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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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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?
Lung parenchymal function
Lung recruitment
E.1. Which mode of mechanical ventilation will you choose? Describe the features of that mode.
E.3. How should you set positive end-expiratory pressure (PEEP)?
F.1. What else can promote additional lung recruitment?
Lung transplantation
Lung volume hypothesis, of obstructive sleep apnea
See specific measurements
in asthmatic attacks
in lung cancer
in obstructive vs. restrictive lung disease
normal values
Luxury perfusion
A.20. What is meant by the term luxury perfusion?
C.6. What are the effects of anesthetics on the cerebral metabolic rate of oxygen (CMRO2), CBF, and ICP? With this in mind, how would you maintain anesthesia?
LVEDP (left ventricular end-diastolic pressure)
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?
B.3. Which factors determine myocardial oxygen supply?
LVEDV (left ventricular end-diastolic volume)
LVESP (left ventricular end-systolic pressure)
LVESV (left ventricular end-systolic volume)
See Left ventricular outflow tract obstruction, in transposition of the great arteries (LVOT)
A.10. What are the echocardiographic and cardiac catheterization criteria for the four valvular lesions?
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.12. What are the surgical options for repair? Why is one chosen over the others?
A.3. What additional cardiac lesions are associated with d-TGA?
A.4. What is the natural history of d-TGA?
A.6. What determines the oxygen saturation (Sao2) in patients with d-TGA?
A.7. What are the three TEE vantage points for comprehensive imaging of the LV? How are pressure gradients measured by echocardiography? How do pressure gradients derived from Doppler echocardiography differ from those obtained in the catheterization laboratory by direct pressure measurement?
A.8. What is the purpose of the basic perioperative TEE examination? Describe the standard views that comprise this examination.
A.9. What are the clinical subsets of d-TGA?
B.2. What are the anesthetic goals before cardiopulmonary bypass (CPB)?
D.5. What are the long-term outcomes after Rastelli repair for patients with d-TGA with left ventricular outflow tract (LVOT) obstruction?
Transposition of the Great Arteries
Labetalol
A.14. What is the mechanism of action of the major antihypertensive drugs?
C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension?
D.2. How would you manage hypertension in the intensive care unit?
for controlled hypotension
for hypertension in burn patients
for thoracoabdominal aortic aneurysm repair - C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
in craniotomy emergence
in post-awake craniotomy hypertension
See Cesarean delivery
fetal well-being and heart rate in
in hypertensive disorders
in placenta accreta syndrome
in placental abruption - A.3. How would you quickly differentiate and diagnose the most urgent, concerning, and likely etiologies of this patient's antepartum bleeding?
in placenta previa
in preterm birth - A.16. What tests and/or interventions can improve neonatal outcome of a preterm birth?
in uterine rupture
in vasa previa
maternal heart disease and
maternal oxygen saturation in
meconium-stained amniotic fluid in
retained placenta in
See Cesarean delivery
Lambert-Eaton syndrome
Laminectomy
B.6. When should surgery be considered?
B.7. What surgical options are available for the treatment of disc disease or lumbar spinal stenosis?
Laminotomy
B.4. What are some of other approaches in minimally invasive interventions?
B.6. When should surgery be considered?
B.7. What surgical options are available for the treatment of disc disease or lumbar spinal stenosis?
Laparoscopic surgery
adrenalectomy
advantages and disadvantages of minimally invasive surgery
anesthetic agents or adjuvant agents for - C.3. What anesthetic agents or adjuvant drugs are recommended for laparoscopy? Are any anesthetic agents contraindicated?
appendectomy, in pregnant patient - C.11. The surgeon schedules the procedure to be performed laparoscopically. Does this pose any additional problems?
bariatric (See Bariatric surgery)
contraindications to
conversion to laparotomy
gastrectomy
in asthmatic patients
in pyloric stenosis
local vs. regional anesthesia for - C.5. Can laparoscopy be performed under local or regional anesthesia?
nitrous oxide for
pregnancy and
Laparoscopic surgery
Laparoscopy, definition of
Laplace equation
See Intestinal obstruction
causes of
See Intestinal obstruction
small bowel obstruction vs.
Laryngeal edema
Laryngeal lesions, laser treatment for
Laryngeal mask airway (LMA)
contraindicated, in open-eye injury
contraindicated, in robotic procedures
for awake craniotomy
for bariatric surgery
for congenital heart disease with cervical mass, in infancy
on difficult airway cart
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