Anesthesia & Airway
A machine used to help establish IV access on high BMI patients.
What is portable ultrasound.
Device used to heat IV fluids in the OR.
What is enthermics/ Iv now.
This condition that many high BMI patients have increases the risk of poor wound healing and infection.
What is Diabetes Mellitus.
High BMI patients often require __ surgery times leading to greater tissue exposure and an increased infection risk.
What is prolonger/longer.
What is roller board.
A surgical position commonly used in gyne that can compromise the airway of high BMI patients due to excess adipose tissue putting pressure on the thoracic cavity.
What is trendelenburg.
This OR team member is primarily responsible for ensuring warming devices are applied and functioning properly.
What is the circulating nurse.
This condition that many high BMI patients have contributes to difficult airway management and increases the risk of postoperative hypoventilation and oxygen desaturation
What is obstructive sleep apnea (OSA).
A set of instruments put aside at the start of a gyne onc procedure that are not used until the end.
What is SSI Bundle.
What is the absolute minimum number of staff required to transfer a high BMI patient.
What is four.
A __ Kit should be in every anesthesia cart in the event of an airway emergency.
What is EFONA.
What is the most effective way of maintaining normothermia in the OR.
What is forced air warming.
This mechanical device is used intraoperatively to reduce the risk of venous thromboembolism in high BMI patients.
What are sequential compression devices (SCDs).
This circulator action ensures skin antisepsis is effective before draping in a high-BMI patient.
What is allowing full antiseptic dry time after skin prep.
If a High BMI patient is coming for gyne surgery and will be placed in trendelenburg for an extended period a ___ should be placed on the bed.
What is blue anti sliding pad.
If a high-BMI patient cannot be safely anesthetized using standard induction techniques, they may require this airway management approach to maintain spontaneous ventilation and reduce the risk of a failed airway.
What is awake intubation.
This complication becomes more likely when a patient's body temperature drops during surgery.
What is Surgical Site Infection (SSI).
This comorbidity increases the risk of aspiration during induction due to delayed gastric emptying and reduced lower esophageal sphincter tone.
What is gastroesophageal reflux disease (GERD).
This OR environmental factor must be minimized because it increases contamination risk especially during open cases.
What is OR traffic / door openings.
In a high BMI gyne patient on a narrow OR bed, this should be used to safely tuck and secure arms that extend beyond the bed to prevent injury and maintain positioning.
What are skids.
Device used to help elevate the head and neck of a high BMI patient during intubation.
What is troop Pillow.
This occurs when the patient's core body heat shifts to peripheral tissues following induction of anesthesia.
What is redistribution hyopthermia.
This perioperative nursing practice is essential in high-BMI patients to reduce embarrassment, support respectful care, and maintain trust during positioning, exposure, and transfers in the OR.
What is preserving patient dignity.
This is done to confirm that sterile instruments and supplies have been properly sterilized before they are used in surgery.
What is checking chemical indicators before opening sterile supplies.
This complication is increased when lithotomy is maintained for prolonged periods in high BMI gynecologic patients.
What is nerve injury, such as in the femoral or peroneal nerves.