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Questions and Answers
What is the formula used to calculate force?
What is the formula used to calculate force?
Which unit is used to measure pressure?
Which unit is used to measure pressure?
What happens according to Newton's 3rd Law of Reciprocal Action?
What happens according to Newton's 3rd Law of Reciprocal Action?
Which type of energy is defined as the capacity to do work?
Which type of energy is defined as the capacity to do work?
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How is work defined in physical terms?
How is work defined in physical terms?
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What factor affects gauge pressure?
What factor affects gauge pressure?
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Which unit measures energy?
Which unit measures energy?
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What do Kinetic Energy and Work have in common?
What do Kinetic Energy and Work have in common?
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Which component of a laser determines the directionality of the laser beam?
Which component of a laser determines the directionality of the laser beam?
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Which type of laser has a longer wavelength and is commonly used in ENT surgeries?
Which type of laser has a longer wavelength and is commonly used in ENT surgeries?
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What property of laser beams makes distance from the source have negligible safety effects?
What property of laser beams makes distance from the source have negligible safety effects?
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Which wavelength is associated with the neodymium-YAG laser, making it penetrate deeper than water?
Which wavelength is associated with the neodymium-YAG laser, making it penetrate deeper than water?
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Which intervention is crucial for OR staff when lasers are not in use?
Which intervention is crucial for OR staff when lasers are not in use?
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What type of safety equipment is recommended for all personnel working with lasers?
What type of safety equipment is recommended for all personnel working with lasers?
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Which anesthesia intervention is necessary for patients when lasers are used in the operating room?
Which anesthesia intervention is necessary for patients when lasers are used in the operating room?
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What characteristic of the neodymium-YAG laser complicates postoperative healing?
What characteristic of the neodymium-YAG laser complicates postoperative healing?
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What is a key fire risk associated with the use of lasers in surgery?
What is a key fire risk associated with the use of lasers in surgery?
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What factor contributes to the energy levels associated with longer wavelengths in lasers?
What factor contributes to the energy levels associated with longer wavelengths in lasers?
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What happens to the velocity of a fluid as it passes through a narrowing in a tube according to Bernoulli's Principle?
What happens to the velocity of a fluid as it passes through a narrowing in a tube according to Bernoulli's Principle?
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Which type of flow is characterized by smooth and regular movement of fluid with predictable behavior?
Which type of flow is characterized by smooth and regular movement of fluid with predictable behavior?
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What effect does viscosity have on fluid flow according to Poiseuille's Law?
What effect does viscosity have on fluid flow according to Poiseuille's Law?
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What is the significance of Reynolds Number in fluid dynamics?
What is the significance of Reynolds Number in fluid dynamics?
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What occurs in turbulent flow?
What occurs in turbulent flow?
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According to Venturi Effect, what occurs when fluid enters a narrowing space?
According to Venturi Effect, what occurs when fluid enters a narrowing space?
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Which factor contributes to increased resistance in turbulent flow?
Which factor contributes to increased resistance in turbulent flow?
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Which factor is NOT directly proportional to Reynolds Number?
Which factor is NOT directly proportional to Reynolds Number?
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What type of flow occurs at lower fluid velocities and results in predictable flow patterns?
What type of flow occurs at lower fluid velocities and results in predictable flow patterns?
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How does the pressure gradient affect fluid flow according to Poiseuille's Law?
How does the pressure gradient affect fluid flow according to Poiseuille's Law?
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Which method of O2 analysis uses a semipermeable membrane to measure electrical potential?
Which method of O2 analysis uses a semipermeable membrane to measure electrical potential?
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What is the primary principle behind the Severinghaus PCO2 electrode?
What is the primary principle behind the Severinghaus PCO2 electrode?
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Which gas analysis method requires a magnetic field to deflect ionized molecules?
Which gas analysis method requires a magnetic field to deflect ionized molecules?
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What limitation does infrared analysis have when measuring gases?
What limitation does infrared analysis have when measuring gases?
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What aspect of the Beer-Lambert Law affects the absorption of electromagnetic waves?
What aspect of the Beer-Lambert Law affects the absorption of electromagnetic waves?
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In capnography, what does Phase II of the waveform represent?
In capnography, what does Phase II of the waveform represent?
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Which angle in capnography indicates the transition from a mix of gases to only alveolar air?
Which angle in capnography indicates the transition from a mix of gases to only alveolar air?
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What causes a prolonged expiratory upstroke in capnography?
What causes a prolonged expiratory upstroke in capnography?
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What is a significant drawback of using colorimetric sensors for CO2 detection?
What is a significant drawback of using colorimetric sensors for CO2 detection?
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What fundamental principle does the paramagnetic oxygen analyzer rely on?
What fundamental principle does the paramagnetic oxygen analyzer rely on?
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What defines a normal baseline CO2 level in capnography?
What defines a normal baseline CO2 level in capnography?
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What is the main function of a polarographic electrode in O2 analysis?
What is the main function of a polarographic electrode in O2 analysis?
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Which of the following is a limitation of inferred analysis?
Which of the following is a limitation of inferred analysis?
