Tonsillectomy Preoperative Evaluation Elements
36 Questions
1 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the controversial association with upper respiratory tract infections (URI) in pediatric patients undergoing tonsillectomy?

  • Decreased risk of postoperative bleeding
  • Increased incidence of perioperative bronchospasm or laryngospasm (correct)
  • Increased risk of cardiovascular complications
  • Reduced postoperative pain

    • What assessment should be performed in adult patients with tonsillar enlargement to determine the presence and severity of obstructive sleep apnea (OSA)?

  • Blood glucose level measurement
  • STOP-Bang questionnaire (correct)
  • Visual acuity test
  • Pulmonary function test

    • What further diagnostic studies are warranted for adult patients with severe obstructive sleep apnea (OSA) and tonsillar enlargement?

  • Thyroid function tests
  • Echocardiogram and chest radiograph (correct)
  • Bone density scan
  • CT scan of the abdomen

    • What oral examination finding may potentially cause difficulty with mask ventilation or direct laryngoscopy during tonsillectomy?

    <p>Tonsils encroaching on airway structures</p> Signup and view all the answers

    What is the purpose of evaluating a complete blood count, prothrombin time, or activated partial thromboplastin time?

    <p>To diagnose coagulopathy</p> Signup and view all the answers

    Which medical conditions are of concern due to the increased risk of airway obstruction and coexisting disease states?

    <p>Down syndrome and Treacher Collins syndrome</p> Signup and view all the answers

    From which artery does the blood flow to the palatine tonsils primarily arise?

    <p>Facial artery</p> Signup and view all the answers

    What is the primary sensory innervation to the palatine tonsils?

    <p>Glossopharyngeal nerve</p> Signup and view all the answers

    What medication may be administered 30 minutes before tonsillectomy to alleviate anxiety and provide sedation?

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

    For which patient should premedication be administered sparingly or not at all before tonsillectomy?

    <p>Patients with facial anomalies</p> Signup and view all the answers

    What can be initiated pre-operatively to assist with drying of secretions in the pharynx during a tonsillectomy?

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

    Which artery supplies blood to the palatine tonsils in addition to the facial artery?

    <p>External carotid artery</p> Signup and view all the answers

    What is the primary purpose of premedication for a child undergoing tonsillectomy?

    <p>To provide relaxation and analgesia</p> Signup and view all the answers

    Which nerve supplies sensory innervation to the palatine tonsils in addition to the glossopharyngeal nerve?

    <p>Lesser or posterior palatine nerve</p> Signup and view all the answers

    What is the most optimal technique for anesthesia and airway management during a tonsillectomy?

    <p>Endotracheal tube with general anesthesia</p> Signup and view all the answers

    What is the potential consequence of overextending the neck during positioning for a tonsillectomy?

    <p>Potential displacement of the C1-C2 vertebrae</p> Signup and view all the answers

    What is the purpose of inserting a mouth gag during a tonsillectomy?

    <p>To allow suspension of the mouth for visualization</p> Signup and view all the answers

    What are the potential complications associated with improper attention to airway management during tonsillectomy?

    <p>Inadvertent extubation</p> Signup and view all the answers

    What is the recommended position for patients undergoing tonsillectomy?

    <p>Supine with shoulders elevated and head extended</p> Signup and view all the answers

    What is the most frequently recommended orientation of the operating table regarding the anesthetist during tonsillectomy?

    <p>90 degrees toward the anesthetist</p> Signup and view all the answers

    What is the primary purpose of administering inhalation agents during tonsillectomy surgery?

    <p>To prevent airway obstruction</p> Signup and view all the answers

    What is the recommended action if the anesthesia machine alarms 'low tidal volume' during surgical manipulation of the mouth gag?

    <p>Confirm or exclude potential causes through diagnosis</p> Signup and view all the answers

    What is the consequence of relaxation of the pharyngeal muscles and tissues upon induction of anesthesia during tonsillectomy?

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

    Why is a deeper plane of anesthesia required during a tonsillectomy?

    <p>To blunt sympathetic reflexes and physiologic stimulation</p> Signup and view all the answers

    What should the anesthetist do if inadvertent extubation is determined during tonsillectomy surgery?

    <p>Ensure mask ventilation with 100% oxygen and prepare for reintubation</p> Signup and view all the answers

    How can the anesthesia team prevent patient movement during tonsillectomy surgery?

    <p>Administering intravenous propofol</p> Signup and view all the answers

    Why is a high degree of physiologic stimulation encountered during a tonsillectomy?

    <p>Due to manipulation of the airway and removal of the tonsils</p> Signup and view all the answers

    What is the appropriate response if the anesthesia machine indicates 'no compliance present, large air leak present with bag ventilation'?

    <p>'No compliance' indicates inadequate bag ventilation; adjust bag ventilation technique</p> Signup and view all the answers

    What should be done if there are no breath sounds present during assessment after the anesthesia machine alarms 'low tidal volume'?

    <p>Conduct a thorough diagnosis to identify potential causes</p> Signup and view all the answers

    Why is it essential to maintain a mask seal while preparing for reintubation after inadvertent extubation?

    <p>To maintain sufficient oxygenation during the reintubation procedure</p> Signup and view all the answers

    What is the primary sensory innervation below the vocal cords?

    <p>Recurrent laryngeal nerve</p> Signup and view all the answers

    Which nerve provides sensation to the larynx above the vocal cord level?

    <p>Superior laryngeal nerve</p> Signup and view all the answers

    Which artery supplies arterial blood to the larynx?

    <p>Superior laryngeal artery</p> Signup and view all the answers

    Which muscle of the larynx is primarily supplied by the external branch of the superior laryngeal nerve?

    <p>Cricothyroid muscle</p> Signup and view all the answers

    Which nerve provides motor innervation to the larynx, except for the cricothyroid muscle?

    <p>Recurrent laryngeal nerve</p> Signup and view all the answers

    Which nerve provides all sensory innervation below the level of the vocal cords?

    <p>Recurrent laryngeal nerve</p> Signup and view all the answers

    More Like This

    Use Quizgecko on...
    Browser
    Open
    Browser
    Browser