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Yao & Artusio's Anesthesiology: Problem-Oriented Patient Management
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Paclitaxel
Palonosetron
D.2. How would you pharmacologically prevent PONV in the susceptible ambulatory patient?
C.8. What components of ERAS are applied in the intraoperative phase of the care of patients undergoing CRS?
Pancuronium
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
C.1. What drugs should be avoided during the operation?
C.12. How does burn injury affect the dosing of nondepolarizing neuromuscular blocking agents?
C.5. How are nondepolarizing neuromuscular blockers affected by renal failure?
C.8. How would you maintain anesthesia?
B.1. How is the choice of NMBA made?
Burns
C.10. Which neuromuscular blocking agents would you use? Why?
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?
C.5. What neuromuscular blocking agent would you choose?
Papaverine
C.1. Are a central venous pressure (CVP) catheter, an arterial catheter, and a pulmonary artery catheter required for the transplant procedure?
D.8. What treatments can be undertaken once a diagnosis of cerebral vasospasm is made?
A.17. Describe the operative procedure of kidney transplantation.
C.3. What are the specific considerations for anesthetic management and monitoring of the patient presenting for open TAAA repair?
Paracetamol
B.6. Describe the mechanism of action of each premedication in the ENERGY protocol.
A.4. What would be your perioperative analgesic strategy?
Penicillamine
A.5. What should be considered in the differential diagnosis?
A.2. What is the etiology and pathophysiology of MG?
Pentazocine
Pentobarbital
C.4. Would you use thiopental, methohexital, etomidate, or ketamine for induction of anesthesia?
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?
Persantine
Phenelzine
Phenobarbital
D.4. What is the role of antiseizure prophylaxis in the perioperative management of head trauma?
A.2. What is the underlying pathology?
Phenoxybenzamine
B.14. What is the pharmacologic management of CRPS?
D.1. What is the significance of postoperative hypotension? How is it treated?
A.14. What is the mechanism of action of the major antihypertensive drugs?
B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery?
Phentolamine
B.15. What is the role of intravenous regional block (Bier block) in diagnosis and treatment of CRPS?
C.4. What drugs are used to control the effects of catecholamine stimulation during surgery?
A.14. What is the mechanism of action of the major antihypertensive drugs?
C.10. During the surgery, the blood pressure increases to 220/120 mm Hg. How would you treat the hypertension?
Phenytoin
A.13. What changes occur in hepatic function? What are the anesthetic implications of such changes?
B.4. Are there anesthetic implications from current treatment drugs?
B.9. What precautions should be taken for airway management?
D.4. What is the role of antiseizure prophylaxis in the perioperative management of head trauma?
A.2. What is the underlying pathology?
B.6. What drug therapy is the treatment of choice for seizure prophylaxis?
C.15. What therapeutic measures are recommended for patients with TURP syndrome?
Phosphate
A.16. What is the treatment for methemoglobinemia and carboxyhemoglobinemia?
A.6. Describe the different types of sickle cell crisis.
C.3. What is a laser and how does it work?
C.II-9. What are the advantages and disadvantages of hemodilution?
A.1. What was the most likely underlying medical condition in this patient? How would you confirm the diagnosis of sickle cell anemia?
A.5. What electrolyte imbalances occur in patients with impaired renal function, and how are they treated?
A.7. Are patients with renal disease at increased risk of cardiovascular disease?
C.I-16. Discuss autologous transfusion and blood conservation for cardiac surgery.
Physostigmine
A.10. Are topically applied ophthalmic medications absorbed systemically? How can this absorption be reduced? Which eye drops can have effects that are of concern to the anesthesiologist?
C.16. What is your approach to emergence? What if the patient does not regain consciousness?
Pilocarpine
Pioglitazone
Pitocin
Potassium chloride
B.6. The surgery was postponed for 6 weeks. The patient presents for surgery again, currently on a regimen of metoprolol, aspirin, atorvastatin, captopril, hydrochlorothiazide, and potassium chloride. Their BP is 160/60 mm Hg and potassium 4.0 mEq/L. Would you premedicate this patient?
Hypertension
Prandin
Prazosin
A.14. What is the mechanism of action of the major antihypertensive drugs?
B.2. How do you pharmacologically prepare the patient with a pheochromocytoma for surgery?
B.14. What is the pharmacologic management of CRPS?
Prednisone
A.7. What treatments are available for a patient with MG?
B.15. The patient was on 20 mg of prednisone per day for 5 days as part of the treatment of an asthma exacerbation 3 months ago. He is currently not on corticosteroids. Should the patient receive "stress-dose" corticosteroids?
B.3. What are the preoperative concerns of induction immunotherapy and neoadjuvant chemotherapy?
D.2. What are immunosuppressive agents, and how do they affect anesthetic care?
Asthma and Chronic Obstructive Pulmonary Disease
B.3. How are routine medications and immunosuppressive medications managed in the perioperative period?
D.10. How would you manage this patient in the intensive care unit?
Pregabalin
B.5. Would you premedicate this patient?
B.14. What is the pharmacologic management of CRPS?
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?
Prialt
Prilocaine
C.2. What is the systemic toxicity of local anesthetics?
A.15. How do the dyshemoglobins, methemoglobin (metHb), and carboxyhemoglobin (Hbco) affect Spo2 readings?
Procainamide
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?
D.4. What is junctional ectopic tachycardia (JET)?
A.5. What should be considered in the differential diagnosis?
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?
Procaine
C.2. What is the systemic toxicity of local anesthetics?
B.11. What factors determine the onset, potency, and duration of local anesthetic block?
Prochlorperazine
B.6. Are there any psychiatric medications he is taking that would impact your anesthetic care?
B.1. What are the rationales for integrating acupuncture in the treatment of PONV?
Progesterone
A.8. What role do sex and female sex hormones have in the pathophysiology of traumatic brain injury (TBI)?
C.1. What factors would alter your anesthetic technique from that used for a nonpregnant patient?
C.5. When this patient arrived in the operating room, she desired a general anesthetic. Describe your technique.
A.7. What are the neuroprotective effects of administering magnesium (Mg)?
B.15. Is there any way to rapidly antagonize a profound nondepolarizing block?
C.5. How do the anesthetic requirements of the preterm infant differ from those of the adult?
D.1. When would you extubate the trachea for this patient?
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