Nagelhout Ch 40: Anesthesia for
Orthopedics and Podiatry Exam
Advanced Practice Questions and
Answers with Complete A+ Solutions
100% Correct!!!
*T/F* The major disadvantage of using laparoscopic techniques in spinal surgery is the time it
takes for the user to become proficient at the technique to avoid prolonged time in the operat-
ing room. - Correct Answer -TRUE
Box 40-5:
Advantages of Laparoscopy for Anterior Spinal Surgery - Correct Answer -• Enhanced
visualization
• Decreased potential for infection
• Reduced trauma to surrounding soft tissues
• Shorter hospitalization
• Shorter rehabilitation period
,• Decreased blood loss
• Improved intraoperative and postoperative
ventilation
• Reduced intensive care unit time
• Better cosmetic appearance
• Reduced overall costs
Laparoscopic lumbar spinal surgery is contraindicated for which patients - Correct Answer --
Abdominal adhesions from inflammatory processes, laparotomy, or abdominal trauma patients.
In addition, those patients with marked cardiac or pulmonary disease processes may not be
able to tolerate the hypercarbia that can result from abdominal insuf- flation of carbon dioxide
For thoracic spinal surgery candidates, laparoscopy is currently contraindicated for which
patients - Correct Answer -- Unable to tolerate one-lung ventilation and those with severe or
acute respiratory insufficiency, high positive airway pressures, & pleural symphysis.
- Patients in need of internal fixation with extensive instrumentation of the anterior spine are
not considered candidates for thorascopic spinal surgery
, *T/F* The anterior approach to the thoracic spine requires performing a thoracotomy. - Correct
Answer -TRUE
Positioning devices designed to allow the abdomen to "hang" freely & reduce the possibility of
compressing major vascular structures (4) - Correct Answer -- Bilateral "prone or chest rolls"
- Wilson frame
- Relton adjustable pedestal frame
- Andrews frame or spinal-surgery table
*T/F* Procedures more likely to be associated with major blood loss are those involving the
thoracic spine, particularly for malignancy or trauma. - Correct Answer -TRUE
B/c of the close proximity to the spinal column, injury to the ______ can occur during surgery
on the thoracic or lumbar spine. - Correct Answer -Aorta
In addition to aortic injury, the __________(3) may be damaged as a result of traction during
laparoscopic spinal procedures - Correct Answer -IVC
Iliac vessels
Orthopedics and Podiatry Exam
Advanced Practice Questions and
Answers with Complete A+ Solutions
100% Correct!!!
*T/F* The major disadvantage of using laparoscopic techniques in spinal surgery is the time it
takes for the user to become proficient at the technique to avoid prolonged time in the operat-
ing room. - Correct Answer -TRUE
Box 40-5:
Advantages of Laparoscopy for Anterior Spinal Surgery - Correct Answer -• Enhanced
visualization
• Decreased potential for infection
• Reduced trauma to surrounding soft tissues
• Shorter hospitalization
• Shorter rehabilitation period
,• Decreased blood loss
• Improved intraoperative and postoperative
ventilation
• Reduced intensive care unit time
• Better cosmetic appearance
• Reduced overall costs
Laparoscopic lumbar spinal surgery is contraindicated for which patients - Correct Answer --
Abdominal adhesions from inflammatory processes, laparotomy, or abdominal trauma patients.
In addition, those patients with marked cardiac or pulmonary disease processes may not be
able to tolerate the hypercarbia that can result from abdominal insuf- flation of carbon dioxide
For thoracic spinal surgery candidates, laparoscopy is currently contraindicated for which
patients - Correct Answer -- Unable to tolerate one-lung ventilation and those with severe or
acute respiratory insufficiency, high positive airway pressures, & pleural symphysis.
- Patients in need of internal fixation with extensive instrumentation of the anterior spine are
not considered candidates for thorascopic spinal surgery
, *T/F* The anterior approach to the thoracic spine requires performing a thoracotomy. - Correct
Answer -TRUE
Positioning devices designed to allow the abdomen to "hang" freely & reduce the possibility of
compressing major vascular structures (4) - Correct Answer -- Bilateral "prone or chest rolls"
- Wilson frame
- Relton adjustable pedestal frame
- Andrews frame or spinal-surgery table
*T/F* Procedures more likely to be associated with major blood loss are those involving the
thoracic spine, particularly for malignancy or trauma. - Correct Answer -TRUE
B/c of the close proximity to the spinal column, injury to the ______ can occur during surgery
on the thoracic or lumbar spine. - Correct Answer -Aorta
In addition to aortic injury, the __________(3) may be damaged as a result of traction during
laparoscopic spinal procedures - Correct Answer -IVC
Iliac vessels
