Following maternal epidural injection, fetal exposure to chloroprocaine is lower than fetal exposure to bupivacaine for which of the following reasons?
(A) Chloroprocaine is metabolized by plasma cholinesterase
(B) Chloroprocaine is more protein bound
(C) Chloroprocaine is not readily absorbed from the epidural space
(D) The ionized fraction of chloroprocaine in the fetal circulation is smaller
(E) The pKa of chloroprocaine is less than that of bupivacaine
Which of the following complications is more likely to occur during cannulation of the left internal jugular vein than during cannulation of the right internal jugular vein?
A 35-year-old patient with asymmetric septal hypertrophy (IHSS) is undergoing bladder suspension with sevoflurane 1%, nitrous oxide 50%, and oxygen 50%. Immediately after skin incision, blood pressure decreases to 90/60 mmHg and junctional tachycardia of 150 bpm is noted on the ECG. Which of the following is the most appropriate management?
Which of the following is most likely to result in oxygen desaturation in a patient with Eisenmenger's syndrome who is scheduled for cesarean delivery?