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What is the primary limitation of pulse oximetry at SpO2 values below 70%?
What is the primary limitation of pulse oximetry at SpO2 values below 70%?
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Which of the following is an advantage of pulse oximetry?
Which of the following is an advantage of pulse oximetry?
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What do the light-emitting diodes in a pulse oximeter emit?
What do the light-emitting diodes in a pulse oximeter emit?
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Which statement accurately describes the Beer-Lambert Law as applied in anesthesia?
Which statement accurately describes the Beer-Lambert Law as applied in anesthesia?
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What constitutes the primary sample in cerebral oximetry measurements?
What constitutes the primary sample in cerebral oximetry measurements?
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What is a common source of error in pulse oximetry readings?
What is a common source of error in pulse oximetry readings?
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In the context of pulse oximetry, what does carboxyhemoglobin cause?
In the context of pulse oximetry, what does carboxyhemoglobin cause?
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Which of the following describes a disadvantage of cerebral oximetry?
Which of the following describes a disadvantage of cerebral oximetry?
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Which of the following factors can negatively impact pulse oximetry accuracy?
Which of the following factors can negatively impact pulse oximetry accuracy?
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What is a principle drawback of the Beer-Lambert Law in cerebral oximetry?
What is a principle drawback of the Beer-Lambert Law in cerebral oximetry?
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Study Notes
Units of Measurement
- Mass is measured in grams (g).
- Length is measured in meters (m).
- Volume is measured in liters (L).
- Time is measured in seconds (sec).
Force
- Force is defined as the amount of energy required to change an object's state of rest to motion.
- Force is calculated using the formula: F = mass (m) x acceleration (a).
- Force is measured in Newtons.
- One Newton is the energy needed to move 1 kg of mass 1 meter.
- Gravity is a force: a force of attraction between masses.
- Larger molecules attract other molecules through gravity.
- Hydrostatic pressure is affected by gravity and distance from the heart.
Pressure
- Pressure is defined as the amount of force applied per unit area.
- Pressure is measured in Pascals (Pa) and Kilopascals (kPa).
- Bourdon Gauge: directly measures pressure, used on compressed gas cylinders.
- Absolute pressure = atmospheric pressure + gauge pressure.
- Gauge pressure = absolute pressure - atmospheric pressure.
Energy
- Energy is measured in Joules.
- Potential energy (PE): stored energy that can be converted to work.
- Kinetic energy (KE): the exertion of force.
- PE and KE exist in equilibrium.
- KE and Work are essentially the same.
- Law of Conservation of Energy: energy cannot be destroyed or created, only transferred or converted.
Work
- Work is calculated as Force x Distance.
- KE and Work are essentially the same.
Laplace's Law
- Laplace's Law describes the relationship between the pressure of a fluid inside a closed container, the radius of the container, and the tension of the container's wall.
- Cylinders: the pressure inside a cylinder is inversely proportional to the radius of the cylinder.
- Spheres: the pressure inside a sphere is inversely proportional to the radius of the sphere.
Pascal's Principle
- Pascal's Principle states that the pressure applied to an enclosed fluid is transmitted equally to every point within the fluid.
Surface Tension
- Surface Tension is the force that exists at the interface between a liquid and a gas.
- Surface Tension is influenced by the cohesive forces between liquid molecules, adhesion forces between the liquid and another surface, and the temperature.
Venturi Effect
- The Venturi Effect describes the decrease in pressure that occurs when a fluid flows through a narrowing space, resulting in an increase in velocity.
Fluid Mechanics
- Fluids are susceptible to pressure and gravity.
- Fluids include liquids and gases.
- Fluid dynamics are defined by the response to stress.
- Perpendicular stress is resistance to compression.
- Liquids resist compression while gases are compressible and expandable.
- Tangential stress: resistance to flow due to surface interaction.
- Friction is proportional to viscosity.
- Viscosity is the inherent property of a fluid that resists flow.
Types of Flow
- Laminar flow: predictable, with less tangential stress at the center of the flow and more stress on the bottom and outside.
- Transitional flow: most common type of flow in the body.
- Turbulent flow: irregular, swirling flow that occurs at high velocities, sharp bends, angles, and irregularities.
Poiseuille's Law
- Poiseuille's Law predicts the rate of flow through a pipe.
- Flow is exponentially proportional to the radius of the pipe.
- Flow is directly proportional to the pressure gradient.
- Flow is inversely proportional to viscosity.
- Flow is inversely proportional to the length of the pipe.
Reynold's Number
- Index that combines Poiseuille's Law and fluid density to determine whether a given flow will be laminar or turbulent.
- Flow is directly proportional to velocity, diameter, and density.
- Flow is inversely proportional to viscosity.
- Laminar flow: Reynold's number < 2000.
Bernoulli's Principle
- As fluid flows through a constriction, velocity increases and pressure decreases.
- Velocities and pressures exist in an inverse relationship, Velocity takes away KE from pressure (Law of Conservation).
Gas Analysis
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Oxygen (O2) Analysis
- Electro-Galvanic Cell (Fuel Cells): Oxygen passes through a semipermeable membrane and dissolves into an electrolyte solution, generating electrical potential measured by a voltmeter.
