Anesthesiology
Showing 26 of 26 topics
  A
- 
            Optimize airway, ventilation, and dosing. Use ramped positioning, aggressive preoxygenation, apneic oxygenation, and weight‑based dosing rules; plan for OSA and difficult ventilation.
D
- 
            Prepare a stepwise plan with video laryngoscopy, supraglottic airway, and awake techniques when indicated; prioritize oxygenation and early call for help.
E
- 
            Plan extubation carefully in patients with edema, OSA/obesity, airway surgery, or difficult intubation. Use cuff‑leak tests, steroids, airway exchange catheters, and staged extubation techniques.
L
- 
            Recognize CNS and cardiovascular toxicity after local anesthetic exposure; stop injection, manage airway and seizures, give lipid emulsion, and use modified ACLS avoiding large epinephrine doses and vasopressin.
- 
            Recognize CNS and cardiovascular toxicity early; stop injection, call for help, and start lipid emulsion promptly while supporting airway/circulation.
M
- 
            Stop triggering agents, call for help, give dantrolene promptly, treat hyperkalemia and acidosis, and actively cool while monitoring for complications and recurrence.
- 
            Hypermetabolic crisis triggered by volatile anesthetics or succinylcholine. Stop triggers, call MH cart, give dantrolene promptly, and institute aggressive cooling and supportive care; treat hyperkalemia and acidosis, monitor for recrudescence.
- 
            Combine acetaminophen, NSAIDs when appropriate, regional anesthesia, and adjuncts to reduce opioid use and improve pain control with individualized contraindication checks.
N
- 
            Time neuraxial placement and catheter removal around anticoagulants to reduce hematoma risk; use agent specific intervals and avoid concurrent dosing near catheter manipulation.
- 
            Quantitative train of four monitoring guides timing; use sugammadex for aminosteroid block and neostigmine with antimuscarinic for others, avoiding premature extubation.
O
- 
            Prioritize team activation, massive transfusion, uterotonics, tranexamic acid, and hemorrhage control while protecting the airway. Use goal‑directed resuscitation and fibrinogen monitoring.
- 
            Screen with simple tools and plan airway, analgesia, and monitoring; minimize opioids, use regional techniques, and ensure postoperative observation tailored to risk.
- 
            Select double lumen tube or bronchial blocker, confirm with bronchoscopy, and use lung protective ventilation with recruitment and appropriate FiO2 during one lung ventilation.
P
- 
            Suspect during hypotension, bronchospasm, or rash after drug or latex exposure; give epinephrine promptly, support airway and circulation, and send tryptase with allergy referral.
- 
            Target 80–180 mg/dL for most surgical patients; avoid hypoglycemia. Use basal‑bolus or insulin infusion protocols and hold/adjust non‑insulin agents appropriately.
- 
            Treat underlying cause and use vasopressors such as phenylephrine or ephedrine for common scenarios; escalate to norepinephrine or epinephrine when shock persists.
- 
            Prevent inadvertent hypothermia with forced air warming, warmed fluids, and temperature monitoring; maintain normothermia to reduce infection and bleeding risk.
- 
            Prevent with multicomponent strategies; identify high‑risk patients; use CAM/CAM‑ICU for detection; treat causes and minimize deliriogenic meds; use antipsychotics only for severe agitation jeopardizing safety.
- 
            Estimate risk using simple scores and give multimodal prophylaxis with agents from different classes; use rescue from a different class if vomiting occurs.
- 
            Use ASA class and functional capacity with targeted testing to estimate perioperative risk; optimize comorbidities, medications, and airway plan before surgery.
- 
            Allow clear liquids up to two hours before anesthesia in typical patients; use longer intervals for solids and individualize in high risk aspiration scenarios.
R
- 
            For high aspiration risk, perform thorough preoxygenation, induce anesthesia, apply cricoid selectively per policy, and use fast acting neuromuscular blockade with minimal positive pressure until airway secured.
- 
            For high aspiration risk, employ optimized preoxygenation, rapid induction with cricoid pressure only if trained/indicated, and immediate paralysis/intubation; avoid mask ventilation unless hypoxic.
- 
            Fascia iliaca and pericapsular nerve group (PENG) blocks provide superior analgesia for hip fracture, facilitating positioning and reducing opioids. Use ultrasound guidance and adequate volumes.
T
- 
            TIVA provides hypnosis/analgesia via IV infusions (e.g., propofol ± remifentanil/ketamine). Indicated for PONV risk, airway surgery, neuromonitoring, MH susceptibility, and when volatile avoidance desired.
U
- 
            Use ultrasound to cannulate deep forearm/brachial veins when landmarks fail. Prioritize vein selection, catheter length, needle‑tip visualization, and securement to prevent early failure.
    No topics match your filters.