A 64-year-old man with a large pancreatic tumor has severe abdominal pain that radiates to the low back. Which of the following is the most appropriate management?
(A) Bilateral LI rhizotomy
(B) Dorsal column stimulation
(C) Hypogastric plexus block
(D) Neurolytic celiac plexus block
(E) Patient-controlled analgesia
D
The patient at LEAST risk of pulmonary aspiration of gastric contents during induction of anesthesia is
(A) markedly obese and NPO for eight hours
(B) fed black coffee four hours before elective surgery
(C) scheduled for elective cesarean delivery and NPO for 20 hours
(D) NPO for four hours after a full meal
(E) scheduled for elective repair of a hiatus hernia
A 35-year-old woman with a grade III subarachnoid hemorrhage is undergoing clipping of a middle cerebral artery aneurysm 48 hours after initial hemorrhage. Which of the following drugs used to induce hypotension is LEAST likely to affect intracranial pressure?
Which of the following is the most important factor affecting the incidence of postoperative pulmonary complications?
(A) Age of the patient
(B) Anesthetic technique
(C) Duration of surgery
(D) Obesity
(E) Site of the operation
E
A 26-year-old woman has headache, nausea, and photophobia 36 hours after cesarean delivery for chorioamnionitis using subarachnoid block. Temperature is 38.8°C and leukocyte count is 14,200/mm3. Which of the following is the most appropriate next step in management?