Neonatal anesthesia

Question 1

Where is capillary refill measured in neonates?

Answer 1

Big toe

Should be less than 5 seconds

Question 2

What are the 2 most common cause of morbidity in postoperative period of neonates?

Answer 2

Apnea

Bradycardia

Question 3

Ideal location of ETT from carina?

Answer 3

1-2 cm from carina

Question 4

The majority of congenital diaphragmatic hernia location is where?

Answer 4

Left-sided foramen of Bochdalek

Question 5

Which congenital anomalies are associated with tracheoesophageal fistula?

Answer 5

VATER or VACTERL

Question 6

Monitors used for neonatal surgeries would require 2 pulse oximeter for preductal and postductal use. Where to place these probes?

Answer 6

Preductal (right hand or finger)
Postductal site (left hand or feet)

Question 7

A neonatal congenital defect in which the hernia within the umbilical cord failed to migrate into the abdomen from the yolk sac. The bowel is completely COVERED with chorioamnionic membranes but otherwise usually normal.

Answer 7

Omphalocele

Question 8

In this condition, the bowel is NOT COVERED with chorioamnionic membranes; often there is an
inflammatory exudate, and the bowel anatomy may be abnormal.

Answer 8

Gastroschisis

Question 9

During gastroschisis or omphalocele repair, Hand ventilation during this phase allows the anesthesiologist to feel peak airway pressures and changes in airway pressures. If peak airway pressures are greater
than ___ cm H2O, the surgeons must be notified.

Answer 9

40

Question 10

Patients present with persistent vomiting. Dehydration, hypochloremia, and metabolic alkalosis can develop. Continued severe vomiting and dehydration can lead to metabolic acidosis. An olivelike mass can be felt in the epigastrium. Diagnosis?

Answer 10

Pyloric stenosis