Upgrade to remove ads
Anesthesia for Otorhinolaryngologic Surgeries and Procedures
Terms in this set (59)
What are the 3 paired laryngeal cartilages
arytenoids, corniculates, cuneiforms
What are the 3 unpaired laryngeal cartilages?
epiglottis, thyroid, cricoid
What nerve provides sensory innervation to the laryngeal mucosa above the vocal cords?
Internal Branch of the SLN
What nerve provides sensory innervation to the laryngeal mucosa below the vocal cords?
What nerve provides sensory innervation to the base of the tongue and superior aspect of the epiglottis?
Glossopharyngeal Nerve (CN IX)
What nerve provides motor innervation to all intrinsic laryngeal muscles EXCEPT the cricothyroid muscle?
What nerve provides motor innervation to the cricothyroid muscle?
External branch of the SLN
What happens when Endotracheal tubes get warm?
They kink easily
What is the indication for tonsillectomy in children?
What is the indication for tonsillectomy in adults?
Obstructive Sleep Apnea (OSA)
What is the surgical treatment for OSA?
Bleeding after a tonsillectomy can result in?
What should you not do if you see "kissing tonsils" prior to intubation?
Paralyze the patient —> will be UNABLE TO VENTILATE
What vessel supplies the blood for the tonsils?
External Carotid Artery
Hypertrophy and inflammation of the palatine tonsils can cause?
Serious airway compromise
How do you assess blood loss in a tonsillectomy?
Monitor the suction canister
What sensory nerves supply the palatine tonsils?
Maxillary division of the Trigeminal nerve (V2)
Uncuffed ETT should leak at how many cm of H2O?
What type of extubation should be planned for a tonsillectomy?
What is the priority for induction of a tonsillectomy case?
Tonsillectomy should not be performed on an elective basis in patients with?
Which analgesic increases probability of emesis?
What position should patients be positioned in following a tonsillectomy?
Sim's position - On their side so that secretions do not drip into the stomach or down the throat
Steeple sign is associated with?
Thumb print sign is associated with?
What are the interventions for post-op croup?
Aerosolized racemic Epi and possibly steroids
If all else fails, intubate and ventilate
When does post-operative bleeding occur following a tonsillectomy?
5-10 days post-op
What induction agents should be avoided if intravascular volume status is tenuous?
Propofol and Thiopental
What are the induction agents of choice if intravascular volume is tenuous?
Etomidate or ketamine
A patient with increased thyroid hormone also has increased?
What paralytic should be given for induction for a thyroid surgery?
What nerves are near the thyroid?
RLN and external branch of the SLN
Sedative pre-medication is contraindicated in which patients?
Actual or potential airway compromise
Inspiratory stridor indicates what type of obstruction?
Expiratory stridor indicates what type of obstruction?
What is one of the main goals for anesthesia during a rigid bronchoscopy?
If patient bucks during a rigid bronchoscopy what can happen?
Can perforate the trachea
What interventions are often required to compensate for leaks around the bronchoscope and the high resistance caused by the viewing scope?
High gas flows, large tidal volumes, and high volatile agent concentrations
What kind of position should patients be placed in for a rigid bronchoscopy?
Sitting position = facilitates ventilation
What is the PSI required for jet ventilation?
What is the major hazard associated with laser usage?
What precautions should be taken whenever a laser is being used adjacent to an ETT?
FiO2 should be as low as possible
Do not use N2O
Fill ETT cuffs with dyed saline
Place saline soaked gauze around the airway
60cc syringe with water should be close by
What is the protocol for an airway fire?
STOP ventilation and remove OETT
Turn off O2 and dispose of circuit
Submerge ETT in water
Mask ventilate and re-intubate
Assess airway via a bronchoscope
Serial chest X-rays and ABGs
Bronchial lavage and steroids
What is the first intervention is there is an airway fire?
STOP VENTILATION AND REMOVE OETT
People with Down's Syndrome have?
When mouth gag is placed during a cranio-facial surgery what should the CRNA do?
Hand bag the patient
In which facial fracture is Nasal Intubation absolutely contraindicated?
LeFort 3 Fracture
In which surgery is criteria of cancelling the case due to a cold is different?
PE tube placement
When should nitrous oxide be discontinued in a PE tube placement case?
15-30 minutes before placement of TM patch
What will happen if nitrous oxide is continued after the placement of a TM patch?
Nitrous will diffuse and pop the patch off
What is a consideration for all ear surgeries?
Identification and preservation of the facial nerve (CN VII)
What are the 2 most common middle ear surgeries?
Tympanoplasty and Mastoidectomy
In which ear procedure is nitrous oxide contraindicated?
What used be used to mitigate the effects of nasal obstruction during mask ventilation?
Use of which blade does not have a vagal effect?
In thyroid surgery, which nerve is closely monitored?
You want to use the ________ sized tube you can safely place in a patient.
Which law states that there is an increased resistance with using a smaller OETT?
What is the purpose of the Murphy's Eye in a double lumen tube?
To ventilate the right upper lobe
YOU MIGHT ALSO LIKE...
General surgery and anatomy
CST - NBSTSA app exams
Dental Hygiene Local Anesthesia Study Boards
OTHER SETS BY THIS CREATOR
Physiologic Changes of Pregnancy
Anesthesia for Cardiac Surgery - CABG
Anesthesia for Abdominal and Patients with GI como…
Anesthesia for Robotic Procedures