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Co-Existing Disease II > Neuroanesthesia > Flashcards

Neuroanesthesia Flashcards

Dan Hladky, CAA

1
Q

Normal ICP and Brain Volumes

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2
Q

Cerebral Physiology

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3
Q

Cerebral Perfusion Pressure

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4
Q

Cerebral Blood Flow

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5
Q

Perfusion to Ischemic and Non-ischemic Regions of the Brain

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6
Q

Carbon Dioxide and Oxygen

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7
Q

Cerebral Metabolism (CMRO2)

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8
Q

Cerebral Metabolism (CMRO2) Metabolic Mediators

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9
Q

What increases/decreases Cerebral Metabolism?

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10
Q

Temperature

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11
Q

Cerebral Metabolism

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12
Q

Relationship between CBF and PaC02

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13
Q

Relationship Between CBF and Pa02

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14
Q

Autoregulation

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15
Q

Limits of Autoregulation

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16
Q

Impairment of Autoregulation

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17
Q

Radius of Cerebral Blood Vessels

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18
Q

Radius of Cerebral Blood Vessels - Autonomic Nervous System

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19
Q

Idiopathic Intracranial Hypertension (IIH)

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20
Q

Signs and Symptoms of Increased ICP

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21
Q

Papilledema

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Grade 4 has definite increased ICP

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22
Q

Consequences of Raised ICP

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23
Q

Symptoms Related to Increased ICP and Papilledema

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24
Q

Lowering ICP
First tier treatment

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25
Lowering ICP Supratentorial Intracranial Tumors First tier treatment
26
Lowering ICP Second tier treatment
27
Clinical Advantage of Propofol Compared with Barbiturate for the Coma Therapy in the Patients with Severe Traumatic Brain Injury
28
Drug choices IDEAL NEUROANESTHETIC AGENTS
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Drug choices
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IV Anesthetics
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Ketamine
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Propofol
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Inhalation Agents
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Intracranial Tumors
35
Tumor Grades
36
Astrocytoma
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Meningioma
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Oligodendroglioma
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Types of Primary Brain Tumors Children
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Pathophysiologic Considerations
41
Lacunar Skull “Beaten Silver” Skull Sign
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CT-Edema
43
Fluid and Electrolyte Balance
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Management of Fluid and Electrolyte Balance
[http://medind.nic.in/icf/t05/i1/icft05i1p1.pdf](http://medind.nic.in/icf/t05/i1/icft05i1p1.pdf) (Fluid and Electrolyte Balance IV Fluids in Head Injury)
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Intracranial Aneurysm Rupture
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Fluid and Electrolyte Balance Cerebral Tumor
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Implications of Surgical Position
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899644/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2899644/) (The use of the three-pronged Mayfield head clamp resulting in an intracranial epidural hematoma in an adult patient)
48
Anesthetic Management
49
Anesthetic Technique
50
Intraoperative ICP Reduction
51
Ventriculostomy Drain
52
Emergence Goals
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Emergence from Anesthesia
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Rapid Loss of Brain Function
55
Acute Ischemic Stroke
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Acute Hemorrhagic Stroke
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HHH
58
Intracranial Aneurysm ## Footnote **Preop**
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Intracranial Aneurysm Anesthetic Management ## Footnote **Monitors and Induction**
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Intracranial Aneurysm Anesthetic Management ## Footnote **Maintenance**
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Aneurysm Clipping Goals
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Intracranial Aneurysm Anesthetic Management ## Footnote **Fluids**
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Intracranial Aneurysm Anesthetic Management ## Footnote **Emergence**
64
Venous Air Embolism (VAE)
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Venous Air Embolism (VAE) ## Footnote **Treatment**
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Neurological Disorders and Diseases ## Footnote **Depression**
67
Acute Spine Injury
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Spinal Shock
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Acute Spine Injury
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Acute C-spine Injuries
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Poikilothermia
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Preop Evaluation Chronic Spine Injury
73
Spinal Surgery
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Scoliosis Surgery
[/C:/Users/hladkyd/AppData/Local/Microsoft/Windows/INetCache/IE/52KG09CO/GuidelinesfortheAnestheticManagemenofPatientsUndergoingSpinalFusionSurgery 11-4-16.pdf](/C:/Users/hladkyd/AppData/Local/Microsoft/Windows/INetCache/IE/52KG09CO/GuidelinesfortheAnestheticManagemenofPatientsUndergoingSpinalFusionSurgery%2011-4-16.pdf)
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76
Airway Control
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Manual In-line Stabilization (MILS)
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Nasotracheal intubation
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Awake Nasal Fiberoptic Intubation
80
Evaluation of the GlideScope for tracheal intubation in patients with cervical spine immobilization by a semi-rigid collar.
81
Autonomic Hyperreflexia
82
Flexed Prone Position
83
Eye Injuries
84
Postoperative Vision Loss- Risk Factors
85
Ischemic Optic Neuropathy
86
Injuries: Vocal Cord

Co-Existing Disease II (11 decks)

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