General Flashcards
(12 cards)
How does a pfo affect a general anaesthetic
Direction Amount ie percent Impact/ clinical effects Potential triggers Coexisting disease More....
When do you need to run dextrose
Metabolic disorder, liver disease, neonates
Otherwise plasmalyte or nothing if short procedure
Why cuffed tube for laparotomy
Airway pressures vary will prevent air leak NOT because it will prevent aspiration
How to set up a t piece
6 litres/ min oxygen
Switch from circle to acgo
Switch ventilator off onto bag
Remember to occlude the end for peep
A child has reactive airways and is desaturating during waking prior to extubation. Management?
Turn up oxygen
Put peep on and use t piece to ventilate
Suction out the ett in case it’s blocked esp if high pressures
Listen to lungs
Give more propofil if fighting the tube
Low threshold for sux if laryngospasmed post extubation
Issues with ga for removal of oesophageal foreign body
- Cuffed vs uncuffed ett
- ideally cuffed but not too much air in cuff prior to extraction as trachea may bulge into oesophagus and make coin / object difficult to remove ve by surgeons - Type of ett ie Rae or not
Depends on where object is and type of access surgeon needs to the mouth … we did cuffed ett - RSI or not
True rsi rare in paeds - did a modified rsi with attached as quicker acting in kids than adults
Anaesthesia for bronchoscope
Spont gent
Role of remifentanyl/ protocol
Topical lignite Caine
Risk of laryngospasm vs light enough to breathe
Cystic fibrosis
Effect on anaesthesia
Nasal intubation methods indications etc
Here
How to manage patients on pacemakers
Modes etc magnets
Upper limb venous anatomy
Boa
How to calculate change in hb with fluid resus
Volume added csl/ original blood volume x original hb
Is the amount of change in hb
Also only a 1/3 goes into the intravascular space so it’s approx a third of orig volume added if you’re being technical
