Anaesthesia conduct

Question 1

Task of Anaesthetist

Answer 1

Pre op Assessment
Critical Care
Pain management
Post op care

Question 2

Process of anaesthesia

Answer 2

Preop Assessment
Preparation
Induction
Maintenance
Emergence
Recovery 
Post Op care and pain management

Question 3

IV induction

Answer 3

Propofol, thiopentone
rapid 20s arm brain circulation
rapid loss of airway reflexes, apnoea common.
no obvious planes

Question 4

Gas induction

Answer 4

Sevoflurane (Halothane), Slow, more obvious planes

Question 5

Planes of anaesthesia

Answer 5

Analgesia/Sedation
excitation
anaesthesia: light to deep
overdose

Question 6

Induction

Answer 6

monitor conscious level:
loss of verbal contact
movement
respiratory pattern
processed EEG
planes
Quietness, Gas or IV, Airway maintenance

Question 7

Airway maintenance in anaesthesia

Answer 7

Head tilt chin life jaw thrust
face mask
oropharyngeal (guedel) airway- only tolerated by unconscious patient
Laryngeal mask airway-cuffed tube with mask sitting over glottis- does not protect from aspiration

Question 8

Airway obstruction

Answer 8

Laryngospasm
forced reflex adduction of vocal chords
caused by airway stimulation in light planes of anaesthesia

Question 9

Aspiration

Answer 9

loss of protective airway reflexes: gag swallow

Question 10

Protection of airway

Answer 10

cuffed tube in trachea

Question 11

endotracheal intubation

Answer 11

laryngeal reflexes abolished

classic method of using laryngoscope, muscle relaxant

Question 12

why intubate?

Answer 12

protect airway
need for muscle relaxation, artificial ventilation
shared airway with risk of blood contamination
need for tight control of blood gases
restricted access to airway

Question 13

risks to an unconscious patient

Answer 13

temperature
loss of protective reflexes
venous thromboembolism risk
pressure areas (patient's position
consent

Question 14

continuing anaesthesia

Answer 14

monitoring
fluid management
muscle relaxation
maintenance: IV/ Inhalational
self or artificial ventilation

Question 15

monitoring

Answer 15

Sp02, ECG, BP, FiO2, ETco2
respiratory parameters
agent monitoring
urine output NMJ
Processed EEG
Invasive venous arterial monitoring

Question 16

awareness risk

Answer 16

paralysed and ventilated
chronis CNS depressant use
cardiac surgery
major trauma
GA c section

Question 17

Awakening

Answer 17

muscle relaxation reversed

Question 18

Recovery

Answer 18

Problems with ABC
pain control
post op N&V
critieria to be discharge