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Chapter 54. Airway Management of the Pregnant Trauma Victim
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Which of the following anesthetic induction agents has been shown in clinical trials to be safe for a pregnant patient?
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(E) No high-quality evidence confirms that any of these medications are absolutely safe during pregnancy though all are used routinely.
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During a rapid sequence induction for an emergency cesarean section, you are neither able to intubate nor oxygenate the patient. Which of the following is NOT an appropriate course of action?
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A. repeat laryngoscopy and intubation
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B. ventilation using Combitube™
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C. immediate preparations for cricothyrotomy
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D. ventilation using an LMA
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E. relaxing cricoid pressure to determine if BMV can be improved
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(A) In a “can’ intubate, can’t oxygenate” situation, all of the options are acceptable except to repeat a “failed” technique.
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Which of the following is NOT an indication to deliver the fetus in a trauma victim who is 37 weeks pregnant?
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A. to aid in the resuscitation of the mother, the fetus must be delivered in an expeditious fashion
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B. maternal cardiac arrest
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C. hemodynamically stable mother and the fetus is showing signs of terminal fetal distress with severe fetal bradycardia
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D. the mother is hemodynamically unstable secondary to hemorrhage and placental abruption
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E. maternal respiratory arrest
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(E) In a respiratory arrest, the most important management is to restore ventilation and oxygenation immediately.