preop

Question 0

PAT

Answer 0

pre-anesthesia testing

most cost effective one-stop shopping

Question 1

goals of preop testing

Answer 1

optimize, minimize, evaluate, formulate, communicate, educate

Question 2

NORA

Answer 2

non-OR area

Question 3

areas of preop eval

Answer 3

medical, surgical, personal anesthetic, family anesthetic, drug (meds), and drug (social) history

Question 4

things that make your day bad

Answer 4

long upper incisors, prominent overbite, cannot move mandible far forward, cannot open mouth wide, cannot see uvula, high arched or narrow palate, thyromental less than three fingers, short thick neck with limited range of motion

Question 5

“JAWS” of life

Answer 5

jaw thrust
airways, nasal and oral
work together
slow small squeezes

Question 6

journal article

Answer 6

53,041 reviewed
77 impossible mask ventilation (0.15%)
neck radiation most common predictor

Question 7

1 inch equals

Answer 7

2. 54 centimeters

0. 0254 meters

Question 8

BMI calculation

Answer 8

kg’s divided by (meters x meters)

Question 9

definition of morbid obesity

Answer 9

BMI 40 or greater

automatic ASA 3

Question 10

STOP BANG

Answer 10

snore, tired, observed (apnea), pressure (HTN)

BMI (>35), Age (>50), Neck circumference (>40cm), gender (male)

My uncle who is 35 looks like he’s 50 even though he hasn’t even passed 40 yet.

Question 11

METs

Answer 11

You better have more than 4 METs, eg. climb a flight of stairs without stopping

Question 12

NPO guidelines

Answer 12

1 hour - pills with sips
2 hours - clear liquids
4 hours - breast milk
6 hours - formula or light meal

Question 13

ASA classes 1-5 and E

Answer 13

1 - healthy 
2 - mild to moderate disease
3 - severe disease
4 - severe disease that is constant threat to life
5 - moribund
E - emergency