Handout 10 (extra) Flashcards
What is the overall goal of induction of anesthesia?
To safely and smoothly transition the patient from a state of consciousness to unconsciousness, ensuring they are adequately anesthetized for the surgical procedure.
What are the key components involved in the process of anesthesia?
Induction, Maintenance, and Emergence
What does Box 20.11 from Nagelhout address?
Different Types of MIs
What is included in Box 20.12 from Nagelhout?
Revised Cardiac Risk Index
What does Table 20.9 represent?
METS
What is the focus of Figure 20.2?
Stents and Elective Noncardiac Surgery
What is essential for infection control in the OR?
Infection Control Essentials
What practices are emphasized as safe while en route to the OR?
Safe Practices
What conditions are associated with difficult airway management according to Box 20.5?
Conditions Associated with Difficult Airway Management
Fill in the blank: The Revised Cardiac Risk Index is found in Box _______.
20.12
True or False: The primary purpose of induction of anesthesia is to achieve unconsciousness.
True
What is the goal of Dr. Watson’s Steps to Induction of Anesthesia?
To develop your own flow for anesthesia induction
Emphasizes individual adaptation in anesthesia practices.
What does the maintenance phase of anesthesia aim to achieve?
To keep the patient in a stable anesthetic state with:
* Adequate pain control
* Immobility
* Physiological stability throughout the surgery
Essential for successful surgical outcomes.
What is a key focus in Dr. Watson’s Quick Tips to Common Induction Problems?
To provide guidance on addressing common issues encountered during induction
Aims to enhance the safety and efficiency of anesthesia administration.
Fill in the blank: The transition to a _______ is an important step in the anesthesia process.
[Methodical Scan]
True or False: The maintenance phase of anesthesia is only concerned with pain control.
False
It also includes immobility and physiological stability.
What are the components of adequate pain control during anesthesia maintenance?
It involves managing pain effectively throughout the surgical procedure
Important for patient comfort and overall surgical success.
List three aspects that must be maintained during the anesthesia maintenance phase.
- Pain control
- Immobility
- Physiological stability
What does Dr. Watson suggest about developing a personal approach to anesthesia induction?
To create your own flow based on individual experiences and practices
Encourages personalization in anesthesia techniques.
What is the focus of emergence from anesthesia?
Safely and gradually returning the patient to consciousness, ensuring minimal side effects or complications.
True or False: There is an ‘Anesthesia Off Switch’.
False
What should you NEVER be surprised about at emergence?
Anything related to anesthesia.
What is PONV?
Postoperative Nausea and Vomiting
What is the leading cause of hospital admission from office-based anesthesia?
PONV
What is deliberate controlled hypotension often seen in?
ENT and Neuro lectures.
What are the goals of controlled hypotension?
Maintain adequate blood flow while minimizing bleeding.
Name an IV agent used for hypotensive technique.
Sodium Nitroprusside
What is an advantage of Sodium Nitroprusside?
Rapid onset/offset, potent, reliable
What is a disadvantage of Sodium Nitroprusside?
Rebound hypertension, cyanide toxicity
What is an advantage of Dexmedetomidine?
Sedation + decreased anesthetic needs, smooth emergence
What is a disadvantage of Dexmedetomidine?
Bradycardia, heart block
What is the main advantage of Esmolol?
Easy titration, controls tachycardia
What is a disadvantage of Esmolol?
Cardiac depression
What is an advantage of Nitroglycerin?
Preserves oxygenation and preload
What is a disadvantage of Nitroglycerin?
Increased ICP, variable dosing
What type of drug is Nicardipine?
Calcium channel blocker
What is a risk associated with Remifentanil + Propofol?
Risk of rebound pain (hyperalgesia)
Fill in the blank: In laparoscopic cases, you will see this more in your _______ specific cases.
organ
What are some considerations in robotic surgery?
Hemodynamic and respiratory effects of Trendelenburg and pneumoperitoneum
What does ERAS stand for?
Enhanced Recovery After Surgery
What is a neurologic risk associated with surgery?
Postoperative Visual Loss (POVL)
