Overview of Anesthesia Lecture 4 Flashcards

exam 2

1
Q

What does MAC stand for in anesthesia?

A

Monitored Anesthesia Care

MAC is a type of anesthesia that allows patients to remain awake but relaxed during procedures.

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2
Q

What is the key characteristic of General Anesthesia?

A

Not arousable, often requires airway assistance, positive-pressure ventilation may be required, cardiac function may be impaired

General Anesthesia is used for major surgeries where complete unconsciousness is required.

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3
Q

What is the typical size range for Laryngeal Mask Airway (LMA)?

A

LMA 3, 4, 5 (4-5 is typical size)

The size of LMA used may vary based on the patient’s anatomy and age.

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4
Q

What position should a patient be in for optimal visualization of the glottic opening during intubation?

A

Sniffing position

This position helps align the airway and improve access during intubation.

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5
Q

What is the difference between MAC and Miller laryngoscope blades?

A

MAC is curved; Miller is straight

Each blade type has its specific use depending on the anatomy and situation.

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6
Q

Fill in the blank: The connector of an endotracheal tube initially is _______.

A

Loose, push in and twist to check the cuff

Ensuring the connector is secure is crucial for effective ventilation.

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7
Q

What should be done if a mass or polyp is seen during intubation?

A

See something, say something

Reporting observations can help in managing potential complications.

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8
Q

What is the purpose of preoxygenation in anesthesia?

A

To increase oxygen reserves before induction

This helps to prevent hypoxia during the induction phase.

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9
Q

What technique is becoming controversial for preventing passive regurgitation during Rapid Sequence Intubation (RSI)?

A

Cricoid pressure

While historically used, the efficacy and necessity of cricoid pressure are being debated.

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10
Q

What is the use of McGill Forceps in intubation?

A

Used for nasal intubation, be careful not to cut the cuff or grab the tip

These forceps help guide the tube through the nasal passage.

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11
Q

True or False: You can perform a procedure with just an LMA.

A

True

LMA can be sufficient for certain procedures like laparoscopic surgeries.

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12
Q

What is the role of the Bougie or tube exchanger in intubation?

A

Facilitates intubation, especially in difficult airway scenarios

It can help guide the endotracheal tube into the trachea.

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13
Q

What are the three categories of anesthesia mentioned?

A

MAC, Regional, General Anesthesia

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14
Q

What is a GlideScope?

A

A larger, bulkier, rigid stylet that allows for better visualization during intubation

It is particularly useful in difficult airway situations.

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15
Q

T/F- you should always lubricate an LMA before use?

A

True

Lubrication can facilitate easier insertion and reduce trauma.

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16
Q

Grade these airways:

A

grade 1
grade 2
grade 3
grade 4