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Anesthesiology Applied Exam Board Review最新文献

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Pediatrics: Epiglottitis
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0020
J. Olaya
{"title":"Pediatrics: Epiglottitis","authors":"J. Olaya","doi":"10.1093/med/9780190852474.003.0020","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0020","url":null,"abstract":"In this chapter the essential aspects of anesthesia for epiglottitis are reviewed. Subtopics include defining the classic chest X-ray signs in patients with this disease, such as the thumb print sign, airway management, and steps to take to avoid laryngospasm in these patients. The case presented is a pediatric patient with emergent respiratory distress. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues addressed for preoperative evaluation include diagnosis in this patient, volume status, and selection of anesthetic technique. Intraoperative topics focus on airway management. Postoperative management addresses primarily extubation.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123238965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Additional Topics: Pediatrics 其他主题:儿科学
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0035
Ruchir Gupta, M. Cadogan, B. Vickers
{"title":"Additional Topics: Pediatrics","authors":"Ruchir Gupta, M. Cadogan, B. Vickers","doi":"10.1093/med/9780190852474.003.0035","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0035","url":null,"abstract":"In this chapter several topics related to managing pediatric anesthesia are discussed. Subtopics include managing patients with the CHARGE syndrome, tetralogy of Fallot, Treacher-Collins syndrome, and malignant hyperthermia. Also addressed is anesthetia management in a pediatric patient with pyloric stenosis. Airway management in pediatric patients is also discussed, including induction. Differences between an omphalocele and a gastroschisis are outlined, and closure of an omphalocele in an infant is addressed. Each scenario is presented as a short, three- to four-question additional topic.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124462200","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular: Abdominal Aortic Aneurysm 心血管:腹主动脉瘤
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0030
Carl Ying, Minh Tran
{"title":"Cardiovascular: Abdominal Aortic Aneurysm","authors":"Carl Ying, Minh Tran","doi":"10.1093/med/9780190852474.003.0030","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0030","url":null,"abstract":"In this chapter the essential aspects of anesthesia for abdominal aortic aneurysm (AAA) repair are discussed. Subtopics include airway management in expanding aneurysm, hemodynamic therapy, monitoring, vasodilator therapy, and bleeding. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include medications, assessment of cardiac status, and hemodynamic goals for this surgery. Issues discussed related to intraoperative management include monitoring, induction, maintenance, and aortic cross-clamping and unclamping. Postoperative concerns discussed include extubation, decreased renal function, spinal cord ischemia, and other complications affecting the cardiovascular, respiratory, renal, and gastrointestinal systems.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126362248","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Endocrine: Pheochromocytoma 内分泌:嗜铬细胞瘤
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0009
S. Yuan, J. Cooley
{"title":"Endocrine: Pheochromocytoma","authors":"S. Yuan, J. Cooley","doi":"10.1093/med/9780190852474.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0009","url":null,"abstract":"In this chapter the essential aspects of anesthesia for pheochromocytoma resection are discussed. Specifically, multisystemic syndromes associated with this disease, preoperative optimization, and intraoperative therapy are reviewed. Additionally, the use of specialized monitoring and drug therapy are considered. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues addressed that are related to preoperative evaluation include medical clearance, diagnosis of pheochromocytoma, avoiding hypertensive crisis, and treating hypotension. Intraoperative topics concern monitoring and induction of the patient, and treating both hyper- and hypotension as either arises. Postoperative issues discussed include assessment and treatment of delirium and hypotension.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130846086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Additional Topics: Neuroanesthesia 附加主题:神经麻醉
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0036
Ruchir Gupta
{"title":"Additional Topics: Neuroanesthesia","authors":"Ruchir Gupta","doi":"10.1093/med/9780190852474.003.0036","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0036","url":null,"abstract":"In this chapter several topics related to neuroanesthesia are discussed. Subtopics include management of a partially ruptured cerebral aneurysm, resection of an intracranial tumor, and pathogenesis of autonomic hyperreflexia. Also addressed is triple H therapy for cerebral vasospasm. Ways of preventing transurethral retrograde prostatectomy (TURP) syndrome are presented. Concerns regarding resection of a growth hormone–secreting pituitary tumor are also discussed. Lithium therapy is addressed in the context of electroconvulsive therapy. Anesthetic management in a patient with hyponatremia is discussed, as is evaluation of peripheral neuropathy. Precautions to prevent exacerbation of multiple sclerosis symptoms are outlined. Each scenario is presented as a short, three- to four-question additional topic.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130051325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Scenario #4: Ethical Issues 临床场景#4:伦理问题
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0044
