APEX : ANES. FOR SURGICAL PROC. Flashcards
2 Blocks for knee arthorscopy
Femoral nerve Block
Fascia Iliaca BLock
What is SAMTER syndrome or triad?
ANA
Asthma
Nasal polyps
Aspirin allergy
SAMTER syndrome patients are at increased risk of
Intraoperative bronchospasm
Femoral nerve supplies the
ANTERIOR THIGH from the inguinal ligament to the knee
It is a modified femoral nerve block
Fascia Illiaca
Most blood loss associated with spinal surgery occurs during what phase?
Decortication phase.
Meta_____for wrist; meta ____for ankle
Carpal ; tarsal.
Dorsum of foot is innervated by the ______What area is missed?
Superior Peroneal nerve ; ONLY AREA MISSED is the interdigit cleft between 1 and 2nd toe
Type specific partially cross matched blood takes
1-5 minutes in the lab, and is the best in emergency
2 blood transfusion to consider when in an emergency situation
Type specific partially cross matched blood
O- blood
Stellate ganglion is located
just anterior to the tubercle of C6 and distal to the carotid artery
A successful stellate ganglion block leads to
Horner’s syndrome
Horner’s syndrome
Anhidrosis Nasal stuffiness Facial vasodiation Increased skin temperature PTOSIS Miosis
Block to treat PDPH
Sphenopalatine block
What is the plexus block to treat UPPER abdominal pain in regions such as stomach, color, esophagus
Celiac Plexus block
What comes together to form the stellate ganglion?
Inferior Cervical ganglion FUSES with the 1st thoracic ganglion
What is the plexus block to treat LOWER abdominal pain
Hypogastric block
Performed for patient with pituitary tumor
Transphenoidal Hypophysectomy
Total Thyroidectomy most significant immediate issues
RLN injury
Acute Hypocalcemia
Hypocalcemia on QT
Prolonged QT
Hypocalcemia on BP; response to beta agonist
Hypotension; decreased
When does HYPOCALCEMIA most commonly occur after total thyroidectomy?
6-12 hours after
When performing a paravertebral block the needle should
needle should pass medially below the TP, and it should never advance more than 2cm beyond the transverse process
The surgeon has dissected the neck and is between the 4th and 5th tracheal rings during an airway procedure, what should be your FIRST ACTIONS?
Ask surgeon to change from cautery to a scapel.