TYK277: Difference between revisions
Bot: Automated import of articles |
m Text replacement - "<p style="text-align: center;"> About Test Your Knowledge</p>" to "<p style="text-align: center;"> About Test Your Knowledge</p> Category:TYK" |
||
| (One intermediate revision by the same user not shown) | |||
| Line 35: | Line 35: | ||
<p style="text-align: center;">[[TYK276|<Prev Question]] --- [[TYK278|Next Question>]]</p> | <p style="text-align: center;">[[TYK276|<Prev Question]] --- [[TYK278|Next Question>]]</p> | ||
<p style="text-align: center;">[[TYK About | About Test Your Knowledge]]</p> | <p style="text-align: center;">[[TYK About | About Test Your Knowledge]]</p> | ||
[[Category:TYK]] | |||
Latest revision as of 02:17, 25 September 2026
A 3-week-old full term male presents with jaundice and is diagnosed with biliary atresia. He has no other evidence of hepatic dysfunction and is scheduled for the Kasai procedure. Preoperatively, which of the following is most appropriate for preparation for this patient?
a) Arterial access
b) Central venous catheter
c) Total Intravenous Anesthesia (TIVA)
d) Warming device
e) All of the above
Answer
Answer d. Warming device. In an otherwise healthy infant undergoing primary Kasai procedure (hepatoportoenterostomy), there is usually little concern for blood loss or hemodynamic instability, thus arterial and central venous access are usually not indicated. Gelman et al. showed that isoflurane anesthesia provided better hepatic blood flow and oxygen supply than halothane. TIVA has not been demonstrated to be a superior method of anesthesia. Any neonate undergoing extensive surgery should have all attempts made to prevent hypothermia. 3
Notes
- This question originally printed in the Pediatric Anesthesiology Review Topics kindle book series, and appears courtesy of Naerthwyn Press, LLC.