Anesthesia

Question 1

Sugammadex

Answer 1

first medication approved for reversal of neuromuscular blockade from Rocuronium or Vecuronium

Question 2

At what level of sedation can you use neostigmine to reverse neuromuscular blocking agent?

Answer 2

need to have at least 2 out of a train of 4

Question 3

is the miller blade curved or straight

Answer 3

straight

Question 4

is the mactintosh blade curved or straight

Answer 4

curved

Question 5

how does the miller blade work

Answer 5

lifts the epiglottis directly to provide the glottis view

Question 6

how does the macintosh blade work

Answer 6

retracts the hypo-epiglottic ligament to indirectly lift the epiglottis

Question 7

What is an oropharyngeal airway

Answer 7

an airway adjunct used to maintain or open the airway by stopping the tongue from covering the epiglottis

Question 8

what can a severe drop in end-tidal CO2 mean?

Answer 8

• tracheal extubation
• disconnection of the breathing circuit
• cessation of cardiac output (embolus possibly)

Question 9

what kind of blade would you use to intubate in the pediatric population?

Answer 9

Miller blade

• larynx is higher and more an anterior in kids

Question 10

how do you establish an airway in a child < 12 years old if oral intubation fails?

Answer 10

needle cricothyrotomy to avoid damage to the vocal cords

Question 11

what is considered a light meal for anesthesia

Answer 11

• liquids
• carbs
• protein

Question 12

how long do you have to wait before initiating anesthesia for a light meal

Answer 12

6 hours

Question 13

what is considered a heavy meal for anesthesia

Answer 13

anything containing fat

Question 14

how long do you wait for a heavy meal before anesthesia

Answer 14

8 hours

Question 15

What can arise during anesthesia if benzocaine spray is used during intubation

Answer 15

• methemoglobinemia, where you get decrease in O2 saturation
• treatment is methylene blue administration