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Flashcards in Exam 3 - Review Deck (201)
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181

  • Hepatoblastoma is the most common pediatric hepatic
  • Tumors are typically unifocal and affect which side/lobe more often? 

right lobe more often than the left lobe

182

  • Coagulation status must be determined, and appropriate blood components reserved preoperatively, especially since hepatic resections are often associated

with significant bleeding ***

183

  • Hallmark of neuroblastoma is the broad range of tumor

location and clinical behavior

184

  • Neuroblastoma refers to a group of malignant neoplasms of the 

sympathetic nervous system (SNS)

 

  • These tumors can occur anywhere throughout the SNS
  • The most common site is the adrenal glands (40% of cases), followed by abdominal, thoracic, cervical, and pelvic sympathetic ganglia

185

  • The most important consideration in the perioperative care of patients with Ewing's sarcoma is

pain control ***

186

  • Anesthetic management for tumors of the CNS is aimed at

limiting further increase in ICP and preserving cerebral perfusion ***

187

  • the most common chromosomal abnormality ***

Down's syndrome is

188

  • in Down's Syndrome - Macroglossia compounded by potential micrognathia and midface hypoplasia predispose these children to rapid airway obstruction and hypoxemia with induction of anesthesia
    • Oral airways should

always be available to help in reestablishing airway patency **

189

  • The presence of atlantoaxial instability may not be apparent, because most patients are asymptomatic
    • The parents should be questioned specifically about symptoms suggestive of atlantoaxial subluxation, such as

neck pain, head tilt, and abnormal gait.

190

MH triggers

volatile anesthetic agents

succinylcholine

 

**N2O is NOT 

191

  • MH Time of onset is also variable; some have immediate reactions upon exposure to triggers and others do not manifest signs and symptoms of MH until well into the postoperative period
  •  
  • (May not appear until they are in recovery: TRUE or FALSE?

TRUE

192

  • Calcium channel blockers are contraindicated in tx of MH because they can

worsen hyperkalemia ***

193

  • All patients with clinical MH or signs of anesthesia-induced hypermetabolism as well as those with significant masseter spasm should undergo the

caffeine-halothane contracture test *** (Gold standard test for MH)

194

  • Preoperative dantrolene prophylaxis is not indicated ***

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