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ANZCA Part 2 > General Anaesthesia > Flashcards

General Anaesthesia Flashcards

1
Q

What are risk factors for delayed return of conciousness

A
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2
Q

What comorbidities predispose to increased risk of delayed return of conciousness

A

RESP

(Reduced Central Drive) OHS, COPD, intracrainal pathology, OSA

Neuromuscular Disorder

Myasthenia gravis, Motor neuron disease, Guillain Barre, Muscular dystrophy

Hepatic - acute/chronic failure

Renal - acute /chronic failure

Endocrine - hypothyroidism

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3
Q

Describe an approach to the patient with delayed return of consciousness

A
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4
Q

What are some of the medical, pharmalogical and surgical causes of delayed return of conciousness.

A

Surgical Causes

Steep Trendelenburg ( eg robot prostate leading to cerebral oedema)

Hypotonic irrigation fluids able to enter circulation (TURP) leading to electrolyte disturbance and cerebral oedema - also direct central inhibitory action of glycine

Cardiac Surgery with bypass - complications include hypothermia, haemmorhagic stroke from anticoagulation, cerebral ischaemia from microemboli,

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ANZCA Part 2 (23 decks)

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