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Anesthesiology Applied Exam Board Review最新文献

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Orthopedics: Shoulder Surgery 骨科:肩部外科
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0010
S. Madison
{"title":"Orthopedics: Shoulder Surgery","authors":"S. Madison","doi":"10.1093/MED/9780190852474.003.0010","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0010","url":null,"abstract":"In this chapter the essential aspects of anesthesia for shoulder surgery are reviewed. Specifically, regional nerve blocks that are most appropriate and the techniques, indications, and complications of such blocks are discussed. Alternatives to regional nerve blocks are also reviewed. The patient is to undergo arthroscopic rotator cuff repair in an ambulatory setting. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Discussion of preoperative evaluation includes the patient’s cardiac status and history of hypertension. Intraoperative issues addressed include choice of anesthesia (interscalene nerve block) and induction, use of laryngeal mask airway, and management of hypotension. Postoperative concerns discussed are pain management, dyspnea, and nausea.","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":"122424177","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: Carotid Endarterectomy 心血管:颈动脉内膜切除术
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0028
Ruchir Gupta
{"title":"Cardiovascular: Carotid Endarterectomy","authors":"Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0028","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0028","url":null,"abstract":"In this chapter the essential aspects of anesthesia for carotid endarterectomy are discussed. Subtopics include transient ischemic attacks, cerebral monitoring, shunt placement, and cerebral blood flow management. The chapter is divided into preoperative, intraoperative and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include cardiac and neurological assessment and taking into account the patient’s hypertension. Issues discussed related to intraoperative management include considerations regarding use of general or regional anesthesia in this case, monitoring with electroencephalography, induction, and addressing cerebral ischemia. Postoperative concerns discussed are postoperative airway distress, potential hematoma, and treating hypertension.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"29 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":"121481667","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
General: Laryngeal Papillomatosis 总则:喉乳头状瘤病
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0003
Aimee Kakascik
{"title":"General: Laryngeal Papillomatosis","authors":"Aimee Kakascik","doi":"10.1093/med/9780190852474.003.0003","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0003","url":null,"abstract":"In this chapter the essential aspects of anesthesia for laryngeal papillomatosis are reviewed. Specifically, the hazards of this type of surgery, including the risk of airway fire, are reviewed. The steps needed to treat airway fire are reviewed, as well as precautions to take in order to prevent it. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Topics addressed under preoperative evaluation include related respiratory and cardiac concerns, and premedication. Intraoperative management addresses issues related to induction, including use of a reinforced endotracheal tube. Postoperative treatment of airway fire and postoperative carbon dioxide laser complications are also discussed.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"205 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":"122343965","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
Trauma: Multisystem Injury 创伤:多系统损伤
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0013
D. McCall, M. Amin, M. Gajewski
{"title":"Trauma: Multisystem Injury","authors":"D. McCall, M. Amin, M. Gajewski","doi":"10.1093/MED/9780190852474.003.0013","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0013","url":null,"abstract":"In this chapter the essential aspects of anesthesia for multisystemic trauma injury are explored. The patient in the case requires open reduction internal fixation of a closed right humerus fracture sustained in a motor vehicle accident. Subtopics discussed include the Focused Assessment by Sonography in Trauma (FAST) survey, Glasgow Coma Scale, massive blood transfusion protocol, and shock. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Topics related to preoperative evaluation include assessment using the FAST survey and Glasgow Coma Scale. Intraoperative topics include anesthetic management and dealing with shock and other complications. Postoperative management is also discussed.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"18 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":"128823868","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
General: Myasthenia Gravis 一般:重症肌无力
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0002
Shimon Frankel
{"title":"General: Myasthenia Gravis","authors":"Shimon Frankel","doi":"10.1093/MED/9780190852474.003.0002","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0002","url":null,"abstract":"In this chapter the essential aspects of myasthenia gravis and Eaton-Lambert syndrome are reviewed. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues addressed with regard to preoperative evaluation include assessment of disease severity, medication for myasthenia gravis, and presence of Lambert-Eaton syndrome. Intraoperative issues discussed are the type of anesthesia used for such patients and dealing with varying degrees of muscle relaxation common to patients with these neuromuscular disorders. Postoperative concerns addressed include postoperative weakness and myasthenic crisis. Conditions that worsen these syndromes are also discussed and treatment modalities are reviewed.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"72 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":"124943959","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
