Flashcards in GI - Co-existing Deck (10):
ERCP:GI lab to treat conditions of the ______?
* aspiration risk?
* bile ducts
* TIVA vs. GA
* GA with ETT
Anesthesia Considerations for Chronic Peptic Esophagitis and Hiatal Hernia:
*meds/meds for gastric contents?/equip?
* aspir prophylaxis/aspiration, PNA
* antibiotics, decrease gastric acidity, post pain, N/V
Anesthetic Considerations for IBD:
* caution with?
* F/E management/ imbalance, low PB
* suppl steroids
* anticholinesterase - increase intraluminal pressure
Management of Anesthesia for Carcinoid Tumor:
*drug ideal for carcinoid tx?
*goal of treatment?
* avoid: drugs/release?
* HTN tx?
* hypotension/bronchospasm tx?
*octreotide (interferes with insulin release)
*minimize SNS stim and prevent crisis
*catecholamines (release serotonin), epi, histamine release, sympathomimetics
* octreotide (100-200mcg)
* Pain, N/V
*abx, aspir prophylaxis, avoid N2O
Anesthesia for Bowel Obstruction:
*meds to avoid?
*low albumin/ elyte status/ volume replacement
Anesthesia for Lap Chole (Colycystitis):
1. surgical considerations? 3. aspiration/equip?
2. positioning? 4. pain meds? drugs for SOO?
1. insuff with CO2 = increased intra-abd pressure and increase etCO2
- interfere with vent
2. R Tberg = helps with vent
3. place OGT - increase abd pressure = reflux
4. avoid histamine release = SOO
- NTG, glucagon, naloxone
Anesthesia for Upper Endoscopy:
- TIVA - propofol
- jawlift/ O2/ NC
- Bite block before sedation
Chronic Esophagitis: Surgery
2. Anesthesia technique?
1. nissen fundoplication - (open/laprascopic)
2. general (aspiration risk)