1.
During a routine tonsillectomy in a 4-year-old (20kg), you find that you are losing a lot of blood. The anesthesiologist is concerned. At what point should you consider transfusing the child? What is the whole blood volume of this patient?
2.
You are planning a tonsillectomy in a pediatric patient with Down Syndrome. Any special considerations? What diagnostic studies should be ordered pre-operatively? How are these patients managed after surgery?
3.
Why has vasopressin been added to ACLS resuscitation protocols?
Reference(s):
Obritsch, M. D., Bestul, D. J., Jung, R., Fish, D. N., & MacLaren, R. (2004). The role of vasopressin in vasodilatory septic shock. Pharmacotherapy, 24(8), 1050–1063.
4.
Discuss the management of post-operative atrial fibrillation.
Reference(s):
Samuels, L. E., Holmes, E. C., & Samuels, F. L. (2005). Selective use of amiodarone and early cardioversion for postoperative atrial fibrillation. The Annals of Thoracic Surgery, 79(1), 113–116.
5.
Discuss fluid replacement for burn victims.
6.
While cauterizing a cutaneous bleeder during a routine tracheostomy, you notice smoke around the endotracheal tube. Describe the step by step management of airway fires.
7.
What are known complications of glidescopes?
Reference(s):
Aubin-Pouliot, A., Delagnes, E. A., Chang, J. L., & Ryan, W. R. (2016). Sialendoscopy-assisted surgery and the chronic obstructive sialadenitis symptoms questionnaire: A prospective study. The Laryngoscope, 126(6), 1343–1348.
8.
What are best practices for perioperative management of OSA patients undergoing general anesthesia?
Reference(s):
Asha’ari Z.A., Rahman J.A., Mohamed A.H., Abdullah K, et al. (2017) Association between severity of obstructive sleep apnea and number and sites of upper airway operations with surgery complications. JAMA Otolaryngol Head Neck Surg, 143(3), 239-246.
Fouladpour N, Jesudoss R, Bolden N, Shaman Z, et al. (2016). Perioperative complications in obstructive sleep apnea patients undergoing surgery: a review of the legal literature. Anesth Analg, 122(1), 145-51.
9.
When should antithrombotic therapy be considered in otolaryngologic procedures?
Reference(s):
Hsueh, W. D., Hwang, P. H., & Abuzeid, W. M. (2015). Perioperative Management of Antithrombotic Therapy in Common Otolaryngologic Surgical Procedures: State of the Art Review. Otolaryngology–Head and Neck Surgery : Official Journal of American Academy of Otolaryngology-Head and Neck Surgery, 153(4), 493–503.
10.
Acupuncture-is it effective in managing post-tonsillectomy pain?
Reference(s):
Tsao, G. J., Messner, A. H., Seybold, J., Sayyid, Z. N., Cheng, A. G., & Golianu, B. (2015). Intraoperative acupuncture for posttonsillectomy pain: a randomized, double-blind, placebo-controlled trial. The Laryngoscope, 125(8), 1972–1978.