Podcast
Questions and Answers
What is the primary mechanism by which abdominal insufflation and intraabdominal exploration induce a stress response?
What is the primary mechanism by which abdominal insufflation and intraabdominal exploration induce a stress response?
- Decreased plasma levels of angiotensin
- Decreased systemic vascular resistance and cardiac output
- Decreased mean arterial pressure
- Increased plasma concentrations of cortisol, renin, vasopressin, epinephrine, and norepinephrine (correct)
Which of the following anesthetic agents or techniques is recommended to attenuate the hemodynamic responses to laparoscopic surgery?
Which of the following anesthetic agents or techniques is recommended to attenuate the hemodynamic responses to laparoscopic surgery?
- Volatile inhalation anesthetic agent alone
- Nitrous oxide
- Opioids, alpha-2 agonists, dexmedetomidine, and beta-adrenergic receptor blockade (correct)
- Neuraxial anesthesia as the sole anesthetic technique
Why is nitrous oxide best avoided in laparoscopic surgery?
Why is nitrous oxide best avoided in laparoscopic surgery?
- It can increase the incidence of postoperative nausea and vomiting (PONV)
- It can cause bowel distention
- It can delay resolution of a gaseous air embolism
- All of the above (correct)
What is the primary reason why neuraxial anesthesia is not commonly used as the sole anesthetic technique during bowel resection?
What is the primary reason why neuraxial anesthesia is not commonly used as the sole anesthetic technique during bowel resection?
What is the primary advantage of combining epidural anesthesia with general anesthesia for laparoscopic bowel resection?
What is the primary advantage of combining epidural anesthesia with general anesthesia for laparoscopic bowel resection?
What is the recommended anesthetic technique for laparoscopic surgery?
What is the recommended anesthetic technique for laparoscopic surgery?
What is the primary disadvantage of using nitrous oxide in laparoscopic surgery?
What is the primary disadvantage of using nitrous oxide in laparoscopic surgery?
What is the primary reason why laparoscopic surgery is associated with increased postoperative nausea and vomiting (PONV)?
What is the primary reason why laparoscopic surgery is associated with increased postoperative nausea and vomiting (PONV)?
What is the primary benefit of combining epidural anesthesia with general anesthesia for laparoscopic bowel resection?
What is the primary benefit of combining epidural anesthesia with general anesthesia for laparoscopic bowel resection?
Which of the following is NOT a recommended method to attenuate the hemodynamic responses to laparoscopic surgery?
Which of the following is NOT a recommended method to attenuate the hemodynamic responses to laparoscopic surgery?
Which strategy may be employed to decrease postoperative pain after laparotomy as a primary modality or as a supplement to an epidural technique?
Which strategy may be employed to decrease postoperative pain after laparotomy as a primary modality or as a supplement to an epidural technique?
What may be used to augment the effect of opioids in controlling postoperative pain after laparotomy?
What may be used to augment the effect of opioids in controlling postoperative pain after laparotomy?
Which technique anesthetizes sensory nerves of the anterior abdominal wall to provide analgesia after laparotomy?
Which technique anesthetizes sensory nerves of the anterior abdominal wall to provide analgesia after laparotomy?
What is used to decrease postoperative opioid requirements and is recommended as part of postoperative analgesia after laparotomy?
What is used to decrease postoperative opioid requirements and is recommended as part of postoperative analgesia after laparotomy?
Which medication adminstered in low IV doses can be used to enhance the effects of opioids for postoperative pain management?
Which medication adminstered in low IV doses can be used to enhance the effects of opioids for postoperative pain management?
Which method can be initiated preoperatively and continued to provide an established level of analgesia for postoperative management?
Which method can be initiated preoperatively and continued to provide an established level of analgesia for postoperative management?
Which intervention anesthetizes sensory nerves of the anterior abdominal wall to provide effective analgesic supplementation?
Which intervention anesthetizes sensory nerves of the anterior abdominal wall to provide effective analgesic supplementation?
What may be combined with supplemental IV or oral medications to control postoperative pain effectively after laparotomy?
What may be combined with supplemental IV or oral medications to control postoperative pain effectively after laparotomy?
What intervention anesthetizes sensory nerves of the anterior abdominal wall and may be utilized for postoperative pain management after laparotomy?
What intervention anesthetizes sensory nerves of the anterior abdominal wall and may be utilized for postoperative pain management after laparotomy?
What can be used effectively as a single therapy or in combination with opiates for postoperative pain management after laparotomy?
What can be used effectively as a single therapy or in combination with opiates for postoperative pain management after laparotomy?
