Scoliosis Flashcards

1
Q

What is scoliosis

A
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2
Q

Kyphosis

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3
Q

Lordosis

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4
Q

Cobbs method

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5
Q

Cobbs method

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6
Q

At what angle 2ill 5here be respiratory impairment?

A
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7
Q

Classification of scoliosis

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8
Q

Congenital scoliosis

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9
Q

Idiopathic scoliosis

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10
Q

Neuromuscular: neuropathic

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11
Q

Neuromuscular: myopathic

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12
Q

Miscellaneous

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13
Q

Adolescent idiopathic scoliosis

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14
Q

None idiopathic scoliosis

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15
Q

Respiratory sequel

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16
Q

Respiratory

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17
Q

Respiratory

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18
Q

Respiratory

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19
Q

Respiratory

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20
Q

Cardiovascular sequel

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21
Q

Cardiovascular sequel

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22
Q

Cardiovascular sequel

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23
Q

Cardiovascular sequel

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24
Q

Cardiovascular sequel

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25
Q

Cardiovascular sequel

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26
Q

Preop evaluation cl8nical

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27
Q

Investigation echo

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28
Q

Investigation pft

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29
Q

Investigation ecg

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30
Q

Latex

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31
Q

Anaesthetic concerns for scoliosis

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32
Q

Monitoring for coliosis

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33
Q

Possible complications from surgery

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34
Q

Hypotension differential during surgery

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35
Q

Air embolism

A
36
Q

Detection of air embolism

A
37
Q

Resuscitation in prone

A
38
Q

Neuromonitoring

A
39
Q

Spinal cord blood flow

A
40
Q

Anterior median spinal artery supply territory

A
41
Q

Redicular arteries

A
42
Q

Posterior spinal artery anatomy

A
43
Q

Posterior spinal artery territory

A
44
Q

Perimedullary vessels

A
45
Q

Boarder with highest ischemic risk

A
46
Q

4 segments of regional spinal circulation cord

A
47
Q

Adamkiewics

A
48
Q

Segment with high susceptibility to Ischaemia

A

T4-7

49
Q

Lumbar artery syndrome

A
50
Q

Principlea that regulate blood flow

A
51
Q

Wakeup test

A
52
Q

How to maximise perfusion

A
53
Q

Limitations of wakeup test

A
54
Q

Neumetric Monitoring : sensory evoked potential

A
55
Q

Neumetric Monitoring : sensory evoked potential

A
56
Q

Neumetric Monitoring : sensory evoked potential: danger signs

A

Amplitude reduction > 50%

Increased latency > 10%

57
Q

Neumetric Monitoring : sensory evoked potential limitations

A

Only monitors the dorsal column

Provides no evidence of motor function loss or anterior spinal cord injury

58
Q

Neumetric Monitoring : sensory evoked potential reliability

A
59
Q

Neumetric Monitoring : sensory evoked potential effects of voletiles

A
60
Q

Neumetric Monitoring : sensory evoked potential effects of iv agents

A
61
Q

Neumetric Monitoring : sensory evoked potential effects of biological factors

A
62
Q

Neumetric Monitoring : sensory evoked potential, ideal anaesthetic approach

A
63
Q

Neumetric Monitoring : sensory evoked potential, how is it done

A

Prone baseline recording,

Maintain anaesthetic depth, CO2, temperature and BP

64
Q

Intraoperative consideration for ssep

A
65
Q

Criterion for decreased ssep

A

Amplitude reduction by 40%

66
Q

Motor evoked potential

A

Transcranial

Spinal cord

67
Q

Transcranial MEP vs Sseps

A

Lag 5min ssep

MEP false pos <10%

68
Q

Anaesthetic agent effects on MEP

A
69
Q

Ideal anaesthesia for mep

A
70
Q

Causes of blood loss

A
71
Q

Blood loss monitoring

A
72
Q

Strategies to minimise blood loss

A

Induced hypotension
Change in surgical techniques
Antifibrinolytic

73
Q

Decrease homologous blood transfusion

A

Preop autologous blood donation
Cell salvage
Normovolaemic hemodilution
Apheresis

74
Q

Acute Normovolaemic hemodilution technique

A
75
Q

Complications

A

Pulmonary edema
Anasarca
Postoperative ventilation

76
Q

Deliberate hypotension what is it

A
77
Q

Deliberate hypotension agents used

A
78
Q

Deliberate hypotension monitoring

A
79
Q

Deliberate hypotension concers

A
80
Q

Prone position pressure areas

A
Brachial plexus
Ulner nerve
Male genitals
Nipples
Eyes
Lateral cutaneous nerve of the thigh
81
Q

Brachial plexus Injury signs

A
82
Q

Postoperative vision loss

A
83
Q

Effect of increased intra abdominal pressure

A
84
Q

Hazards of turning patients

A
85
Q

Postoperative management : Complications

A
86
Q

Pain management

A

Pca
Epidural catheter
NSAIDS