Surgical Subspecialties Flashcards Preview

AP: Cumulative > Surgical Subspecialties > Flashcards

Flashcards in Surgical Subspecialties Deck (40):
1

What is a CABG procedure?

coronary artery bypass graft

2

What is the most common artery used when doing a CABG procedure?

mammary artery

3

The use of the term dissection in "Aortic arch dissection" refers to what?

tearing of the wall of the aortic arch

4

What anesthetic concerns are there with CV cases?

general anesth
sternotomy
cario-pulmonary bypass
invasive monitoring
chest tubes

5

When doing thoracic cases, what is the most common position?

lateral decubitus

6

What kind of tube is used for one-lung ventilation?

double lumen tubes

7

What anesthetic concerns are there with thoracic cases?

general anesth
sternotomy
invasive monitoring
chest tubes

8

How do you confirm a double lumen tube placement?

Fiber optic scope

9

What procedure in neurosurgery cases puts that bone back onto skull at the end of the surgery?

Cranioplasty

10

What anesthetic concerns are there with neurosurgery cases?

GA/local/mac
invasive monitoring
hyperventilation: keeps EtCO2 28-33 which decreases cerebral blood flow
positioning
very deeply paralyzed

11

What is burst suppression?

Where propofol is given to make brain electrical activity 0 which decreases need for O2 and blood supply

12

What do you have to monitor closely when using burst suppression?

Blood pressure

13

What is min intracranial pressure?

>15 mmHg

14

In ortho cases, what is the maximum amount of time you want to leave tourniquet up?

2 hours

15

With tourniquet pain, what is the remedy?

Only remedy is to turn pressure from tourniquet down.
Hypotension results from release of tourniquet

16

When doing Optho cases, what gas should never be used and what can the pt not do for days after surgery?

No N2O because of tendency to go into air pocket
No getting on airplanes b/c same reason with pressure fluctuations

17

What is the oculocardiac reflex?

When lateral muscle of eye is pulled on that causes severe drop in HR
Surgeon must release or get atropine ready

18

What is claudication?

stenosis in vasculature of legs that causes the pins and needles sensation after sitting on the leg

19

When doing a cholecystectomy, what are you working on?

gall bladder

20

What gas is used to insufflate the abdomen during laparascopic cases?

CO2

21

What anesthetic concerns are there with laparascopic cases?

GA
abdominal insufflation
Positioning KEY
EtCO2 increases

22

What position would you place the patient in a lap gastic bypass?

reverse trendelenburg

23

What position would place a patient for a lap pelvic surgery?

Trendelenburg

24

What must all patients undergoing a lap case get?

FOLEY
must be aware of bladder pain and tear

25

For transplant cases, how long is the kidney good for?

24 hours

26

For dialysis patients, the iv must go on the _______ side of the fistula?

opposite

27

For transplant cases, how long is the heart good for?

4 hours

28

For transplant cases, how long is the liver good for?

12 hours

29

For transplant cases, how long are the lungs good for?

Not very
very delicate and very sensitive

30

For transplant cases, all surgeries need an artline except?

Kidney transplants

31

What do you want to keep the volume status at of a patient undergoing kidney/liver transplant?

Hypervolemic

32

What do you want to keep the volume status at of a pt undergoing a heart transplant?

Hypovolemic

33

What drug do you not want to pregnant patients?

Versed
can cause birth defects

34

When giving fentanyl to mother, what must be accounted for in fetus?

Respiratory depression b/c drug crosses placenta

35

When positioning during labor, what is the key thing to remember?

Place a pillow under right hip to slide the weight of the baby off the vena cava which helps elevate BP

36

When doing blocks for OB, which is more of the motor block?

Spinal block

37

When doing blocks for OB, which is more of the sensory block?

Epidural placement

38

What is the APGAR test used for?

measure of the baby vitals after birth

39

What does procedure that ends at -scopy do?

Looking at the organ/area

40

What does the procedure that ends with -ectomy do?

Takes the organ out