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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Trifascicular 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.4. Is it necessary to insert a temporary pacemaker before general anesthesia for an asymptomatic patient with bifascicular or trifascicular block?
Trigeminal nerve, anesthetizing, in airway trauma
Trigger point injection, for low back pain
See Transfusion-related immunomodulation (TRIM)
C.11. What are the complications associated with any blood transfusion?
See Transfusion-related immunomodulation (TRIM)
Trimethaphan
Triple-vessel coronary artery disease
A.1. What is triple-vessel CAD? Name the branches of the coronary arteries.
D.4. What are the long-term outcomes of lung transplantation?
Trismus
Tropicamide (Mydriacyl)
Troponins
in perioperative myocardial infarction
in subarachnoid hemorrhage
Truncus arteriosus, in 22q11 deletion syndrome
See Traumatic subarachnoid hemorrhage
A.2. What are the associated cardiovascular defects in 22q11 deletion syndrome?
A.4. What is the pathophysiology of TOF with pulmonary atresia?
A.8. What is the pathophysiology of the IAA syndrome?
See Transthoracic echocardiography (TTE)
A.1. What is thoracic aortic aneurysm (TAA)? How does it typically present? How is it diagnosed?
A.10. What is the differential diagnosis of d-TGA and how is the diagnosis made?
A.6. What are the basic principles of echocardiography? What are M-mode, B-mode, and Doppler color modalities? How are pressure gradients measured by echocardiography? How do TTE and transesophageal echocardiography (TEE) differ?
A.8. What are the different ways to estimate CO?
B.3. What are the preoperative considerations for the anesthesiologist before TAA repair?
D.1. In the intensive care unit (ICU) 4 hours later, the patient became hypotensive with a low cardiac output. How could you distinguish between cardiac tamponade and pump failure? How would the TEE images differ?
E.3. How is transcatheter AV replacement performed?
Patent Ductus Arteriosus and Prematurity
Valvular Heart Disease
T-tube test
Tuberous sclerosis
Tubocurarine
C.12. How does burn injury affect the dosing of nondepolarizing neuromuscular blocking agents?
C.13. How are neuromuscular blocking agents, such as succinylcholine, atracurium, cisatracurium, vecuronium, pancuronium, rocuronium, and curare, metabolized and eliminated? Which have significant histamine release?
Tumor embolization
Turcot syndrome
Turner, aortic aneurysms with
TURP
Two-wavelength pulse oximetry
See Tranexamic acid (TXA)
C.10. You decide to use rotational thromboelastometry (ROTEM) to guide your resuscitation efforts. After 20 minutes, the results of the ROTEM are normal; however, the field is still bloody. The surgeon suggests tranexamic acid (TXA) for the patient. What is TXA and what is its mechanism of action? Is TXA effective at reducing blood loss in major spine surgery? What are the risks of TXA administration? Is TXA an appropriate choice in this patient?
C.2. Discuss the indications and use of available antifibrinolytic drugs. What dose should be given? Describe the side effects of antifibrinolytic therapy.
C.21. What concentrated factors and hemostatic agents are available for bleeding patients?
C.7. When should this patient receive tranexamic acid (TXA)?
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?
Major and Complex Spine Surgery
Placenta Previa/Placenta Accreta Spectrum
See Tranexamic acid (TXA)
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