Bariatric Surgery Anesthesia Challenges
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Questions and Answers

Where should the blood pressure cuff be placed on the patient?

  • Lower leg or calf
  • Upper arm or forearm (correct)
  • Around the neck
  • Around the waist

Which airway adjunct should be available if intubation is difficult?

  • Oropharyngeal airway
  • Endotracheal tube
  • Nasal cannula
  • Laryngeal mask airway (correct)

What tool can be used to aid in difficult intubation?

  • Ophthalmoscope
  • Laryngoscope (correct)
  • Sphygmomanometer
  • Otoscope

What should the anesthetist be familiar with regarding airway management?

<p>Difficult airway algorithm (C)</p> Signup and view all the answers

Why is continuous assessment of position and pressure points imperative?

<p>To prevent compression injury or nerve palsy (C)</p> Signup and view all the answers

Who is responsible for positioning according to the text?

<p>Entire surgical team (B)</p> Signup and view all the answers

What can cause inaccurate blood pressure measurements?

<p>Placing the cuff on the neck (A)</p> Signup and view all the answers

What may cause a shift in position that requires continuous assessment?

<p>'Changes in the operating table position' or 'surgical manipulation' (A)</p> Signup and view all the answers

Why is having airway adjuncts available considered prudent?

<p>To assist in difficult intubation scenarios (D)</p> Signup and view all the answers

What outcome can be minimized by proper positioning before surgical incision?

<p>Compression injury or nerve palsy incidence (D)</p> Signup and view all the answers

What is the primary purpose of administering antibiotic prophylaxis within 60 minutes before surgical incision?

<p>To decrease the potential for infection (C)</p> Signup and view all the answers

What is the purpose of decreasing the volume percent concentration of the inhalation agent before complete surgical closure?

<p>To facilitate a more rapid emergence from anesthesia (A)</p> Signup and view all the answers

What is the primary purpose of using a combination of medications as prophylaxis for nausea and vomiting in the postoperative period?

<p>To prevent nausea and vomiting in the postoperative period (D)</p> Signup and view all the answers

What is the most frequent complication associated with bariatric surgery?

<p>Intestinal leakage at the site of the surgical anastomosis (B)</p> Signup and view all the answers

What is the primary purpose of administering low-molecular-weight heparin during the postoperative period for bariatric surgery patients?

<p>To decrease the potential for deep vein thrombosis (A)</p> Signup and view all the answers

What is the purpose of elevating the head of the bed and providing supplemental oxygen during transportation of the patient to the postoperative area?

<p>To ensure the patient's airway is adequately supported during transport (B)</p> Signup and view all the answers

What is the overall postoperative complication rate for laparoscopic Roux-en-Y procedure?

<p>13% (A)</p> Signup and view all the answers

What is the purpose of using ketorolac before emergence from anesthesia?

<p>To decrease postoperative pain (B)</p> Signup and view all the answers

What is a relative contraindication to the use of ketorolac?

<p>Impaired renal function (C)</p> Signup and view all the answers

What is the purpose of reversal of neuromuscular blockade using a nerve stimulator?

<p>To ensure adequate neuromuscular function before extubation (A)</p> Signup and view all the answers

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