Download Anesthesiology board review by Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe PDF

By Kerri M. Robertson, David J Lubarsky, Sudharma Ranasinghe

ISBN-10: 0071464123

ISBN-13: 9780071464123

Why waste time guessing at what you want to be aware of for anesthesia in-service and board examination? Maximize your examination education time with this quick-hit query and solution evaluate. the original query and single-answer layout gets rid of the guesswork linked to conventional multiple-choice Q&A studies and reinforces in simple terms the proper solutions you will have to grasp on examination day. Emphasis is put on distilling key evidence and medical pearls crucial for examination good fortune. This high-yield evaluation is ideal for extreme, streamlined evaluation within the days and weeks prior to your examination.

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If the patient has good analgesia upon recovery, it is possible to proceed with surgery.  You notice the anesthesia machine you are about to use does not have a functioning oxygen analyzer. What should you do? There are several possible equipment problems that could cause a hypoxic gas mixture to be delivered to the patient that can only be detected by an oxygen analyzer. ASA practice guidelines for monitoring require routine use of an oxygen analyzer.  You need to use halothane for your next case.

With aspiration pneumonia presenting as a lobar infiltrate, which sites are the most common? Right lower lobe as most aspirations occur in the supine position, and the right lower lobe has the most gravity dependent position.  What is the primary treatment for gastric aspiration? A stepwise approach using suction, analysis of arterial blood gases for pH and oxygenation, aggressive and early ventilatory support, adequate fluid resuscitation and bronchoscopy for large particulate aspiration is recommended.

There is a reduction in oxygen delivery as a result of the failure to fully compensate for the lowered oxygen carrying capacity by an increased cardiac output. Oxygen delivery is maximum in the hematocrit range of 35% to 45%.  How can you estimate the volume of blood to be removed preoperatively when you are using the normovolemic-hemodilution/ autotransfusion technique to reduce the loss of red cells intraoperatively? The volume can be calculated according to the following formula: V=EBV ({HCToriginal – Hctfinal}/Hctaverage), where V= volume to be removed and EBV= estimated blood volume (65 ml/kg multiplied by weight (kg)).

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