Answers:
After retrieving a peanut from an 8 year old's airway the surgeon notices a significant amount of edema and decides to give dexamethasone. What dose should be administered to the patient?
A) .1-.5 mg/kg
B) .5-1.0 mg/kg
C) 1.0-1.5mg/kg
D) 1.5-3.0mg/kg
E) Dexamethasone is not appropriate in this situation.
Decadron should be given at a dose of 0.5-1.0 mg/kg after retrieval of airway foreign bodies if significant edema is present .
Why should airway foreign bodies be retrieved while the patient is spontaneously breathing opposed to administering a paralytic and ventilating the patient?
Retrieving an object while patient is spontaneously breathing offers several advantages:
-makes passage of bronchoscope easier
-prevents distal migration of foreign body during positive pressure ventilation
-takes advantage of increased cross sectional area present during inspiration
-makes passage of bronchoscope easier
-prevents distal migration of foreign body during positive pressure ventilation
-takes advantage of increased cross sectional area present during inspiration
MC Question:
The second most common cause of neonatal stridor is?
A) Vocal Fold Paralysis
B) Laryngomalacia
C) Laryngeal Web
D) Acquired subglottic stenosis secondary to intubation
Free Response Question:
What is the most common etiology of neonatal vocal cord paralysis?
Quick Facts:
Laryngeal Clefts
-from failure of fusion of tracheoesophageal septum.
-Type 1 = supraglottic interarytenoid region defect not below true folds
-Type 2=cleft extends below true folds
-Type 3=complete defect of cricoid cartilage
-Type 4= extends into posterior wall of thoracic trachea.
No comments:
Post a Comment