Week 10 Handout Flashcards
What is the overall goal of induction of anesthesia?
To safely and smoothly transition the patient from a state of consciousness to unconsciousness, ensuring they are adequately anesthetized for the surgical procedure.
What are Dr. Watson’s steps to induction of anesthesia?
Develop your own flow.
What is the primary aim of the maintenance phase of anesthesia?
To keep the patient in a stable anesthetic state, with adequate pain control, immobility, and physiological stability throughout the surgery.
What is the focus of emergence from anesthesia?
To safely and gradually return the patient to consciousness, ensuring they recover well with minimal side effects or complications.
True or False: There is an ‘Anesthesia Off Switch’.
False.
What is PONV?
Postoperative Nausea and Vomiting.
What condition is the leading cause of hospital admission from office-based anesthesia?
PONV.
What is the purpose of deliberate controlled hypotension?
To achieve a bloodless surgical field and reduce blood loss during surgery.
Name one advantage of Sodium Nitroprusside as an IV agent for hypotensive technique.
Rapid onset/offset, potent, reliable.
What is a disadvantage of using Dexmedetomidine?
Bradycardia, heart block.
Fill in the blank: The drug _______ preserves oxygenation and preload.
Nitroglycerin.
What are the hemodynamic and respiratory effects of Trendelenburg position?
Increased intracranial pressure, potential respiratory compromise.
What is the effect of pneumoperitoneum during laparoscopic surgery?
Increased intra-abdominal pressure affecting hemodynamics.
What are the risks associated with robotic surgery?
Neurologic risks, postoperative visual loss (POVL).
What should be monitored during controlled hypotension?
Blood pressure, heart rate, and patient comfort.
What is the role of remifentanil and propofol in hypotensive technique?
Superior bloodless field, decreased PONV.
What should you do as you walk to Pre-Op to see your next patient?
Keep awareness of what’s going on in PACU.
What is the significance of the Revised Cardiac Risk Index in anesthesia?
It helps assess the risk of perioperative cardiac complications.
What are some conditions associated with difficult airway management?
Obesity, facial anomalies, history of difficult intubation.