- Polarographic Electrode (Clark Electrode): Applied voltage causes oxygen to reduce at the cathode, creating a current proportional to O2 partial pressure.
- Paramagnetic Oxygen Analyzer: Oxygen's paramagnetic properties are used to measure its concentration by analyzing pressure differences caused by rapidly alternating electromagnetic fields.
- Fluorescence-Quenching: Oxygen absorbs photons, preventing emitted light, allowing concentration analysis through the amount of emitted photons.
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Carbon Dioxide (CO2) Analysis
- Severinghaus PCO2 electrode: CO2 diffuses into a bicarbonate solution and reacts with water producing carbonic acid, measured by a voltmeter.
- Colorimetric Sensor: CO2 dissolves into a solution, altering pH and activating a pH-sensitive dye, creating a color change which can be measured.
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Other Gas Analysis
- Mass Spectrometry: Ionized gas molecules are deflected by a magnetic field, creating electrical currents measured at collectors.
- Infrared analysis: Gases absorb infrared radiation at distinct wavelengths, allowing measurement by analyzing changes in the infrared beam.
- Raman Scattering Analysis: analyzes scattered light from molecules hit by a laser beam.
Beer-Lambert Law
- The Beer-Lambert Law describes the relationship between the absorption of electromagnetic radiation and the concentration of the absorbing substance.
- Absorption is determined by the thickness and absorbing properties of the substance.
Capnography
- Capnography is a tool that measures the concentration of carbon dioxide (CO2) in exhaled air.
- Capnographs use a specific waveform to display the amount of CO2 in exhaled tidal volume over time.
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Phases of Capnography Waveform:
- Phase 0: Inspiratory phase.
- Phase 1: Exhalation of dead space, minimal to no CO2.
- Phase II: Exhalation of mixed alveolar and dead space gas, expired CO2 from the upper airways.
- Phase III: Alveolar plateau, represents alveolar pCO2.
- Phase IV: End-tidal CO2, measured at this point.
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Angles of Capnography Waveform:
- Alpha Angle: between phases II and III, represents transition to just alveolar air exhalation.
- Beta Angle: between phases III and IV, represents transition to inspiration.
Pulse Oximetry
- Pulse oximetry is a non-invasive tool that measures the percentage of hemoglobin in the blood that is saturated with oxygen (SpO2).
- Pulse oximeter probe emits red and infrared light, which is absorbed differently by oxyhemoglobin and deoxyhemoglobin, allowing for SpO2 calculation.
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Advantages:
- Non-invasive.
- Easy to apply.
- Continuous monitoring.
- Earlier detection of desaturation.
- Inexpensive.
-
Disadvantages:
- Prone to artifact.
- Delayed measurements (30-60 seconds).
- Inaccurate at SpO2 values below 70%.
- Rare risk of burns in poor perfusion states.
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Inaccuracies:
- Falsely high readings: carbon monoxide poisoning, methemoglobinemia.
- Underestimated readings: dyes such as methylene blue.
- Other sources of error: ambient light, skin pigmentation, electrosurgery, motion artifact, nail polish.
Cerebral Oximetry
- Cerebral oximetry measures the oxygen saturation of the blood in the brain.
- It relies on the scattering and reflection of radiation, which is highly unpredictable and influenced by venous and arterial blood.
- The Beer-Lambert Law does not apply directly, so modified equations are used.
Lasers
- Lasers are high-energy light beams that are concentrated and directional.
- Components of a laser:
- Energy source (example: electricity)
- Brewster Angle- mirrors that determine directionality.
- Resonant chamber: contains the laser medium where the laser light amplifies.
- Electrodes (anode and cathode).
- Lasers are classified based on their wavelengths which correspond to their energy levels.
-
Risks and Dangers:
- Protective eyewear is crucial for all personnel.
- Reflected radiation is as hazardous as direct radiation.
- Laser beams do not decay with distance: distance from the source has minimal safety effects.
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Types of Lasers:
- Carbon Dioxide Laser: superficial penetration, used for ENT surgeries and some neurosurgeries, infrared wavelength, not fiberoptic compatible.
- Nd-YAG laser: deeper penetration, wavelengths are better absorbed by water, used for distal airway surgeries, good coagulation, can cause delayed swelling.
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Anesthesia Considerations:
- Laser in standby mode when not in use.
- Secondary light beams for aiming assistance.
- Monitor the location of instruments and flammable materials.
- Laser safety goggles for all personnel.
- Clear communication and a planned approach for crisis response.
- Patient should wear laser safety goggles.
- Monitor EtO2 (end-tidal oxygen) levels.
Fire Risks & Emergency Precautions
- Use laser safety goggles for all staff members.
- Minimize flammable materials in the room where a laser is in use.
- Have a plan for emergency response to fires.
- Be prepared to extinguish a fire with appropriate equipment and resources.
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Description
Test your understanding of fundamental physics concepts such as units of measurement, force, and pressure. This quiz covers essential definitions, formulas, and measurement units associated with these topics. Perfect for students looking to reinforce their knowledge in physics.