Exam 1 Review Flashcards
(34 cards)
What is the origin of the word ‘Anesthesia’?
‘an’ (without) + ‘aesthetos’ (able to feel)
The term was first used by Dioscorides to describe the effects of mandrake.
What are some historical methods of anesthesia used by Native Americans?
Trephination and possible use of cocaine as a local anesthetic
Trephination involves creating a hole in the skull.
What are the 4 components of an ideal general anesthetic?
- Reversible Loss of Consciousness
- Amnesia
- Analgesia
- Muscle Relaxation
Who discovered ether and in what year?
Valerius Cordus in 1540
Who first used ether for general surgery and in what year?
Crawford Long in 1842
What was the first public demonstration of ether?
William T. Morton at Massachusetts General Hospital in 1846
What is the significance of Sir James Simpson in the history of anesthesia?
First use of chloroform in 1847 to assist in childbirth
What is the mortality rate associated with chloroform according to Dr. John Snow?
1 in 4,000
What are the roles of anesthesiologists as defined by the American Board of Anesthesiology?
- Assessment and management of respiratory function
- Preoperative assessment
- Administration of anesthesia
- Monitoring critically ill and perioperative patients
- Cardiac and pulmonary resuscitation
When was the American Association of Anesthesiologists (ASA) formed?
1945
What year did the AMA recognize Certified Anesthesiologist Assistants (CAAs) as an ‘Emerging Healthcare Profession’?
1978
What does the acronym CAAHEP stand for?
Commission on Accreditation of Allied Health Education Programs
What is the standard temperature range for operating rooms?
68-75F (20-24C)
What are the two primary gases stored in medical gas systems?
- Oxygen
- Nitrous Oxide
What is the maximum allowed leakage current in electrical safety for anesthesia equipment?
10uA maximum
What are the three levels of CDC Transmission Based Precautions?
- Contact
- Droplet
- Airborne
What is the main source of occupational asthma related to chemical sterilization?
Glutaraldehyde >1%
Fill in the blank: The CDC Standard Contact Precautions are used regardless of the _______ of the patient.
infectious status
What should be done in case of a fire in a patient’s airway?
Remove the ETT and stop the gas flow STAT
What are the common prep solutions used for skin preparation?
- Iodophors (betadine)
- Chlorhexidine (Hibiclens)
- Alcohol + Iodophor (duraprep)
- Chlorohexidine + IPA (Chloroprep)
What is the risk factor for surgical fires?
Administration of O2 > 30%, flammable agents, and ignition sources
What happens when the ETT is removed during a fire in the airway?
Both removal of the ETT and stopping the gas flow must occur immediately
What is the proper disposal method for needles or sharps?
Sharps container
What is the significance of the National Commission for Certified Anesthesiologist Assistants (NCCAA)?
Oversees certification exam for CAAs
