Consideration Flashcards
1
Q
NORA consideration
A
- Remote anesthesia: far from help
- Remote from access
- Lack of skilled personel for help
- Unfamiliar place and equipment
- Special hazard: radiation, C-arm, noice, ferromagnetic, IV contrast, ect
2
Q
MRI consideration
A
- Ferromegnetic device in pt
- MRI compatible equipments
- Noise
- Thermal injury
- Hyperthermia
- Motionless for imaging
- Choice of anesthesia: cooperation/anxiety, movement disorder, difficulty of airway, IICP
3
Q
Sitting complication
A
Airway: tube displace, JV obstruction
CVS: VAE, BP drop, DVT
CNS: SC or BS ischemia if head flex, sciatic n, common peroneal n, recurrent laryngeal n
MSK: compartment synd, pressure sore
4
Q
Prone injury
A
- POVL: RAO, ION
- Chemosis, airway edema
- Impair CBF from excessive head rotate
- BPB
- Amdominal compression
- Compartment synd: fem v compress
- pressure: iliac crest, breast, penis, ect
5
Q
Tetalogy of Fallot associate with..
A
Down syndrome
DiGeorge syndrome
TE fistula
6
Q
Transamine caution, C/I
A
- DVT or PE within 1 yr
- Hx of DVT or PE treated with anticoagulant
- Cardiac stent or ischemic stroke with 1 yr
- Congenital thrombopenia
- Gross hematuria with bleeding from upper renal tract
Relative
- Hx pf seizure
- DIC
- Thromboembolic, severe IHD
7
Q
Timing that “Bone cement implantation syndrome” can occur
A
- Cementation
- Prosthesis insertion
- Reduction of joint
- Tournique deflation
8
Q
5 Risk of postop respiratory depression after IT opioid
A
- IT hydrophilic opioid
- Elderly
- Concomitant useof long-acting sedatives
- Co-existing respiratory disease
- Positive pressure ventilation
9
Q
6 risk factors of bone cement implantation syndrome
A
- Metastatic disease
- Pathologic fx plan THA
- Long-stem prosthesis
- Virgin femoral canal
- Pre-existing PHT & RV failure
- Large amount of cement used
10
Q
Robotic surgery
A
- Pneumoperitoneum: CVS RS
- Occult blood loss
- Hypothermia
- DVT prophylaxis
- Position and nerve injury*
- Difficult to access*
- Absolute muscle relaxant*
