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DAANCE MODULE V OFFICE ANESTHESIA EMERGENCIES QUESTIONS AND ANSWERS UPDATED
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DAANCE MODULE V OFFICE ANESTHESIA EMERGENCIES QUESTIONS AND ANSWERS UPDATED
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DAANCE MODULE V OFFICE ANESTHESIA EMERGENCIESQUESTIONS AND ANSWERS UPDATED 2024 - 2025
Hypoxia ANS - deficiency of oxygen in the body's tissues and can be the end result of significant
cardiorespiratory complications
Airway obstruction secondary to posterior positioning of the tongue or a foreign body ANS - -100%
oxygen via nasal mask
-place the patient in Trendelenburg position and pack off the surgical site
-digital traction of the tongue with gauze, tongue forceps, a hemostat or tongue suture
-suction of the oropharynx
-a nasopharyngeal airway
-a oropharyngeal airway
-LMA, igel or other supraglottic airway
-endotracheal intubation
-cricothyrotomy
Cricothyrotomy ANS - only after all conventional methods for establishing an airway have failed
accomplished by making an opening through the thin cricothyroid membrane between the cricoid and
the thyroid cartilages of the larynx
Tracheostomy ANS - surgical airway below the level of the larynx into the trachea
may be performed by OMS but usually performed in a hospital setting
Laryngospasm ANS - protective reflex of the vocal cords that attempts to prevent passage of foreign
matter into the larynx, trachea and lungs. partial or complete
Complete laryngospasm ANS - characterized by cessation of crowing sounds, suprasternal retraction
and paradoxical chest movements
Treatment of laryngospasm ANS - -100% oxygen with nasal hood
, -proper head position/establish airway
-pack surgical site
-suction of oral cavity and oropharynx with tonsil suction tip
-positive pressure, 100% oxygen via bag/mask system
-administer succinylcholine (Anectine) 10-20mg IV support ventilation manually until the effects of the
drug have dissipated and strong spontaneous respiration has resumed
-Succs may precipitate malignant hypothermia in a susceptible individual
When giving children succinylcholine, what drug should be administered to prevent bradycardia and life-
threatening dysrhythmias? ANS - atropine
Bronchospasm ANS - -generalized contraction of the smooth muscles of the small bronchi and
bronchioles in the lungs, resulting in a restriction of the flow of air to and from the lungs
-more difficulty with expiration than inspiration
Treatment of bronchospasm ANS - -100% oxygen via bag/mask
- albuterol inhalation (Beta-2 agonist) 4-8 puffs via inhaler every 20 minutes for up to 4 hours, then
every 1-4 hours as needed
-Ipratropium bromide (Atrovent) 2 puffs stat; repeat every 4 hours
-Epinephrine injection (alpha and beta agonist)
- Intubation/ventilation (endotracheal tube, LMA, igel or combitube)
-Steroid injection such as dexmesthasone 4-6mg IV or hydrocortisone 100mg IV
-Diphenhydramine 50mg IV
-Aminophylline is no loner considered a first-time drug for management of bronchospasm
-EMS
Emesis with aspiration ANS - occurs when the contents of the stomach enter the lungs secondary to
emesis (vomiting or passive regurgitation)
According to ASA, solid foods should not be eaten for how many hours prior to surgery? and clear
liquids? ANS - six ; two
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