Wilson Cui, MD, PhD; Joyce Chang, MD.
Version 2020.05
UCSF Anesthesia Resident Pearls
Lung Transplant
Background
Protocols
Clinical Resources
Central Retinal Vascular Occlusion (CRVO)…also known as Central Retinal Artery Occlusion (CRAO) and Central Retinal Venous Occlusion (CRVO)
a. Cause:
Antibiotics:
a. Elective spine procedures are typically clean cases and merit prophylactic antibiotics that cover skin flora. I & D cases may merit other coverage (e.g. for MRSA or anaerobes or GNRs).
b. Most common choice is Cefazolin
Bite Block:
a. Indications
Monitoring techniques:
Arterial lines:
a. Indications
Total Fluids:
a. Data absent, but suggests running a little dry may reduce bleeding
b. ASA recommends limiting total fluids to reduce risk of POVL
Controlled Hypotension:
a. Indications:
- Proven to reduce blood loss in major spine surgery
- Also shown to work for hip surgery and maxillofacial surgery
b. Contraindications:
Assessment of coagulation status:
a. Standard labs:
Anesthetics:
Volatile Agents:
- If Evoked Potential Monitoring:
- Limit to 0.3 MAC or less
- Desflurane is much less suppressive than sevoflurane or isoflurane
Propofol: