MindMap Gallery Thoracic Anesthesia and the Respiratory System

Thoracic Anesthesia and the Respiratory System

Two mind maps on seperate pages: Page 1: Respiratory System Page 2: Thoracic Anesthesia

Edited at 2021-02-12 08:15:23

Katherine Novela

Thoracic Anesthesia and the Respiratory System

Katherine Novela

Recommended to you
Outline

general surgery
- 586
Oliveettom
chronic asthma
- 875
- 4
Oliveettom
denture
- 676
- 3
- 1
Oliveettom
congestive heart failure
- 716
- 2
Oliveettom
Hepatitis
- 589
- 2
Oliveettom
nursing management for dextroa
- 283
- 3
- 1
Oliveettom
development of a virtual platform
- 178
- 2
Roy Mustang
autonomic nervous system
- 680
- 6
- 1
Roy Mustang
Systems of Human Body
- 297
- 6
- 2
Roy Mustang
Fruit for Patient
- 161
- 2
MMkbtXpa

Respiratory

Laryngoscopic view

Mallampati

Cor Mc Lehane

improve view

cricoid pressure

decrease LES tone

may obscure view

C/i: vomiting, unstable C-spine

thyroid pressure

BURP maneuver=improve view/grade

Aiway Assessment

upper incisor lenght

maxilla-mandible rel'p

normal jaw closure

jaw protrusion/ prognation

inter incisor distance/ mouth opening

uvula visibility/ mallampati

shape of palate

submandibular space compliance

thyromental distance

neck

length

thickness

range of motion

Difficult Airway

CVCI

SGA: LMA

Invasive/ surgical airway

oxy-Hgb dissociation curve

tissue ph

acidosis

favors O2 release

alkalosis

P50: 27

Left shift

2,3 DPG

hypothermia

alkalosis

CO poisoning

fetal Hgb: 18-20

right shift

2,3 DPG

hyperthermia

Acidosis

sickle cell

maternal Hgb

hyperbaric oxygen

indications

air embolism

CO poisoning

Cyanide toxicity

CRAO

toxicity

seizure

tx: decrease iO2

o2 toxicity

tracheobronchial irritation

ARDS

100% O2 x 10-12hrs

sx:

seizures, n/v, twitching

myopia

narrowing visual fields

physiologic changes

Altitude

hyperventilation

inc MV(RR+TV)

HPV

pulmonary hypertension

HAPE

HACE

LUNG COMPLIANCE

dynamic complicance

reflect resistance to gas flow

peak airway pressure

decrease: ETT obst., Bronchospasm

Static Compliance

pressure required to hold lungs at end inspiration

plateau pressure

decreased: stiff lungs, pneumonia

change in volume/ change in pressure

OBESITY

normal lung compliance

PFT

decreased

ERV

FRC

rapid desat w/ apnea

increased O2 consumption

TLC

FEV1, FVC

restrictive ventilation

normal FEV1/FVC

supine: TV< closing capacity

OSA

STOP BANG criteria

>3: high risk

OSA vs. OHS

AGING

emphysema-like

RV, FRC

PaO2

alveolar surface area

lung compliance

closing capacity

closing volume

response to CO2 build up

resp. to low O2

chest wall compliance

airway reflexes

LAPAROSCOPY

Pneumoperitoneum

PaCO2-EtCo2 gradient

hypercapnea

respiratory acidosis

pulmonary HPN

compliance

Lung volumes and FRC

Trendelenburg position

migration of ETT

diaphragm compression

peak airway pressure

Reflex Pathways

Parasympathetics

@bronchi and Bronchioles

vagus

Ach M3

bronchoconstrictions

tx: glycopyrrolate, atropine

ipratropium

Sympathetics

B2 adrenergic

bronchodilation

salbutamol

epinephrine

Histamine

H1 receptor

bronchoconstriction

H2 receptor

bronchodilation

flow volume loop

inspiratory problem

extrathoracic pathology

expiratory problem

intrathoracic pathology

clinical

URTI

airway reactivity

6wks ff. URTI

risk

laryngospasm

bronchospasm

coughing

desturation

predictors of adverse events

airway surgery

hx of asthma

wheezing, rhonchi

passive smoke exposure

purulent/ productive secretions

Respiratory Failure

Acute RF

hypoxemia

hypoventilation

Preoxygenation/ denitrogenation

ETO2 >90%

CPAP/ PS

safe apnea time

FRC

Obese

pregnant

pediatric pt.

shunt physiology

o2 consumption

fever

Airway edema

ACE inhibitor induced

angioedema