Management of the Burned Patient — Flashcards

Flashcard 1: A patient in sepsis, DIC, ARDS would be classified under ASA _____

Answer: IV

Flashcard 2: The tube used for performing gastric lavage is an _____ tube.

Answer: Ewald

Flashcard 3: _____ is an IV anesthetic that can be used to reduce postoperative pain

Answer: Ketamine

Flashcard 4: If an airway fire occurs during laser airway surgery, it should be extinguished with _____

Answer: saline

Flashcard 5: Which intravenous anesthetic preserves airway reflexes the best?_____

Answer: Ketamine

Flashcard 6: Which anesthetic technique/agent is often preferred for maintenance during laser airway surgery to minimize the risk of airway fire?

Answer: Total Intravenous Anesthesia (TIVA) with Propofol

Extra: Maintenance with volatile agents (e.g., Sevoflurane, Isoflurane) is also acceptable as they are non-flammable. However, **TIVA with Propofol** is often preferred to facilitate lower oxygen concentrations and tubeless techniques (e.g., high-frequency jet ventilation or spontaneous ventilation). **Key Laser Safety Points:** 1. **Avoid Nitrous Oxide (N2O):** It supports combustion. 2. **Low FiO2:** Keep oxygen concentration at the minimum required (usually <30%). 3. **Laser-resistant ETT:** If using a tube, use a specially wrapped or copper/stainless steel tube with saline in the cuff.

Flashcard 7: A rapid and sustained increase in end-tidal CO2 (EtCO2) despite increased minute ventilation during general anesthesia is a characteristic early sign of:_____

Answer: Malignant hyperthermia