NURS 5450 Exam 1 - Overview of Anesthetic Techniques Study
Guide With Complete Solution
What are the most common causes of adverse anesthetics outcomes?
1. Underlying disease
2. Surgical procedure
3. Anesthetic management
Breakdowns in communication is estimated to cause ______ % to the
development of critical incidents in anesthesia.
15-67
Incidence of breakdown in communication is greater at the periods involving
the _____ .
transition of care
What is recommended to prevent breakdowns in communication?
Using some type of written or verbal SBAR type of patient communication
What is the largest identifiable and preventable cause of accidents?
Fatigue
________ have been identified in 51-77 % of anesthesia related deaths.
Human failure
What is the strongest association with perioperative death?
,Type of surgery
What should you do if a complication arises?
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.
Adverse respiratory
Inadequate ventilation as an airway management problem is related to which
factors?
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 ____.
,ventilate
Incidence of difficult mask has been cited as ____ %
1.4-5
What are some possible issues with LMAs?
- Poor seals
- Laryngospasm
- Aspiration
- Dislodgment
- Trauma during insertion
What are the possible mask complications?
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?
, 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?
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
Guide With Complete Solution
What are the most common causes of adverse anesthetics outcomes?
1. Underlying disease
2. Surgical procedure
3. Anesthetic management
Breakdowns in communication is estimated to cause ______ % to the
development of critical incidents in anesthesia.
15-67
Incidence of breakdown in communication is greater at the periods involving
the _____ .
transition of care
What is recommended to prevent breakdowns in communication?
Using some type of written or verbal SBAR type of patient communication
What is the largest identifiable and preventable cause of accidents?
Fatigue
________ have been identified in 51-77 % of anesthesia related deaths.
Human failure
What is the strongest association with perioperative death?
,Type of surgery
What should you do if a complication arises?
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.
Adverse respiratory
Inadequate ventilation as an airway management problem is related to which
factors?
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 ____.
,ventilate
Incidence of difficult mask has been cited as ____ %
1.4-5
What are some possible issues with LMAs?
- Poor seals
- Laryngospasm
- Aspiration
- Dislodgment
- Trauma during insertion
What are the possible mask complications?
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?
, 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?
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
