basics

topics

basics

anesthesia standards

anesthesia services

  • monitored anesthesia care
  • general anesthesia
  • regional anesthesia

preparation

Hypoxemia with SpO2 below 90. Framework?
  • SCC+TDM: Scan, Confirm, Call for Help + Temporize -> Diagnose & Manage
    • Actions for Scan, Confirm, Call for Help + Temporize? (2)
    • 1. Turn up FiO2 to 100% with high flows
    • 2. Scan from the machine to the patient to confirm the reading
      • What are common problems with the pulse oximeter? (2)
      • Poor connection at X3 monitor
      • Poor connection with patient
      What are common problems with the circuit? (2)
      • Disconnected at anesthesia machine
      • Disconnected from airway device
      What are common problems with the endotracheal tube? (2)
      • Tube is kinked
      • Tube is plugged with secretions
    Actions for Diagnose & Manage? (3)
    • 3. Switch ventilator setting to spontaneous ventilation and hand ventilate
    • 4. Auscultate lungs
    • 5. Suction endotracheal tube
      • What could a tight rebreathing reservoir bag imply? (many)
      • Obstructive Process (pubmed)
      What could a collapsing rebreathing reservoir bag imply? (many)
      What could lung auscultation revealing wheezing imply? Management? (3)
      • Bronchospasm
      • Management: Albuterol, deepen anesthesia, epinephrine 10-100 mcg
      What could lung auscultation revealing decreased left-sided but normal right-sided breath sounds imply? Management? (1)
      • Endobronchial intubation (e.g. likely right mainstem)
      • Management: Reposition endotracheal tube
  • Last Updated: 7/9/23, UpToDate

pre-operative

interview: SIR NAP NAAP EMS

PMHx: CPN-REG (4333)

intra-operative

induction: PPD VIP

intubation: RL-SELICC

post-induction: AAAAAA (2-1-3), BBCCDDEEFF

maintenance: MACC

emergence: OR 4 Drugs + SBP 3 Criteria -> Extubation

post-operative