A 45-year-old man is scheduled for exploratory laparotomy. Six months ago, he received doxorubicin (Adriamycin) therapy for testicular cancer. This patient is at increased risk for
Following induction of general anesthesia, mask ventilation and the initial attempt at intubation is unsuccessful. Which of the following procedures is most appropriate?
A 24-year-old man is undergoing induction of general anesthesia prior to appendectomy. During laryngoscopy, he regurgitates a large amount of bilious material. An endotracheal tube is inserted; aspiration shows bile-stained fluid. Which of the following is the most appropriate next step in management?
(A) Infusion of a loading dose of aminophylline
(B) Intravenous administration of broad-spectrum antibiotics
(C) Lavage of the tracheobronchial tree with saline solution
(D) Radiograph of the chest
(E) Proceeding with the operation
E
An EKG shows ventricular tachycardia in a patient with a heart rate of 160 bpm and a blood pressure of 90/60 mmHg. The best initial therapeutic maneuver prior to cardioversion is
An infant is delivered by forceps following labor in which variable decelerations were noted. Amniotic fluid was clear. Initial evaluation shows a cyanotic, limp infant with a heart rate of 80 bpm, poor respiratory efforts, and grimacing in response to suctioning. The most appropriate method of resuscitation for this newborn is
(A) vigorous tactile stimulation
(B) bag and mask ventilation with oxygen
(C) immediate endotracheal intubation
(D) administration of sodium bicarbonate 1 mEq/kg
(E) volume expansion with normal saline solution 10 mL/kg