Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Principles > Anesthesia for Thoracic Procedures - Final Wrapup > Flashcards

Anesthesia for Thoracic Procedures - Final Wrapup Flashcards

1
Q

What is the FVC for High Risk Patients?

A

< 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the FEV1 for High Risk patients?

A

< 2L

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is the FEV1 / FVC for High Risk patients?

A

< 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the RV/TLC for High Risk patients?

A

> 50%

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the Diffusion Capacity for High Risk patients?

A

< 50% predicted

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the Intrinsic PFT changes for a pt w/ Restrictive Lung disease?

A

↓FVC

Everything else stays normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What are the Extrinsic PFT changes for a pt w/ Restrictive Lung Disease?

A

↓FVC

↑RV/TLC

Everything else normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the PFT Changes for pts w/ Obstructive Lung Disease such as Asthma, Bronchitis, and Emphysema?

A

↓FEV1

↓FEV1 / FVC

↑RV / TLC

Normal FVC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does Pulm. HTN look like on a Chest X-Ray?

A

Dilated Pulm. Vessels

COPD - Hyperinflated w/ Low Flat Diaphragm

RVH - Clockwise Cardiac Rotation w/ Loss of Air Space behind sternum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What should pts be instructed to do before Thoracic Surgery?

A

Stop Smoking

Breathing Exercises

Mucolytics/Expectorants

Bronchodilation Meds

Lose Weight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are some meds that cause Bronchodilation?

A

Aminophylline - PDE Inhibitor increases cAMP

Cromolyn Sodium - Mast cell Stabilizer

Parasympatholytics

Sympathomimetics

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How do Sympathomimetics cause Bronchodilation?

A

Beta Agonists increases cAMP

Metaproterenol

Albuterol

Terbutaline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How do Parasympatholytics help w/ Bronchodilation?

A

Decreases cGMP, which causes Bronchoconstriction

Atropine

Ipratropium Bromide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Which med is useful for Left-sided HF or SVT?

A

Digitalis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

In the Lateral Decubitus Position, which Lung is better Perfused?

A

Down Dependent Lung

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

In the Lateral Decubitus Position, which Lung is better Ventilated?

A

Up Non-Dependent Lung

17
Q

What are the Advantages of the Lateral Decubitus position for Thoracic Surgery?

A

Hemithorax Access

Easy to Extend Incision

Easy to Tilt Pt.

Safest for Hilar Dissection

Control of Hilar Vessel

18
Q

What are Disadvantages to the Lateral Decubitus Position for Thoracic Surgery?

A

Opposite Hemithorax Inaccessible

V/Q Mismatch

Down Dependent Lung Contamination

↓FRC, Airway Closure, Atelectasis of Down Lung

Positional Injury

19
Q

How can the Lungs be Separated?

A

Doubel Lumen ETT

Univent ETT

Bronchial Blockers

20
Q

When is Lung Separation Absolutely Indicated?

A

Prevent Cross Contamination

Ventilation Redistribution

Unilateral Bronchopulmonary Lavage

21
Q

What anesthetic should be avoided in one Lung Anesthesia?

22
Q

How should Hypoxia during One Lung Ventilation be managed?

A
  • CPAP to Up, Non-Dependent, Deflated, Operative Lung
  • PEEP to Down, Dependent, Lung
  • Return to 2 Lung Ventilation
  • Ask MD to clamp Rt. Pulm. Artery
23
Q

What are Contraindications to a Double Lumen ETT?

A

Lesions

Difficutly getting Direct Vision Intubation

Pts who cant tolerate Apnea

Full Stomach

24
Q

What are the concerns w/ Rigid Bronchoscopy?

A

Shared Airway

Arrhythmias

HTN

Hypoxemia

25
What should be evaluated in regards to Rigid Bronchoscopy?
Lesion Level Ischemic Processes Lung Sounds
26
What type of meds should be used for Rigid Bronchoscopy?
Robinul & Short Acting Anesthetics
27
What are the Absolute Contraindications for Fiberoptic Bronchoscopy?
Unstable CV System Life-Threatening Arrhythmias Severe Hypoxemia
28
What is to be expected w/ Fiberoptic Bronchoscopy?
Coughing HTN Tachycardia
29
What size should the ETT be if a Fiberoptic Bronch is going thru the ETT?
7.5 - 8.0
30
What size should the ETT be if a Fiberoptic Bronch is going Next to the ETT?
5.0 - 6.0
31
What is Eaton-Lambert Syndrome?
Muscle Wasting
32
What should be expected w/ Pneumonectomies?
Unrecognized Blood Loss Post-Op Pulm. Edema & Atelectasis Dysrhythmias DVT/PE Persistent Air Leak
33
What can be a Life Threatening complication of a Pneumonectomy?
Excessive Mediastinal Shift
34
What are signs of an Ipsilateral Mediastinal Shift r/t a Pneumonectomy?
Hypotension Arrhythmias Cardiac Herniation Pulm. Edema
35
What are signs of a Contralateral Mediastinal Shift r/t a Pneumonectomy?
↓Lung Function & ↓Venous Return
36
How should Chest Tubes be managed to Prevent Mediastinal Shifts?
Keep Clamped w/ Brief Unclamping to Drain

Principles (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions