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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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VACTERL
See Ventricular assist devices (VADs)
A.13. What are the advantages of using VA-ECMO over other temporary VADs?
C.1. What is the focus of the preoperative assessment of a patient with LVAD?
C.16. What is the role for ventricular assist devices (VADs)?
D.2. How is a patient with VAD monitored during a general anesthetic?
Heart Transplantation and Subsequent Noncardiac Surgery
See Ventricular assist devices (VADs)
A.10. What is the role of VADs in this type of patient?
A.9. What are the different types of temporary percutaneous ventricular assist devices (VADs)?
C.12. What role does the IABP have in this setting?
D.1. Detail the anesthetic management for a patient undergoing LVAD placement
Growth hormone
Mechanical Circulatory Support
Valvular Heart Disease
See Venoarterial extracorporeal membrane oxygenation (VA-ECMO)
A.10. What is extracorporeal membrane oxygenation (ECMO), and what are its two main configurations?
A.13. What are the advantages of using VA-ECMO over other temporary VADs?
A.15. What is the North-South syndrome and when does it occur?
A.19. What are the pros and cons of peripheral versus central VA-ECMO cannula placement?
C.10. When is extracorporeal membrane oxygenation (ECMO) utilized for lung transplantation?
Heparin
See Venoarterial extracorporeal membrane oxygenation (VA-ECMO)
A.12. What are the common indications for VA-ECMO?
A.14. What is the main disadvantage of VA-ECMO, and how does VA-ECMO affect myocardial recovery?
A.16. How do you treat North-South syndrome?
A.20. How can you wean off VA-ECMO?
C.2. How would you monitor this patient?
Mechanical Circulatory Support
VAE
Valvular heart disease
Valvular stenosis, echocardiography of
Vasa previa
Vasoconstricted hypertension
See specific drugs
for aortic dissection management
for cerebral vasospasm
for hypertension
intraoperative
direct
for carotid endarterectomy
for heart valve surgery - C.10. How would you diagnose right-sided heart failure and pulmonary hypertension? How would you treat it?
for tetralogy of Fallot repair
mechanism of action
Vaso-occlusive crisis, in sickle cell disease
A.6. Describe the different types of sickle cell crisis.
D.2. What complications might occur in this patient in the immediate postoperative period?
D.1. Discuss the postoperative management of this patient. What opioid-sparing techniques can you use and discuss a multimodal analgesic plan?
Vasopressors
for carotid endarterectomy
for post-tonsillectomy hemorrhage
for appendectomy in pregnancy patient
for lung transplantation - C.9. What hemodynamic alterations would you expect during graft implantation and reperfusion? How would you correct them?
Vasospasm, cerebral
D.4. What is cerebral vasospasm, and what causes it?
D.6. How is the diagnosis of cerebral vasospasm made?
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.5. What are pathophysiologic changes seen in cerebral vasospasm?
See Vital capacity (VC)
A.16. How is a donor kidney preserved?
A.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
B.3. Define normal lung volumes and lung capacities. Give normal values for an average adult male.
B.4. What are flow-volume loops? Draw flow-volume loops for a healthy subject and for patients with COPD, restrictive lung disease, fixed obstruction of the upper airway, variable extrathoracic obstruction, and variable intrathoracic obstruction.
C.10. When will you extubate the patient's trachea? Describe weight-based extubation criteria.
See Vital capacity (VC)
A.7. Describe the abnormalities seen in spirometry, lung volumes, and lung capacities during an asthmatic attack.
B.2. How would you distinguish obstructive lung disease from restrictive lung disease by spirometry?
B.3. How do you evaluate this patient's pulmonary status?
B.5. Define closing volume (CV) and closing capacity (CC). What is the normal value of CV?
D.2. What are the anticipated changes in postoperative pulmonary function in these patients? How does the surgical technique affect postoperative pulmonary function? Are there any postoperative maneuvers that can improve respiratory parameters?
Vecuronium
for burn patients
for coronary artery bypass grafting
for trauma surgery
metabolism, elimination, and histamine release
for asthmatic patients
for cerebral aneurysm procedures
for open-eye injury surgery
for traumatic brain injury
sugammadex for reversal of - B.15. Is there any way to rapidly antagonize a profound nondepolarizing block?
Velopharyngeal incompetence
A.10. What is velopharyngeal incompetence, and how can it be diagnosed?
A.11. What is the relation of tonsillectomy and adenoidectomy to velopharyngeal incompetence and postoperative obstructive breathing episodes?
Venoarterial extracorporeal membrane oxygenation (VA-ECMO)
A.10. What is extracorporeal membrane oxygenation (ECMO), and what are its two main configurations?
affecting myocardial recovery
indications for
weaning off
advantages of
disadvantage of
peripheral vs. central - A.19. What are the pros and cons of peripheral versus central VA-ECMO cannula placement?
Venous air embolism (VAE)
in awake craniotomy
monitoring for - C.3. Would you monitor for venous air embolism (VAE)? What are the monitoring options?
presentation of
assessment and management of
monitoring for
patient positioning and
prevention of - C.14. Are there any measures you can take to prevent VAE?
Venous reservoir, replacement, in cardiopulmonary bypass
Venovenous extracorporeal membrane oxygenation (VV-ECMO)
for bridge to lung transplantation
indications for
for acute respiratory distress syndrome
for refractory respiratory failure
weaning off
Veno-venous extracorporeal membrane oxygenation (VV-ECMO)
for cyanotic patient with asthma - C.15. If the patient does not respond to the aforementioned treatment and becomes cyanotic, what would you do?
indications for
Ventilator-associated pneumonia, postoperative respiratory failure with
Ventricular arrhythmia
Ventricular assist devices (VADs)
anesthetic management in placement - D.2. How is a patient with VAD monitored during a general anesthetic?
in heart valve surgery
pump power
settings
advantages of using VA-ECMO over temporary
as bridge to transplantation - A.10. What is the role of VADs in this type of patient?
pulsatility index
pump speed
temporary percutaneous
Ventricular dysrhythmia
Ventricular pacing
A.10. How would you know if the patient's PPM was pacing atrially, ventricularly, or atrioventricularly? What is conduction system pacing?
A.9. What are the indications for, and complications associated with, AV sequential PPMs?
A.8. What are the advantages and disadvantages of atrial pacing only? What are the disadvantages of right ventricular pacing only?
Ventricular septal defect (VSD)
B.5. What are the risks of surgery and anesthesia in a patient with VSD?
in 22q11 deletion syndrome
residual, after repair
surgical risks and anesthesia in - B.5. What are the risks of surgery and anesthesia in a patient with VSD?
with transposition of the great arteries - A.11. What preoperative interventions can help stabilize a patient with d-TGA?
classification of
in tetralogy of Fallot - A.1. What is TOF?
shunting caused by
with transposition of the great arteries
Ventriculostomy
B.2. In a patient who presents with intracranial hypertension, what management might have already been initiated preoperatively, and what are the implications for anesthetic management?
D.2. What specific measure should be used to control the patient's ICP? What type of monitoring devices can be used to measure ICP?
Venturi effect
C.10. What is the Venturi effect?
C.11. What is Venturi jet ventilation?
See Jet ventilation
C.13. How is anesthesia maintained during jet ventilation?
See Jet ventilation
Verapamil
A.6. Which perioperative medical therapies would you employ to reduce the incidence of myocardial ischemia?
avoidance, in malignant hyperthermia
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