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Anesthesiology Applied Exam Board Review最新文献

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Neurological: Intracranial mass 神经学:颅内肿块
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0023
S. Pisklakov
{"title":"Neurological: Intracranial mass","authors":"S. Pisklakov","doi":"10.1093/med/9780190852474.003.0023","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0023","url":null,"abstract":"In this chapter the essential aspects of anesthesia for intracranial mass excision are discussed. The case presented is of a patient emergently scheduled for a posterior fossa intracranial tumor resection. Subtopics include diagnosis and treatment of ICP as well as appropriate ICP monitoring devices. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative evaluation addressed includes neurological assessment for ICP and cerebral perfusion pressure, cardiac assessment, and positioning of the patient. Issues addressed regarding intraoperative management include monitors used, anesthesia plan, maintenance, and use of furosemide vs. mannitol. Postoperative issues discussed are hypertension and peripheral nerve injury.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"84 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":"133540845","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 #1: Informed Consent 临床场景#1:知情同意
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0041
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #1: Informed Consent","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/MED/9780190852474.003.0041","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0041","url":null,"abstract":"In this chapter the essential aspects of informed consent are discussed. This chapter begins with a mock scenario of a patient who is scheduled for a left knee arthroplasty. The scenario is followed by a task statement that describes the specific action that the student must take. In this case, the task is to obtain informed consent for the nerve block. Included in this process is communicating to the patient the benefits, potential complications, and side effects of the procedure and alternatives to it. An action plan for the mock scenario 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 a maximum score.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"33 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":"127379760","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
Orthopedics: Hip Surgery in Aortic Stenosis 骨科:主动脉瓣狭窄的髋关节手术
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0011
Ruchir Gupta
{"title":"Orthopedics: Hip Surgery in Aortic Stenosis","authors":"Ruchir Gupta","doi":"10.1093/med/9780190852474.003.0011","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0011","url":null,"abstract":"In this chapter the essential aspects of aortic stenosis are discussed. Specifically, the hemodynamic consequences of this disease as well as which drugs should be used or avoided are explored. The case discussed is of an older patient needing emergent open reduction internal fixation of a hip fracture. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative issues addressed include evaluation of the patient’s hypertension and cardiac status. Intraoperative topics include spinal versus epidural anesthesia, management of a difficult airway, and treatment of bone cement implantation syndrome and atrial fibrillation. Postoperative issues involve extubation and, in this case, managing hypertension.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"15 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":"121177111","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: Hemorrhage 产科出血:
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0031
Edouard Belotte
{"title":"Obstetric: Hemorrhage","authors":"Edouard Belotte","doi":"10.1093/med/9780190852474.003.0031","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0031","url":null,"abstract":"In this chapter the essential aspects of anesthesia for obstetric hemorrhage are discussed. Subtopics include physiological changes of pregnancy, placenta previa, abruption placenta, and regional anesthesia in the obstetric patient. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include assessment of hemodynamic status, etiology of uterine bleeding, examination using a double setup, uterine rupture, and preoperative lab assessment. Issues discussed relate to intraoperative management include epidural technique, monitoring, induction, and intraoperative hemorrhage. Postoperative concerns discussed are assessment and treatment of postpartum hemorrhage and its differential diagnosis.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"143 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":"123218563","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
Basics of Objective Structured Clinical Exam (OSCE) 客观结构化临床考试基础(欧安组织)
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0040
William Vuong, Ruchir Gupta
{"title":"Basics of Objective Structured Clinical Exam (OSCE)","authors":"William Vuong, Ruchir Gupta","doi":"10.1093/med/9780190852474.003.0040","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0040","url":null,"abstract":"In this chapter the basics of the new Objective Structured Clinical Exam (OSCE) are discussed. The grading requirements and the important bullet points that need to be addressed are reviewed in detail.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"10 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":"117334849","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: Tracheoesophageal Fistula Repair 儿科:气管食管瘘修复
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0017
P. Wingard
