Out of the OR
Laparoscopic & Robotic Physiology
Pulmonary + Bronchospasm
PACU & Post-Op Complications
Complications, Errors & High-Yield Concepts
100

This is the #1 cause of anesthesia claims in remote locations, especially during GI procedures.

inadequate oxygenation/ventilation

100

CO₂ insufflation increases this parameter, leading to increased afterload.

SVR

100

This receptor causes bronchoconstriction when stimulated by ACh.

M3 receptor

100

The most common cause of airway obstruction in PACU is this.

tongue obstruction/loss of pharyngeal tone

100

This accounts for up to 77% of anesthesia-related deaths.

human error

200

This is the biggest practical issue in remote locations that increases risk.

limited access to the patient/equipment

200

Pneumoperitoneum causes this change in cardiac output.

decreased cardiac output

200

This receptor leads to bronchodilation via increased cAMP.

beta-2 receptor

200

The most common cause of postoperative hypoxemia is this.

atelectasis

200

The most important step after a critical incident is this.

protect the patient from further harm


300

This condition increases risk of aspiration during GI procedures and must be assessed preop.

GERD

300

This happens to the diaphragm during insufflation.

cephalad displacement

300

The first step in intraoperative bronchospasm treatment is this.

deepen anesthesia

300

This condition occurs from strong inspiratory effort against a closed glottis.

negative pressure pulmonary edema

300

This cognitive disorder is acute and fluctuating postoperatively.

delirium

400

This physiologic response occurs due to strong magnetic fields affecting circulation.

increased blood pressure (compensatory rise)

400

CO₂ absorption leads to this acid-base disturbance.

respiratory acidosis

400

This waveform change is classic for bronchospasm.

shark-fin” ETCO₂ waveform

400

The #1 cause of postoperative hypertension and tachycardia is this.

pain

400

This is the MOST important risk factor for POCD.

age

500

Sedation can rapidly progress, so providers must always be able to do this.

rescue airway/convert to general anesthesia

500

A sudden drop in ETCO₂ with hypotension during laparoscopy suggests this complication.

CO₂ embolism

500

This electrolyte shift can occur with excessive beta-2 agonist use.

hypokalemia

500

Naloxone should be given in this dosing strategy to avoid full reversal.

small titrated doses (e.g., 40 mcg increments)

500

This analysis is used to identify system-level causes of errors.

root cause analysis (RCA)

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