Podcast
Questions and Answers
What is one of the main goals of intraoperative anesthetic management in EVAR?
What is one of the main goals of intraoperative anesthetic management in EVAR?
- To maintain intravascular volume
- To induce neuromuscular blockade
- To provide hemodynamic stability (correct)
- To provide normothermia
What is the current limitation in selecting the best anesthesia for standard EVAR?
What is the current limitation in selecting the best anesthesia for standard EVAR?
- Limited availability of qualified anesthesiologists
- Limited evidence from retrospective studies (correct)
- Lack of standardization in anesthetic techniques
- Insufficient number of patients for research
Why is general anesthesia often preferred over regional anesthesia for EVAR?
Why is general anesthesia often preferred over regional anesthesia for EVAR?
- To reduce the risk of cardiac complications
- Because of the need for arterial access from multiple sites (correct)
- Due to the complexity of the aneurysm
- To ensure patient comfort during the long procedure
What is NOT a consideration in selecting an anesthetic technique for EVAR?
What is NOT a consideration in selecting an anesthetic technique for EVAR?
How long can an EVAR procedure typically take?
How long can an EVAR procedure typically take?
What organization does NOT advocate for a specific mode of anesthesia for patients with cardiac disease?
What organization does NOT advocate for a specific mode of anesthesia for patients with cardiac disease?
What is a key consideration for CRNAs when preparing for EVAR?
What is a key consideration for CRNAs when preparing for EVAR?
Why is thorough preoperative assessment crucial for patients undergoing EVAR?
Why is thorough preoperative assessment crucial for patients undergoing EVAR?
What is essential for a successful EVAR procedure?
What is essential for a successful EVAR procedure?
What should CRNAs consider when evaluating the complexity of EVAR?
What should CRNAs consider when evaluating the complexity of EVAR?
What is the importance of multidisciplinary settings in EVAR?
What is the importance of multidisciplinary settings in EVAR?
What is the primary reason for having warming devices available during minimally invasive cardiac surgery?
What is the primary reason for having warming devices available during minimally invasive cardiac surgery?
What is the purpose of attaching external defibrillator pads during minimally invasive cardiac surgery?
What is the purpose of attaching external defibrillator pads during minimally invasive cardiac surgery?
Why may the thoracic impedance be too high during one-lung ventilation in minimally invasive cardiac surgery?
Why may the thoracic impedance be too high during one-lung ventilation in minimally invasive cardiac surgery?
What is the purpose of confirming the vascular access sites prior to the insertion of invasive lines in minimally invasive cardiac surgery?
What is the purpose of confirming the vascular access sites prior to the insertion of invasive lines in minimally invasive cardiac surgery?
What is the purpose of inserting a large bore right internal jugular venous cannula in minimally invasive cardiac surgery?
What is the purpose of inserting a large bore right internal jugular venous cannula in minimally invasive cardiac surgery?
What is the minimum number of pressure transducers required for standard cardiac surgery monitoring?
What is the minimum number of pressure transducers required for standard cardiac surgery monitoring?
What should be administered before the insertion of a double-lumen tube or a single-lumen tube with a bronchial blocker?
What should be administered before the insertion of a double-lumen tube or a single-lumen tube with a bronchial blocker?
What is the primary purpose of intra-thoracic insufflation of CO2?
What is the primary purpose of intra-thoracic insufflation of CO2?
What is the recommended maximal insufflation pressure to avoid a decrease in venous return and cardiac output?
What is the recommended maximal insufflation pressure to avoid a decrease in venous return and cardiac output?
What is the primary consideration when inserting an aortic cannula under ultrasound guidance?
What is the primary consideration when inserting an aortic cannula under ultrasound guidance?
What is a potential complication of aortic rupture, dissection, or intimal tears during MICS?
What is a potential complication of aortic rupture, dissection, or intimal tears during MICS?
What is the recommended course of action in the event of hypoxaemia during MICS for valvular lesions?
What is the recommended course of action in the event of hypoxaemia during MICS for valvular lesions?
What is the primary advantage of the Da Vinci robotic system?
What is the primary advantage of the Da Vinci robotic system?
What is a key requirement for anaesthesiologists performing robotic-assisted cardiac surgery?
