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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Doppler ultrasound
microvascular, in cerebral aneurysm
precordial, in craniotomy
transcranial, in carotid artery procedures
Dorsal root ganglion stimulation
for cancer pain
for complex regional pain syndrome
for low back pain
for low back pain - B.4. What are some of other approaches in minimally invasive interventions?
Double burst stimulation (DBS)
Double-lumen endotracheal tube (DLT)
contraindications to
extubation
in lung resection - C.8. Would you use a right- or left-sided DLT?
in lung transplantation
insertion and positioning of
in trauma surgery
right- vs. left-sided - C.8. Would you use a right- or left-sided DLT?
Doxazosin, for pheochromocytoma
Droperidol
black box warning on
for PONV
Drug-eluting coronary stent (DES)
Drug-induced cerebral vasoconstriction and coma
D-TGA
dTT (dilute thrombin time)
Dual antiplatelet therapy
A.5. What are the risk factors for perioperative myocardial infarction (MI) in patients with ischemic heart disease? What can be done to reduce the risk of ischemic events in these patients?
B.4. What types of coronary stents are available? What is their perioperative relevance?
B.5. What is the conventional recommendation for dual antiplatelet therapy (DAPT) in a patient with previous percutaneous coronary intervention (PCI) undergoing elective noncardiac surgery?
B.7. How should patients with coronary stents undergoing noncardiac surgery be managed?
Dual-chamber AV demand pacing
Ductus arteriosus
Ductus arteriosus
Ductus arteriosus
Duodenal ulcer, with burn injury
Dural puncture, accidental
A.8. If accidental dural puncture occurs during placement of the epidural needle, what steps should be taken?
C.7. What would you do after accidental dural puncture? How do you treat postdural puncture headache (PDPH)?
See Deep venous thrombosis, postoperative, in cerebral aneurysm clipping (DVT)
A.2. How will you decide about the choice of anesthetic technique?
C.6. Is regional anesthesia better than general anesthesia for patients with cardiac disease?
D.10. What other organ systems can be affected postoperatively in patients following aneurysm clipping?
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?
Dysesthesia
A.4. What are the diagnostic criteria for CRPS? What is its incidence?
A.5. Define allodynia, hyperalgesia, hyperesthesia, and dysesthesia.
Dyshemoglobins
Dysphasia, and awake craniotomy
Dyspnea
differential diagnosis of - A.1. What is the differential diagnosis of dyspnea?
in brachial plexus block
in brachial plexus block - D.2. In the postanesthesia care unit, the patient complains of dyspnea. How would you evaluate and manage this?
in cardiac tamponade
Dysrhythmia
See Epsilon aminocaproic acid (EACA)
C.2. Discuss the indications and use of available antifibrinolytic drugs. What dose should be given? Describe the side effects of antifibrinolytic therapy.
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?
C.I-17. What antifibrinolytic will you use to reduce blood transfusions?
C.II-14. How do you prepare an intravenous (IV) infusion of sodium nitroprusside, nicardipine, and nitroglycerin? What are the usual doses? Which do you prefer to use?
See Epsilon aminocaproic acid (EACA)
Ear (auricular) acupuncture
A.2. How is acupuncture practiced?
B.9. What is ear acupuncture or acupressure? Can it be useful for alleviating anxiety and pain?
EA
See Endobronchial ultrasound (EBUS)
A.1. How is the diagnosis of lung carcinoma made?
Bronchoscopy, Mediastinoscopy, and Thoracoscopy
C.1. How would you premedicate, monitor, and anesthetize this patient presenting for endobronchial ultrasound (EBUS) for lung cancer staging?
C.2. What are the benefits of advanced bronchoscopy in the diagnosis of suspected lung cancer? How would you monitor and anesthetize a patient presenting for robotic bronchoscopy?
C.3. What other types of bronchoscopes are available, and what are the intraoperative considerations for each one?
C.4. What is cervical mediastinoscopy, and what are its indications and potential complications? How would you anesthetize and monitor a patient undergoing cervical mediastinoscopy?
See Endobronchial ultrasound (EBUS)
See Extracorporeal circulation (ECC)
C.13. At birth, what should be done to minimize an infant's risk of meconium aspiration syndrome?
C.I-3. How will you monitor the patient's temperature? Do you need to monitor it from multiple sites?
See Extracorporeal circulation (ECC)
ECG
Echocardiography
Echothiophate iodide (phospholine iodide)
A.10. Are topically applied ophthalmic medications absorbed systemically? How can this absorption be reduced? Which eye drops can have effects that are of concern to the anesthesiologist?
A.8. What are some factors that can lower PChE levels?
Eclampsia
definition
management of
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