Rather than regurgitating what can be found in any old textbook,
I've instead created a series of clinical vignettes with a series of questions
and references for your review. The challenge in teaching anesthesiology
always lies in whether to focus on clinical pearls, or on "board style"
topics. I've always felt that the major textbooks are the best resource
for passing the written boards, and clinical, problem-based learning
discussions are better for day-to-day teaching as well as for passing
the oral boards. With that in mind, go read the chapters
on PACU problems in Miller and Barash (leave Morgan & Mikhail to the
CRNA's), then attack the following with gusto!
- Acute pain management in the PACU:
management with nerve blocks
- Acute pain
management in the PACU: management of epidurals
- Acute pain management in the PACU:
IV medications
- Airway obstruction/management in
the PACU
- Bradycardia
in the PACU
- Delayed emergence
from general anesthesia, causes
- Discharge criteria
- Effects of
Acidosis in the PACU
- Emergence delirium
- Flumazenil indications/dose/uses
- Hypertension
in the PACU
- Hypotension
in the PACU
- Hypothermia in the PACU: clinical
consequences
- Hypoxemia in
the PACU
- Malignant hyperthermia
- Naloxone indications/dose/uses
- Physostigmine indications/dose/uses
- PONV in the PACU
- Tachycardia
in the PACU
- TURP syndrome
- Postoperative shivering
- Oliguria
- Transfusion reactions
- Negative pressure pulmonary edema
- Aspiration syndrome
- 5 Review Questions (aka the dreaded
Quiz)