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #4: Ethical Issues","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/med/9780190852474.003.0044","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0044","url":null,"abstract":"In this chapter the essential aspects of ethical issues in relation to periprocedural complications are discussed. The chapter begins with a mock scenario of a patient with multiple serious comorbidities requiring an urgent exploratory laparotomy. The mock scenario is followed by a task statement that describes the specific action that the student must take. The task here is to discuss how to manage the patient’s Do-Not-Resuscitate (DNR) status in the perioperative period. An action plan is then presented in a stepwise manner with mock responses and a discussion of the responses. The plan here involves demonstrating behaviors consistent with application of the principles in the ASA Guideline for the Ethical Practice of Anesthesiology—the principles of (1) patient autonomy, (2) beneficence, and (3) nonmaleficence. Grading points are also discussed and how to achieve maximum score is presented.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130567611","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Cardiovascular: Coronary Artery Bypass Graft (CABG) 心血管:冠状动脉旁路移植术(CABG)
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0029
Alec C. Runyon, Minh Tran
{"title":"Cardiovascular: Coronary Artery Bypass Graft (CABG)","authors":"Alec C. Runyon, Minh Tran","doi":"10.1093/MED/9780190852474.003.0029","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0029","url":null,"abstract":"In this chapter the essential aspects of anesthesia for coronary artery bypass graft (CABG) surgery are discussed. Subtopics include monitoring, heparin dose, diagnosis of prolonged activated clotting time, cardiopulmonary bypass machine, and protamine administration. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include the pathophysiology of myocardial ischemia and complications due to chronic obstructive pulmonary disease and diabetes. Issues discussed related to intraoperative management include monitoring, induction, bypass considerations, and coagulation. Postoperative concerns discussed include ICU transfer of care and postoperative management.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121392854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Additional Topics: Cardiac 其他主题:心脏
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0033
Ruchir Gupta
{"title":"Additional Topics: Cardiac","authors":"Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0033","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0033","url":null,"abstract":"In this chapter topics related to use of anesthesia in cardiac patients are discussed. Subtopics include use of heparin in a patient undergoing a coronary artery bypass graft, and management of a cardiac tamponade, hypertrophic cardiomyopathy, coarctation of the aorta, and bacterial endocarditis. Also addressed is management of a patient with an automatic implantable cardioverter-defibrillator (AICD). The mechanism of an intra-aortic balloon pump is discussed, along with its contraindications. The mechanism of the cardiopulmonary bypass machine is also outlined. Open repair of an abdominal aortic aneurysm is discussed, as are the cardiac considerations for surgery in a patient with Down syndrome. Each scenario is presented as a short, three- to four-question additional topic.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131276345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Scenario #5: Communication with Other Health Professionals 临床场景#5:与其他卫生专业人员交流
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0045
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #5: Communication with Other Health Professionals","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/med/9780190852474.003.0045","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0045","url":null,"abstract":"In this chapter the essential aspects of communication with other health professionals are discussed. The chapter begins with a mock scenario involving a patient undergoing an elective right inguinal hernia repair. The mock scenario is followed by a task statement that describes the specific action that the student must take. In this case, the task is to present a recommendation to the surgeon to postpone the surgery and determine the best course of action. An action plan is then presented in a stepwise manner with mock responses and a discussion of the responses. Grading points are also discussed and how to achieve maximum score is presented.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"89 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125102482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical Scenario #6: Practice-Based Learning and Improvement 临床场景#6:基于实践的学习和改进
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0046
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #6: Practice-Based Learning and Improvement","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/MED/9780190852474.003.0046","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0046","url":null,"abstract":"In this chapter the essential aspects of practice-based learning improvement are discussed. The chapter begins with a mock scenario involving an initiative to design and implement a quality improvement project to improve the number of cases starting on time. The mock scenario is followed by a task statement that describes the specific action that the student must take. In this case, the task is to explain to a colleague the general steps of how to design and implement a quality improvement project. An action plan is then presented in a stepwise manner with mock responses and a discussion of the responses. Grading points are also discussed and how to achieve maximum score is presented.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129523172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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