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Flashcards in GI - Co-existing Deck (10):
1

ERCP:GI lab to treat conditions of the ______?

* technique?
* aspiration risk?

* bile ducts
* TIVA vs. GA
* GA with ETT

2

Anesthesia Considerations for Chronic Peptic Esophagitis and Hiatal Hernia:

*preop? prevent?
*intubation/induction?
*meds/meds for gastric contents?/equip?

* aspir prophylaxis/aspiration, PNA
* RSI
* OG
* antibiotics, decrease gastric acidity, post pain, N/V

3

Anesthetic Considerations for IBD:

*meds/concerns/management?
* AVOID?
* supplement?
* caution with?

* F/E management/ imbalance, low PB
* N2O
* suppl steroids
* anticholinesterase - increase intraluminal pressure

4

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
* labetolol
* octreotide (100-200mcg)

5

Appendicitis:

*Concerns:
*induction:
*meds/avoid?

* Pain, N/V
* RSI
*abx, aspir prophylaxis, avoid N2O

6

Anesthesia for Bowel Obstruction:

*meds to avoid?
*induction?
* fluids?
* equip?

* N2O/reglan
*RSI
*low albumin/ elyte status/ volume replacement
*OGT

7

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


8

Anesthesia for Upper Endoscopy:

*technique?
*airway? considerations?

- TIVA - propofol
- jawlift/ O2/ NC
- Bite block before sedation
- Ambu

9

Chronic Esophagitis: Surgery
1. Procedure?
2. Anesthesia technique?

1. nissen fundoplication - (open/laprascopic)
2. general (aspiration risk)

10

PUD
1. med treatment?
2. surgery?
3. Anesthetic concerns? Intubation?

1. H2 antagonists and Anticholinergics
2. pyloroplasty, vagotomy
3. RSI, cimestidine inhibits CYP450