Neuroanesthesia Flashcards by Troy Green

Q

Normal ICP and Brain Volumes

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Cerebral Physiology

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Cerebral Perfusion Pressure

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Cerebral Blood Flow

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Perfusion to Ischemic and Non-ischemic Regions of the Brain

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Carbon Dioxide and Oxygen

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Cerebral Metabolism (CMRO2)

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Cerebral Metabolism (CMRO2) Metabolic Mediators

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What increases/decreases Cerebral Metabolism?

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Temperature

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Cerebral Metabolism

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Q

Relationship between CBF and PaC02

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Relationship Between CBF and Pa02

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Q

Autoregulation

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Limits of Autoregulation

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Impairment of Autoregulation

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Radius of Cerebral Blood Vessels

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Radius of Cerebral Blood Vessels - Autonomic Nervous System

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Q

Idiopathic Intracranial Hypertension (IIH)

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Q

Signs and Symptoms of Increased ICP

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Q

Papilledema

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Grade 4 has definite increased ICP

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Consequences of Raised ICP

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Q

Symptoms Related to Increased ICP and Papilledema

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Q

Lowering ICP
First tier treatment

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Q

Lowering ICP Supratentorial Intracranial Tumors
First tier treatment

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Q

Lowering ICP
Second tier treatment

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Q

Clinical Advantage of Propofol Compared with Barbiturate for the Coma Therapy in the Patients with Severe Traumatic Brain Injury

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Q

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

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Q

Tumor Grades

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Q

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

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Lacunar Skull
“Beaten Silver” Skull Sign

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CT-Edema

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Q

Fluid and Electrolyte Balance

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Q

Management of Fluid and Electrolyte Balance

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http://medind.nic.in/icf/t05/i1/icft05i1p1.pdf (Fluid and Electrolyte Balance IV Fluids in Head Injury)

Q

Intracranial Aneurysm Rupture

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Q

Fluid and Electrolyte Balance

Cerebral Tumor

A

Q

Implications of Surgical Position

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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)

Q

Anesthetic Management

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Q

Anesthetic Technique

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Intraoperative ICP Reduction

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Q

Ventriculostomy Drain

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Emergence Goals

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Emergence from Anesthesia

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Rapid Loss of Brain Function

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Q

Acute Ischemic Stroke

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Q

Acute Hemorrhagic Stroke

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HHH

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Q

Intracranial Aneurysm

Preop

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Q

Intracranial Aneurysm Anesthetic Management

Monitors and Induction

A

Q

Intracranial Aneurysm Anesthetic Management

Maintenance

A

Q

Aneurysm Clipping Goals

A

Q

Intracranial Aneurysm Anesthetic Management

Fluids

A

Q

Intracranial Aneurysm Anesthetic Management

Emergence

A

Q

Venous Air Embolism (VAE)

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Q

Venous Air Embolism (VAE)

Treatment

A

Q

Neurological Disorders and Diseases

Depression

A

Q

Acute Spine Injury

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Spinal Shock

A

Q

Acute Spine Injury

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Q

Acute C-spine Injuries

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Q

Poikilothermia

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Q

Preop Evaluation
Chronic Spine Injury

A

Q

Spinal Surgery

A

Q

Scoliosis Surgery

A

/C:/Users/hladkyd/AppData/Local/Microsoft/Windows/INetCache/IE/52KG09CO/GuidelinesfortheAnestheticManagemenofPatientsUndergoingSpinalFusionSurgery 11-4-16.pdf

Q

A

Q

Airway Control

A

Q

Manual In-line Stabilization (MILS)

A

Q

Nasotracheal intubation

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Q

Awake Nasal Fiberoptic Intubation

A

Q

Evaluation of the GlideScope for tracheal intubation in patients with cervical spine immobilization by a semi-rigid collar.

A

Q

Autonomic Hyperreflexia

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Q

Flexed Prone Position

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Q

Eye Injuries

A

Q

Postoperative Vision Loss-
Risk Factors

A

Q

Ischemic Optic Neuropathy

A

Q

Injuries: Vocal Cord

A