Mneumonics?

[loveumms]

Figured everyone is starting to study for boards.

Would love for everyone to share some mneumonics for anesthesia.

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[Idiopathic]

sorry, pet peeve - its mnemonics and saying or writing "new-monics" makes me think of the plague or tube delivery systems

and i dont have any

 

[PMPMD]

At least you didn't spell it PNEUmonics which is my biggest pet peeve!

Here are some Anesthesia MNEMonics that I've found:


Which NMBs cause histamine release:
-------------------------------------------
hiSTAMine:
Sux
Tubocurarine
Atracurium
Mivacurium


D/Dx of hypotension:
FAAARIOSS TTTED
• Fluids (hemorrhage, hypovolemia)
• Anaphylaxis
• Anesthesia
• Adrenal insufficiency
• Acidosis
• Rate/Rhythm problems
• Inotrope failure:
o Myocardial infarction, depression
o Cardiac contusion, rupture, tamponade
o CHF or cardiomyopathy
o Valvular heart disease
• O2 lack (hypoxia)
• Surgical compression of heart, aorta, IVC
• Sepsis
• Temperature loss (hypothermia)
• Transfusion reaction
• Tension pneumothorax
• Embolus (pulmonary, air, fat)
• Drugs


D/Dx of tachycardia:
----------------------
(High Pulse FAST)
• Hypoxia
• Hypovolemia
• Hypotension
• Hyperthermia
• Pain
• Pheo
• PE
• Fever
• Anemia
• Sepsis
• Thyroid


What drugs DON'T cross the placenta (partial list of course):
-------------------------------------------------------------------
He Is Going Nowhere Soon
Heparin
Insulin
Glycopyrrolate
Neostigmine
Sux

Factors that decrease FRC:
-----------------------------
PANGOS
Pregnancy
Age
Neonate
GETA
Obesity
Supine

 

[speicte]

Factors that decrease FRC:
-----------------------------
PANGOS
Pregnancy
Age
Neonate
GETA
Obesity
Supine

WRONG!!!!

The A is for ASCITES, NOT age.

FRC actually is INCREASED with age.

 

[IlDestriero]

Thanks for coming back after 4 years of silence to correct this egregious error made 18 months ago.

 

[RxBoy]

What drugs DON'T cross the placenta (partial list of course):
-------------------------------------------------------------------
He Is Going Nowhere Soon
Heparin
Insulin
Glycopyrrolate
Neostigmine
Sux

Neostigmine does cross. That is why reversal of pregnant patients should consist of neostigmine and atropine. Both cross so the fetus gets a balancing effect as well.

 

[RxBoy]

Thanks for coming back after 4 years of silence to correct this egregious error made 18 months ago.

Haha didn't even notice it was that old. Bizarre a medical student would resurface this ancient short lived thread.

 

[IlDestriero]

He's a Resident now, actually probably newly minted staff.

 

[SitraAchra]

Well now that the thread has been resurrected, I'd like to offer another 'PANGOS' correction. Neonates technically don't have a decreased FRC, they desat so quickly due to a much higher minute ventilation to FRC ratio.

source: I read it in Barash a few weeks ago.

 

[RxBoy]

Well now that the thread has been resurrected, I'd like to offer another 'PANGOS' correction. Neonates technically don't have a decreased FRC, they desat so quickly due to a much higher minute ventilation to FRC ratio.

source: I read it in Barash a few weeks ago.

To be even more technical, they desat faster on apnea because of higher resting oxygen consumption (2-3 times/adult).

Because of the higher oxygen consumption, the ratio of minute ventilation to FRC is 2 to 3 times higher in the newborn than adults. But you are correct, FRC/body weight is not decreased (30 mL/kg).

 

[Idiopathic]

Yes the HIGNS for drugs that DONT cross is actually

Heparin
Insulin
Glyco
Nondepolarizers
Sux