Elisha Chapter 4 VC Polyp Removal: Procedure and Recovery
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Questions and Answers

What is the potential consequence of administering succinylcholine after reversal of neuromuscular blockade with a cholinesterase inhibitor?

  • No effect on the duration of action
  • Prolonged paralysis due to inhibition of pseudocholinesterase (correct)
  • Immediate relief of laryngospasm
  • Rapid reversal of neuromuscular blockade

    • What can help attenuate irritation, coughing, and laryngospasm after vocal cord polyp removal?

  • Oral corticosteroid tablets
  • Intravenous narcotics titrated to patient comfort and respiratory adequacy (correct)
  • Intramuscular antibiotics at regular intervals
  • Topical antifungal ointment application

    • What is indicative of airway narrowing after vocal cord polyp removal?

  • Stridor (correct)
  • Sneezing
  • Wheezing
  • Hiccups

    • In the treatment of an airway fire, what is the immediate action to be taken?

    <p>Discontinue ventilation and oxygen flow</p> Signup and view all the answers

    What makes sevoflurane desirable as the main anesthetic during laser polyp removal?

    <p>It easily titrates</p> Signup and view all the answers

    What should be performed to visualize and document the degree of injury in the case of an airway fire?

    <p>Perform fiber-optic bronchoscopy</p> Signup and view all the answers

    Which volatile anesthetic agent causes airway irritation that may contribute to excessive coughing during emergence?

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

    What is likely to be required along with continued intubation in the treatment of an airway fire?

    <p>Corticosteroids and antibiotics</p> Signup and view all the answers

    What is the main reason for using sevoflurane as the main anesthetic during laser polyp removal?

    <p>To not cause irritation to the airway and being easily titrated</p> Signup and view all the answers

    What is the rationale for using total intravenous anesthesia (TIVA) during laser polyp removal surgery?

    <p>To avoid exposure of operating room personnel to anesthetic gases</p> Signup and view all the answers

    Why are short- or intermediate-duration muscle relaxants preferred during laser surgery of vocal polyps?

    <p>To avoid coughing or 'bucking' during the surgery</p> Signup and view all the answers

    Which nerve provides motor innervation to the cricothyroid muscle, a vocal cord tensor?

    <p>Superior laryngeal nerve (SLN)</p> Signup and view all the answers

    Why might the surgeon request visual confirmation of vocal cord movement after removal of the vocal cord polyp?

    <p>To confirm the integrity of the recurrent laryngeal nerve</p> Signup and view all the answers

    What are the anesthetic goals during emergence and extubation?

    <p>Avoiding laryngospasm and airway compromise</p> Signup and view all the answers

    What causes laryngospasm during the emergence phase?

    <p>Inadequate analgesia and airway stimulation</p> Signup and view all the answers

    What is the physiologic mechanism responsible for laryngospasm?

    <p>Sensory stimulation of the internal branch of the superior laryngeal nerve</p> Signup and view all the answers

    What is a systematic plan to treat laryngospasm?

    <p>Use of positive pressure via mask</p> Signup and view all the answers

    What contributes to the incidence of laryngospasm?

    <p>'Bucking' during extubation</p> Signup and view all the answers

    What is responsible for vocal cord adduction in laryngospasm?

    <p>Contraction of cricothyroid muscle</p> Signup and view all the answers

    What contributes to an increased risk of laryngospasm during emergence phase?

    <p>Inflammation and light anesthesia</p> Signup and view all the answers

    What physiological response helps treat laryngospasm?

    <p>Relaxation of cricothyroid muscle causing vocal cord abduction</p> Signup and view all the answers

    What is the potential consequence of administering succinylcholine after reversal of neuromuscular blockade with a cholinesterase inhibitor?

    <p>Extended duration of action</p> Signup and view all the answers

    What contributes to the incidence of laryngospasm after vocal cord polyp removal?

    <p>Administration of volatile anesthetic agents</p> Signup and view all the answers

    What physiological response helps treat laryngospasm after vocal cord polyp removal?

    <p>Aerosolized racemic epinephrine</p> Signup and view all the answers

    Why might prolonged paralysis require assisted ventilation after administration of succinylcholine?

    <p>Coughing and laryngospasm</p> Signup and view all the answers

    What is the first immediate action to be taken in the treatment of an airway fire?

    <p>Immediately discontinue ventilation and oxygen flow</p> Signup and view all the answers

    What anesthetic agent is desirable to use as the main anesthetic during laser polyp removal due to its pharmacokinetic and pharmacodynamic profiles?

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

    What is performed to visualize and document the degree of injury in the case of an airway fire?

    <p>Perform fiber-optic bronchoscopy</p> Signup and view all the answers

    What contributes to an increased risk of laryngospasm during the emergence phase after vocal cord polyp removal?

    <p>Administering succinylcholine after reversal of neuromuscular blockade with a cholinesterase inhibitor</p> Signup and view all the answers

    What is responsible for vocal cord adduction in laryngospasm?

    <p>Laryngeal movement</p> Signup and view all the answers

    What is indicative of airway narrowing after vocal cord polyp removal?

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

    What is the main rationale for using total intravenous anesthesia (TIVA) during laser polyp removal surgery?

    <p>To facilitate control of anesthetic depth during intermittent ventilation</p> Signup and view all the answers

    What is the reason for administering neuromuscular blocking agents during laser surgery on the airway?

