Bariatric Surgery Anesthesia Challenges

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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?

Difficult airway algorithm Signup and view all the answers

Why is continuous assessment of position and pressure points imperative?

To prevent compression injury or nerve palsy Signup and view all the answers

Who is responsible for positioning according to the text?

Entire surgical team Signup and view all the answers

What can cause inaccurate blood pressure measurements?

Placing the cuff on the neck Signup and view all the answers

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

'Changes in the operating table position' or 'surgical manipulation' Signup and view all the answers

Why is having airway adjuncts available considered prudent?

To assist in difficult intubation scenarios Signup and view all the answers

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

Compression injury or nerve palsy incidence Signup and view all the answers

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

To decrease the potential for infection Signup and view all the answers

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

To facilitate a more rapid emergence from anesthesia 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?

To prevent nausea and vomiting in the postoperative period Signup and view all the answers

What is the most frequent complication associated with bariatric surgery?

Intestinal leakage at the site of the surgical anastomosis 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?

To decrease the potential for deep vein thrombosis 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?

To ensure the patient's airway is adequately supported during transport Signup and view all the answers

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

13% Signup and view all the answers

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

To decrease postoperative pain Signup and view all the answers

What is a relative contraindication to the use of ketorolac?

Impaired renal function Signup and view all the answers

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

To ensure adequate neuromuscular function before extubation Signup and view all the answers