Respiratory & Cardiovascular evaluation

Question 1

Risks of pulmonary complications?

Answer 1

Patient factors:

1. > 60yo
2. ASA II or greater
3. Functional dependence
4. CHF
5. COPD
6. Serum albumin < 30

Question 2

Risks of pulmonary complications?

Answer 2

1. Smoking
2. Recurrent UTIs
3. OSA
4. Pulmonary HTN
5. Delirium
6. Alcohol use
7. Weight loss > 10%
8. Malignancy / Mets
9. Hb < 10
10. Sats < 96%
11. Abnormal CXR

Question 3

Surgical and anaesthetic risk factors for oulmonary complications?

Answer 3

1. Surgery longer than 3 hours
2. Surgical site - Abdominal, thoracic, neurosurgery, head & neck, vascular
3. Emergency surgery
4. GA
5. NMB

Question 4

Components of ABRISCAT risk predictors?

Answer 4

1. Age
2. Preop sats
3. Respiratory infection in the last month
4. Preop anaemia
5. Surgical incision site
6. Duration of procedure
7. Emergency procedure
8. Low < 26 moderate 26-44 high risk > 45

Question 5

COPD?

Answer 5

1. Airflow obstruction defined as FEV1/FVC < 0.7 used to diagnose COPD
2. If FEV1 > 80% of predicted then diagnosis only made in the presence of symptoms

Question 6

STOP-BANG?

Answer 6

Snoring, tiredness, OSA, pressure, age, neck circumference and gender

Question 7

Obstructive airflow?

Answer 7

1. Expiration is prolonged

2. Normal FVC

Question 8

Restrictive flow ?

Answer 8

1. Normal VC is not achieved

2. FEV1 is normal regardless of the pathology

Question 9

Revised Cardiac Risk Index ?

Answer 9

1. High risk surgery (intra-abdo, thoracic & vascular)
2. H/O MI
3. H/O CCF
4. H/O CVA/TIA
5. Preop insulin use
6. Creatinine > 176

Question 10

HOCM?

Answer 10

1. About 1 in 500 people will have it which is incidence of 0.2%
2. Autosomal dominant inheritance
3. Classified into three groups based on LVOT obstruction. - Non-obstructive, Labile and obstructive at rest

Question 11

Stages of AS ?

Answer 11

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