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ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following situations regarding airway management. A 30 year old gravid female presents for emergent C-section. She just finished eating a large sausage and pepperoni pizza 20 minutes ago. This patient needs a rapid sequence intubation (RSI). List the steps involved in a Rapid Sequence Intubation and consider the rationale for each. What other patients might need a RSI? During ECT a patient's pulse ox reads 80 and ventilation is less that adequate, what can you do to improve mask ventilation? What clues do you have to indicate

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider these scenarios regarding ASA physical status, NPO guidelines, and airway evaluation. ASA Physical Status — Which ASA classification would you give the following patients? A 50 year old male with a 50 pack/year smoking history presents for laparascopic cholecystectomy. What if the patient also had a history of IDDM and long-standing HTN? What if patient also had known significant CAD? What about a 70 year old patient obviously septic (hypotensive, tachypneic, and unstable) presenting for exploratory lap for probable ischemic bowel

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following problems regarding fluid management and invasive hemodynamic monitoring. Calculate the body fluid deficit for a 5 year old 20 kg child who has been NPO for 8 hours. What is this patient's blood volume? Why is this important to know? How do you asses and replace intra-op fluid and blood losses? During repair of an AAA, there is an acute blood loss of several units of blood. What are your concerns regarding massive transfusion? A 70 yr old with known cardiomyopathy with an EF of 20% presents with bowel obstruction for

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Pharmacology and drug choices. The most commonly used IV induction agents are propofol, pentothal and etomidate. Which would be appropriate choices for intravenous induction agents in the following case scenarios? Consider some drawbacks and benefits of each choice. Healthy 18 year old scheduled for outpatient inguinal hernia repair. 85 year old with known CAD and hypovolemia for emergency surgery. 50 year old with large intracranial mass and known increased ICP. A surgeon tells you he just returned home from the Amazon Jungle. He says

ANESTHESIA ELECTIVE SELF-ASSESMENT AND STUDY QUESTIONS Consider the following regional anesthesia cases A colleague of yours from the ER calls and tells you he wants to infiltrate a large leg wound with local anesthetic to suture. He wants to know how much lidocaine he can use (pt is 70kg). How much bupivicaine? What sorts of problems would you expect with a local anesthetic overdose? What properties of lidocaine would make it a better or worse medicine than bupivicaine to infiltrate? Should he use epinephrine containing solutions? How does a spinal anesthetic differ from an epidural