Inhaled 1
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Questions and Answers

Which type of inhaled anesthetic is preferred for inhalation induction due to its low pungency and low blood:gas solubility?

  • Xenon
  • Nitrous oxide
  • Desflurane
  • Sevoflurane (correct)
  • What effect do all volatile anesthetics have on blood pressure?

  • Increase blood pressure
  • Decrease blood pressure (correct)
  • No effect on blood pressure
  • Cause irregular heartbeat
  • What cascade of events do volatile anesthetics trigger, similar to a brief ischemic period?

  • Increases CMRO2
  • Decreases cerebral blood flow
  • Initiates intracellular events providing myocardial protection (correct)
  • Triggers MH reaction
  • Which factor can affect the MAC of inhaled anesthetics?

    <p>Patient's age</p> Signup and view all the answers

    What is needed for the delivery of the desired concentration of desflurane due to its low boiling point?

    <p>Special vaporizer</p> Signup and view all the answers

    Which inhaled agents will trigger Malignant Hyperthermia (MH) in a susceptible patient?

    <p>All volatile agents</p> Signup and view all the answers

    What effect do volatile anesthetics have on evoked potential monitoring?

    <p>Produce predictable effects varying by monitor type</p> Signup and view all the answers

    What impact do volatile anesthetics have on cerebral blood flow and CMRO2?

    <p>Increased cerebral blood flow and decreased CMRO2</p> Signup and view all the answers

    Which of the following is NOT a factor that increases MAC?

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

    What is the approximate percentage decrease in MAC per decade from 1 year of age onward?

    <p>6%</p> Signup and view all the answers

    Which volatile agent produces the least airway irritation?

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

    What is the characteristic of MAC-awake?

    <p>Patient opens eyes to command</p> Signup and view all the answers

    Which factor does NOT change MAC according to the text?

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

    Which volatile agent has varying effects on autoregulation?

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

    What is the effect of Sevoflurane on CSF resorption?

    <p>No change</p> Signup and view all the answers

    What is the characteristic of MAC-BAR?

    <p>Alveolar concentration that blunts adrenergic response to noxious stimuli</p> Signup and view all the answers

    Which volatile anesthetic has the highest blood:gas partition coefficient among the currently available ones?

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

    What is a unique property of halothane compared to the other volatile agents?

    <p>Susceptibility to decomposition</p> Signup and view all the answers

    Which volatile anesthetic is known for its extremely rare incidence of immune-mediated hepatitis?

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

    Among the volatile agents, which one has the lowest blood:gas partition coefficient?

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

    Which volatile anesthetic produces a dose-dependent decrease in uterine smooth muscle tone?

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

    What is a unique adverse effect associated with desflurane among the volatile anesthetics?

    <p>Increased inorganic fluoride levels</p> Signup and view all the answers

    Which volatile agent has been linked to dose-dependent nephrotoxicity in rats but appears safe in humans?

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

    What is the approximate percentage change in cerebral blood flow for each 1mmHg change in pCO2?

    <p>~3%</p> Signup and view all the answers

    How does hypocapnia affect the increase in cerebral blood flow seen with volatile agents?

    <p>Blunts the increase</p> Signup and view all the answers

    Why is hypocapnia contraindicated in traumatic brain injury (TBI)?

    <p>It increases cerebral blood flow</p> Signup and view all the answers

    In the context of focal cerebral injury following incomplete ischemia, what is likely to be minimally different between isoflurane and thiopental when blood pressure is maintained?

    <p>Cerebral injury reduction</p> Signup and view all the answers

    What contributes to the improvement in cerebral tissue oxygenation when anesthetic agents are used to lower blood pressure?

    <p>Moderate increase in cerebral blood flow</p> Signup and view all the answers

    What is postoperative cognitive dysfunction characterized by?

    <p>Impaired mental processing</p> Signup and view all the answers

    What does Barash suggest about the use of volatile agents compared to sedative-hypnotics in improving cerebral tissue oxygenation?

    <p>Volatile agents improve oxygenation</p> Signup and view all the answers

    Which anesthetic agent is associated with the most improvement over isoflurane in terms of cognitive recovery?

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

    What effect does N2O have on coronary steal and ischemia?

    <p>May worsen cardiac outcomes</p> Signup and view all the answers

    Which volatile agent is recommended to be avoided when using motor-evoked potentials technique?

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

    What is the effect of volatile agents on ventricular response to an acute increase in preload in cardiac patients?

    <p>No change</p> Signup and view all the answers

    Which anesthetic agent may slightly prolong the QT interval?

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

    What effect do volatile agents have on blood pressure?

    <p>Dose-related decrease</p> Signup and view all the answers

    How do volatile agents affect sensitivity to catecholamines in the myocardium?

    <p>No change</p> Signup and view all the answers

    Which type of changes are better tolerated in terms of anesthetic depth according to the text?

    <p>+Gradual changes</p> Signup and view all the answers

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