General Flashcards
1
Q
Pre-assessment
Tasks
A
Anaesthetic Hx PMH/DH/Allergies Last ate Exercise tolerance Airway assessment Pre-op Ix/ premed G+S/ e-issue
2
Q
Preparation
Tasks
A
Check machine C-mac if required Drugs; emergency/induction/ opioid Patient ID and consent Surgeon available Optimise patient position
3
Q
Induction
Tasks
A
Cannula Connect monitors Baseline obs Induction; propofol/opioid/muscle relaxant Maintain airway - face mask +\- guedel VENTILATE Insert airway; ETT/ suprglottic
4
Q
Inspection
A
Able to ventilate?
Vital parameters stable?
Maintain anaesthesia
Eye protection
5
Q
Laryngeal view
A
Cormack and lehane grade: 1 - most of the glottis 2- almost half the glottis At worst only arytenoids 3- only epiglottis 4- no laryngeal structures
6
Q
Mallampati score
A
1- pillars, soft palate, uvula
2- pillars, s palate, partial uvula
3- only soft palate
4- soft palate not visible
7
Q
ASA grade
A
1- normal 2- mild systemic ds 3-severe sys ds 4- constant threat to life 5- not expected to survive 6- brain dead, organ removal E - suffix; emergency
8
Q
Hand over to recovery nurse
A
- Pre existing medical conditions
- Surgery undertaken
- Analgesia given
- Post op instructions
9
Q
Anaesthetic and PMH
A
Previous anaesthetic fHX - apnea, hyperthermia Allergies Cardiac, PVD Resp and smoking Kidney failure Diabetes Rheumatic fever Alcohol, liver, cancer
