Remote anesthesia

Question 1

Whatdoes minimal sedation look like?

Answer 1

responds to verbal commands. Airway, spontaneous ventilation and cardiac function unaffected

Question 2

Moderate sedation

Answer 2

Response purposefully to verbal commands with or without tactile stimulation

adequate airway, resp and cardiac function

Question 3

Deep sedation

Answer 3

Not easily arousable but responds purposefully to repeated/painful stimuli

may require airway support

resp may be inadequate

cardiac fxn usually maintained

Question 4

General anesthesia

Answer 4

not arousable

airway assiistance

PPV req

cardiac function impaired

Question 5

Utilities

Answer 5

all building cods, fire cods, safety codes and facility standards must be met

Question 6

Reasons for maintaining normothermia

Answer 6

1. decrease sympathetic activity r/t vasoconstriction
2. decreased cardiac morbidity and cardaic demand during recovery from hypothermia
3. maintain normal pharmacokinents of meds
4. decreases anesthesia recovery time
5. maintain bodily metabolic fxn
6. maintain coagulation nml and decreases blood loss
7. decrease incidence of wound infection
8. decrease incidence of complication that may require hospitalization

Question 7

LMA advantages of ETT

Answer 7

1. avoid muscle relaxant
2. less coughing and airway obstruction
3. reduced sore throat
4. Increased risk of PONV because of some gastric insufflation

Question 8

mulimodal pain med regimen

Answer 8

1. short acting narcotics
2. NSAIDS intraop (Ketorolac)
3. IV tylenol
4. gabapentin

Question 9

Office based procedure areas

Answer 9

1. dental
2. urology
3. plastics
4. GI

not regulated in all states! no accrediting body

Question 10

most commonly performed plastic surgery

Answer 10

lipsuction

Question 11

Pre op H and P must be documented within

Answer 11

30 days of procedure

Question 12

Miggist risk of M & M in OBA

Answer 12

PE

Question 13

NORA (nonoperating room anesthesia) examples

Answer 13

radiology, endoscopy, MRI, ECT

Question 14

most common anesthesia role in NORA

CT, XRAY

Answer 14

airway management for over sedation

or for adults and children with psychological/nuerologic disorders preventing immobilityco

Question 15

common culprits for preoperative allergic reaction

Answer 15

1. NMB - succ most common
2. Latex
3. Antibiotics
4. Contrast media

also chlorohexadine, protamine, colloids, blood, opioids, hypnotics, LA

Question 16

MRI - objects not allowed in zone 4

Answer 16

ferromagnetic

Question 17

Safe metals for MRI

Answer 17

Stainless steel, titanium, aluminum, copper

Question 18

MRI safe cylinders

Answer 18

silver with color code at top

Question 19

MRI contraindications until further follow up

Answer 19

pacemaker, ICD, aneurysm clip, metal implant, implantable pump, shrapnel

Question 20

common side effect of IV contrast media

Answer 20

nausea

allergic reaction <1%