anesthesia

Question 1

contraindications to regional anesthesia

Answer 1

patient refusal
coagulopathy (INR, platelets, drugs)
infection
nerve deficit

Question 2

local anesthetics w/ and w/o epi

Answer 2

toxic dose is increased w/ epi (can use about 50% more of drug when epi is added)

amides(very few allergic)
lidocaine
bupivicaine (marocaine)
ropivicaine

esters (more ppl allergic)
cocaine
chloroprocaine
tetracaine

Question 3

opiods

Answer 3

fentanyl, hdromorphone, remifentanil

Question 4

hypnotic agents

Answer 4

propofol, thiopental, etomidate, ketamine, dexmetametomidine

Question 5

neuromuscular blockers

Answer 5

depolarizing- succinylcholine

non depolarizing- rocuronium, vecuronium, pancuronium

Question 6

what do you do in the 60 sec window period after neuromuscular blocker before it starts working

Answer 6

mask ventilation

Question 7

maintenance

Answer 7

nitric oxide (N2O)
halothane, isoflurane, sevoflurane, …
tiva- propofol + remi

Question 8

antiemetic

Answer 8

ondanceatron (zofran)
metoclopramide
droperidol
scopalamine

Question 9

neuromuscular blocker reversal agents (acetycholinesterase inhibitors)

Answer 9

neostigmine

edrophonium

Question 10

anticholinergics (given w/ acetylcholinesterase inhibitors to prevent ASYSTOLE)

Answer 10

glycopyrolate
atropine
scopolamine

Question 11

3 main anesthetic choices

Answer 11

general
sedation
spinal