Term
| How many monitors should the anesthetist use to detect a VAE? |
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Definition
| *2 or 3 monitors of varying sensitivity to confirm diagnosis |
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Term
| What are the most commonly used monitors to detect VAE (3)? |
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Definition
*Precordial doppler
*Capnography
*CVP/PA line |
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Term
| What are the top 3 most sensitive monitors? |
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Definition
*TEE
*Precordial doppler
*ETCO2 |
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Term
| What are the least sensitive monitors? |
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Definition
*Esophageal stethoscope
*EKG Changes
*MAP |
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Term
| Where should the precordial doppler be placed? |
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Definition
| *To the right of the sternum between the 3rd and 6th rib. |
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Term
| What is the treatment for VAE? |
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Definition
*100% oxygen
*Inform the surgeon
*Aspirate from CVP line (have stopcock at closest port possible and a 20-30mL syringe attached to be ready if an embolus occurs)
*Trendelenburg (and Left lateral)
*Volume load (air entrainment more likely if hypovolemic)
*Inotropes/vasopressors
*Jugular vein compression
*PEEP (Controversial)
*CPR (Supine) |
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