Common procedures in anesthesia

Question 1

what are the indications (3) for intubation?

Answer 1

1. provide patent airway
2. control airway for intra-abdominal, intra-thoracic, and intracranial procedures where paralysis is used
3. improve V/Q

Question 2

mallampati class I

Answer 2

tonsillar pillars, soft palate, uvula are visible

Question 3

mallampati class II

Answer 3

tonsillar pillars, and soft palate may be seen, uvula is masked by base of tongue

Question 4

mallampati class III

Answer 4

only soft palate is visible

Question 5

mallampati class IV

Answer 5

only base of tongue and hard palate are visible

Question 6

what is the 3-3-2 rule for intubation?

Answer 6

3 fingers in mouth
3 fingers chin to throat
2 fingers to cricothyroid membrane

Question 7

a neck circumference greater than one value makes it difficult to intubate?

Answer 7

18 inches

Question 8

which intubation blade is straight?

Answer 8

miller

Question 9

which intubation blade is curved?

Answer 9

macintosh

Question 10

what five things do you look for to confirm successful intubation?

Answer 10

1. chest rise
2. steam in tube
3. bilateral breath sounds
4. sustained ETCO2 wave
5. pulse oximeter stays above 92%

Question 11

what are the indications (3) for epidural placement?

Answer 11

1. surgical procedures on lower extremities
2. obstetrical patients in active labor or C section
3. placement of a catheter for postoperative pain in abdominal, and vascular, surgery in lower extremities

Question 12

what is the vallecula?

Answer 12

space between epiglottis and posterior pharynx

Question 13

what are the absolute contraindications to epidural placement?

Answer 13

patient refusal 
localized infection at puncture site 
generalized sepsis 
coagulopathy 
raised intracranial pressure

Question 14

what is the needle of choice for an epidural?

Answer 14

Touhy

Question 15

what are the indications (6) for central line placement?

Answer 15

1. measure right side heart filling pressures
2. administer drugs / fluids into central circ
3. provide venous access to patients with poor peripheral veins
4. injectate for cardiac output determination
5. remove air emboli
6. access for transvenous pacing

Question 16

what are the placement locations for central line placement (for anesthesiologist)?

Answer 16

right IJ

left subclavian

Question 17

movements of the carotid and jugular vessels move in relation to what events?

Answer 17

carotid - respiration

jugular - heartbeat

Question 18

what are the indications (4) for an arterial line?

Answer 18

1. monitor beat to beat BP
2. frequent blood gas draws
3. BP cuff pressures unavailable
4. femoral art line when peripheral arteries are vasoconstricted secondary to meds