Pediatric Tonsillectomy and Adenoidectomy Anesthesia
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Questions and Answers

What is the usual blood loss during tonsillectomy and adenoidectomy?

  • Minimal, negligible bleeding
  • Usually small, can bleed post-op (correct)
  • Excessive, necessitating urgent intervention
  • Significant, requiring transfusion

    • What is the recommended position for the patient during anesthesia for tonsillectomy and adenoidectomy?

  • Right lateral with a head-down tilt
  • Prone with a pad under the abdomen
  • Left lateral with a head-up tilt
  • Supine with a pad under the shoulders (correct)

    • Which anesthesia induction method is recommended if the nasopharynx is blocked by large adenoids?

  • Inhalational induction with sevoflurane (correct)
  • Use of Guedel airway with nebulized lidocaine
  • Deep inhalational anesthesia with nitrous oxide
  • Intravenous induction with propofol

    • What is the recommended technique for securing the endotracheal tube during tonsillectomy and adenoidectomy?

    <p>Midline without packing to avoid obscuring surgical field</p> Signup and view all the answers

    What is the essential antiemetic recommended for use during tonsillectomy and adenoidectomy?

    <p>At least one recommended—dexamethasone or ondansetron</p> Signup and view all the answers

    The use of T-piece is ideal for spontaneous ventilation during tonsillectomy and adenoidectomy

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

    During tonsillectomy and adenoidectomy, a cuffed endotracheal tube is recommended for airway management

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

    In patients with large adenoids obstructing the nasopharynx, a Guedel airway is useful for airway management

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

    The patient should be extubated in supine position after tonsillectomy and adenoidectomy

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

    Which anesthesia complication is particularly problematic in gynecological surgery, especially with high-risk patients?

    <p>Postoperative nausea and vomiting (PONV)</p> Signup and view all the answers

    Intraoperative displacement or obstruction of the endotracheal tube is not a concern during tonsillectomy and adenoidectomy

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

    During gynecological surgery, what potential complication should be taken into consideration when the patient is positioned in the lithotomy position?

    <p>Nerve injury</p> Signup and view all the answers

    For elderly patients undergoing pelvic floor prolapse surgery, what precaution should be taken to prevent a specific complication?

    <p>Avoiding N2O</p> Signup and view all the answers

    What measure should be ensured during laparotomies to address a potential complication related to surgery duration and blood loss?

    <p>Maintaining patient warmth</p> Signup and view all the answers

    What is a notable concern during patient positioning in gynecological surgery, particularly when patients are moved up or down the table?

    <p>Airway obstruction</p> Signup and view all the answers

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