Perioperative corticosteroid administration
Questions 1. Where are steroids naturally produced, and what type of steroids are they? 2. What are the physiologic effects of glucocorticosteroids? 3. What steroids are available for administration, and…
One-lung ventilation
Questions 1. Describe the anesthetic evaluation before lung resection. 2. How are ventilation and oxygenation monitored noninvasively during surgery, and how do these monitors work? 3. What are the indications…
Monitoring the neuromuscular junction
Questions 1. Why is monitoring of neuromuscular blockade important whenever a neuromuscular blocking drug is administered? 2. What are the basic principles of neuromuscular blockade monitoring? 3. Why is a…
Myasthenia gravis
Questions 1. What is myasthenia gravis? 2. How is myasthenia gravis diagnosed, and how is it classified? 3. What are the treatment alternatives for a patient with myasthenia gravis? 4….
Antagonism of nondepolarizing neuromuscular blockade
Questions 1. Describe the principles underlying antagonism of residual nondepolarizing neuromuscular blockade. 2. How is acetylcholinesterase inhibited? 3. Name clinically relevant acetylcholinesterase inhibitors and their onsets of action. 4. What…
Spine surgery
Questions 1. Does severe cervical stenosis necessitate awake fiberoptic intubation? 2. How is chronic pain managed during major spine surgery? 3. Explain the mechanism by which intraoperative neurophysiologic monitoring helps…
Depolarizing neuromuscular blockade
Questions 1. What is the differential diagnosis for a healthy patient whose vital signs are stable but who is not “waking up” after general anesthesia? 2. How is normal neuromuscular…
Nondepolarizing neuromuscular blockade
Questions 1. Describe how nondepolarizing neuromuscular blocking drugs produce skeletal muscle relaxation. 2. How do nondepolarizing neuromuscular blocking drugs differ from one another? 3. How do potent inhaled anesthetics, local…
Transsphenoidal hypophysectomy
Questions 1. What is acromegaly? 2. What symptoms are typical of acromegaly? 3. How is acromegaly treated? 4. What are the anesthetic considerations for patients with acromegaly? 5. Describe the…
Electroconvulsive therapy
Questions 1. What is electroconvulsive therapy? 2. Do you have enough information to proceed with general anesthesia? 3. Are there any relative or absolute contraindications to electroconvulsive therapy? 4. How…
