Trauma and Perioperative

Question 1

For hypothermic patients, is it advisable to use epi during a code?

Answer 1

No because of the profound vasoconstriction already present

Question 2

What is the goal SBP for trauma patients with and without TBI?

Answer 2

With: 120
Without: 80-90

Question 3

Which patients should get resuscitative endovascular balloon occlusion of the aorta (REBOA)?

Answer 3

Patients with below the waist traumatic hemorrhage

Question 4

What are the indications for TXA?

Answer 4

Trauma bleeding, postpartum bleeding (decreased mortality), cardiac surgery, knee/hip arthroplasty

Question 5

What do you give for trauma + warfarin/factor Xa inhibitor?

Answer 5

KCentra. Also for dabigatran is idarucizumab isn’t available

Question 6

What is a personalized intra-operative blood pressure goal during abdominal surgery?

Answer 6

Maintaining SBP within 10% on pre-op SBP
Improved organ function by POD7 compared to ephedrine to keep SBP >80

Question 7

Why do some transplant recipients get hyperammonemia?

Answer 7

Urease-producing bacteria

Question 8

How is LAST (local anesthetic systemic toxicity) treated?

Answer 8

Lipid emulsion

Question 9

Which pressor is preferred for spinal shock?

Answer 9

Levo, target MAP 85
Neo has high rates bradycardia and can worsen vasoconstriction in spinal cord