Show:
Eyes
Anaphylaxis
Airway Trauma
Nerve Injury
Aspiration
100
The part of the eye most susceptible to injury
What is the cornea?
100
The most common cause of anaphylaxis in the OR
What are antibiotics?
100
Most common complication of nasotracheal intubation.
What is epistaxis?
100
Most common nerve injury associated with general anesthesia
What is the ulnar nerve? (1/3 of claims)
100
To minimize aspiration, patients at very high risk should receive this intervention prior to induction.
What is an NG tube?
200
Most corneal abrasions heal in this time frame
What is 24-48hrs?
200
The second most common cause of anaphylaxis in the OR
What are non-depolarizing neuromuscular blockers?
200
Strategies to minimize nasal trauma from intubation include (list two)
What are thermosoftening the ETT, using an inflated esophageal stethoscope as an obturator, Afrin, lubricating the ETT
200
Pressure at this location increases the risk of peroneal nerve injury
What is the fibular head?
200
Intubation by this method following aspiration with an LMA in place may limit the spread of gastric contents into the airway
What is fiberoptically through the LMA?
300
Corneal abrasions can become this
What is a corneal ulcer?
300
Clinical manifestations of anaphylaxis under anesthesia (provide three)
What are hypotension, increased peak airway pressures, and hives?
300
Most common airway injury in ASA closed claims database
What is vocal cord paralysis? 33% of airway claims are for the larynx Of those, 34% - Vocal cord paralysis 17% - granuloma 8% - arytenoid disclocation 3% - hematoma 80% are non-difficult intubations 85% were short term intubations
300
Percentage of claims in the Anesthesia Closed Claims Database associated with a nerve injury
What is 15%?
300
Otherwise healthy infants should be NPO from breastmilk for this amount of time.
What is 4 hours?
400
Treatment for corneal abrasions include (list three).
What are topical antibiotics, topical NSAIDS, narcotics, eye rest, cycloplegics? (Antibiotics are controversial, patching has no benefit and may be harmful. Topical anesthetics can delay wound healing.)
400
Treatment of anaphylaxis (list four).
What are diphenhydramine, famotidine, albuterol, epinephrine, hydrocortisone?
400
Most severe traumatic airway complication resulting in the highest payments in the ASA Closed Claims Database
What is esophageal perforation? 62% associated with difficult intubation 19% resulted in death Care more likely to be inappropriate Median payment $138,975
400
Manifestation of the most common nerve injury in the lithotomy position
What is foot drop (peroneal nerve)?
400
NPO time for a light meal
What is 6 hours?
500
Pain from a corneal abrasion is mediated by this nerve.
What is the trigeminal nerve?
500
Two lab tests that support the diagnosis of anaphylaxis
What are histamine and tryptase?
500
The most common early manifestation of esophageal perforation and the most common last manifestation of esophageal perforation
What is subcutaneous emphysema (early) and mediastinitis (late)? Early - 42% SubQ emphysema, 36% PTX, 3% CXR only Late - 50% mediastinitis, 11% retropharyngeal abscess, 3% PNA
500
Risk factors for peripheral nerve injuries (List three)
What are extremes of weight, male gender, diabetes, peripheral vascular disease, smoking, long surgery
500
Aspiration management should not routinely include these two classes of medications
What are steroids and antibiotics?