Considerations for patient under GA

Question 1

what does excess movement/position changes increase the risk of?

Answer 1

regurgitation and aspiration

Question 2

why should we avoid hanging limbs over the table edge?

Answer 2

to avoid compartment syndrome
- restriction of blood flow to limbs

Question 3

why should we check our heat sources?

Answer 3

ensure they arent too hot and are well protected

to avoid burns/scolding

Question 4

why should we disconnect the anaesthesia circuit to the ET tube when repositioning?

Answer 4

to prevent twisting/displacing the ET tube or causing tracheal trauma

Question 5

why should we give time in sternal when turning from one lateral recumbency to another?

Answer 5

when in lateral the lower lung collapses

putting in sternal gives this lung a chance to gain full function - so letting both lungs inflate well

before turning and reducing function in the other lung

Question 6

anal/perineal surgeries sometimes require a head down angle, but what are the risks?

Answer 6

gravity pulls the abdomen contents onto the diaphragm causing pressure
- this then causes hypoventilation

can also put pressure on the vena cava effecting cardiac output