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Exam (elaborations)

ABSITE – Anesthesia Questions and Answers

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airway exam: list elements  :-- BMI, mouth opening, mallampati classification, mandicular protrusion, neck anatomy, cervical spine mobility, beard airway exam: concerning BMI  :-- >= 31 airway exam: concerning mouth opening  :-- interincisor or intergingival distance <3cm air...

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  • August 28, 2024
  • 21
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ABSITE
  • ABSITE
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Apluss
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Elscores: Aug. 27, 24- 2024/2025

ABSITE – Anesthesia Questions and
Answers
airway exam: list elements


 :-- BMI, mouth opening, mallampati classification, mandicular protrusion, neck

anatomy, cervical spine mobility, beard




airway exam: concerning BMI


 :-- >= 31




airway exam: concerning mouth opening


 :-- interincisor or intergingival distance <3cm




airway exam: concerning mallampati classification


 :-- class 3 or 4 (airway opening almost or completely obstructed)




airway exam: concerning mandibular protrusion


 :-- inability to protrude lower incisors to meet or extend past upper incisors




airway exam: concerning neck anatomy


 :-- radiation changes, thick obese neck




airway exam: concerning cervical spine mobility


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, 2
Elscores: Aug. 27, 24- 2024/2025

 :-- limited extension or possible unstable cervical spine




airway exam: concerning beard


 :-- presence of full beard




inhalational induction agents: MAC - define


 :-- minimum alveolar concentration = small concetration of inhalational agents at which

50% of pts will not move with incision




inhalational induction agents: MAC - small MAC means


 :-- more lipid soluble, more potent




inhalational induction agents: MAC - speed of induction


 :-- inversely proportional to solubility




inhalational induction agents: MAC - fastest


 :-- nitrous oxide is fastest (less soluble) but has high MAC (low potency, less soluble)




inhalational induction agents: lead to what


 :-- unconsciousness, amnesia, some analgesia




inhalational induction agents: effect on respiration


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, 3
Elscores: Aug. 27, 24- 2024/2025

 :-- blunt hypoxic drive




inhalational induction agents: other effects


 :-- some have myocardial depression, inc cerebral blood flow, dec renal blood flow




inhalational induction agents: list types


 :-- halothane, sevoflurane, isoflurane, enflurane, nitrous oxide (fastest onset, low

potency)




inhalational induction agents: most vs least myocardial depression


 :-- most = halothane ... minimal = NO2




inhalational induction agents: tremors at induction


 :-- NO2




inhalational induction agents: can cause seizures


 :-- enflurane




inhalational induction agents: good for neurosurg


 :-- isoflurane (lowers brain O2 consumption, no inc in ICP)




inhalational induction agents: slow vs fast on/off


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