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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Mannitol
Mepivacaine
B.11. What factors determine the onset, potency, and duration of local anesthetic block?
C.17. What is the expected duration of brachial plexus block with 30 mL of 1.5% mepivacaine with 5 µg/mL epinephrine?
C.4. Discuss the commonly used local anesthetics for labor analgesia.
Brachial Plexus Block
C.2. What is the systemic toxicity of local anesthetics?
D.2. In the postanesthesia care unit, the patient complains of dyspnea. How would you evaluate and manage this?
Mestinon
A.7. What treatments are available for a patient with MG?
Myasthenia Gravis
Metformin
A.5. How are the different forms of DM treated?
C.4. How is hyperglycemia treated intraoperatively?
Ischemic Heart Disease and Coronary Artery Bypass Grafting
B.5. For elective surgery, how are DM medications and glucose requirements managed in advance of surgery?
Diabetes Mellitus
Methergine
Methohexital
A.1. What are the indications for ECT?
C.3. Would you use propofol for induction of anesthesia?
C.5. How would you proceed with an induction of anesthesia for this procedure?
D.1. What are the common causes of nausea and vomiting in outpatients?
Asthma and Chronic Obstructive Pulmonary Disease
C.4. Would you use thiopental, methohexital, etomidate, or ketamine for induction of anesthesia?
C.9. Would you consider the use of etomidate as an induction agent or prefer the use of propofol?
methylene Blue
A.12. What is neuroleptic malignant syndrome (NMS)? What is serotonin syndrome?
A.16. What is the treatment for methemoglobinemia and carboxyhemoglobinemia?
B.7. If the patient who is on lisinopril develops hypotension intraoperatively, how would you manage it?
C.3. An arterial blood gas shows a Pao2 of 250 mm Hg and a hemoglobin saturation (Sao2) of 85%. How would you treat this?
C.7. What special endotracheal tubes (ETTs) are available for laser surgery?
C.II-12. How would you treat hypotension during CPB?
A.13. What can affect the accuracy of a two-wavelength pulse oximeter?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
C.2. How is open repair of thoracic aneurysms performed?
C.7. What factors affect the measurement of oxygen saturation by pulse oximetry?
C.9. What are the devices that anesthesiologists place in the upper gastrointestinal canal during laparoscopic bariatric surgery? Are there risks associated with placement and management of these devices?
D.10. How would you manage this patient in the intensive care unit?
Magnesium
Meperidine
Methadone
Methicillin
Methotrexate
Methylergonovine
C.7. What technique could you use for general anesthesia in this patient?
Hypertensive Disorders of Pregnancy
C.6. After delivery of the placenta in a cesarean delivery, what maneuvers and drugs can enhance myometrial contractility and therefore decrease blood loss?
C.9. Should methylergonovine be given to patients with preeclampsia?
Methylprednisolone
B.16. Should patients with reactive airway disease receive preoperative corticosteroids?
C.13. In the middle of surgery, peak inspiratory pressure (PIP) suddenly increases. How do you manage this?
C.4. What should be done about intravenous (IV) fluid replacement? Should corticosteroids be given empirically?
D.10. How would you manage this patient in the intensive care unit?
A.5. What are the principles of perioperative donor management?
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
C.2. How is open repair of thoracic aneurysms performed?
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
G.2. What is the adjunctive medical therapy for ARDS?
Metoclopramide
Metronidazole
Mexiletine
Midazolam
Milrinone
B.2. How would you optimize this patient's cardiovascular status before definitive diagnosis and treatment?
B.4. What are the effects of inhaled nitric oxide (NO) on the pulmonary and systemic circulations?
C.10. How would you diagnose right-sided heart failure and pulmonary hypertension? How would you treat it?
C.4. How would you manage this patient during cardiopulmonary bypass (CPB)?
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?
D.1. How is myocardial ischemia addressed in the intensive care unit (ICU) following the ASO?
B.2. What immediate treatment should be given to improve respiratory status preoperatively?
B.5. What is the current role of extracorporeal membrane oxygenation (ECMO) in the management of CDH?
C.2. How would you induce and maintain anesthesia?
C.6. Following removal of approximately 500 mL of dark blood and clots from the mediastinum, the patient's CO remains low. What are your differential diagnoses?
C.II-36. How would you decide the need for inotropic support?
D.3. How would you treat RVF following heart transplantation?
Minipress
Mivacurium
A.6. What are acetylcholinesterase and plasma cholinesterase? What is the clinical significance of heterozygosity for atypical pseudocholinesterase (PChE)?
B.1. How is the choice of NMBA made?
B.2. What factors can alter sensitivity to nondepolarizing NMBAs?
B.7. Are clinical tests of neuromuscular recovery reliable?
B.6. How do we define adequate recovery of neuromuscular function?
C.5. How are nondepolarizing neuromuscular blockers affected by renal failure?
Metoprolol
Metyrosine
Micronase
Miglitol
Misoprostol
monoamine Oxidase Inhibitor
A.12. What is neuroleptic malignant syndrome (NMS)? What is serotonin syndrome?
B.11. What is tramadol? Is it an opioid?
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
A.8. What are some factors that can lower PChE levels?
B.16. What is meperidine? How is it different from other opioids?
D.6. What is the evidence regarding the efficacy and utility of perioperative gabapentinoids, intraoperative methadone, and subanesthetic ketamine in postoperative recovery as recommended in ERAS protocols?
Montelukast
Motrin
MS Contin
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