General Pediatrics
(1) Critical Care Medicine and Pain Medicine, Boston Children’s Hospital, Boston, MA, USA (2) Harvard Medical School, Boston, MA, USA Questions 1. Which of the following are considered risk…
Intraoperative Coagulopathies
36 h) and VIII ( 10–14 h) are labile and are the factors most affected during storage of plasma. Factors V and VIII also appear to be most commonly deficient in patients…
One-Lung Ventilation
Past Medical History: Hypertension, COPD, obesity, smoker Medications: Lovastatin 40 mg oral daily Amlodipine 10 mg daily Valsartan 320 mg daily Atenolol 25 mg daily Allergies: Iodinated contrast dye—anaphylaxis Physical Exam: VS: BP 144/96 HR…
Pacemakers and Implantable Cardioverter Defibrillators
Fig. 10.1 Dual-chamber pacemaker Fig. 10.2 Single-chamber ICD Fig. 10.3 CRT-D A transvenous CIED will generally have a pulse generator located in the prepectoral region. An epicardial system may have an abdominal pulse…
Congenital Heart Disease: Atrioventricular Septal Defects
Fig. 57.1 Cross section of the heart showing mitral and tricuspid valve apparatus and common atrial and ventricular septal defects in a case of CAVC. Reproduced from Böök K, Björk V. O,…
Gastroschisis and Omphalocele
Gastroschisis Omphalocele Incidence 4.5: 10,000 3: 10,000 Embryology Anterior abdominal wall defect, umbilical cord intact and to the right of defect. No membranous sac. Usually small and large intestines…
Brachial Plexus Block
Past medical history: Atrial fibrillation, COPD, CHF Medications: Coumadin 3 mg PO daily, Albuterol MDI 2 puffs prn for shortness of breath, Spiriva 2 puffs daily, furosemide 20 mg PO daily, metoprolol…
Anesthesia for Open Repair of Abdominal Aortic Aneurysm
Additional history includes moderate renal artery stenosis and breast cancer, s/p lumpectomy. PSH: Left hip replacement, CEA, CABG × 3, AVR Meds: Amlodipine, atorvastatin, bumetanide, metoprolol, aspirin Allergies: simvastatin (muscle aches), cefazolin…
The Difficult Airway
PMHx: Obesity Asthma Medications: Oral contraceptives Allergies: None known PSHx: C/S × 2 Sinus surgery Physical Exam: Height 5′6″ (167 cm) Weight: 210 lbs (95.5 kg) (BMI 34) VS: HR 106 BP 108/59 RR 22…
