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Anesthesiology Applied Exam Board Review最新文献

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General: Obesity and Difficult Airway 一般:肥胖和气道困难
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0001
Ruchir Gupta
{"title":"General: Obesity and Difficult Airway","authors":"Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0001","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0001","url":null,"abstract":"In this chapter the essential aspects of difficult airway management in the obese patient are reviewed. In this case study, the patient is scheduled to undergo a laparoscopic gastric bypass. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include differentiating obstructive sleep apnea from obstructive sleep hypopnea. Intraoperative topics include monitoring, premedication, and intubation. Postoperative concerns include extubation, managing hyperglycemia, pain control, and the patient’s mental status. The use of different modalities for securing the airway as well as the difficult airway algorithm are reviewed in detail.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"11 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":"116095663","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: Pyloric Stenosis 儿科:幽门狭窄
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0018
J. Olaya
{"title":"Pediatrics: Pyloric Stenosis","authors":"J. Olaya","doi":"10.1093/MED/9780190852474.003.0018","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0018","url":null,"abstract":"In this chapter the essential aspects of anesthesia for pyloric stenosis in the pediatric patient are discussed. Subtopics include determining electrolyte abnormalities in these patients, airway management, fluid management, and coexisting diseases. The chapter is divided into preoperative, intraoperative and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics discussed include malignant hyperthermia, pyloric stenosis and associated projectile vomiting, olive sign, hypokalemia, and assessment of fluid volume intake. Issues discussed related to intraoperative management include monitoring, rapid sequence induction, the pediatric airway, and bronchospasm. Under postoperative management, complications related to croup and to postoperative apnea and hypoglycemia are addressed.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"125 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":"126061034","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: Renal Transplantation 概述:肾移植
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0006
Ruchir Gupta, S. Glassman, Anita Gupta
{"title":"General: Renal Transplantation","authors":"Ruchir Gupta, S. Glassman, Anita Gupta","doi":"10.1093/MED/9780190852474.003.0006","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0006","url":null,"abstract":"In this chapter the essential aspects of anesthesia for renal transplantation are discussed. Subtopics include the anesthetic considerations of diabetes and renal disease. Emphasis is placed on understanding electrolyte abnormalities in patients with renal failure and strategies for optimizing patients with renal disease. The patient discussed here is on dialysis. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative issues discussed are assessment for chronic renal failure and hyperkalemia, and medications for renal failure and for transplantation. Intraoperative topics addressed include choice of anesthesia and monitors, and issues related to induction, maintenance, and graft attachment. Postoperative concerns discussed include oliguria and nausea.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"51 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":"115806478","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: Traumatic Brain Injury 创伤:创伤性脑损伤
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0014
Ruchir Gupta
{"title":"Trauma: Traumatic Brain Injury","authors":"Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0014","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0014","url":null,"abstract":"In this chapter the essential aspects of anesthesia for traumatic brain injury are discussed. Subtopics include manifestations and treatment of elevated intracranial pressure (ICP), Glasgow Coma Scale (GCS), drugs used to lower ICP, and patient monitoring. The case presented is an emergent craniotomy. 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 evaluation of trauma, use of the GCS in this case, assessing intracranial hypertension, history of substance abuse, and clearing the cervical spine. Issues related to intraoperative management in this case include induction and use of blood products. Postoperative concerns addressed include polyuria and acute respiratory distress syndrome.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"16 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":"121114152","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: Liver Transplantation 概述:肝移植
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0005
F. Osorio
{"title":"General: Liver Transplantation","authors":"F. Osorio","doi":"10.1093/MED/9780190852474.003.0005","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0005","url":null,"abstract":"In this chapter the essential aspects of anesthesia for liver transplantation are reviewed. Subtopics include the systemic manifestations of cirrhosis and their effects on anesthesia planning. Additionally, the hemodynamic consequences of the different stages of liver transplantation—preanhepatic, anhepatic, and reperfusion—are reviewed. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics include relevant means of assessing cardiac and liver function status. Ascites and hepatorenal syndrome are also discussed. Issues related to intraoperative management include choice of monitor, hematological considerations, and induction. Postoperative topics discussed are postoperative bleeding, and coagulopathy and anemia.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"24 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":"128014913","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: Congenital Diaphragmatic Hernia 儿科:先天性膈疝
