Society for Pediatric Anesthesia
We make anesthesia for children safer

{“questions”:{“o5w96”:{“id”:”o5w96″,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 5-day-old, 3.4 kg, full-term infant with a prenatally diagnosed left-sided congenital diaphragmatic hernia (CDH) presents to the operating room for CDH repair. An arterial blood gas (ABG) on arrival to the OR shows a pH of 7.29, PaO2 of 85 mmHg, and PaCO2 of 64 mmHg. Ventilator settings are pressure control ventilation with peak inspiratory pressure (PIP) of 22 cmH2O, positive end-expiratory pressure (PEEP) of 5 cmH2O, fraction of inspired oxygen (FiO2) of 0.55, and respiratory rate of 60. These settings are delivering tidal volumes of 15 mL. Which of the following is the MOST appropriate next course of action for this patient\u2019s ventilatory settings?”,”desc”:””,”hint”:””,”answers”:{“vt6q3”:{“id”:”vt6q3″,”image”:””,”imageId”:””,”title”:”A.\tNo changes necessary”,”isCorrect”:”1″},”4xm2u”:{“id”:”4xm2u”,”image”:””,”imageId”:””,”title”:”B.\tIncrease PEEP to 8 cmH2O”},”m2a5w”:{“id”:”m2a5w”,”image”:””,”imageId”:””,”title”:”C.\tIncrease inspiratory pressure to 26 cmH2O”},”7g4rq”:{“id”:”7g4rq”,”image”:””,”imageId”:””,”title”:”D.\tIncrease the respiratory rate to 64 breaths per minute”}}}},”results”:{“1dot7”:{“id”:”1dot7″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/05\/Week-192-Diaphragmatic-Hernia.pdf”}}}

{“questions”:{“u67di”:{“id”:”u67di”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 2-day-old male presents for a tracheo-esophageal fistula repair. On evaluation, he was also found to have a ventricular septal defect (VSD). The presence of which of the following anomalies will MOST likely indicate a diagnosis of VACTERL association?”,”desc”:””,”hint”:””,”answers”:{“xftpi”:{“id”:”xftpi”,”image”:””,”imageId”:””,”title”:”A.\tCognitive impairment”},”n3lmg”:{“id”:”n3lmg”,”image”:””,”imageId”:””,”title”:”B.\tColoboma”},”kcmo0″:{“id”:”kcmo0″,”image”:””,”imageId”:””,”title”:”C.\tRenal anomalies”,”isCorrect”:”1″},”h2uv8″:{“id”:”h2uv8″,”image”:””,”imageId”:””,”title”:”D.\tDuodenal atresia”}}}},”results”:{“vj6xo”:{“id”:”vj6xo”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/04\/Week-191-VACTERL.pdf”}}}

{“questions”:{“cs2qc”:{“id”:”cs2qc”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”During laryngospasm, contraction of which of the following laryngeal muscles will MOST LIKELY result in glottic closure?”,”desc”:””,”hint”:””,”answers”:{“6cg56”:{“id”:”6cg56″,”image”:””,”imageId”:””,”title”:”A.\tPosterior cricoarytenoid”},”8ilfh”:{“id”:”8ilfh”,”image”:””,”imageId”:””,”title”:”B.\tLateral cricoarytenoid”,”isCorrect”:”1″},”ykk4j”:{“id”:”ykk4j”,”image”:””,”imageId”:””,”title”:”C.\tCricothyroid”},”fdwb3″:{“id”:”fdwb3″,”image”:””,”imageId”:””,”title”:”D.\tOmohyoid “}}}},”results”:{“09d6c”:{“id”:”09d6c”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/04\/Week-190-Laryngospasm.pdf”}}}

{“questions”:{“2zahm”:{“id”:”2zahm”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 5-year-old female is being monitored in the PACU after an EGD. During the EGD, she received oropharyngeal benzocaine spray. She is calm with a heart rate of 96 bpm, blood pressure of 98\/56 mmHg, and an SpO2 of 85% while on 2L\/min supplemental oxygen via nasal cannula. What is the MOST likely mechanism of decreased SpO2 in this patient?”,”desc”:””,”hint”:””,”answers”:{“kplpv”:{“id”:”kplpv”,”image”:””,”imageId”:””,”title”:”A.\tPatient motion causing artifact”},”spjno”:{“id”:”spjno”,”image”:””,”imageId”:””,”title”:”B.\tBinding of carbon monoxide to the oxygen-binding site of hemoglobin”},”zjra9″:{“id”:”zjra9″,”image”:””,”imageId”:””,”title”:”C.\tOxidation of ferrous iron to ferric iron on hemoglobin”,”isCorrect”:”1″},”ecgnb”:{“id”:”ecgnb”,”image”:””,”imageId”:””,”title”:”D.\tHypotension resulting in decreased pulsatile flow”}}}},”results”:{“x5h16”:{“id”:”x5h16″,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/04\/Week-189-pulse-oximetry-.pdf”}}}

{“questions”:{“mj6kl”:{“id”:”mj6kl”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 5-year-old child is brought to the emergency department following accidental ingestion of a medication. Physical exam reveals a decreased level of consciousness, shallow breathing, pinpoint pupils, and blue lips. The SpO2 measured by pulse oximetry, is recorded at 85%. After providing 100% oxygen and supporting the patient\u2019s airway and breathing, which medication is MOST appropriate to administer at this time?”,”desc”:””,”hint”:””,”answers”:{“kgp88”:{“id”:”kgp88″,”image”:””,”imageId”:””,”title”:”A.\tNaltrexone”},”3bisk”:{“id”:”3bisk”,”image”:””,”imageId”:””,”title”:”B.\tNaloxone”,”isCorrect”:”1″},”r1plw”:{“id”:”r1plw”,”image”:””,”imageId”:””,”title”:”C.\tBuprenorphine”},”ok9hz”:{“id”:”ok9hz”,”image”:””,”imageId”:””,”title”:”D.\tFlumazenil”}}}},”results”:{“u6thn”:{“id”:”u6thn”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2024\/04\/Week-188-Opioid-Antagonists-PDF.pdf”}}}