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10 Cards in this Set

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  • Back
During one-lung ventilation, the mixing of unoxygenated blood from the collapsed upper lung with oxygenated blood from the still-ventilated dependent lung "does what to the alveolar-arterial O2 gradient?

-What does this often result in?
Widens the A-a O2 gradient

Often results in hypoxemia
Malpositioning of a double-lumen tube is usually indicated by what?
-poor lung compliance and low exhaled Vt
Postoperative hemorrhage complicates about 3% of thoracotomies and may be associated with up to 20% mortality.

What would signs of hemorrhage include?
-increased chest tube drainage
(> 200 mL/h)
-hypotension
-tachycardia
-falling hematocrit
_________ presents as a sudden large air leak from the chest tube that may be associated with an increasing pneumothorax and partial lung collapse
Bronchopleural Fistula
How can an Acute herniation of the heart into the operative hemithorax occur?
can occur through the pericardial defect that is left following a radical pneumonectomy
What volatile gas is contraindicated in pt's with cysts or bullae b/c it can expand the air space and cause rupture.
Nitrous Oxide
What are the signs of a ruptured cyst or bullae in the lungs?

**How would you treat it?**
-sudden hypotension
-bronchospasm
-abrupt rise in peak press

**chest tube**
Following Lung transplantation, PIP should be maintained at the minimum pressure compatible with good lung expansion, and the inspired O2 concentration should be maintained at?
< 60%
Regardless of the procedure, what is the major anesthetic consideration for patients with esophageal disease?
Risk of pulmonary aspiration
G6PD Defieincy clinical pres?
Back pain and hemoglobinuria a few days following oxidative stressor.
fava beans