    <p>To prevent injury from coughing or 'bucking' during surgery</p> Signup and view all the answers

    How is the larynx innervated in terms of sensory and motor function?

    <p>Innervated by the external superior laryngeal nerve, providing sensory innervation above the vocal cords</p> Signup and view all the answers

    Why might a surgeon request visual confirmation of vocal cord movement after removal of a vocal cord polyp?

    <p>To confirm that the recurrent laryngeal nerve remains intact</p> Signup and view all the answers

    What are the main anesthetic goals during emergence and extubation?

    <p>Decreasing airway irritation and avoiding airway compromise</p> Signup and view all the answers

    What physiological response contributes to the incidence of laryngospasm?

    <p>Sustained stimulation of the internal superior laryngeal nerve</p> Signup and view all the answers

    What is a systematic plan to treat laryngospasm?

    <p>Applying positive pressure via mask and administering intravenous lidocaine</p> Signup and view all the answers

    What contributes to an increased risk of laryngospasm during the emergence phase?

    <p>Vocal cord stimulation by the laser and light anesthesia</p> Signup and view all the answers

    What are potential consequences of administering succinylcholine after reversal of neuromuscular blockade with a cholinesterase inhibitor?

    <p>Unopposed cricothyroid tension and vocal cord paralysis</p> Signup and view all the answers

    What is responsible for vocal cord adduction in laryngospasm?

    <p>Sustained contraction of the cricothyroid muscles</p> Signup and view all the answers

    What makes sevoflurane an inappropriate choice for maintenance of anesthesia during laser polyp removal surgery?

    <p>Inability to facilitate control of anesthetic depth during intermittent ventilation</p> Signup and view all the answers

    What is the suggested difference between vocal cord polyps and nodules?

    <p>Polyps represent a chronic response to airway stress, while nodules are associated with an acute pathologic process</p> Signup and view all the answers

    Which group of individuals is at a higher risk for developing vocal cord polyps?

    <p>People who smoke and use their voice strenuously</p> Signup and view all the answers

    What is the suggested cause of the higher risk of developing vocal cord polyps in singers and orators?

    <p>Frequent stress placed on the vocal cord</p> Signup and view all the answers

    What is the most successful approach for treating vocal cord polyps through laser ablation?

    <p>Laser ablation combined with vocal therapy and treatment of GERD</p> Signup and view all the answers

    How does laser ablation of vocal cord polyps minimize damage to surrounding tissues?

    <p>By using low-intensity-energy laser beams</p> Signup and view all the answers

    What is the effect of larger vocal cord polyps on phonation?

    <p>They alter phonation</p> Signup and view all the answers

    Study Notes

    Elisha Chapter 4 VC Polyp Removal

    Elisha Chapter 4 VC polyp removal is a medical procedure that involves the removal of a polyp from the colorectal area. Polyps are abnormal growths on the lining of the colon or rectum that can be benign or malignant. In this article, we will discuss the procedure steps, recovery process, and possible complications associated with Elisha Chapter 4 VC polyp removal.

    Procedure Steps

    The Elisha Chapter 4 VC polyp removal procedure is typically performed as an outpatient procedure under sedation or general anesthesia. The patient is placed in a prone position on the operating table, and the surgeon inserts a speculum into the rectum to visualize the polyp. The polyp is then removed using a variety of techniques, including electrocautery, laser, or cold forceps. The small incision is then closed with sutures or staples, and a dressing is applied to the wound.

    Recovery Process

    After the procedure, the patient is typically monitored for a few hours in the recovery room until they are fully awake and stable. The patient is then discharged home with instructions to avoid heavy lifting, straining, or strenuous activity for several days. The patient should also avoid constipation by increasing their fluid intake and fiber consumption.

    The healing process can take several weeks, and the patient may experience some mild discomfort or cramping in the rectal area. The patient should also be aware of the signs of complications, such as severe pain, fever, or bleeding, and seek medical attention if they occur.

    Complications

    While the Elisha Chapter 4 VC polyp removal procedure is generally safe and effective, there are some potential complications that can arise. These include:

    • Bleeding: This can occur during or after the procedure and can be a serious complication if it is heavy or persistent.
    • Infection: This can occur if the wound becomes infected, and the patient may experience fever, pain, or drainage from the wound.
    • Injury to adjacent organs: This can occur if the surgeon accidentally damages the bladder, ureter, or other organs during the procedure.
    • Anesthesia reactions: This can occur if the patient has an allergic reaction to the anesthesia or experiences other complications related to the anesthesia.

    It is important for patients to discuss any concerns or questions they may have with their healthcare provider before undergoing the procedure.

    In conclusion, Elisha Chapter 4 VC polyp removal is a safe and effective procedure for removing polyps from the colorectal area. By understanding the procedure steps, recovery process, and potential complications, patients can feel more confident in their decision to undergo this procedure. If you are considering Elisha Chapter 4 VC polyp removal, it is essential to discuss your options with your healthcare provider and weigh the benefits and risks of the procedure.

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    Description

    Learn about the Elisha Chapter 4 VC polyp removal procedure, including the steps, recovery process, and potential complications. Understand the outpatient surgery, recovery time, and post-procedure care to make an informed decision.

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