Hall Ch7 Flashcards
Cricoid cartilage is at what cervical level in a newborn?
C4
Cricoid cartilage is at what cervical level in adults?
C6
Cricoid cartilage is at what cervical level in a 6 yr old?
C5
First sign of a high spinal in a patient under 5 yrs old
Hypoxia. Hypotension is rare in patients under age 5, this hemodynamic stability allows chance to start IV after spinal anesthesia is given.
Percentage of total body weight is water in term newborns
75%
Percentage of total body weight is water in premature newborns
80-85%
Anesthetic management for pt who is lethargic and no urine output for last 3 hrs and brought to OR for pylorus stenosis surgery
Postpone surgery until fluid resuscitated
Most common type of tracheoesophageal fistula
Esophageal atresia with lower segment of esophagus communicating with back of trachea
Volatile agent that sensitizes myocardium to catecholamines and causes dysthymias with inhalational induction
Halothane
Risk of retinopathy of prematurity is negligible after what post conceptual age?
44 weeks
Stage four of anesthesia
Respiratory paralysis, associated with respiratory and cardiovascular arrest
First stage of anesthesia
Analgesia. Responsive to verbal stimulation, intact lid and airway reflexes.
Rate of oxygen consumption in neonate
6 mL/kg/min
Previously healthy 5 yr old is in recovery room after GA, urine is dark brown, what does the pt need to be evaluated for?
Malignant hyperthermia
ETT leak for infant should be
15-25 cm H2O
Premature infant with congenital diaphragmatic hernia suddenly desaturates and bradys down after awake tracheal intubation, what’s next step?
Consider tension pneumo and place chest tube
Tube depth for 1 kg newborn
7 cm
Tube depth for 2 kg newborn
8 cm
Tube depth for 3 kg newborn
9 cm