Society for Pediatric Anesthesia
We make anesthesia for children safer

{“questions”:{“kfuzp”:{“id”:”kfuzp”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 12-year-old male with a BMI of 45 kg\/m^{2<\/sup>, asthma and obstructive sleep apnea presents for an upper endoscopy for reflux. The patient\u2019s caregiver reports heartburn, hoarseness, dysphagia, and frequent belching, which are unpredictable and worse when laying flat. He reports a bitter taste of regurgitated liquid 1 hour ago. What is the most appropriate anesthetic plan for this patient? “,”desc”:””,”hint”:””,”answers”:{“64mtn”:{“id”:”64mtn”,”image”:””,”imageId”:””,”title”:”A.\tIntravenous propofol infusion with a natural airway”},”ni1sf”:{“id”:”ni1sf”,”image”:””,”imageId”:””,”title”:”B.\tIntravenous rapid sequence induction with endotracheal tube placement”,”isCorrect”:”1″},”89dkp”:{“id”:”89dkp”,”image”:””,”imageId”:””,”title”:”C.\tStandard intravenous induction with supraglottic airway placement “},”l4tjr”:{“id”:”l4tjr”,”image”:””,”imageId”:””,”title”:”D.\tStandard intravenous induction with endotracheal tube placement”}}}},”results”:{“yl5wj”:{“id”:”yl5wj”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2023\/08\/Week-157-GERD.pdf”}}}}

{“questions”:{“udipk”:{“id”:”udipk”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 3-year-old male with known glucose 6-pyruvate dehydrogenase (G6PD) deficiency presents to the emergency room with difficulty breathing and blue lips. Per the mother, the child recently had topical local anesthetic cream applied to his arms in preparation for lab draws. The pulse oximeter is reading 86%, but his PaO_{2<\/sub> is normal. Which of the following is the BEST initial treatment for this child?”,”desc”:””,”hint”:””,”answers”:{“aujk2”:{“id”:”aujk2″,”image”:””,”imageId”:””,”title”:”A.\tSodium thiosulfate”},”ud9vm”:{“id”:”ud9vm”,”image”:””,”imageId”:””,”title”:”B.\tAscorbic acid (Vitamin C)”,”isCorrect”:”1″},”j1dpg”:{“id”:”j1dpg”,”image”:””,”imageId”:””,”title”:”C.\tMethylene blue”},”439e8″:{“id”:”439e8″,”image”:””,”imageId”:””,”title”:”D.\tHyperbaric oxygen”}}}},”results”:{“qi2mu”:{“id”:”qi2mu”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2023\/08\/Week-156-Methemoglobinemia.pdf”}}}}

{“questions”:{“jzkex”:{“id”:”jzkex”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 17-year-old female with known sickle cell disease presents for a scheduled laparoscopic cholecystectomy. Aside from intermittent right upper quadrant abdominal pain, she otherwise appears well. Which of the following should be included as part of her perioperative plan?”,”desc”:””,”hint”:””,”answers”:{“530ib”:{“id”:”530ib”,”image”:””,”imageId”:””,”title”:”A.\tMaintaining mild hypothermia throughout the intraoperative period”},”ftbw4″:{“id”:”ftbw4″,”image”:””,”imageId”:””,”title”:”B.\tAvoidance of regional anesthesia and opioid pain medications”},”6dhj1″:{“id”:”6dhj1″,”image”:””,”imageId”:””,”title”:”C.\tBlood transfusion to maintain Hgb >8-10 g\/dL”,”isCorrect”:”1″},”s4lrj”:{“id”:”s4lrj”,”image”:””,”imageId”:””,”title”:”D.\tPreoperative exchange transfusion to reduce HgbS level to <30%"}}}},"results":{"4p9zw":{"id":"4p9zw","title":"","image":"","imageId":"","min":"0","max":"1","desc":"","redirect_url":"https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2023\/08\/Week-155-Sickle-Cell-Disease-Perioperative-Management.pdf"}}}

{“questions”:{“n5xrv”:{“id”:”n5xrv”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A 7-year-old female with known sickle cell disease undergoes and open splenectomy. On post-operative day #3, the patient is febrile, requires oxygen to maintain SpO2 >92%, and complains of chest discomfort. Which of the following complications are you MOST concerned about in this patient?”,”desc”:””,”hint”:””,”answers”:{“s2slb”:{“id”:”s2slb”,”image”:””,”imageId”:””,”title”:”A.\tPostoperative infection caused by encapsulated bacteria”},”cqwue”:{“id”:”cqwue”,”image”:””,”imageId”:””,”title”:”B.\tAspiration pneumonia”},”63mgn”:{“id”:”63mgn”,”image”:””,”imageId”:””,”title”:”C.\tAcute aplastic crisis”},”4smu4″:{“id”:”4smu4″,”image”:””,”imageId”:””,”title”:”D.\tAcute chest syndrome”,”isCorrect”:”1″}}}},”results”:{“jkaih”:{“id”:”jkaih”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2023\/08\/Week-154-Sickle-Cell-Disease-Pathophysiology.pdf”}}}

{“questions”:{“2xawi”:{“id”:”2xawi”,”mediaType”:”image”,”answerType”:”text”,”imageCredit”:””,”image”:””,”imageId”:””,”video”:””,”imagePlaceholder”:””,”imagePlaceholderId”:””,”title”:”A six-month-old male with multi-suture craniosynostosis presents for cranial vault remodeling and reconstruction. During craniectomy, the patient suddenly becomes hypotensive and hypoxemic, with an acute drop in end-tidal CO2. What is the NEXT BEST step in management?”,”desc”:””,”hint”:””,”answers”:{“n52h8”:{“id”:”n52h8″,”image”:””,”imageId”:””,”title”:”A.\tApply bone wax”},”yr7iw”:{“id”:”yr7iw”,”image”:””,”imageId”:””,”title”:”B.\tFlood the surgical field with saline”,”isCorrect”:”1″},”hz04k”:{“id”:”hz04k”,”image”:””,”imageId”:””,”title”:”C.\tApply defibrillator pads “},”ols07”:{“id”:”ols07″,”image”:””,”imageId”:””,”title”:”D.\tAspirate from the central venous catheter “}}}},”results”:{“iebfl”:{“id”:”iebfl”,”title”:””,”image”:””,”imageId”:””,”min”:”0″,”max”:”1″,”desc”:””,”redirect_url”:”https:\/\/pedsanesthesia.org\/wp-content\/uploads\/2023\/08\/Week-153-Craniosynostosis.pdf”}}}