Regional Anesthesia In A Covid Pandemic
Regional Anesthesia and Covid19
- 1.
The transmission of respiratory infection is 6x lesser during non-tracheal intubation vs tracheal intubation
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Exposure to intubation is 6.6x greater in transmitting acute respiratory infection compared to non-tracheal intubationRate this question:
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- 2.
Avoid neuraxial anesthesia in covid patients who have thrombocytopenia
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Same contraindication with neuraxial anesrhesia applies for both covid and non-covid patientsRate this question:
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- 3.
It is better to start with general anesthesia if the duration of surgery is long and complex
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Unplanned convertion to GA is undesirable so better start with GA if the probability is highRate this question:
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- 4.
The dose of local anesthetic must be lesser than the usual
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
No dose adjustment is needed because reducing the dose may lead to GA convertionRate this question:
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- 5.
Use of nasal cannula is preferred over O2 mask in covid patients
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
O2 mask is preferred and should be kept to minimum to maintain O2 saturationRate this question:
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- 6.
All cases maybe presumed covid positive if there is widespread community transmission
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Once there is significant and widespread community transmission, all cases must be presumed covid positiveRate this question:
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- 7.
The CSF should be allowed to drip freely to determine the correct neuraxial placement
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
The virus are isolated in the CSF of patients with covid encephalitisRate this question:
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- 8.
It is best to give prophylactic vasopressors in covid patients during neuraxial anesthesia
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Yes, to prevent hypotension and eventual airway manipulation in case of high spinalRate this question:
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- 9.
No dose adjustment is needed for both sedatives and opioids in covid patients
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
No dose adjustment for adjuvant opioids but sedatives must be reduced because deep sedation may increase the need for oxygenation and possible airway manipulation and interventionRate this question:
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- 10.
NSAIDs can be given as pain reliever in patients with Covid who are asymptomatic or with mild symptoms
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Still with no robust study yet that NSAIDs are contraindicated in covid patients. It can be use postop for mild and asymptomatic patients since opioids poses more clinical riskRate this question:
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- 11.
The most experienced anesthesiologist should perform the regional anesthesia technique in both covid and non-covid patients
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
In covid positive and PUI cases only. If possible avoid new trainees in direct care of covid patientsRate this question:
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- 12.
Anesthesia cart and chart should be placed outside the operating room
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
This is to avoid exposure to the virusRate this question:
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Current Version
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Mar 16, 2023Quiz Edited by
ProProfs Editorial Team -
May 15, 2020Quiz Created by
Joy Ferrer
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