{"title":"Pediatrics: Tracheoesophageal Fistula Repair","authors":"P. Wingard","doi":"10.1093/MED/9780190852474.003.0017","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0017","url":null,"abstract":"In this chapter the essential aspects of tracheoesophageal fistula repair are discussed. Subtopics include the classic signs of symptoms of this disease in the pediatric patient as well as airway management. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. In the preoperative section the various types (A-F) of tracheoesophageal fistula are outlined and assessment of the patient’s respiratory status reviewed. Issues discussed in relation to intraoperative management include monitors used, inhalation induction, intubation, and positioning of the patient. Postoperative concerns discussed include extubation of the patient and complications of tracheoesophageal fistula repair.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"34 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":"126695932","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: Carcinoid Tumor 内分泌:类癌
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0008
Dieman La, Minh Tran
{"title":"Endocrine: Carcinoid Tumor","authors":"Dieman La, Minh Tran","doi":"10.1093/MED/9780190852474.003.0008","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0008","url":null,"abstract":"In this chapter the essential aspects of anesthesia for carcinoid disease are reviewed. Specifically, the pathophysiology of this syndrome and its effect on anesthesia care are reviewed in detail. Drugs that should be avoided in the carcinoid patient are discussed, as well as therapy. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. The preoperative section discusses assessment of carcinoid tumor using somatostatin analog scintigraphy and of related cardiac, pulmonary, and metabolic issues. Intraoperative topics discussed include monitoring, induction, and maintenance of the patient, as well as potential complications such as bronchospasm and hypotension. Postoperative concerns mentioned include pain management and tapering of octreotide.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"17 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":"116863520","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: Patent Ductus Arteriosus 儿科学:动脉导管未闭
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0021
P. Wingard
{"title":"Pediatrics: Patent Ductus Arteriosus","authors":"P. Wingard","doi":"10.1093/MED/9780190852474.003.0021","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0021","url":null,"abstract":"In this chapter the essential aspects of anesthesia for patent ductus arteriosus (PDA) repair are discussed. The case presented is of a 30-week neonate requiring PDA repair. Subtopics include adjustments in management due to infant prematurity and prevention of necrotizing enterocolitis. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues presented regarding preoperative evaluation include concerns related to the patient’s prematurity and risk for necrotizing enterocolitis. Intraoperative management addressed includes choice of monitors, inhalational agents used, potential complications, and postligation. Postoperative topics include use of antibiotics, when repair is the wrong procedure, and postoperative complications.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"13 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":"121880361","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: The Asthmatic Patient 一般医生:哮喘病人
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0004
Sana Na Javeed, A. Kogan
{"title":"General: The Asthmatic Patient","authors":"Sana Na Javeed, A. Kogan","doi":"10.1093/MED/9780190852474.003.0004","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0004","url":null,"abstract":"In this chapter the essential aspects of managing the asthmatic patient before, during, and after surgery are reviewed. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. The case involves a woman with type 2 diabetes mellitus who is scheduled for urgent laparoscopic, possibly open, cholecystectomy. Issues addressed for preoperative evaluation include assessment for whether the patient is optimized for urgent surgery, hemoglobin A1C test, and premedication. Intraoperative topics include induction, selecting a ventilator mode, and managing complications. Postoperative concerns discussed include extubation criteria and management of glucose levels.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"83 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":"124720632","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
Urology: TURP Syndrome 泌尿外科:TURP综合征
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/med/9780190852474.003.0015
Mark Slomovits
{"title":"Urology: TURP Syndrome","authors":"Mark Slomovits","doi":"10.1093/med/9780190852474.003.0015","DOIUrl":"https://doi.org/10.1093/med/9780190852474.003.0015","url":null,"abstract":"In this chapter the essential aspects of anesthesia for transurethral resection of the prostate (TURP) syndrome are discussed. Specifically, the role of general versus regional anesthesia, the treatment of hyponatremia, and ways to prevent the development of TURP syndrome are reviewed. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Aspects of preoperative management that are discussed include assessment of comorbidities and use of laser therapy. Intraoperative topics are monitoring, anesthesia used, definition of and concerns related to TURP, bladder perforation, and hyponatremia. Central pontine myelinolysis, glycine toxicity, and oliguria are addressed under postoperative management.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"10 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":"129564237","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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