Anesthesia for Laparoscopic and Robotic Surgery
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Questions and Answers

What percentage of cholecystectomies are currently performed laparoscopically?

  • 50%
  • 80%
  • 98% (correct)
  • 60%

What is a common indication for diagnostic laparoscopy in gynecology?

  • Pelvic pain
  • Infertility
  • Abnormal uterine bleeding
  • All of the above (correct)

What is a potential hemodynamic effect of pneumoperitoneum?

  • Tachycardia
  • Bradycardia
  • Hypotension (correct)
  • Hypertension

What is a benefit of judicious fluid loading during laparoscopic surgery?

<p>Minimizing hemodynamic effects of pneumoperitoneum (D)</p> Signup and view all the answers

In which decade did laparoscopic surgery originate in gynecology?

<p>1970s (B)</p> Signup and view all the answers

What is a possible diagnosis if there is increased airway pressure, decreased ETCO2, and abnormal auscultation and CXR results?

<p>Pneumothorax (A)</p> Signup and view all the answers

What is a possible treatment for pneumothorax during laparoscopy?

<p>Thoracentesis (C)</p> Signup and view all the answers

What is a symptom of endobronchial intubation?

<p>Decreased oxygen saturation (B)</p> Signup and view all the answers

What happens when there is a large volume of CO2 in the RA or vena cava during laparoscopy?

<p>Decreased cardiac output (D)</p> Signup and view all the answers

What is a definitive diagnosis for gas embolism?

<p>Aspiration of gas or foamy blood from a central venous line (D)</p> Signup and view all the answers

What is a treatment for gas embolism?

<p>Stop insufflation (A)</p> Signup and view all the answers

What is the lethal dose of CO2?

<p>5x that of air (C)</p> Signup and view all the answers

What is a controversy related to laparoscopy?

<p>Whether increased IAP during laparoscopy increases aspiration risk (B)</p> Signup and view all the answers

Which patient characteristics are associated with greater severity and slower recovery post-laparoscopy?

<p>Obesity (B)</p> Signup and view all the answers

What is the primary determinant of length of stay for day surgery patients undergoing laparoscopy?

<p>PONV (D)</p> Signup and view all the answers

Which method is considered controversial in reducing postoperative nausea and vomiting (PONV)?

<p>Nitrous oxide (D)</p> Signup and view all the answers

What is a disadvantage of gasless laparoscopy?

<p>Increased technical difficulty due to poorer exposure (C)</p> Signup and view all the answers

What is a common effect of the Trendelenburg position on respiratory function?

<p>Decreased compliance (B)</p> Signup and view all the answers

Which of the following is an advantage of robotic surgery?

<p>Increased precision (A)</p> Signup and view all the answers

How does the Trendelenburg position affect cardiovascular function in patients with poor ventricular function or CAD?

<p>Increased myocardial oxygen demand (D)</p> Signup and view all the answers

Which term refers to anatomic orientation in 3-D via CT or MRI data?

<p>Registration (A)</p> Signup and view all the answers

What are the respiratory effects of the reverse Trendelenburg position?

<p>Increased lung volume (B)</p> Signup and view all the answers

What must the patient remain during robotic surgery?

<p>Paralyzed (C)</p> Signup and view all the answers

Which is a primary concern for nerve injuries in the Trendelenburg position?

<p>Overextension of the shoulder (B)</p> Signup and view all the answers

Which robotic system is FDA approved for mitral valve repair?

<p>DaVinci (D)</p> Signup and view all the answers

What is a common effect of reverse Trendelenburg on cardiovascular function?

<p>Decreased CO (D)</p> Signup and view all the answers

What surgical technique was first completely performed with telemanipulation in 1987?

<p>Laparoscopic cholecystectomy (C)</p> Signup and view all the answers

Which condition is NOT commonly associated with laparoscopic surgery?

<p>Lumbar spinal fusion (B)</p> Signup and view all the answers

Which of the following is a documented advantage of laparoscopic surgery?

<p>Improved postoperative pulmonary function (B)</p> Signup and view all the answers

What is a common cause of shoulder pain after laparoscopy?

<p>Pain from diaphragmatic irritation (A)</p> Signup and view all the answers

How can pre-operative NSAIDs be most effectively used in laparoscopic procedures?

<p>For laparoscopic cholecystectomy (B)</p> Signup and view all the answers

Which of the following hormones does NOT change from laparotomy to laparoscopy?

<p>All of the above (D)</p> Signup and view all the answers

Which technique is beneficial for minimizing pain during gynecologic laparoscopy?

<p>Intraperitoneal local anesthetic (A)</p> Signup and view all the answers

PaCO2 is elevated in gasless laparoscopy.

<p>False (B)</p> Signup and view all the answers

Robotics surgery is associated with increased cardiac output.

<p>False (B)</p> Signup and view all the answers

The DaVinci robotic system is FDA approved for neurosurgery.

<p>False (B)</p> Signup and view all the answers

Robotic surgery is associated with a longer hospital stay.

<p>False (B)</p> Signup and view all the answers

The patient must remain awake during robotic surgery.

<p>False (B)</p> Signup and view all the answers

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