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Colombian Journal of Anestesiology

versão impressa ISSN 0120-3347

Rev. colomb. anestesiol. vol.46 no.4 Bogotá out./dez. 2018

 

Questions and answers

Questions and answers

Fernando Raffán-Sanabriaa  b 

a Anesthesiologist, intensivist, Hospital Universitario Fundación Santa Fe de Bogotá, Bogotá, Colombia.

b Professor, Universidad del Bosque and Universidad de los Andes, Bogotá, Colombia.

1) Most adverse events in the surgical units are the result of:1

  1. Lack of non-technical skills.

  2. Failure of monitoring equipment.

  3. Poor pre-operative evaluation.

  4. B and C are true.

2) In the Guidelines recommended by ERAS (Enhanced Recovery After Surgery), oral hydration with clear liquids is recommended, with a load of oral carbohydrates administered:2

  1. 4 hours before the induction of anesthesia.

  2. 3 hours before the induction of anesthesia.

  3. 2 hours before the induction of anesthesia.

  4. 1 hour before the induction of anesthesia.

3) For pre-operative management, the ERAS protocols recommend the following, except for:2

  1. Bowel preparation.

  2. Anti-thrombotic prophylaxis.

  3. Antibiotic prophylaxis.

  4. Nausea and vomiting prophylaxis.

4) The shock index is a marker of severity in multiple trauma patients and is based on the following ratio:3

  1. Systolic blood pressure/heart rate.

  2. Heart rate/systolic blood pressure.

  3. Heart rate /respiratory frequency.

  4. Heart rate/Mean blood pressure.

5) According to Cortés Samaca et al., which of the following parameters involves the highest relative risk of requiring a transfusion in a multiple trauma patient?3

  1. Base deficit < -6 at 6 hours.

  2. Lactate clearance <20% at 6 hours.

  3. Severe shock index at admission.

  4. Severe shock index at 6 hours.

6) Severe hyperchloremia refers to a chloride serum level:4

  1. > 110mEq/L.

  2. > 115mEq/L.

  3. > 120mEq/L.

  4. >125mEq/L.

7) For the management of angiotensin converting enzyme inhibitors induced angioedema, the suggestion is using:5

  1. Fresh plasma.

  2. H1 antagonists.

  3. Steroids.

  4. All of the above.

Which of the following so called muscular dystrophies is the most frequent one?(6)

  1. Steinert's myotonic dystrophy.

  2. Duchenne's disease.

  3. Ullrich dystrophy.

  4. Limb-girdle muscular dystrophy.

9) From the following muscular dystrophies, which one presents the highest CPK elevation?6

  1. Ullrich dystrophy.

  2. Limb-girdle muscular dystrophy.

  3. Merosin deficiency dystrophy.

  4. Steinert's myotonic dystrophy.

10) Amyotrophic lateral sclerosis is characterized by the progressive degeneration of motor neurons. Which of the following symptoms or signs is associated with this disorder?7

  1. Spasticity.

  2. Atrophy.

  3. Hyporeflexia.

  4. Fasciculation.

Answers

  1. A.

  2. C.

  3. A.

  4. B.

  5. C.

  6. A.

  7. A.

  8. B.

  9. C.

  10. C.

References

1. Arcila MA. Anestesia segura: aprendiendo de la aviación. Rev Colomb Anestesiol 2018;46:185-186. [ Links ]

2. Aristizábal JP, Estrada JJ, Arango AS, Sánchez-Zapata P. Análisis de resultados después de la implementación de protocolos de recuperación acelerada en cirugía hepatopancreatobiliar. Rev Colomb Anestesiol 2018;46:196-202. [ Links ]

3. Cortés-Samacá CA, Meléndez-Flórez HJ, Robles SA, Meléndez-Gómez EA, Puche-Cogollo CA, Mayorga-Anaya HJ. Déficit de base, depuración de lactato e índice de choque como predictores de morbimortalidad en pacientes politraumatizados. Rev Colomb Anestesiol 2018;46:209-217. [ Links ]

4. Medina-Lombo RA, Sánchez -García VL, Gómez-Gómez LF, Vidal-Bonilla SA, Castro -Castro JJ, Sánchez-Vanegas G. Hipercloremia y mortalidad en la unidad de cuidados intensivos. Rev Colomb Anestesiol 2018;46:218-223. [ Links ]

5. Truyols C, Díaz C, Brito L, García-Ramiro M. Vía aérea difícil no prevista secundaria a consumo de inhibidores de la enzima convertidora de angiotensina. Reporte de caso. Rev Colomb Anestesiol 2018;46:264-267. [ Links ]

6. Echeverry-Marín PC, Bustamante-Vega AM. Implicaciones anestésicas de las distrofias musculares. Rev Colomb Anestesiol 2018;46:230-241. [ Links ]

7. Ruiz-Chirosa MC, Nieto-Martín L, García -Fernández E, Vaquero-Roncero LM, Sánchez-Montero JM, Alonso-Guardo L, et al. Anestesia epidural para realizar gastrostomía abierta en paciente con esclerosis lateral amiotrófica. Rev Colomb Anestesiol 2018;46:248-251. [ Links ]

How to cite this article: Raffán-Sanabria F. Questions and answers. Colombian Journal of Anesthesiology. 2018;46:349-350.

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