Bariatric Anesthesia Flashcards
Dan Hladky, CAA (41 cards)
1
Q
Obesity: Definition
A
2
Q
Calculating BMI
A
3
Q
Obesity Classification
A
4
Q
Comorbidities
A
5
Q
Psychological Complication
A
6
Q
Coexisting Comorbidities
A
7
Q
Obesity and HTN
A
8
Q
Insulin and HTN
A
9
Q
Leptin
A
10
Q
Diabetes
A
11
Q
Diabetes and White Adipose Tissue
A
12
Q
Cardiac Evaluation
A
13
Q
Cardio-thoracic Ratio
A
14
Q
ECG Changes That May Occur in Obese Individuals
A
15
Q
SAECG
A
16
Q
Respiratory Pathophysiology
A
17
Q
Pickwickian Syndrome (Obesity Hypoventilation Syndrome)
A
18
Q
OSAS and Difficult Intubation
A
19
Q
Vascular Access
A
20
Q
Volume Replacement
A
21
Q
GI Pathophysiology
A
22
Q
Ohio State Study
23
Q
Saiseikai Yokohamashi Tobu Hospital Study
24
Q
Preoperative Fasting Guidelines: Why Are We Not Following Them? The Time to Act Is NOW
A
Reasonable to have a sugar containing beverage ~2hours before surgery
25
Anesthetic Considerations: Preoperative
26
Induction
27
Airway Collapse
28
Anesthetic Issues
29
CPAP Preoxygenation
30
Anesthetic Considerations: Intraoperative
31
Ventilation
32
Pharmocology: Factors Affecting Drug Pharmacokinetics in Obesity (2)
33
Pharmocology: Pharmacokinetics of Anesthetic Agents
34
Overdosing of pre medication and anesthesia drugs in obese patient is very common
[https://www.calculator.net/ideal-weight-calculator.html](https://www.calculator.net/ideal-weight-calculator.html)
35
Dosing
36
Intraoperative Positioning
37
Reverse Trendelenburg Position
38
Intraoperative
39
Regional
40
Postoperative
1. Increased mortality
- 6.6% vs. 2.7% in non-obese
- Little to no sedation post op
- Carefully titrate narcotics
- Tylenol (careful with NSAIDS)
- Insulin to maintain normoglycemia
2. Decreased wound infection and MI
- DVT, PE
3. Use Calf compression devices
41
Narcotics
