anesthesia

Question 1

what is key in gauging difficulty in intubation

Answer 1

previous charts about previous intubations

Question 2

risks associated with T21

Answer 2

ASD VSD
risk of PPHN
risk of C-spine injury
large tongue and small larynx

Question 3

approach to PPHN

Answer 3

BASICS FIRST!!

• oxygen!! relaxes pulmonary vasculature
• normal CO2
• normal systemic blood pressure
• avoid acidosis
• avoid hypothermia (vasoconstriction)
• avoid pain and stimulation
• iNO (NOT IN TAPVR (small heart, plethoric lung fields)!!)

Question 4

trigger of malignant hyperthermia

Answer 4

volatile gas

succinylcholine

Question 5

key position for intubating neonates

Answer 5

shoulder roll in everyone

light BURP

Question 6

best rescue for cleft palate

Answer 6

LMA

Question 7

what is the surrogate for the RV

Answer 7

liver edge ( the lower the higher the RV pressure)… trend it

Question 8

what must you consider in a hypotension refractory to fluid

Answer 8

inotrope (epi .1 mcg/kg/min start then titrate down)

Question 9

epi spritzer recipe

Answer 9

take 1 ml of cardiac arrest epi and add 9ml

Question 10

blood volume of ped

Answer 10

70-80ml/kg

Question 11

fluid of choice in peds for volume resuscitation

Answer 11

plasmalyte

Question 12

fluid of choice of fluid in TBI ped

Answer 12

NaCl

Question 13

pressor of choice for warm shock

Answer 13

norepi

Question 14

pressor of choice in cold shock

Answer 14

epi

Question 15

unconscious differentiation mnemonic

Answer 15

SCAMS
Sepsis (temp, CRP/WCC)
Cardiac/lesion (pulses, murmur, cardiomegaly)
Abuse
Metabolic (hypoglycemia, acidosis, ammonia)
Seizure (neuro findings, tachycardia)