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Anaesthetic Revision > Pre-Admission > Flashcards

Pre-Admission Flashcards

1
Q

Predictors of Difficult Bag-Mask Ventilation

7 parts

A
  1. Sleep apnoea/snoring
  2. Limited jaw protrusion
  3. Obese
  4. Mallampati 3 or 4
  5. Beard
  6. Elderly
  7. Edentulous
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2
Q

Predictors of Difficult Supraglottic Airway Insertion

A

Reduced mouth opening
Obstruction at or below glottis
Distorted airway
Stiff neck or lungs

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3
Q

Pre-Operative Airway Assessment

10 components

A
  1. History of airway issues
  2. Elevated BMI
  3. Modified Mallampati score of 3 or 4
  4. Mouth opening and inter-incisor gap
  5. OSA
  6. GORD
  7. Dental exam
  8. Upper lip bite test
  9. Cervical spine mobility
  10. Tyromental distance
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4
Q

Airway “Red Flag” Conditions: Anatomical

A

Receeding mandible; buck teeth

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5
Q

Modified Mallampati Score 1

A

Soft palate; tonsillar fauces; tonsillar pillars; uvula visualised

easy intubation

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6
Q

Modified Mallampati Score 2

A

Soft palate; tonsillar fauces; uvula visualised

mildly difficult intubation

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7
Q

Modified Mallampati Score Class 3

A

Soft palate; base of uvula visualised

Very difficult intubation

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8
Q

Modified Mallampati Score 4

A

Soft palate not visible

Near impossibe intubation

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9
Q

Airway “Red Flag” Conditions: Congential

A

Downs syndrome; Treacher-Collins

Down’s: Due to large tongue and neck subluxation

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10
Q

Airway “Red Flag Conditions”: Inflammatory

A

Scleroderma; ankylosing spondylitis; rheumatoid arthritis

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11
Q

Airway “Red Flag” Conditions: Infectious

A

Retropharyngeal abcess; submandibular abcess; acute epiglottitis

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12
Q

Airway “Red Flag” Conditions: Traumatic

A

Fac/neck trauma; foreign bodies

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13
Q

Airway “Red Flag” Conditions: Endocrine

A

Goitre; acromegaly; obesity

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14
Q

Major Predictors for Adverse Cardiac Events in Surgery

A

Heart failure
Unstable angina
Elderly
Poor general medical status
Aortic stenosis
Cerebrovascular Disease
Emergency operation
Recent myocardial infarction

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15
Q

Risk Factors for Post-Operative Nausea and Vomiting

A
  1. Female gender
  2. History of PONV or 1st degree family member with PONV
  3. History of motion sickness
  4. Non-smoker
  5. Age < 50
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16
Q

Surgeries that increase the risk of Post-OPerative Nausea and Vomiting

A
  1. Gynaecological surgery
  2. Tympanic surgery
  3. Ocular surgery
  4. Laparoscopic surgery
17
Q

Anaesthetics that increase risk of Post-Operative Nausea and Vomiting

A
  1. Volatiles
  2. Nitrous oxide
  3. Opioids

Anaesthetic Revision (1 decks)

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