Common Anesthetic Procedures Flashcards
What are the muscle relaxation meds?
Succinylcholine
Curare-like
What are the analgesic meds?
Nacros
NSAIDs
Nitrogenous
Inhalation agents
What are the drugs that are used in amnesia?
Benzodiazepines Barbiturates Propofol Inhalation Nitrous
What is the most important bit to anesthesia?
Maintain physiology
What are the three indications for putting in an endotracheal tube?
- Patent airway
- Control airway if paralysis
- Improve ventilation/oxygen
What are mallampati classes? (1-4/)
1= tonsillar pillars, soft palate, and uvula are visible 2 = Uvula at base of tongue 3= Only soft palate visible 4 = Only base of tongue and hard palate visible
What are the oral findings that may complicate intubation?
Macroglossia
Loose or prominent dentition
What is the thyromental distance?
3 fingers from lower border of mandible to thyroid
Greater than what diameter of the neck may indicate difficult intubation?
18 in
Why do you oxygenate pts prior to intubation?
Denitrogenation
What are laryngeal mask airways? What is the issue with these?
There is nothing to stop regurgitation
What is the miller blade that is used for intubation?
Straight blades
What is the MacIntosh blade?
Curved blades for intubation
What is a glidescope?
Camera with a laryngoscope
What is the position of the head and neck when intubating?
Neck flexed, head extended
Laryngoscope is placed in the mouth how?
Directed toward the right tonsillar pillar and base of the tongue
What are the five things you look for when intubating someone?
- Chest rise
- Steam in the tube
- Bilateral breath sounds
- Sustained tidal ETCO2
- PO2 stays above 92%
What are the indications for an epidural?
Surgical procedures
C sections
Cath placement
What are the absolute contraindications to epidurals? (5)
Patient refusal Localized infection Sepsis Coagulopathy Raised IC pressure
Why are anticoagulants a contraindication to epidural?
Can cause epidural hematoma
Why is hypovolemia a relative contraindication to epidurals?
Will cause lower BP
What is the needle used for epidurals?
Touhy needle
How do you tell when you’re in the right space for an epidural?
Loss of resistance once past the ligamentum flavum
Why is there epi in the sample dose of an epidural?
Will cause tachycardia, and indicate if you’re in an artery/vein. (could cause arrhythmias if inject lidocaine)
