By Jessica A. Lovich-Sapola
The accreditation approach for anesthesia within the usa is taken into account probably the most tricky in all scientific specialties, with citizens required to go either an oral and written examination to achieve certification. This ebook is in particular designed for the yankee Board of Anesthesiology Oral exam. The evidence-based strategy is gifted in a concise outline-oriented structure, with an emphasis on try out effects and visible photographs. The Knockout therapy Plan demonstrates the right kind approach to coping with the case to the pride of the examiners, whereas the Technical Knockout sections provide extra assistance for effectively passing the exam. the easy layout of this publication makes it appropriate not just as an oral assessment booklet but in addition as an advent to anesthesia rotations for scientific scholars, clinical interns, and nurse anesthetist scholars; in addition, the e-book can be utilized as a technical examine advisor for anesthesia citizens. greater than a hundred themes during this publication have already been board-review confirmed by means of citizens.
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Extra info for Anesthesia Oral Board Review: Knocking Out the Boards
What kind of blood pressure monitoring would you like for this patient? Clinical Issues One of the standards of anesthesia practice is to measure the blood pressure at least every five minutes. This can be done either non-invasively or invasively. Non-invasive Blood Pressure (NIBP) Monitoring 1. Techniques a. Manual cuff b. Automatic cuff 2. Mechanism of function for the manual cuff a. The cuff is inflated with a manometer to a pressure that is high enough to stop the flow of blood. b. The pressure at which the flow returns is the systolic pressure.
Should you delay the case in order to get an EKG? 1. Basic EKG. Drawing credit: J Lovich-Sapola MD. 1. EKG Rate Rate Diagnosis 60–100 Normal <60 Bradycardia >100 Tachycardia 1. 5 mm high. 2. Best viewed in lead II and V1. Therefore, lead II is commonly monitored in the OR because it is the most sensitive for diagnosing arrhythmias. PR interval: generated by the conduction of the electrical impulse through the atria and the AV node. 1. 2 seconds (5 mm). 2. The duration and comparisons of the PR intervals give an insight into the depolarization of and conduction through the atria.
G. The utility of this technique depends on the direction of the ultrasound beam within the cardiac chambers. i. When the angle one is attempting to measure with PW Doppler exceeds 20 degrees from the direction of the probe, the Doppler shift measurement is attenuated to produce meaningless results. 5. Continuous-wave (CW) Doppler a. Unlike PW Doppler, CW Doppler utilizes two separate crystals to obtain information about blood flow velocities within the heart. i. One crystal continually emits waves.