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Domain 2 Orthopedics > Scoliosis > Flashcards

Scoliosis Flashcards

1
Q

What is scoliosis

A
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2
Q

Kyphosis

A
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3
Q

Lordosis

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4
Q

Cobbs method

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5
Q

Cobbs method

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6
Q

At what angle 2ill 5here be respiratory impairment?

A
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7
Q

Classification of scoliosis

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8
Q

Congenital scoliosis

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9
Q

Idiopathic scoliosis

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10
Q

Neuromuscular: neuropathic

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11
Q

Neuromuscular: myopathic

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12
Q

Miscellaneous

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13
Q

Adolescent idiopathic scoliosis

A
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14
Q

None idiopathic scoliosis

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15
Q

Respiratory sequel

A
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16
Q

Respiratory

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17
Q

Respiratory

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18
Q

Respiratory

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19
Q

Respiratory

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20
Q

Cardiovascular sequel

A
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21
Q

Cardiovascular sequel

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22
Q

Cardiovascular sequel

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23
Q

Cardiovascular sequel

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24
Q

Cardiovascular sequel

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25
Q

Cardiovascular sequel

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26
Q

Preop evaluation cl8nical

A
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27
Q

Investigation echo

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28
Q

Investigation pft

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29
Q

Investigation ecg

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30
Q

Latex

A
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31
Q

Anaesthetic concerns for scoliosis

A
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32
Q

Monitoring for coliosis

A
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33
Q

Possible complications from surgery

A
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34
Q

Hypotension differential during surgery

A
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35
Q

Air embolism

36
Q

Detection of air embolism

37
Q

Resuscitation in prone

38
Q

Neuromonitoring

39
Q

Spinal cord blood flow

40
Q

Anterior median spinal artery supply territory

41
Q

Redicular arteries

42
Q

Posterior spinal artery anatomy

43
Q

Posterior spinal artery territory

44
Q

Perimedullary vessels

45
Q

Boarder with highest ischemic risk

46
Q

4 segments of regional spinal circulation cord

47
Q

Adamkiewics

48
Q

Segment with high susceptibility to Ischaemia

49
Q

Lumbar artery syndrome

50
Q

Principlea that regulate blood flow

51
Q

Wakeup test

52
Q

How to maximise perfusion

53
Q

Limitations of wakeup test

54
Q

Neumetric Monitoring : sensory evoked potential

55
Q

Neumetric Monitoring : sensory evoked potential

56
Q

Neumetric Monitoring : sensory evoked potential: danger signs

A

Amplitude reduction > 50%

Increased latency > 10%

57
Q

Neumetric Monitoring : sensory evoked potential limitations

A

Only monitors the dorsal column

Provides no evidence of motor function loss or anterior spinal cord injury

58
Q

Neumetric Monitoring : sensory evoked potential reliability

59
Q

Neumetric Monitoring : sensory evoked potential effects of voletiles

60
Q

Neumetric Monitoring : sensory evoked potential effects of iv agents

61
Q

Neumetric Monitoring : sensory evoked potential effects of biological factors

62
Q

Neumetric Monitoring : sensory evoked potential, ideal anaesthetic approach

63
Q

Neumetric Monitoring : sensory evoked potential, how is it done

A

Prone baseline recording,

Maintain anaesthetic depth, CO2, temperature and BP

64
Q

Intraoperative consideration for ssep

65
Q

Criterion for decreased ssep

A

Amplitude reduction by 40%

66
Q

Motor evoked potential

A

Transcranial

Spinal cord

67
Q

Transcranial MEP vs Sseps

A

Lag 5min ssep

MEP false pos <10%

68
Q

Anaesthetic agent effects on MEP

69
Q

Ideal anaesthesia for mep

70
Q

Causes of blood loss

71
Q

Blood loss monitoring

72
Q

Strategies to minimise blood loss

A

Induced hypotension
Change in surgical techniques
Antifibrinolytic

73
Q

Decrease homologous blood transfusion

A

Preop autologous blood donation
Cell salvage
Normovolaemic hemodilution
Apheresis

74
Q

Acute Normovolaemic hemodilution technique

75
Q

Complications

A

Pulmonary edema
Anasarca
Postoperative ventilation

76
Q

Deliberate hypotension what is it

77
Q

Deliberate hypotension agents used

78
Q

Deliberate hypotension monitoring

79
Q

Deliberate hypotension concers

80
Q

Prone position pressure areas

A 
Brachial plexus
Ulner nerve
Male genitals
Nipples
Eyes
Lateral cutaneous nerve of the thigh
81
Q

Brachial plexus Injury signs

82
Q

Postoperative vision loss

83
Q

Effect of increased intra abdominal pressure

84
Q

Hazards of turning patients

85
Q

Postoperative management : Complications

86
Q

Pain management

A

Pca
Epidural catheter
NSAIDS

Domain 2 Orthopedics (12 decks)

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