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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Obesity hypoventilation syndrome (OHS)
A.2. What medical conditions can be associated with obesity and morbid obesity?
A.6. What is Pickwickian syndrome? What is obesity hypoventilation syndrome (OHS)? Describe the pathogenesis of severe OSA.
Obesity
Obstruction
See Chronic obstructive pulmonary disease
lung transplantation for
restrictive disease vs.
Obstructive shock
A.11. Which medical conditions mimic cardiac tamponade?
A.13. What are the four types of shock?
Obstructive sleep apnea (OSA)
Obstructive sleep hypopnea (OSH)
Obturator nerve block
Occult pneumothorax
A.8. How are pneumothoraces categorized?
A.9. What is an occult pneumothorax?
See Oculocardiac reflex (OCR)
Atropine
B.5. How would you premedicate this patient?
C.11. During the procedure, the patient's pulse rate suddenly decreased to 40 beats per minute. What do you think was happening? What is oculocardiac reflex (OCR)?
C.12. What are afferent and efferent pathways of OCR?
C.13. What factors increase the incidence of OCR?
C.14. How do you diagnose and treat OCR?
C.15. Is atropine or glycopyrrolate useful for treating OCR?
C.16. Can a retrobulbar block prevent OCR? Is it appropriate for this patient?
Epinephrine
Open-Eye Injury and Cataract Surgery
See Oculocardiac reflex (OCR)
Ocular ischemia or infarction
Oculocardiac reflex (OCR)
afferent and efferent pathways of
C.11. During the procedure, the patient's pulse rate suddenly decreased to 40 beats per minute. What do you think was happening? What is oculocardiac reflex (OCR)?
diagnosis and treatment of
incidence of, factors contributing to
retrobulbar block and - C.16. Can a retrobulbar block prevent OCR? Is it appropriate for this patient?
See Osmotic demyelination syndrome (ODS)
B.3. How is hyponatremia managed preoperatively?
See Osmotic demyelination syndrome (ODS)
See Obesity hypoventilation syndrome (OHS)
A.11. What changes occur in intrapulmonary shunt (QS/QT) and dead space (VD/VT) in MO? Describe the shunt equation and the physiologic dead space, or Bohr equation.
A.12. What changes occur in the cardiovascular system of the patient with obesity? Discuss cardiac output, blood volume, blood pressure, and pulmonary arterial pressure.
A.4. How is OSA diagnosed? What is a sleep study or polysomnography? How are the results obtained from polysomnography used to grade the severity of OSA? What are the subtypes of OSA? Are there genetic disorders with a predisposition to OSA? What is the role of OSA screening tests in the preoperative setting?
A.6. What is Pickwickian syndrome? What is obesity hypoventilation syndrome (OHS)? Describe the pathogenesis of severe OSA.
A.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
C.10. When will you extubate the patient's trachea? Describe weight-based extubation criteria.
D.5. How long would you prescribe supplementary oxygen postoperatively?
Morbid Obesity, Obstructive Sleep Apnea, and Bariatric Anesthesia
See Obesity hypoventilation syndrome (OHS)
Oliguria
definition
in burn patients
in trauma patients
Omalizumab, preoperative use of
Ondansetron
for PONV - D.2. How would you pharmacologically prevent PONV in the susceptible ambulatory patient?
for post-tonsillectomy hemorrhage
One-lung ventilation
One-lung ventilation (OLV)
cardiopulmonary function and
hypoxic pulmonary vasoconstriction in - C.13. What is hypoxic pulmonary vasoconstriction (HPV)?
in lung cancer (lung resection) - C.6. What are the indications for one-lung ventilation (OLV), and how can it be accomplished? What complications can be associated with OLV?
in lung transplantation
lateral (lateral decubitus) positioning in - C.12. The patient was placed in the lateral decubitus position. Describe the effects of lateral positioning on pulmonary blood flow and respiration.
oxygenation
oxygenation monitoring in
respiratory parameters, targeting
See Eye injury, open-eye
Atropine
Etomidate
Ketamine
Neuromuscular Blocking Agents
Open-Eye Injury and Cataract Surgery
Propofol
See Eye injury, open-eye
Succinylcholine
Open pneumothorax
Ophthalmic medications, topical
Opioid(s)
Opioid agonists
Opioid antagonists
B.10. How would you treat the side effects of opioid therapy?
B.11. What is tramadol? Is it an opioid?
B.12. When would you consider adjuvant analgesics as part of the treatment plan?
B.9. Define tolerance and physical dependence.
Opioid rotation
Opioid Use Disorder (OUD)
buprenorphine
chronic pain vs. medication treatment
legal ramifications, of
management strategies for perioperative pain control - B.3. What are the management strategies for perioperative pain control in a patient taking buprenorphine for OUD?
untreated, with
Opioid
Oral opioid administration
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