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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Rabbit antithymocyte globulin
Radial nerve, humeral fracture and
Radiofrequency ablation
for low back pain
precautions with cardiac implantable electronic device
Ramipril
Rapid-sequence induction (RSI)
in airway trauma - C.6. What anesthetic agents would you use for a rapid sequence induction?
in asthmatic patients - C.6. If this were an emergency surgery and rapid sequence induction is indicated, how would you induce anesthesia in this patient?
in cardiac tamponade
in lung transplantation
in open-eye injury - C.7. How will you perform a rapid sequence induction of anesthesia and tracheal intubation without using succinylcholine?
in traumatic brain injury
in aspiration prevention
in bariatric surgery
in epiglottitis
in neonates with transesophageal fistula
in post-tonsillectomy hemorrhage
muscle relaxant for
Rapid-sequence induction and intubation (RSII)
in cerebral aneurysm procedures
in intestinal obstruction surgery - C.1. What dangers are present during induction? How are they planned for?
Rapid shallow breathing index (RSBI)
D.1. What criteria would you use for tracheal extubation?
H.3. How will you recognize when the patient is ready for tracheal extubation?
Rastelli procedure
A.12. What are the surgical options for repair? Why is one chosen over the others?
postoperative problems
long-term outcomes of
RBCs
See Revised Cardiac Risk Index (RCRI)
A.1. What are the preoperative predictors for perioperative major adverse cardiac events (MACE)?
B.1. How should this patient be evaluated?
B.4. How would you classify this patient's surgery-specific MACE risk?
A.4. Does a history of prior MI increase the patient's risk of perioperative reinfarction or stent thrombosis?
B.4. How should this patient be prepared for anesthesia and surgery?
See Revised Cardiac Risk Index (RCRI)
RDI (respiratory disturbance index)
See Respiratory distress syndrome, in neonates (RDS)
A.16. What tests and/or interventions can improve neonatal outcome of a preterm birth?
A.6. Discuss the incidence and pathophysiology of PDA in preterm infants.
Patent Ductus Arteriosus and Prematurity
A.1. How would you classify prematurity? What are the common problems associated with prematurity?
A.3. What are the incidence and survival rates of respiratory distress syndrome (RDS)? Discuss its pathophysiology.
D.1. Would you reverse the neuromuscular blockade and extubate the patient at the end of surgery?
Real-time MRI
A.2. What are the major advantages of MRI in comparison to CT?
A.7. What is intraoperative MRI (iMRI)? What is real-time MRI, and in what setting can this be used?
Recombinant activated factor VII
for post-heart transplant hemorrhage
for trauma patients
Recruitment maneuvers, in respiratory failure
E.1. Which mode of mechanical ventilation will you choose? Describe the features of that mode.
F.1. What else can promote additional lung recruitment?
E.3. How should you set positive end-expiratory pressure (PEEP)?
Recurrent meningeal nerve
Recurrent respiratory papillomatosis (RRP)
cause of
presentation of
α-interferon for - A.4. How is RRP diagnosed?
diagnosis of
treatment options for
Red blood cells (RBCs)
in preterm infants - B.5. What are the normal values of WBC, red blood cells (RBCs), hemoglobin, glucose, electrolytes, calcium, blood urea nitrogen, and creatinine for preterm infants?
packed, ratio of plasma/platelet transfusion to
See Complex regional pain syndrome
A.1. What is the differential diagnosis of pain in this patient?
B.19. What is the role of surgical sympathectomy?
B.15. What is the role of intravenous regional block (Bier block) in diagnosis and treatment of CRPS?
Refractory respiratory failure
lung recruitment in - F.1. What else can promote additional lung recruitment?
management of - D.2. Why is it important to control postoperative pain? How would you achieve this?
management of
rescue strategies for - F.2. What rescue strategies can you use for refractory ARDS?
Reframing techniques, for cancer pain
Regional cardiac tamponade
Regional wall motion abnormalities (RWMA)
C.I-8. What are the hemodynamic consequences of myocardial ischemia? How can you detect myocardial ischemia? Is PAOP a sensitive indicator of myocardial ischemia?
B.2. How would you evaluate the patient's left ventricular function?
Rejection of transplant
kidney
heart
Relaxed brain
Remifentanil
for awake craniotomy
for cataract surgery
for craniotomy
for myasthenia gravis patients
for asthmatic patients
for bariatric surgery
for cerebral aneurysm procedures
for kidney transplantation
renal failure and
Renal ARF
D.3. You are called to see this patient in the postanesthesia care unit (PACU) because of oliguria. How would you evaluate and treat this patient?
D.4. Discuss the causes of oliguria in PACU.
Renal blood flow, inhalation anesthetics and
C.6. How would you maintain anesthesia during the case?
C.8. How does renal failure affect the pharmacology of opioids?
C.7. What are the effects of inhalation anesthetics on renal blood flow (RBF), glomerular filtration (GFR), and urine output?
C.9. Can regional anesthesia be used to optimize postoperative analgesia?
Renal failure
aortic aneurysm repair and
chronic, metabolic acidosis in - A.6. How is metabolic acidosis managed in chronic renal failure?
postoperative, in thoracoabdominal aortic aneurysm repair
postrenal
renal
trauma and
burns and
diabetes mellitus and - B.1. How should this patient be evaluated?
postoperative, in thoracoabdominal aortic aneurysm repair - D.5. What are the unique postoperative complications after endovascular TAAA repair?
prerenal
spinal cord compromise or ischemia - D.2. Two hours following arrival in the ICU, the patient is unable to move his lower extremities. How are symptoms of spinal cord compromise or ischemia managed?
Renal function/dysfunction
in heart-transplanted patients - E.12. What are the significant implications of renal dysfunction?
contrast-enhanced MRI and
postoperative, in liver transplantation
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