Anesthesia Pocket Guide Quiz

The aims of the pocket guide for anesthesia clerks, focusing on accessibility and learning.

The essential learning goals that clerks must cover during anesthesia rotations.

High-priority topics and questions that students should learn longitudinally during their clerkship.

Understanding of common drugs used in anesthesia, including their uses, mechanisms, and effects.

An adjunct resource for students to review concepts during their anesthesia clerkship.

Hands-on experience in the operating room is crucial for understanding anesthesia practices.

Provided references at the end of sections for deeper understanding of topics covered.

Variations in anesthesia practices across hospitals and physicians highlight the field's diversity.

At least three systems to deliver oxygen to patients during anesthesia.

Key parameters include volume control, pressure control, respiratory rate, tidal volume, pressure, and PEEP.

Methods to assess if ventilation and oxygenation are adequate for a patient.

Five key anesthetic considerations for patients undergoing laparoscopic procedures.

End tidal CO2 can increase due to patient positioning and intra-abdominal pressure.

Adjust monitoring techniques based on patient conditions indicating cardiovascular issues during surgery.

According to the Canadian Anesthesiologists’ Society, certain monitors must be continuously used: oxygenation and ventilation.

Temperature probes and peripheral nerve stimulators must be available immediately during surgery.

A mnemonic for rapid deterioration causes during intubation: Displaced ETT, Obstruction, Pneumothorax/PE, Equipment failure, Stacking breaths.

A severe systemic allergic reaction causing rapid inflammatory mediator release, leading to shock, respiratory distress, and potential arrest.

A method to clear secretions from the airway to ensure patency before extubation.

A technique where the patient maintains their airway while being intubated, often used in anticipated difficult cases.

A device used to maintain airway patency by preventing the tongue from obstructing the throat, utilized during extubation.

Inhalation of gastric contents into the lungs that can cause serious complications like pneumonia or ARDS.

A graphical representation of CO2 levels in exhaled air that can indicate various respiratory problems, including obstructive patterns like shark fin.

A series of actions to troubleshoot and resolve problems while a patient is intubated, such as checking equipment and clearing obstructions.

Strategies to avoid bronchospasm include NPO guidelines, increasing gastric motility, and using prophylactic anti-emetics.

Indicators of bronchospasm include decreased O2, high airway pressures, and wheezing.

To manage bronchospasm, use 100% FiO2, change I:E ratio, and administer nebulized SABA.

Laryngospasm is an airway obstruction caused by laryngeal closure due to stimuli.

Signs include decreased O2, stridor, and use of accessory muscles.

Prevent laryngospasm by ensuring adequate anesthesia and possibly delaying surgery after URTI.

Management involves CPAP with 100% FiO2 and ensuring ventilatory support.

A severe asthma episode that does not respond to standard SABA treatment.

Potential locations on the body for accessing blood vessels for intravenous therapy.

Changes in a patient's fluid balance during the preoperative period that can affect outcomes.

Common intravenous solutions like NS, RL, D5W, and D5NS used for hydration and electrolyte balance.

Potential adverse effects that can occur during or after large volume blood transfusions.

An arterial line provides continuous blood pressure monitoring and access for blood draws.

Categorization of shock based on its etiology and severity; can include hypovolemic or cardiogenic shock.

Factors like heart rate and stroke volume that influence the amount of blood the heart pumps.

Drugs used to support blood pressure and improve perfusion during shock management.

Intubation should be performed with the assumption that the patient has a full stomach to prevent aspiration.

Prepare contingency plans for potential difficulties or failures during intubation.

Evaluate breathing by checking bilateral breath sounds and pulse oximetry readings.

Requires immediate needle decompression followed by chest tube placement.

Signs include cool skin, weak pulses, and hypotension indicating potential hemorrhagic shock.

Start with 1L warmed isotonic fluid, then balanced transfusion in a 1:1:1 ratio.

Quickly assess responsiveness using PERLA and GCS scales.

A mnemonic for patient history: Allergies, Medications, Past Medical History, Last meal, Events leading to admission.