Neurological: Cerebral Aneurysm 神经学:脑动脉瘤
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0024
S. Pisklakov
{"title":"Neurological: Cerebral Aneurysm","authors":"S. Pisklakov","doi":"10.1093/MED/9780190852474.003.0024","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0024","url":null,"abstract":"In this chapter the essential aspects of anesthesia for resection of a cerebral aneurysm are discussed. Subtopics include the different types of aneurysms and strategies for preventing rupture, including nimodipine use and triple H therapy. The case presented involves a patient emergently scheduled for subarachnoid hemorrhage evacuation and intracranial aneurysm clipping. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics discussed are neurological and cardiac assessment, including cerebral blood flow and how hypertension affects anesthetic preparation. Issues regarding intraoperative management include induction, monitors used, and blood pressure control. Postoperative concerns addressed include rebleeding and vasospasm and hyponatremia.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"91 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":"124437644","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 #2: Treatment Options 临床场景#2:治疗方案
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0042
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #2: Treatment Options","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/MED/9780190852474.003.0042","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0042","url":null,"abstract":"In this chapter the essential aspects of treatment options regarding a clinical scenario are discussed. The chapter begins with a mock scenario of a patient with lacerated multiple tendons in her hand. 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 discuss with the patient the anesthetic options given the patient’s specific concerns and agree upon an anesthetic plan. Included in this process is communicating to the patient the benefits and risks associated with each option, as well as concern for her safety. 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":"95 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":"131357775","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
Obstetric: Preeclampsia 产科:子痫前期
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0032
X. Bao
{"title":"Obstetric: Preeclampsia","authors":"X. Bao","doi":"10.1093/med/9780190852474.003.0032","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0032","url":null,"abstract":"In this chapter the essential aspects of anesthesia for preeclampsia are discussed. Subtopics include HELLP syndrome, a life-threatening liver disorder comprising hemolysis, elevated liver enzymes, and low platelet count. Other subtopics addressed are eclampsia, disseminated intravascular coagulation, magnesium therapy, and hydralazine. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include potential effects of drug use on the mother and fetus, and identifying preeclampsia. Issues discussed related to intraoperative management include magnesium therapy, thrombocytopenia, and fetal heat rate deceleration. Postoperative concerns discussed are assessment and treatment of postpartum hemorrhage, seizure, 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":"129539687","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: Thyroidectomy 内分泌:甲状腺切除术
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0007
Ruchir Gupta
{"title":"Endocrine: Thyroidectomy","authors":"Ruchir Gupta","doi":"10.1093/med/9780190852474.003.0007","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0007","url":null,"abstract":"In this chapter the essential aspects of anesthesia for thyroid surgery are reviewed. An emphasis is placed on airway management of the thyroid patient as well as on drug therapy prior to anesthetizing thyroid patients. Myxedema coma and thyroid storm are reviewed in detail. The patient discussed is to undergo resection of a goiter. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics discussed are patient hemodynamics, use of beta blockers, airway assessment, and antithyroid therapy, including iodine. Intraoperative issues covered include monitoring, awake fiber-optic intubation, and management of bleeding. Postoperative issues addressed include extubation and treatment of postoperative stridor.","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":"134569702","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
Pediatrics: Tetralogy of Fallot 儿科:法洛四联症
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0022
K. Khmara, Ruchir Gupta
{"title":"Pediatrics: Tetralogy of Fallot","authors":"K. Khmara, Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0022","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0022","url":null,"abstract":"In this chapter the essential aspects of anesthesia for repair of tetralogy of Fallot (TOF) are reviewed. Subtopics include hemodynamic considerations in TOF patients such as right ventricular hypertrophy, components of TOF, and circulation in the TOF patient. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues discussed that are related to preoperative evaluation include differentiating between cyanotic and acyanotic cardiac lesions, recognizing Tet spells and systemic vascular resistance, and use of antibiotic prophylaxis. Intraoperative topics include induction, onset time of anesthetic agents, and blood therapy. Postoperative care addressed includes extubation, hypothermia, and hypoxia.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"42 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":"130834117","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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