Book contents
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Chapter 28 - Acute Coronary Syndrome
from Section 2 - Cardiac, Thoracic, and Vascular Anesthesia
Published online by Cambridge University Press: 03 August 2023
- Anesthesia Oral Board Review
- Anesthesia Oral Board Review
- Copyright page
- Contents
- Contributors
- Acknowledgments
- Letter from the Associate Editor
- How to Use This Book
- Format
- Applied Exam Tips for Success
- Part I General Information
- Part II Anesthetic-Related Critical Events and Information
- Section 1 Respiratory, Airway, and Ventilator Management
- Section 2 Cardiac, Thoracic, and Vascular Anesthesia
- Chapter 24 Hypotension
- Chapter 25 Hypertension
- Chapter 26 Arrhythmias
- Chapter 27 Cardiac Conduction Blocks
- Chapter 28 Acute Coronary Syndrome
- Chapter 29 Embolism
- Chapter 30 Cardiac Tamponade
- Chapter 31 Current ACC/AHA Guidelines for Peri-operative Cardiac Evaluation for a Noncardiac Surgery
- Chapter 32 Pacemaker/Implantable Cardioverter-Defibrillators (ICDs): Considerations for Anesthesiologists
- Chapter 33 Cardiac Valvular Abnormalities
- Chapter 34 Transcatheter Aortic Valve Replacement
- Chapter 35 Point of Care Ultrasound
- Chapter 36 Intra-operative Transesophageal Echocardiography
- Chapter 37 Cardiopulmonary Bypass (CPB) and Associated Anticoagulation
- Chapter 38 Carotid Surgery
- Chapter 39 Mediastinal Mass
- Section 3 Neuroanesthesia
- Section 4 Renal and Urological
- Section 5 Hepatic and Gastrointestinal
- Section 6 Obstetric Anesthesia
- Section 7 Pediatric Anesthesia
- Section 8 Endocrine
- Section 9 Trauma Anesthesia
- Section 10 Emergency Events
- Section 11 Organ Transplant
- Section 12 Post-Anesthesia Care Unit
- Section 13 Acute and Chronic Pain
- Section 14 Other Situations
- Section 15 Safety and Ethics
- Index
- References
Summary
A 68-year-old female, 231 lb. and 5’1” tall, with a history of hypertension, diabetes mellitus, and large joint chronic arthritis, is scheduled for a laparoscopic cholecystectomy. The patient is noncompliant with her medication: atenolol and glyburide. On the morning of the surgery, the patient’s blood pressure was 145/86 mm Hg, heart rate (HR) 88, respiratory rate (RR) 20, oxygen saturation 97% on room air, and temperature 36.8 °C. Her blood glucose was 186 mg/dL. Physical examination revealed no abnormalities, and the airway was assessed as a Mallampati class II. After a smooth induction of general anesthesia with midazolam, fentanyl, propofol, and rocuronium, a #7.0 endotracheal tube was placed atraumatically. Anesthesia was maintained with mechanical ventilation, isoflurane, oxygen, air, fentanyl boluses, and rocuronium. About 30 minutes after the incision, the patient’s HR increased to 112 beats/min and her blood pressure became 184/99 mm Hg. The anesthesiologist also noticed a depression of the ST segment in the monitored V5 cardiac lead.
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- Anesthesia Oral Board ReviewKnocking Out The Boards, pp. 116 - 123Publisher: Cambridge University PressPrint publication year: 2023