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0019
P. Wingard
{"title":"Pediatrics: Congenital Diaphragmatic Hernia","authors":"P. Wingard","doi":"10.1093/MED/9780190852474.003.0019","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0019","url":null,"abstract":"In this chapter the essential aspects of anesthesia for congenital diaphragmatic hernia (CDH) are discussed. Subtopics include respiratory management of CDH patients, airway management, and postoperative considerations of CDH patients. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Preoperative topics addressed are assessment of respiratory and circulatory findings, including pulmonary hypertension. Discussion of intraoperative management includes monitoring, induction using inhalational induction, intubation, and maintenance of the patient, airway management, goals for ventilation, treating possible pneumothorax, and fluids used, such as glucose. Postoperative concerns addressed are decompensation and patient outcome.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"132 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":"121310142","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
Thoracic: VATS (One-Lung Ventilation) 胸部:VATS(单肺通气)
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0025
Ruchir Gupta
{"title":"Thoracic: VATS (One-Lung Ventilation)","authors":"Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0025","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0025","url":null,"abstract":"In this chapter the essential aspects of anesthes for video-assisted thoracic surgery (VATS) are discussed. The algorithm for determining correct double-lumen tube (DLT) placement, troubleshooting hypoxia in the DLT-ventilated patient, and management of the airway are discussed. 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 respiratory function and cyanosis. Issues discussed relate to intraoperative management include monitoring, epidural catheter placement, use of a double-lumen tube, single-lung ventilation, and addressing hypoxia and massive bleeding. Postoperative concerns addressed include extubation, pain control and altered mental status.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"5 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":"127178350","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: Foreign Body Aspiration 儿科:异物吸入术
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0016
A. Kakascik
{"title":"Pediatrics: Foreign Body Aspiration","authors":"A. Kakascik","doi":"10.1093/MED/9780190852474.003.0016","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0016","url":null,"abstract":"In this chapter the essential aspects of anesthesia for foreign body aspiration in the pediatric patient are reviewed. Subtopics include airway management in a patient with a foreign body aspiration, interventions to avoid, and drugs indicated for securing the airway in a patient with this condition. The chapter is divided into preoperative, intraoperative, and postoperative sections with important subtopics related to the main topic in each section. Issues related to preoperative management include assessment of respiratory status, vascular access, and airway management. Intraoperative topics discussed include, inhalational anesthesia, induction, and the patient’s emergence from anesthesia. Postoperative concerns addressed are postoperative stridor and nausea.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"411 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":"124385470","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: 1
Clinical Scenario #3: Periprocedural Complications 临床场景#3:围手术期并发症
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0043
Ruchir Gupta, Minh Tran
{"title":"Clinical Scenario #3: Periprocedural Complications","authors":"Ruchir Gupta, Minh Tran","doi":"10.1093/MED/9780190852474.003.0043","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0043","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 concerning a patient with periprocedural complications. 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 a medication error with the patient. Included in this process is demonstrating to the patient the physician’s understanding of and concern for the situation of the patient, as well as a commitment to patient 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":"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":"131329559","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: The Burn Patient 创伤:烧伤病人
Anesthesiology Applied Exam Board Review Pub Date : 2018-10-01 DOI: 10.1093/MED/9780190852474.003.0012
Ethan Kim, Ruchir Gupta
{"title":"Trauma: The Burn Patient","authors":"Ethan Kim, Ruchir Gupta","doi":"10.1093/MED/9780190852474.003.0012","DOIUrl":"https://doi.org/10.1093/MED/9780190852474.003.0012","url":null,"abstract":"In this chapter the essential aspects of anesthetic management of the burn patient are discussed. Subtopics include use of the Parkland formula for calculating fluid requirements, airway considerations, and carbon monoxide toxicity. The differences between first-, second-, and third-degree burns are also discussed. 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 initial assessment, calculating percentage of body area burned, and airway evaluation. Topics related to intraoperative management include muscle relaxation, monitoring, and fluid therapy. Postoperative issues involve extubation criteria and treatment to induce muscle relaxation.","PeriodicalId":425600,"journal":{"name":"Anesthesiology Applied Exam Board Review","volume":"7 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":"122605465","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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