A patient with low cardiac output following coronary artery bypass grafting is transferred to the intensive care unit where a chest roentgenogram confirms proper placement of the pulmonary artery catheter. Serial pulmonary artery occlusion pressures are then measured. Immediately following inflation of the balloon with 1.5 ml of air in the wedged position, brisk bleeding is noted from the endotracheal tube. The most appropriate immediate management is to
(A) withdraw the pulmonary artery catheter
(B) perform endobronchial intubation
(C) apply 15 to 20 cmH20 positive end-expiratory pressure to the airway
(D) administer fresh frozen plasma rapidly
(E) decrease blood pressure rapidly with nitroprusside
B
A 26-year-old woman has persistent uterine bleeding following a normal spontaneous delivery without anesthesia. The uterus is firm on manual examination. Which of the following anesthetics is most appropriate for manual extraction of the placenta?
(A) Halothane
(B) Pudendal block with lidocaine
(C) Subarachnoid tetracaine
(D) Thiopental
(E) Vecuronium
A
Desflurane at a stable alveolar concentration of 7%
A middle-aged, 70-kg man with a brain tumor is scheduled for an elective craniotomy. Preoperatively, he is alert but papilledema is present. Anesthesia is induced with thiopental 300 mg and succinylcholine 100 mg, followed by tracheal intubation. Immediately following intubation vigorous bucking occurs. The best immediate management would be to
(A) administer succinylcholine 100 mg intravenously
(B) administer fentanyl 500 jug intravenously
(C) hyperventilate with isoflurane 2%
(D) administer thiopental 400 mg intravenously
(E) hyperventilate and administer lidocaine 1 mg/kg intravenously