1.
What is the mechanism of action of common local anesthetics? What are the half lives of common local anesthetics? Discuss amides and esters including differences between the two types of drugs. Are the effects of amides and esters additive?
2.
Are there any special considerations when administering a general anesthetic to patients with muscular dystrophy?
3.
You are operating on a 10-year-old who weighs 30 kg. How much 1% Lidocaine can you give him as a local injection? 1% lidocaine with 1:100000 epinephrine? What are the symptoms of lidocaine toxicity? How do you treat it?
4.
How much Epinephrine do you need to produce vasoconstriction?
Reference(s):
McKee, D. E., Lalonde, D. H., Thoma, A., Glennie, D. L., & Hayward, J. E. (2013). Optimal time delay between epinephrine injection and incision to minimize bleeding. Plastic and Reconstructive Surgery, 131(4), 811–814.
5.
Your patient’s temperature goes to 104 and his heart rate is up after induction of anesthesia. What do you do for malignant hyperthermia (MH)? What is the appropriate management of a patient scheduled for elective surgery that has a history of MH in the past? A patient’s father has a history of MH. How do you determine if the patient will have MH?
Reference(s)
Taub, P. J., Bashey, S., & Hausman, L. M. (2010). Anesthesia for cosmetic surgery. Plastic and Reconstructive Surgery, 125(1), 1e–7e.
6.
Tell us about Cocaine. How does it work? What is a toxic dose? What are the symptoms of an overdose? How is it metabolized?
7.
Marcaine is sometimes used in tonsillectomies for longer acting analgesia. What is the dose? What are the particular side effects and potential risks?
8.
Discuss Toradol and its use in tonsillectomy.
Reference(s):
Chan, D. K., & Parikh, S. R. (2014). Perioperative ketorolac increases post-tonsillectomy hemorrhage in adults but not children. The Laryngoscope, 124(8), 1789–1793.
9.
What is the role of nonsteroidal anti-inflammatory drugs in post-operative tonsillectomy pain management?
10.
You need to sedate a child in the ER to repair a laceration. What types of drugs are recommended?
11.
You are doing a bilobed flap on the nose for a BCCA. Should you inject the area w/Lidocaine with Epinephrine or plain Lidcoaine? What will epinephrine do to the flap?
12.
Discuss local anesthetics of facial surgery.
Reference(s):
Zide, B. M., & Swift, R. (1998). How to block and tackle the face. Plastic and Reconstructive Surgery, 101(3), 840–851.