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</p> Signup and view all the answers

    In which decade did laparoscopic surgery originate in gynecology?

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

    What is a possible treatment for pneumothorax during laparoscopy?

    <p>Thoracentesis</p> Signup and view all the answers

    What is a symptom of endobronchial intubation?

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

    What is a treatment for gas embolism?

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

    What is the lethal dose of CO2?

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

    What is a controversy related to laparoscopy?

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

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

    <p>Obesity</p> Signup and view all the answers

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

    <p>PONV</p> Signup and view all the answers

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

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

    What is a disadvantage of gasless laparoscopy?

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

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

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

    Which of the following is an advantage of robotic surgery?

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

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

    <p>Registration</p> Signup and view all the answers

    What are the respiratory effects of the reverse Trendelenburg position?

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

    What must the patient remain during robotic surgery?

    <p>Paralyzed</p> Signup and view all the answers

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

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

    Which robotic system is FDA approved for mitral valve repair?

    <p>DaVinci</p> Signup and view all the answers

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

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

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

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

    Which condition is NOT commonly associated with laparoscopic surgery?

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

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

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

    What is a common cause of shoulder pain after laparoscopy?

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

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

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

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

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

    Which technique is beneficial for minimizing pain during gynecologic laparoscopy?

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

    PaCO2 is elevated in gasless laparoscopy.

    <p>False</p> Signup and view all the answers

    Robotics surgery is associated with increased cardiac output.

    <p>False</p> Signup and view all the answers

    The DaVinci robotic system is FDA approved for neurosurgery.

    <p>False</p> Signup and view all the answers

    Robotic surgery is associated with a longer hospital stay.

    <p>False</p> Signup and view all the answers

    The patient must remain awake during robotic surgery.

    <p>False</p> Signup and view all the answers

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