Midterm Flashcards
Cholesteatoma
4-6 hours long. Hearing loss big issue. TIVA cases
Leave on 50%, helps to bulge the drum in ear surgeries
N2O
Head up 15 degrees reduces venous pressure and bleeding…
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Use _________ to maintain depth w/o NMR
Remifentanil
look at slide 12
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ASA I hypotensive technique :
- MAP 50-60
- intraop systolic > preop diastolic
- HR 60
antiemetic prophylaxis for EENT
- serotonin antagonists
- butyrophenones
- scopolamine
- dexamethasone
- metoclopramide
Samter’s triad (Aspirin Exacerbated Respiratory Disease)
NSAID sensitivity in pts w/ asthma and nasal polyps leading to severe bronchospasm
look at slide 18.
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TheWaldeyer’s ring:
The palatine tonsils, nasopharyngeal tonsil (adenoid) and lingual tonsil constitute the major part ofWaldeyer’s ringor nasal-associated lymphoid tissue (NALT), with the tubal tonsils and lateral pharyngeal bands as less prominentcomponents
OSA S/E in kids
Severe hypoxemia
hypercarbia
pulmonary htn
cor pulmonale
Single dose dexamethasone 0.05 to 0.15 mg/kg.(PONV dosage) Some surgeons use 0.5mg-1mg/kg up to max of 20mg for ENT procedures….
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Larsons maneuver
Gentle positive pressure with anterior pressure at angle of the ramus check
Look at slide 31 and 33
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look at slide 36-37
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TheReinke’sspace is sometimes referred to as the superficial lamina propria. Reinke’s edemais characterized by the “sac-like” appearance of the fluid-filled vocal cords. Theswellingof the vocal folds causes the voice to become deep and hoarse…
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Color lenses for each laster type, YAG, Argon, Co2:
YAG laser = Green Lens Goggles
Argon laser = Amber Lens Googles
Co2 = Clear Lens
Complications of esophagoscopy (3)
- perforation of hypopharynx
- massive hemorrhage
- dysrhythmia as heart is stimulated by passage of scope
(If Food Bolus in esophagus, crichoid pressure can cause perforation esp if object is sharp. can cause collapse of trachea if it presses on post tracheal wall)
Look at slide 76
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S/S epiglottitis: 4 D’s.
Often in what position?
- dysphagia
- dysphonia
- dyspnea
- drooling
(Often in tripod position)
Epiglottitis. Intubate orally or nasally with tube 0.5-1.0 size smaller than usual…
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look at slide 83-84
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