SDS Flashcards
Are premature infants acceptable for SDS?
Yes unless;
Anemia (normal to drip to 7 from 1-3 months)
Underdeveloped gag
Apnea (temperature, immature brain stem, anemia)
What is apnea?
Short 6-15 seconds
Prolonged is >15 seconds
Children with prior history of apnea/bradycardia should be free of it for ____ prior to surgery
6 months
Whats the earliest a healthy full term infant can be considered for surgery?
2-4 weeks
____ is the primary predictor for cystic fibrosis
Pulmonary function- need to be able to manage respiratory distress and hydration
What patients are MH susceptible?
Previous MH
Masseter rigidity with previous anesthesia
1st degree relative with MH or positive muscle biopsy
For MH susceptible patients, trigger free anesthesia plus ___ hour post obs is required
4
How many vials of dantrolene do we need for an MH susceptible patient?
36
Ryanodex dosing
2.5mg/kg max 10mg
1mg/kg q4h for 24 hours
ASA _____ are acceptable candidates
1 and 2
BMI of ___ is considered acceptable for SDS
<40
40-50 case by case
>50 very high risk/ unacceptable
When might a sickle cell crisis occur?
Hypoxia
Acidosis
Dehydration
Unacceptable patients for SDS
ASA 3+
Active intoxication
Uncontrolled seizures
New untreated OSA
Uncontrolled DM
Isolation
Post op pain not controlled w oral meds
H&P should be within _____
30 days for healthy
3 days for high risk patient
Lab values are good for ____
60 days if patient is stable
