A 60-year-old woman who is taking propranolol for hypertension and is allergic to penicillin is anesthetized with thiopental and halothane for resection of an abdominal aortic aneurysm. Shortly after intubation she is given vancomycin 500 mg intravenously, after which her blood pressure decreases from 140/80 to 70/50 mmHg while her heart rate remains steady at 64 bpm. The most likely explanation for the decrease in blood pressure is
A 29-year-old man who has been nasotracheally intubated for two weeks following a motor vehicle accident has a fever (39C) and a constant headache. Leukocyte count is 18,000/mm3. The most likely cause is
Which of the following is characteristic of soda lime and Baralyme carbon dioxide absorption canisters used in circle systems?
An oxygen-driven anesthesia ventilator with a bellows that ascends during exhalation develops a small hole in the bellows. Which of the following is the most likely effect?
Which of the following findings on the left is most likely to be associated with an increased risk of complications with cannulation of the left internal jugular vein compared with cannulation of the right internal jugular vein?
An endobronchial Robertshaw tube is inserted for resection of a midesophageal tumor under isoflurane, oxygen, pancuronium anesthesia. Forty minutes into a planned two-hour resection, arterial blood gas values are reported as PO2 45 mmHg, PCO2 45 mmHg, and pH 7.33. Ten minutes earlier, the values were PO2 210 mmHg, PCO2, 41 mmHg, and pH 7.39. The first action should be to
A 45-year-old man with chronic liver failure is scheduled for liver transplantation. Which of the following preoperative findings is most likely?
The highest serum fluoride levels are seen following the administration of which of the following volatile anesthetics?
Eight hours after abdominal surgery, a 51-year-old patient becomes increasingly somnolent. Epidural morphine 5 mg was administered immediately following the procedure. Postoperatively, respiratory rate has not decreased below 12/min and Sp02 has remained greater than 92%. Arterial blood gas analysis shows Pa02 80 mmHg, PaC02 82 mmHg, and pH 7.1. Which of the following is the most appropriate conclusion?
A 40-year-old woman receives alfentanil 75 mcg/kg followed by an infusion of 1.5 mcg/kg/min for a one-hour cholecystectomy and cholangiogram. This regimen could be associated with each of the following EXCEPT