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Peripheral Vascular Disease and Anesthesia Quiz

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29 Questions

Which type of anesthesia is considered a 'safer choice' than neuraxial anesthesia for peripheral vascular surgery?

Peripheral nerve blocks

Why is regional anesthesia often thought to be a superior choice than general anesthesia for peripheral vascular surgery in patients with severe pulmonary disease?

It poses less risk of bronchospasm

Which of the following is a reason NOT to use regional or neuraxial anesthesia in vascular surgery according to the text?

Anticoagulant/antiplatelet therapies

What is one potential complication that can result from epidural/spinal hematoma during peripheral vascular surgery?

Permanent neurologic injury

What is the argument for using intubation in peripheral vascular surgery despite regional anesthesia being considered a safer choice?

For better airway control

What is the recommended dose of Heparin in Fem Pop or Femoral to Popliteal Artery Bypass Surgery?

100 units/kg

What is the purpose of repeating the dose of Heparin in Fem-Fem Bypass or Femoral to Femoral Bypass Surgery?

To maintain the effect of Heparin

Why is it important to avoid hypotension in Fem Pop or Femoral to Popliteal Artery Bypass Surgery?

To prevent graft occlusion

What is the recommended dose of Protamine at the end of Fem Pop or Femoral to Popliteal Artery Bypass Surgery?

25-50 mg

Why is it important to check potassium levels preoperatively in AV Fistula surgery?

To prevent hyperkalemia

What is the duration of AV Fistula surgery?

1-2 hours

Which is NOT listed as a risk factor for atherosclerosis in patients with peripheral artery disease?

Female gender

What is the most common site of atherosclerotic involvement below the inguinal artery?

Superficial femoral artery

What is the main symptom that can result from fibromuscular dysplasia affecting blood vessels?

Headache

Which of the following is NOT among the risk factors for peripheral vascular disease?

Hyperthyroidism

In peripheral vascular disease, blood flow to organs can be affected as a result of:

Progressive twisting of blood vessels

Which blood vessel is NOT commonly affected by atherosclerosis in peripheral artery disease?

Coronary artery

What is the main treatment approach for managing complications of Peripheral Vascular Disease?

Procedures to open up the blood vessels

How does regional anesthesia differ from general anesthesia in terms of the postoperative hypercoagulable state?

It attenuates the hypercoagulable state

Which condition is characterized by an inflammation in the blood vessels, particularly in the temples?

Giant Cell Arteritis

How does regional anesthesia potentially affect lower extremity blood flow in vascular patients?

It increases lower extremity blood flow

What is a common symptom of Giant Cell Arteritis?

Vision changes

In studies involving over 1300 patients, what did they find regarding cardiac morbidity and mortality when comparing regional/neuraxial anesthesia with general anesthesia?

No overall difference in cardiac morbidity and mortality

In which artery does Adventitial Cystic Disease commonly form a cyst filled with a mucus-like substance?

Popliteal artery

According to the current recommendation mentioned in the text, what is the most important factor in improving postoperative outcomes?

Overall optimization of perioperative care

What is another name for Buerger's Disease?

Thromboangiitis obliterans

Which anesthesia type is believed to have an advantage over the other in vascular patients according to the proposed mechanism mentioned in the text?

Regional anesthesia

Which disease affects blood vessels, most commonly in the arms and legs?

Buerger's Disease

What is the emphasis of the text regarding the choice of anesthesia for a procedure?

The provider's level of experience with the anesthesia

Test your knowledge on the causes and impact of peripheral vascular disease on the anesthetic plan, differentiate between acute and chronic PVD, and identify disease states associated with peripheral vascular conditions.

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