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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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See Thoracic aortic aneurysm (TAA)
A.1. What is thoracic aortic aneurysm (TAA)? How does it typically present? How is it diagnosed?
A.4. How do you manage patients with implanted devices?
A.5. What are the risk factors for TAA-associated mortality?
B.1. What are the indications and timing of surgical intervention for TAAs?
C.8. Why does a coagulopathy ensue and how is it prevented/treated?
Thoracic and Thoracoabdominal Aortic Aneurysms
A.3. What is the pathogenesis of aortic aneurysms and what genetic conditions predispose to their formation?
A.4. What is the natural history and medical management of thoracic aneurysms?
Acetohydroxamic acid
B.3. What are the preoperative considerations for the anesthesiologist before TAA repair?
See Thoracic aortic aneurysm (TAA)
Tachy-brady syndrome
Tachycardia
in electroconvulsive therapy
malignant hyperthermia and
shock and
burns and
junctional ectopic
malignant hyperthermia and - C.6. Twenty minutes into the procedure with sevoflurane anesthesia, the patient develops increasing tachycardia with ventricular premature beats and mottled skin. What emergency measures should you take?
succinylcholine and - A.4. What is the mechanism of action of succinylcholine, and how is it metabolized? What are the side effects of succinylcholine?
See Transfusion-associated circulatory overload (TACO)
C.11. What are the complications associated with any blood transfusion?
Major and Complex Spine Surgery
C.11. What is transfusion-related acute lung injury (TRALI)? How is it differentiated from transfusion-associated circulatory overload (TACO)?
See Transfusion-associated circulatory overload (TACO)
Tacrolimus
A.9. How are immunosuppressive drugs managed in kidney transplant recipients?
D.2. What are immunosuppressive agents, and how do they affect anesthetic care?
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
D.6. What immunosuppressive agents will be given after liver transplantation? What are the major side effects?
TandemHeart (CardiacAssist)
See Transversus abdominis plane block (TAP)
B.3. What components of ERAS are applied in the preoperative phase of the care of patients undergoing colorectal surgery (CRS)?
C.7. What would you do after accidental dural puncture? How do you treat postdural puncture headache (PDPH)?
D.2. Would you consider using a regional anesthesia technique for 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?
C.6. How would you maintain general anesthesia? What agents would you choose? How would you prepare for emergence?
C.9. Can regional anesthesia be used to optimize postoperative analgesia?
D.5. What components of ERAS are applied in the postoperative phase of the care of patients following CRS?
Target-of-rapamycin (TOR) inhibitor
A.9. How are immunosuppressive drugs managed in kidney transplant recipients?
D.2. What are immunosuppressive agents, and how do they affect anesthetic care?
TBI
See Total body surface area, burn injury and (TBSA)
A.3. Should the "rule of nines" be used in children?
B.2. What are the various operative and management options available for severely burned patients?
A.2. How do you express the extent of burn injury?
A.6. What is the prognosis for this patient? What major factors affect her prognosis?
See Total body weight (TBW)
B.7. How would you adjust doses of anesthetics in the morbidly obese?
C.7. Which neuromuscular blocking agent would you use?
A.15. What derangements of the gastrointestinal system are associated with MO?
C.6. How would you maintain general anesthesia? What agents would you choose? How would you prepare for emergence?
See Total body weight (TBW)
See Transcranial Doppler, in carotid artery procedures (TCD)
C.2. How will you know that the patient's cerebral perfusion is adequate during surgery?
C.6. Describe the use of transcranial Doppler (TCD) and its limitations.
D.3. In the ICU, the patient's neurologic status deteriorates and ICP monitoring is instituted. What are the different methods of monitoring ICP, and what are their limitations?
D.6. How is the diagnosis of cerebral vasospasm made?
C.4. How will you measure CBF intraoperatively? What are the relative advantages and disadvantages of each technique?
Carotid Artery Disease
D.3. On postoperative day 2, the patient became disoriented and developed hemiplegia. A CT scan was obtained, which showed no new intracranial bleeding. What other diagnostic studies should be performed?
D.7. What steps can be taken to prevent cerebral vasospasm?
TDR. See Total disc replacement (TDR)
See Tangential excision split-thickness skin grafting (TE/STSG)
B.3. What are the advantages and disadvantages of early tangential excision split-thickness skin grafting (TE/STSG)?
See Tangential excision split-thickness skin grafting (TE/STSG)
B.2. What are the various operative and management options available for severely burned patients?
Burns
See Thoracic epidural analgesia (TEA)
Bicarbonate
D.2. Why is it important to control postoperative pain? How would you achieve this?
D.5. What components of ERAS are applied in the postoperative phase of the care of patients following CRS?
See Thoracic epidural analgesia (TEA)
Trauma
B.3. What components of ERAS are applied in the preoperative phase of the care of patients undergoing colorectal surgery (CRS)?
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
D.4. If this patient had a crush injury and low urine output, what other concerns might you have? What if the patient has dark or "tea-colored" urine?
Mannitol
Sodium bicarbonate
TEF
See Hyperthermia; Hypothermia
in abdominal aortic aneurysm repair
in laparoscopic surgery
in neonates with transesophageal fistula
neutral and critical
normothermia maintenance, in ERAS - B.3. What components of ERAS are applied in the preoperative phase of the care of patients undergoing colorectal surgery (CRS)?
See Hyperthermia
weaning
in burn patients
in malignant hyperthermia
in patent ductus arterious ligation
normothermia maintenance, in ERAS
rewarming time
See Hypothermia
Tendyne device
See Transcutaneous electrical nerve stimulation (TENS)
D.2. Why is it important to control postoperative pain? How would you achieve this?
See Transcutaneous electrical nerve stimulation (TENS)
D.1. What are the various nonpharmacologic techniques of cancer pain management?
D.3. Describe the role of neuromodulation in cancer pain management.
Tension pneumothorax
A.8. How are pneumothoraces categorized?
in carotid endarterectomy
in trauma surgery - C.9. What is the treatment of tension pneumothorax?
diagnosis of
in neonatal CDH repair
treatment of - C.9. What is the treatment of tension pneumothorax?
Teratogenicity, of anesthetic agents
Terazosin
for complex regional pain syndrome
for pheochromocytoma
Terbutaline, for intraoperative bronchospasm
Tetracaine
Tet spells
See Thoracic endovascular aortic repair (TEVAR)
C.1. What are the surgical approaches to thoracic aneurysm repair?
C.6. What are the specific considerations for anesthetic management and monitoring of the patient presenting for endovascular TAAA repair?
D.5. What are the unique postoperative complications after endovascular TAAA repair?
B.2. Which patients are candidates for endovascular aortic repair, and what are the major advantages and disadvantages of this approach?
C.5. How are endovascular repairs of TAAAs performed?
C.7. What are the surgical approaches to aortic dissections?
See Thoracic endovascular aortic repair (TEVAR)
Thalassemia
Thiazide diuretics
Thiopental
and cerebral blood flow, metabolism, and intracranial pressure
cardiovascular effects of
for cerebral aneurysm procedures
and PONV
for asthmatic patients
Third-degree atrioventricular (AV) block
A.3. How would you diagnose first-, second-, and third-degree AV block; bifascicular block (right bundle branch block [RBBB] with left anterior fascicular hemiblock or left posterior fascicular hemiblock); and trifascicular block?
A.1. What are the indications for permanent pacemakers (PPMs)?
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