What is a key requirement for anaesthesiologists performing robotic-assisted cardiac surgery?
What is the primary advantage of regional blocks for thoracic incisions?
What is the primary advantage of regional blocks for thoracic incisions?
What is the estimated conversion rate to full sternotomy from a minimally invasive approach?
What is the estimated conversion rate to full sternotomy from a minimally invasive approach?
What is the primary objective of the largest prospective randomized trial to date?
What is the primary objective of the largest prospective randomized trial to date?
What is the conclusion of the study regarding the type of anesthesia given for peripheral vascular surgery?
What is the conclusion of the study regarding the type of anesthesia given for peripheral vascular surgery?
How many previous studies have examined the superiority of regional anesthesia over general anesthesia in reducing perioperative complications in patients undergoing peripheral vascular surgery?
How many previous studies have examined the superiority of regional anesthesia over general anesthesia in reducing perioperative complications in patients undergoing peripheral vascular surgery?
What is the significance of the study's findings on the analysis of data by intention to treat or by type of anesthesia received?
What is the significance of the study's findings on the analysis of data by intention to treat or by type of anesthesia received?
What is the minimum dose of intravenous nitroglycerin required to reduce episodes of ischemia in high-risk patients undergoing cardiac surgery?
What is the minimum dose of intravenous nitroglycerin required to reduce episodes of ischemia in high-risk patients undergoing cardiac surgery?
What is a possible explanation for the lack of significant difference in cardiac morbidity or mortality between the epidural group and the parenteral opioids group?
What is a possible explanation for the lack of significant difference in cardiac morbidity or mortality between the epidural group and the parenteral opioids group?
What is a potential reason for the lack of significant difference in cardiac morbidity or mortality between the epidural group and the parenteral opioids group?
What is a potential reason for the lack of significant difference in cardiac morbidity or mortality between the epidural group and the parenteral opioids group?
What is the limitation of using CK-MB fraction analysis in diagnosing perioperative myocardial infarction?
What is the limitation of using CK-MB fraction analysis in diagnosing perioperative myocardial infarction?
What is the significance of the study's finding of a 4.5% incidence of myocardial infarction using CK-MB fraction analysis?
What is the significance of the study's finding of a 4.5% incidence of myocardial infarction using CK-MB fraction analysis?
What is the potential effect of sympathetic blockade and resulting venodilation caused by spinal and epidural anesthesia?
What is the potential effect of sympathetic blockade and resulting venodilation caused by spinal and epidural anesthesia?
What is the significance of the study's findings in the context of perioperative cardiac morbidity and mortality?
What is the significance of the study's findings in the context of perioperative cardiac morbidity and mortality?
What is the primary reason for the use of pulmonary artery catheter monitoring in the study?
What is the primary reason for the use of pulmonary artery catheter monitoring in the study?
What is the potential limitation of using pulmonary artery catheter monitoring in high-risk patients?
What is the potential limitation of using pulmonary artery catheter monitoring in high-risk patients?
What is the significance of the study's findings in the context of clinical characteristics of the patient population?
What is the significance of the study's findings in the context of clinical characteristics of the patient population?
What is the potential effect of the use of prophylactic nitroglycerin in the study population?
What is the potential effect of the use of prophylactic nitroglycerin in the study population?
What is the implication of the study's findings on the management of perioperative cardiac morbidity and mortality?
What is the implication of the study's findings on the management of perioperative cardiac morbidity and mortality?
What is the main objective of the dual closed-loop systems used in the pilot study?
What is the main objective of the dual closed-loop systems used in the pilot study?
What is the significance of the median cohort times reported in the study?
What is the significance of the median cohort times reported in the study?
What is the possible reason for the lower per-patient rate of time in BIS target 40-60?
What is the possible reason for the lower per-patient rate of time in BIS target 40-60?
What is the clinical performance of the fluid management controller compared to?
What is the clinical performance of the fluid management controller compared to?
What is the significance of the number of episodes of burst suppression?
What is the significance of the number of episodes of burst suppression?
What was a key difference between the current study and previous studies by the same group?
What was a key difference between the current study and previous studies by the same group?
What was the aim of the study in terms of the interaction between the two controllers?
What was the aim of the study in terms of the interaction between the two controllers?