Common procedures in anesthesia Flashcards Preview

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Flashcards in Common procedures in anesthesia Deck (18)
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1
Q

what are the indications (3) for intubation?

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

mallampati class I

A

tonsillar pillars, soft palate, uvula are visible

3
Q

mallampati class II

A

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

4
Q

mallampati class III

A

only soft palate is visible

5
Q

mallampati class IV

A

only base of tongue and hard palate are visible

6
Q

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

A

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

7
Q

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

A

18 inches

8
Q

which intubation blade is straight?

A

miller

9
Q

which intubation blade is curved?

A

macintosh

10
Q

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

A
  1. chest rise
  2. steam in tube
  3. bilateral breath sounds
  4. sustained ETCO2 wave
  5. pulse oximeter stays above 92%
11
Q

what are the indications (3) for epidural placement?

A
  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
12
Q

what is the vallecula?

A

space between epiglottis and posterior pharynx

13
Q

what are the absolute contraindications to epidural placement?

A
patient refusal 
localized infection at puncture site 
generalized sepsis 
coagulopathy 
raised intracranial pressure
14
Q

what is the needle of choice for an epidural?

A

Touhy

15
Q

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

A
  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
16
Q

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

A

right IJ

left subclavian

17
Q

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

A

carotid - respiration

jugular - heartbeat

18
Q

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

A
  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