M-TURP) using glycine as the bladder-irrigating solution, the patient becomes agitated and complains of nausea. Further sedation along with an antiemetic is administered. However, shortly thereafter, the patient becomes very restless, blood pressure rises, and heart rate decreases. The patient becomes cyanotic and obtunded, blood pressure precipitously falls, and pupils are dilated and unresponsive to light. What is the most likely cause of these signs and symptoms, and would these occur during bipolar TURP (B-TURP) or laser TURP (L-TURP) resection?
C.6. What are the important characteristics of irrigation solutions used during TURP?
E.2. What differentiates the technologies for L-TURP?
E.3. Are there any alternatives to TURP for benign prostate hypertrophy (BPH)?
See Laser TURP (L-TURP)
Transurethral Resection of the Prostate and Geriatric Anesthesia
Lumbar drain
Lumbar interbody fusion
Lumbar plexus block
complications of
for cancer pain
for lower extremity (ankle fracture)
posterior landmark technique
ultrasound-guided
Lumbar puncture, in subarachnoid hemorrhage
Lumbosacral plexus block
Lumbosacral sprain, acute
Lung cancer
See specific measurements
in asthmatic attacks
in lung cancer
in morbidly obese patients
in obstructive vs. restrictive lung disease
normal values
Lung compliance, in morbidly obese patients
A.7. What is the association between obesity and OSA? What is the etiology of OSA in severe obesity?
A.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
Lung disease
flow-volume loops in
flow-volume loops in - B.4. What are flow-volume loops? Draw flow-volume loops for a healthy subject and for patients with COPD, restrictive lung disease, fixed obstruction of the upper airway, variable extrathoracic obstruction, and variable intrathoracic obstruction.
lung transplantation for
obstructive vs. restrictive
Lung disease
Lung expansion maneuvers, preoperative
Lung injury, acute
D.1. What is acute respiratory distress syndrome (ARDS)? What is acute lung injury?
D.2. How is ARDS treated?
D.4. If this patient had acute respiratory distress syndrome (ARDS) secondary to aspiration, besides low-tidal volume ventilation, what other changes in routine therapy should be considered?
D.5. What therapies routinely administered by the anesthesiologist can cause acute lung injury?
Lung injury, acute transfusion-related
C.11. What are the complications associated with any blood transfusion?
C.13. What complications can occur from transfusion of blood products?
D.4. If this patient had acute respiratory distress syndrome (ARDS) secondary to aspiration, besides low-tidal volume ventilation, what other changes in routine therapy should be considered?
D.5. What therapies routinely administered by the anesthesiologist can cause acute lung injury?
Lung maturity, fetal
A.16. What tests and/or interventions can improve neonatal outcome of a preterm birth?
A.6. What is the usual obstetric management for placenta previa?
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