Barash Highlights Flashcards Preview

Spring '20/ L. Basic's Test 3- OP, EENT, OR Hazards > Barash Highlights > Flashcards

Flashcards in Barash Highlights Deck (13)
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1
Q

two primary concerns for ambulatory anesthesia

A

speed of wake up

incidence of PONV

2
Q

what is the largest factor for unanticipated admissions after ambulatory surgery

A

nausea with or without vomiting

3
Q

patients remain in phase 2 recovery until they are able to do what?

A

tolerate liquids, walk and depending on the operation- walk

4
Q

medications that should be avoided on the day of surgery

A
ace/arb
diuretics
anticoagulants/antiplatelets
oral hypoglycemia agents
vitamins (e)-platelets
herbal supplements (bleeding)
5
Q

medications that should be taken on the day of surgery

A
b blockers
statins
antiarrythmias
antihypertensives -excpet ace arb diuretic
pulmonary inhalers
pain meds-except nsaids
antiseizure
hyperthyroid meds
6
Q

techniques to decrease postoperative n&v

A

use regional anesthesia alone if possible
if general is needed use propofol infusion instead of inhalation
avoid use of nitrous oxide
minimize use of preoperative opioids
avoid paralysis
consider adequate hydration

7
Q

what remains an important risk of an office based procedure

A

pulmonary embolism arising from deep vein thrombosis

8
Q

causes of injury in the office-based practice

A
inadequate resuscitation equipment
inadequate monitoring-lack of pulse ox
inadequate preoperative and postoperative evaluation
slow recognition of an event
slow response of an event
lack of experience
drug overdosage
9
Q

class a surgical procedure

A

minor surgical procedure
local topical or infiltration of local
no sedation preoperatively or intraoperateivly

10
Q

class b surgical procedure

A

minor or major surgery
sedation via oral rectal or iv sedation
analgesic or dissociative drugs

11
Q

class c surgical procedure

A

minor or major surgery
general anesthesia
major conduction block anesthesia

12
Q

children with mild to moderate tonsils enlargement- you must consider them to have what breathing problems sleeping and awake

A

upper airway obseruction while awake and apnea during sleep. do not underestimate the severity of the problem just based on tonsillar size

13
Q

patients with osa have an increased sensitivity to what medication and doses should be decreased how much

A

opioids doses should be reduced by 50%