Podcast
Questions and Answers
What is the controversial association with upper respiratory tract infections (URI) in pediatric patients undergoing tonsillectomy?
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)?
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?
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?
What oral examination finding may potentially cause difficulty with mask ventilation or direct laryngoscopy during tonsillectomy?
What is the purpose of evaluating a complete blood count, prothrombin time, or activated partial thromboplastin time?
What is the purpose of evaluating a complete blood count, prothrombin time, or activated partial thromboplastin time?
Which medical conditions are of concern due to the increased risk of airway obstruction and coexisting disease states?
Which medical conditions are of concern due to the increased risk of airway obstruction and coexisting disease states?
From which artery does the blood flow to the palatine tonsils primarily arise?
From which artery does the blood flow to the palatine tonsils primarily arise?
What is the primary sensory innervation to the palatine tonsils?
What is the primary sensory innervation to the palatine tonsils?
What medication may be administered 30 minutes before tonsillectomy to alleviate anxiety and provide sedation?
What medication may be administered 30 minutes before tonsillectomy to alleviate anxiety and provide sedation?
For which patient should premedication be administered sparingly or not at all before tonsillectomy?
For which patient should premedication be administered sparingly or not at all before tonsillectomy?
What can be initiated pre-operatively to assist with drying of secretions in the pharynx during a tonsillectomy?
What can be initiated pre-operatively to assist with drying of secretions in the pharynx during a tonsillectomy?
Which artery supplies blood to the palatine tonsils in addition to the facial artery?
Which artery supplies blood to the palatine tonsils in addition to the facial artery?
What is the primary purpose of premedication for a child undergoing tonsillectomy?
What is the primary purpose of premedication for a child undergoing tonsillectomy?
Which nerve supplies sensory innervation to the palatine tonsils in addition to the glossopharyngeal nerve?
Which nerve supplies sensory innervation to the palatine tonsils in addition to the glossopharyngeal nerve?
What is the most optimal technique for anesthesia and airway management during a tonsillectomy?
What is the most optimal technique for anesthesia and airway management during a tonsillectomy?
What is the potential consequence of overextending the neck during positioning for a tonsillectomy?
What is the potential consequence of overextending the neck during positioning for a tonsillectomy?
What is the purpose of inserting a mouth gag during a tonsillectomy?
What is the purpose of inserting a mouth gag during a tonsillectomy?
What are the potential complications associated with improper attention to airway management during tonsillectomy?
What are the potential complications associated with improper attention to airway management during tonsillectomy?
What is the recommended position for patients undergoing tonsillectomy?
What is the recommended position for patients undergoing tonsillectomy?
What is the most frequently recommended orientation of the operating table regarding the anesthetist during tonsillectomy?
What is the most frequently recommended orientation of the operating table regarding the anesthetist during tonsillectomy?
What is the primary purpose of administering inhalation agents during tonsillectomy surgery?
What is the primary purpose of administering inhalation agents during tonsillectomy surgery?
What is the recommended action if the anesthesia machine alarms 'low tidal volume' during surgical manipulation of the mouth gag?
What is the recommended action if the anesthesia machine alarms 'low tidal volume' during surgical manipulation of the mouth gag?
What is the consequence of relaxation of the pharyngeal muscles and tissues upon induction of anesthesia during tonsillectomy?
What is the consequence of relaxation of the pharyngeal muscles and tissues upon induction of anesthesia during tonsillectomy?
Why is a deeper plane of anesthesia required during a tonsillectomy?
Why is a deeper plane of anesthesia required during a tonsillectomy?
What should the anesthetist do if inadvertent extubation is determined during tonsillectomy surgery?
What should the anesthetist do if inadvertent extubation is determined during tonsillectomy surgery?
How can the anesthesia team prevent patient movement during tonsillectomy surgery?
How can the anesthesia team prevent patient movement during tonsillectomy surgery?
Why is a high degree of physiologic stimulation encountered during a tonsillectomy?
Why is a high degree of physiologic stimulation encountered during a tonsillectomy?
What is the appropriate response if the anesthesia machine indicates 'no compliance present, large air leak present with bag ventilation'?
What is the appropriate response if the anesthesia machine indicates 'no compliance present, large air leak present with bag ventilation'?
What should be done if there are no breath sounds present during assessment after the anesthesia machine alarms 'low tidal volume'?
What should be done if there are no breath sounds present during assessment after the anesthesia machine alarms 'low tidal volume'?
Why is it essential to maintain a mask seal while preparing for reintubation after inadvertent extubation?
Why is it essential to maintain a mask seal while preparing for reintubation after inadvertent extubation?
What is the primary sensory innervation below the vocal cords?
What is the primary sensory innervation below the vocal cords?
Which nerve provides sensation to the larynx above the vocal cord level?
Which nerve provides sensation to the larynx above the vocal cord level?
Which artery supplies arterial blood to the larynx?
Which artery supplies arterial blood to the larynx?
Which muscle of the larynx is primarily supplied by the external branch of the superior laryngeal nerve?
Which muscle of the larynx is primarily supplied by the external branch of the superior laryngeal nerve?
Which nerve provides motor innervation to the larynx, except for the cricothyroid muscle?
Which nerve provides motor innervation to the larynx, except for the cricothyroid muscle?
Which nerve provides all sensory innervation below the level of the vocal cords?
Which nerve provides all sensory innervation below the level of the vocal cords?
