EDAIC MCQ (Multiple Choice Question) and answer. FREE UPLOADS BY WWW.TARGETEDAIC.COM (83)

The section, EDAIC MCQ (Multiple Choice Question) and answer, covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.

Question: The following patient categories are at high risk of aspiration under anaesthesia:

• An 80 Kg non-diabetic normotensive patient posted for elective LSCS
• Diabetic gastropathy
• Obese patient
• Patients undergoing emergency surgery
• Patients undergoing surgery under Proseal LMA

Answers:

1. 1. True
   2. True
   3. False
   4. True
   5. False

Explanation:

Risk factors for aspiration (adapted from ASA with permission as written in the British Journal of Anaesthesia)

• Patient factors
  • (a) Full stomach
    . Emergency surgery
    . Inadequate fasting time
    . Gastrointestinal obstruction
  • (b) Delayed gastric emptying
    . Systemic diseases, including diabetes mellitus and
    chronic kidney disease
    . Recent trauma
    . Opioids
    . Raised intra-cranial pressure
    . Previous gastrointestinal surgery
    . Pregnancy (including active labour)
  • (c) Incompetent lower oesophageal sphincter
    . Hiatus hernia
    . Recurrent regurgitation
    . Dyspepsia
    . Previous upper gastrointestinal surgery
    . Pregnancy
  • (d) Oesophageal diseases
    . Previous gastrointestinal surgery
    . Morbid obesity
• Surgical factors
  . Upper gastrointestinal surgery
  . Lithotomy or head-down position
  . Laparoscopy
  . Cholecystectomy
• Anaesthetic factors
  . Light anaesthesia
  . Supra-glottic airways
  . Positive pressure ventilation
  . Length of surgery more than 2 h
  . Difficult airway
• Device factors
  . First-generation supra-glottic airway devices

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‘EDAIC MCQ (Multiple Choice Question) and answer’ covers a different topic each day with the intent that candidates can prepare one small topic each day, making steady progress in their exam preparation.