NURS 5450 Exam 1 - Overview Of Anesthetic
Techniques: Questions With Complete Solutions
What are the most common causes of adverse anesthetics outcomes?
Correct Answer - 1. Underlying disease
2. Surgical procedure
3. Anesthetic management
Breakdowns in communication is estimated to cause ______ % to the
development of critical incidents in anesthesia. Correct Answer - 15-67
Incidence of breakdown in communication is greater at the periods involving
the _____ . Correct Answer - transition of care
What is recommended to prevent breakdowns in communication? Correct
Answer - Using some type of written or verbal SBAR type of patient
communication
What is the largest identifiable and preventable cause of accidents? Correct
Answer - Fatigue
________ have been identified in 51-77 % of anesthesia related deaths.
Correct Answer - Human failure
What is the strongest association with perioperative death? Correct Answer
- Type of surgery
What should you do if a complication arises? Correct Answer - 1.
Important to evaluate, manage, and document
2. Helps to minimize or eliminate negative outcomes
3. Always remember to document and ensure the chart reflects what
happened
___________ events account for largest percentage of malpractice claims
involving death or brain damage. Correct Answer - Adverse respiratory
,Inadequate ventilation as an airway management problem is related to which
factors? Correct Answer - 1. Early extubation: no one has died from leaving
a tube in
2. Unrecognized esophageal intubation - Hypoxia
3. Not ventilating paralyzed patient
• MOST COMMON CAUSE of intraoperative cardiac arrest
Airway mortality doesn't occur because of a failure to intubate but because of
a failure to ____. Correct Answer - ventilate
Incidence of difficult mask has been cited as ____ % Correct Answer - 1.4-5
What are some possible issues with LMAs? Correct Answer - - Poor seals
- Laryngospasm
- Aspiration
- Dislodgment
- Trauma during insertion
What are the possible mask complications? Correct Answer - 1. Mucosal
injuries
2. Soft tissue damage
3. Broken teeth
4. Mucosal tears
5. Subluxation of TMJ
6. Gastric distention
7. Gastric rupture
8. Worsening obstruction from
poor technique
What are the possible LMA complications? Correct Answer - 1. Folding of
epiglottis
2. Excess lubricant
3. Aspiration
4. Sore throat
5. Cuff pressures
6. Edema
7. Hypoglossal nerve injury
8. NPPE
, 9. Tongue cyanosis
What are the possible intubation complications? Correct Answer - 1.
Dental
2. Mucosal
3. Lips
4. Tongue
5. Sore throat
6. Trauma to larynx/cords
7. Arytenoid injury
8. Nerve injury
9. C-spine injury
10. Hemodynamic responses
11. Laryngospasm/bronchospasm
What are the possible extubation complications? Correct Answer - 1.
Hemodynamic responses
2. Laryngospasm
3. Laryngeal edema
4. Bronchospasm
5. NPPE
6. Aspiration
7. Airway compromise
8. Difficult/accidental extubation
What is important to remember when dealing with a difficult endotracheal
intubation? Correct Answer - Recognizing that the current plan is failing &
promptly moving to the next stage is crucial
What are the causes associated with circuit disconnects? Correct Answer -
1. Failure to check machine
2. Disabling alarm systems
3. Unfamiliarity with equipment
4. Inadequate provider experience
5. Lack of vigilance
_________ and LMAs do not mix. Correct Answer - Light anesthesia
Techniques: Questions With Complete Solutions
What are the most common causes of adverse anesthetics outcomes?
Correct Answer - 1. Underlying disease
2. Surgical procedure
3. Anesthetic management
Breakdowns in communication is estimated to cause ______ % to the
development of critical incidents in anesthesia. Correct Answer - 15-67
Incidence of breakdown in communication is greater at the periods involving
the _____ . Correct Answer - transition of care
What is recommended to prevent breakdowns in communication? Correct
Answer - Using some type of written or verbal SBAR type of patient
communication
What is the largest identifiable and preventable cause of accidents? Correct
Answer - Fatigue
________ have been identified in 51-77 % of anesthesia related deaths.
Correct Answer - Human failure
What is the strongest association with perioperative death? Correct Answer
- Type of surgery
What should you do if a complication arises? Correct Answer - 1.
Important to evaluate, manage, and document
2. Helps to minimize or eliminate negative outcomes
3. Always remember to document and ensure the chart reflects what
happened
___________ events account for largest percentage of malpractice claims
involving death or brain damage. Correct Answer - Adverse respiratory
,Inadequate ventilation as an airway management problem is related to which
factors? Correct Answer - 1. Early extubation: no one has died from leaving
a tube in
2. Unrecognized esophageal intubation - Hypoxia
3. Not ventilating paralyzed patient
• MOST COMMON CAUSE of intraoperative cardiac arrest
Airway mortality doesn't occur because of a failure to intubate but because of
a failure to ____. Correct Answer - ventilate
Incidence of difficult mask has been cited as ____ % Correct Answer - 1.4-5
What are some possible issues with LMAs? Correct Answer - - Poor seals
- Laryngospasm
- Aspiration
- Dislodgment
- Trauma during insertion
What are the possible mask complications? Correct Answer - 1. Mucosal
injuries
2. Soft tissue damage
3. Broken teeth
4. Mucosal tears
5. Subluxation of TMJ
6. Gastric distention
7. Gastric rupture
8. Worsening obstruction from
poor technique
What are the possible LMA complications? Correct Answer - 1. Folding of
epiglottis
2. Excess lubricant
3. Aspiration
4. Sore throat
5. Cuff pressures
6. Edema
7. Hypoglossal nerve injury
8. NPPE
, 9. Tongue cyanosis
What are the possible intubation complications? Correct Answer - 1.
Dental
2. Mucosal
3. Lips
4. Tongue
5. Sore throat
6. Trauma to larynx/cords
7. Arytenoid injury
8. Nerve injury
9. C-spine injury
10. Hemodynamic responses
11. Laryngospasm/bronchospasm
What are the possible extubation complications? Correct Answer - 1.
Hemodynamic responses
2. Laryngospasm
3. Laryngeal edema
4. Bronchospasm
5. NPPE
6. Aspiration
7. Airway compromise
8. Difficult/accidental extubation
What is important to remember when dealing with a difficult endotracheal
intubation? Correct Answer - Recognizing that the current plan is failing &
promptly moving to the next stage is crucial
What are the causes associated with circuit disconnects? Correct Answer -
1. Failure to check machine
2. Disabling alarm systems
3. Unfamiliarity with equipment
4. Inadequate provider experience
5. Lack of vigilance
_________ and LMAs do not mix. Correct Answer - Light anesthesia
