Anesthesia Secrets

Post-anesthetic care

1 Which patients should be cared for in the postanesthetic care unit? According to American Society of Anesthesiologists standards, all patients who have received an anesthetic of any kind shall receive postanesthetic management of some kind. Postanesthetic care unit (PACU)…

Temperature disturbances

1 What is normal core body temperature? What is the definition of hypothermia and hyperthermia? Normal core body temperature is approximately 37°C. Core body temperature is not constant and fluctuates throughout the day (± 0.5°C), with circadian rhythm, and in…

Awareness during anesthesia

1 Review the classifications of memory and awareness. Memory can be classified as implicit (unconscious memory) and explicit (conscious memory). Conscious recollection of events, including intraoperative events, would fall under the category of explicit memory. Awareness with recall (AWR) during…

Pulmonary complications

Aspiration 1 What is aspiration? Aspiration is the passage of material from the pharynx into the trachea. Aspirated material can originate from the stomach, esophagus, mouth, or nose. The materials involved can be particulate matter (e.g., food), a foreign body,…

Blood pressure disturbances

1 What blood pressure value is considered hypertensive? The definitions for blood pressure (BP) categories changed in 2017 according to the guidelines released by the American Heart Association/American College of Cardiology. A normal BP is less than 120/80 mm Hg.…

Pacemakers and internal cardioverter defibrillators

1 What are the common indications for placement of a permanent pacemaker? Common indications are as follows: symptomatic bradycardia that is not reversible, third-degree heart block (sometimes referred to as complete heart block ) is a problem of the atrioventricular…

Electrocardiogram

1 Describe the electrical conduction system of the heart. The electrical conduction system of the heart is a network of specialized myocardial cells that generate, regulate, and propagate a series of electrical impulses. These impulses are generated by subtle changes…

Mechanical ventilation strategies

1 Why might a patient require intubation and mechanical ventilation? There are three main indications: 1) Hypoxic respiratory failure 2) Hypercarbic respiratory failure 3) Airway protection These three indications may be caused by primary respiratory pathology (e.g., pneumonia, chronic obstructive…

The anesthesia machine

1 What is an anesthesia machine? A more modern and correct name for an anesthesia machine is anesthesia delivery system . The job of the first anesthesia machines was to supply a mixture of anesthetizing and life-sustaining gases to the…

Volume assessment

1 Why do we administer fluids? What is the most important reason perioperatively? Although there are many reasons to administer fluids to patients (correct electrolyte imbalances, administer drugs, nutrients, antibiotics, etc.), the ultimate goal of perioperative fluid administration is to…