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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
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)
Obturator nerve block
Occult pneumothorax
A.9. What is an occult pneumothorax?
A.8. How are pneumothoraces categorized?
See Oculocardiac reflex (OCR)
B.5. How would you premedicate this patient?
C.12. What are afferent and efferent pathways of OCR?
C.14. How do you diagnose and treat OCR?
C.16. Can a retrobulbar block prevent OCR? Is it appropriate for this patient?
Open-Eye Injury and Cataract Surgery
Atropine
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.13. What factors increase the incidence of OCR?
C.15. Is atropine or glycopyrrolate useful for treating OCR?
Epinephrine
See Oculocardiac reflex (OCR)
Ocular ischemia or infarction
Oculocardiac reflex (OCR)
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)?
incidence of, factors contributing to
afferent and efferent pathways of
diagnosis and treatment of
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.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.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
D.5. How long would you prescribe supplementary oxygen postoperatively?
See Obesity hypoventilation syndrome (OHS)
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.6. What is Pickwickian syndrome? What is obesity hypoventilation syndrome (OHS)? Describe the pathogenesis of severe OSA.
C.10. When will you extubate the patient's trachea? Describe weight-based extubation criteria.
Morbid Obesity, Obstructive Sleep Apnea, and Bariatric Anesthesia
Oliguria
in burn patients
definition
in trauma patients
Omalizumab, preoperative use of
Ondansetron
for post-tonsillectomy hemorrhage
for PONV - D.2. How would you pharmacologically prevent PONV in the susceptible ambulatory patient?
One-lung ventilation (OLV)
cardiopulmonary function and
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?
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 monitoring in
hypoxic pulmonary vasoconstriction in - C.13. What is hypoxic pulmonary vasoconstriction (HPV)?
in lung transplantation
oxygenation
respiratory parameters, targeting
See Eye injury, open-eye
Atropine
Ketamine
Open-Eye Injury and Cataract Surgery
See Eye injury, open-eye
Etomidate
Neuromuscular Blocking Agents
Propofol
Succinylcholine
Open pneumothorax
Opioid(s)
Opioid antagonists
B.10. How would you treat the side effects of opioid therapy?
B.12. When would you consider adjuvant analgesics as part of the treatment plan?
B.11. What is tramadol? Is it an opioid?
B.9. Define tolerance and physical dependence.
Opioid rotation
Opioid Use Disorder (OUD)
chronic pain vs. medication treatment
management strategies for perioperative pain control - B.3. What are the management strategies for perioperative pain control in a patient taking buprenorphine for OUD?
buprenorphine
legal ramifications, of
untreated, with
Opioid
Oreo cookie sign
Orofacial cleft
causes of
incidence of
conditions associated with
See Tonsillectomy, hemorrhage after
differential diagnosis of
See Tonsillectomy, hemorrhage after
management of
OSA
See Obstructive sleep hypopnea (OSH)
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.3. What is OSA? What are the risk factors for OSA?
See Obstructive sleep hypopnea (OSH)
Osmolality
Osmotic agents, to lower intraocular pressure
A.8. How do carbonic anhydrase inhibitors decrease IOP? By what mechanism can osmotic agents decrease IOP?
A.9. Are carbonic anhydrase inhibitors or osmotic diuretics indicated in open-globe eye injuries?
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