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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Vascular Ehlers-Danlos syndrome, aortic aneurysms with
Vasoconstricted hypertension
See specific drugs
direct
for aortic dissection management
for carotid endarterectomy
for cerebral vasospasm
for heart valve surgery - C.10. How would you diagnose right-sided heart failure and pulmonary hypertension? How would you treat it?
for hypertension
for tetralogy of Fallot repair
intraoperative
mechanism of action
Vaso-occlusive crisis, in sickle cell disease
A.6. Describe the different types of sickle cell crisis.
D.1. Discuss the postoperative management of this patient. What opioid-sparing techniques can you use and discuss a multimodal analgesic plan?
D.2. What complications might occur in this patient in the immediate postoperative period?
Vasopressors
for appendectomy in pregnancy patient
for carotid endarterectomy
for lung transplantation - C.9. What hemodynamic alterations would you expect during graft implantation and reperfusion? How would you correct them?
for post-tonsillectomy hemorrhage
Vasospasm, cerebral
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.4. What is cerebral vasospasm, and what causes it?
D.5. What are pathophysiologic changes seen in cerebral vasospasm?
D.6. How is the diagnosis of cerebral vasospasm made?
Vasovagal syncope
See Vital capacity (VC)
A.16. How is a donor kidney preserved?
A.7. Describe the abnormalities seen in spirometry, lung volumes, and lung capacities during an asthmatic attack.
A.9. Describe the changes that occur in the following respiratory parameters in patients with MO.
B.2. How would you distinguish obstructive lung disease from restrictive lung disease by spirometry?
B.3. Define normal lung volumes and lung capacities. Give normal values for an average adult male.
B.3. How do you evaluate this patient's pulmonary status?
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.
B.5. Define closing volume (CV) and closing capacity (CC). What is the normal value of CV?
C.10. When will you extubate the patient's trachea? Describe weight-based extubation criteria.
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?
See Vital capacity (VC)
Vecuronium
for asthmatic patients
for burn patients
for cerebral aneurysm procedures
for coronary artery bypass grafting
for open-eye injury surgery
for trauma surgery
for traumatic brain injury
metabolism, elimination, and histamine release
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?
advantages of
affecting myocardial recovery
disadvantage of
indications for
peripheral vs. central - A.19. What are the pros and cons of peripheral versus central VA-ECMO cannula placement?
weaning off
Venous air embolism (VAE)
assessment and management of
in awake craniotomy
monitoring for
monitoring for - C.3. Would you monitor for venous air embolism (VAE)? What are the monitoring options?
patient positioning and
presentation of
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 acute respiratory distress syndrome
for bridge to lung transplantation
for refractory respiratory failure
indications for
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
Ventilator-induced lung injury (VILI), and ARDS
Ventricular arrhythmia
Ventricular assist devices (VADs)
advantages of using VA-ECMO over temporary
anesthetic management in placement - D.2. How is a patient with VAD monitored during a general anesthetic?
as bridge to transplantation - A.10. What is the role of VADs in this type of patient?
in heart valve surgery
pulsatility index
pump power
pump speed
settings
temporary percutaneous
Ventricular dysrhythmia
Ventricular interaction, in cardiac tamponade
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.8. What are the advantages and disadvantages of atrial pacing only? What are the disadvantages of right ventricular pacing only?
A.9. What are the indications for, and complications associated with, AV sequential PPMs?
Ventricular remodeling, in obesity
Ventricular septal defect (VSD)
B.5. What are the risks of surgery and anesthesia in a patient with VSD?
classification of
in 22q11 deletion syndrome
in tetralogy of Fallot - A.1. What is TOF?
residual, after repair
shunting caused by
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
with transposition of the great arteries - A.11. What preoperative interventions can help stabilize a patient with d-TGA?
Ventricular tachycardia, intraoperative, with cardiac implantable electronic device
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
Vertebroplasty, percutaneous
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