The effect of succinylcholine is terminated at postsynaptic effector cells by
A 35-kg child requires mechanical ventilation with pure oxygen at a tidal volume of 350 ml and a rate of 20/min during a severe asthma attack. The most likely cause of severe hypotension after initiating mechanical ventilation is
Epidural block is safer at the L3-L4 interspace than at the T12-L1 interspace because of the location of the
During application of continuous positive airway pressure, lung compliance increases because of
During laparotomy for a ruptured spleen, unexplained oozing occurs after infusion of 2 liters of crystalloid and 3 units of blood. The most likely cause is
Which of the following is an advantage of a circle system over a Mapleson D system?
Which of the following is the most likely cause of dyspnea during spinal anesthesia to a T3 sensory level?
A 16-year-old girl is receiving isoflurane, nitrous oxide, oxygen, and pancuronium for insertion of a Harrington rod. In order to perform a "wake-up test" the muscle relaxant was antagonized with neostigmine 2.5 mg and atropine 1 mg. The patient abruptly moved all extremities and was given thiopental 100 mg and succinylcholine 100 mg rapidly. Forty-five minutes later no twitch could be elicited with a nerve stimulator. The most likely explanation is
A 2.8-kg newborn undergoes repair of a moderate-sized omphalocele. Intravenous fluid is administered at 14 mL/hr. Forty-five minutes after beginning surgery and before reduction of the omphalocele, arterial blood pressure decreases from 80/40 to 55/30 mmHg. SaO2 is 98% at an FiO2 of 0.5. Breath sounds are equal bilaterally. Which of the following is the most likely explanation for the decrease in blood pressure?
A 30-year-old woman develops urticaria immediately after administration of 2% 2-chloroprocaine for removal of a nevus on the chest wall. This reaction resolves with administration of diphenhydramine and the surgery is rescheduled. During the second procedure, a field block is performed using 10 ml of 1% lidocaine from a multidose vial. Within 10 minutes the patient develops urticaria and wheezing and has difficulty breathing. These symptoms resolve with administration of epinephrine. Which of the following substances is the most likely cause of these reactions?