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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Park bench (semiprone) position, in posterior fossa craniotomy
Parkland formula, for fluid resuscitation
Partial cardiopulmonary bypass
C.II-3. How do you monitor heparin dosage? What is the activated coagulation time (ACT) test?
C.II-4. What is total CPB? What is partial CPB?
Partial CO2 rebreathing (INNOCOR)
Partial pressure of carbon dioxide (PaCO2)
and cerebral blood flow
and traumatic brain injury
in laparoscopy
in morbidly obese patients
in pediatric patients, normal
pregnancy and
Partial pressure of oxygen (PaO2)
age and
and cerebral blood flow
in aortic aneurysm evaluation
in brain tissue, in traumatic brain injury
in burn patients
in hypoxia
in pediatric patients, normal
in refractory respiratory failure
in respiratory failure prevention
PASCAL device
PAS
Patent ductus arteriosus
congenital diaphragmatic hernia and
transposition of the great arteries and
Patent ductus arteriosus, with prematurity
Patient-controlled analgesia (PCA)
B.14. Describe the different routes of opioid administration.
B.15. Describe advantages and complications of patient-controlled analgesia (PCA). What is the minimum effective analgesic concentration (MEAC)?
Cancer Pain
D.2. What is your approach to postoperative pain control?
D.3. How would you control postoperative pain? What are the alternatives in the management of this patient's postoperative pain?
D.6. How would you control postoperative pain? What are the sources of surgical pain? What is the role of regional anesthesia in the bariatric surgery?
PCA
See Prothrombin complex concentrate (PCC)
B.1. What is dabigatran (Pradaxa)? How is its effect measured? How far in advance of elective surgery should it be stopped? Can its effect be reversed?
B.9. What coagulation abnormalities are present after TBI? What modalities can be used to provide hemostasis and reduce intracranial hematoma expansion?
C.21. What concentrated factors and hemostatic agents are available for bleeding patients?
C.22. What is thromboelastometry? How can it guide transfusion?
C.9. Two hours later, estimated blood loss (EBL) is approximately 2 L and the patient has been resuscitated with 3 units of packed red blood cells (pRBCs), 229 mL intraoperative cell salvage (cell saver), and 500 mL albumin in addition to 4 L crystalloid. The surgeon says the field is still "oozy" and there is ongoing blood loss. What are your concerns for resuscitation moving forward? How will you guide your resuscitation?
See Prothrombin complex concentrate (PCC)
Traumatic Brain Injury (TBI)
See Patient-controlled epidural analgesia, in bariatric surgery (PCEA)
A.1. What is your advice to this patient for the planned open reduction and internal fixation (ORIF) of her right hip and postoperative pain relief?
A.7. What are the usual doses and concentrations of the anesthetic combinations commonly employed in epidural analgesia?
D.6. How would you control postoperative pain? What are the sources of surgical pain? What is the role of regional anesthesia in the bariatric surgery?
See Pseudocholinesterase (PChE)
A.4. What is the mechanism of action of succinylcholine, and how is it metabolized? What are the side effects of succinylcholine?
A.6. What are acetylcholinesterase and plasma cholinesterase? What is the clinical significance of heterozygosity for atypical pseudocholinesterase (PChE)?
A.8. What are some factors that can lower PChE levels?
B.1. How is the choice of NMBA made?
Metoclopramide
Neostigmine
Postoperative Residual Neuromuscular Weakness and Prolonged Apnea
Succinylcholine
PCIA. See Patient-controlled intrathecal analgesia, in bariatric surgery (PCIA)
PCI
See Pulmonary capillary wedge pressure (PCWP)
A.3. Describe IABP inflation and deflation timing.
Abdominal Aortic Aneurysm Repair
B.5. What is part of the LVAD assessment process?
C.2. What various monitors are available for myocardial ischemia? Is a pulmonary artery catheter (PAC) helpful in determining the occurrence of ischemia?
C.3. What additional monitors would you employ?
C.4. What is the pathophysiology of aortic clamping and unclamping?
C.7. What are the hemodynamic changes of aortic cross-clamp placement? What efforts can be made to minimize these changes both before and during cross-clamping? If the patient develops ST-segment depressions with a rising pulmonary capillary wedge pressure (PCWP) during cross-clamp, what maneuvers should be taken?
Nicardipine
Nitroglycerin
See Pulmonary capillary wedge pressure (PCWP)
See Pulsed-dye laser, for laryngeal lesions (PDL)
C.3. What is a laser and how does it work?
C.5. What are some advantages of using lasers for laryngeal surgery?
See Pericardial decompression syndrome (PDS)
C.7. What is pericardial decompression syndrome (PDS)?
Cardiac Tamponade
Pediatrics
PEEP
Pericardium
See Pain management, perioperative
A.4. What would be your perioperative analgesic strategy?
C.9. What are the strengths, weaknesses, benefits, and challenges of ERAS?
D.2. Why is it important to control postoperative pain? How would you achieve this?
D.5. You were able to perform a continuous spinal epidural (CSE) at L3-L4 and used 0.125% bupivacaine via the epidural catheter for postoperative pain control. The patient reports that he is comfortable regarding both his back pain and his ankle pain. What benefit would continuing methadone confer in this case?
Perioperative Pain Management and Multimodal Pain Management
See Pain management, perioperative
Peripheral nerve blocks
Peripheral nerve stimulation
A.13. What can affect the accuracy of a two-wavelength pulse oximeter?
B.18. What is neuromodulation? What is the role of stimulation-based therapies in treating CRPS?
B.2. What interventional treatments are available and how should they be used?
Peripheral nerve stimulator
B.8. How accurate are qualitative estimates of the TOF ratio, and what purpose do peripheral nerve stimulator (PNS) monitors serve?
C.1. How would you monitor this patient?
C.1. What monitors would you use in this functional New York Heart Association (NYHA) class II patient during cesarean delivery?
C.10. Which neuromuscular blocking agents would you use? Why?
C.2. How should this patient be monitored intraoperatively?
C.6. What monitors and devices would you apply to the patient? Why?
C.7. Which neuromuscular blocking agent would you use?
C.II-18. Would you give NMBDs during CPB? How is their action affected during CPB?
Postoperative Residual Neuromuscular Weakness and Prolonged Apnea
Vecuronium
See Pacemakers, permanent
A.1. What are the indications for permanent pacemakers (PPMs)?
Cardiac Implantable Electronic Devices
Persistent pulmonary hypertension (PPH)
Persistent
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