cardiac anesthesia pimp questions

[PreMedNuevaYork]

can anyone tell me some?

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[Direct Laryngoscopy]

When would you consider a pre induction alone?

Would you use propofol for a pt with critical AS? Why or why not?

When would and would not use a PA cath?

What are the basics of the CPB pump?

Whats an ACT?

If an ACT doesn't reach a certain level, what do you have to consider? What would you do?

What's protamine? How does it work? What are some side effects and reactions you have to look out for?

A pt is not tolerating coming of bypass well, what could possibly be a cause? How would you evaluate? What are some options?

What's a ballon pump? How does it work?

What's ECMO? What types of ECMO are available?

Are you going to extubate this pt in the OR? Why or why not?

 

[pgg]

Where can I find a copy of Anesthesia Secrets?

Full of pimp questions, that book is.

 

[geogil]

What are the various cannulae in the patient, and what do they do? Why does the perfusionist check the pressure in the aortic cannula before going on full bypass? When does the surgeon need to use two stage v. single stage cannulation? when would you want a femoral and radial art line? Is the lesion in question a pressure or a volume overload problem? what are the determinants of myocardial oxygen delivery? Who needs a TEE? what qualifies as severe AS? MR? MS? What is the most common congenital anomaly? What percentage of people have a PFO? What else is commonly also found in a patient with bicuspid aortic valve? What is in cardioplegia? How is it delivered? What are the various pacing modes (DOO, DDI, etc)? What are the alternatives to heparin in someone with HIT? What causes protamine reactions? How does protamine work? How does heparin work? What should you be concerned about with a redo sternotomy? Which coronary circulation is most commonly affected by air bubbles coming off pump? What is the difference between a valvuloplasty and an annuloplasty? What type of ASD is most common? What is SAM?

(oops. Just realized OP is a pre-med. residents, you should be able to answer these)