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Infection rate is highest with cannulation of what vein?
What commonly used straight laryngoscope blade is meant to be inserted below the epiglottis?
What is the intrathecal space also referred to?
What puncture is one of the most common complications of internal jugular catheter insertion?
Hemothorax rate is highest with cannulation of what vein?
What can make mask ventilation more difficult?
- history of snoring
- missing teeth
What fibers are found at levels T1-T4 and can be blocked by neuraxial anesthesia at these levels?
What commonly used automatic BP monitoring technique is used in the operating room?
What upper extremity block has a side effect of also blocking the ipsilateral phrenic nerve 100% of the time?
What commonly used muscle relaxant is contraindicated in patients with spinal cord injuries (not acute injuries)?
What device helps to measure urine output?
What term refers to the density of a local anesthetic as compared to cerebral spinal fluid?
What term refers to the continual measurement of carbon dioxide
What artery provides blood supply to the anterior lower 2/3rds of the spinal cord?
adamkiewicz (largest anterior segmental medullary artery)
What test, which is no longer commonly used, is performed prior to insertion of a radial arterial line?
When a patient has ____ stenosis, the goal of anesthetic management is to maintain a normal systemic vascular resistance and sinus rhythm.
The neuromuscular blocker, cisatracurium, is metabolized by what degradation/elimination?
What general blood product is often given for SEVERE coagulopathy and Factor VIII deficiency?
An overdose of this would cause bradycardia, excessive salivation, bronchospasm, vomiting, miosis, and muscle weakness.
When a person becomes hypoxic during one-lung ventilation, it is important to first apply CPAP to the non-ventilated lung. If there is no improvement, then the anesthesiologist should apply what to the ventilated lung?
What is a rare postop complication associated with long surgeries, prone positioning, anemia, increased applied pressure or edema, hypotension, spine surgeries, and/or cardiopulmonary bypass.
An abnormal sensation, such as burning, prickling, tickling, or tingling.
The body is what percent water, by height?
The left main coronary first branches into what?
Left anterior descending and circumflex.
Which opioid has a slower peak onset than fentanyl, is the least lipid soluble opioid and is thus the most likely agent to accumulate in the presence of renal failure?
Fluid replacement for large, open surgeries can be as high as how many ml/kg/hour?
Heat lost by what is the #1 cause of heat loss in the OR?
Stacking or auto-PEEP of mechanical breaths can occur when what phase of respiration is relatively too short?
How does pulse pressure change in aortic stenosis?
Which narcotic has tachycardia as a side effect?
Stabbed in chest presenting with hypotension, equal breath sounds, and jugular venous distention.
Securing a definitive airway should be considered for an injured patient with a GCS score of less than or equal to what?
Right ventricular myocardial infarction usually occurs with which left-sided MI?
What are some complications of acupuncture?
- Needle breakage
What is the most important therapeutic modality for a patient with complex regional pain syndrome?
What are some emergency pain conditions?
- Myocardial infarction
- Intracranial bleed
- Ischemic extremities
- Acute abdomen(infection, obstruction, ischemia)
Low back pain emergencies?
- Aortic dissection
- Abdominal aortic aneurysm
- Metastasis esp. spinal
- Spinal cord compression syndromes, abscess, hematoma and central disc herniations, cauda equina syndrome
- (not meperidine b/c of SE)
What are the benefits and disadvantages to COX2 inhibitors?
Benefits: platelet function, GI effects, dosing convenience
Disadvantages: increased cardiac risk, cost, no parenteral form
- 30mg = 10mg MSO4
- 60% renal excretion, 40% glucoronide conjugation
- Inhibits platelet aggregation
- Renal toxicity - hypovolemia, CHF, cirrhosis
Site of action of opioid receptors?
mesencephalic periaqueductal grey in the brain and substantia gelatinosa in the spine
Cancer bone pain therapy?
- Radiotherapy & radiopharmaceuticals
Which induction agent causes an increase in ICP,cerebral metabolic rate, and cerebral oxygen consumption?
Which induction agent is contraindicated in patients with porphyria?
What are the side effects of succinylcholine?
bradycardia, fasciculations, hyperkalemia
Which neuromuscular blocker has a side effect of tachycardia?
Which neuromuscular blocker is metabolized by pseudocholinesterase?
What effect does addition of epinephrine have on local anesthetic block?
It prolongs duration of local anesthetic block.
What are signs of local anesthetic toxicity?
Tinnitus, seizures, cardiac arrest
Commonly monitored ECG leads?
II: detects arrhythmias - maximal amplitude of the P-wave of all leads helps identify rhythm, detects inferior wall MI
V: detects anterior and lateral wall MI
MAP = DP + 1/3(SP-DP)