(Updated: July 10, 2004)

The following is a compilation of the known errors/revisions in the 2003 Valley Anesthesia Review Course Manual ("sweat book"). Please take the time to make these corrections directly in your manual so as to avoid questions or confusion later on. We apologize for any inconvenience these errors may have already caused. Please notify us immediately if you have found additional errors/revisions so that we may publish those corrections in a timely manner.

Page 36: Locations of Receptors in the Autonomic and Somatic Motor Nervous Systems

Delete β2 from the list of Adrenergic Receptors in the sympathetic division figure ( α 1 , α 2 , β 1 , β 2 )

Page 88: The "Know" box at the bottom of the page

sustantia gelatinosa → su b stantia gelatinosa (add "b" to sustantia)

Page 95: "Explanation"paragraph on bottom half of the page

The descending dorsolateral tract modulates (decreases) pain. Delete "decreases."

Page 120: Sixth bullet point under Adhesion Disorders

Note: Cryoprecipitate contains factor VIII and factor I (fibrinogen), and factor XIII . Add "and factor XIII" to the components of cryoprecipitate.

Page 168: Textbook Examples of Afterload-Related Changes in the Pressure-Volume Loop

Sodium Nitroprusside
(Increased Decreased Afterload)

Page 170: Altered Contractility (hypothetical numbers in the table are used to help illustrate the concepts)

Rows 2 and 3 of the table should read as follows (corrections are italicized ):

 

 

Situation

End-Diastolic Volume

End-Systolic Volume

Stroke Volume

Blood Pressure

Heart Rate

Increased
Contractility

Decreased
(125 ml)

Decreased
(25 ml)

Increased (100 ml)

Increased (130/80)

Decreased (Reflex) (70)

Decreased
Contractility

Increased
(160 ml)

Increased
(100 ml)

Decreased (50 ml)

Decreased (105/70)

Increased (Reflex)
(90)

 

Page 172: Summary of Events When Contractility Decreases Acutely

f. the pressure-volume loop shifts down (smaller volumes lower pressures ) and to the right (larger pressures higher volumes ). Decreased contractility is associated with congestive heart failure (CHF).

Page 177: Exercises (first answer, second column, should be)

Chronic atrial aortic regurgitation

Page 228: Alveolar - Arterial Blood Differences in P O 2 and P CO 2

One way of assessing the degree of ventilation:perfusion abnormality is to examine either the P AO 2 -P aO 2 gradient or the P A CO 2 -P a CO 2 PaCO2-PACO2 gradient. (Change alveolar and arterial for CO 2 ).

Page 229: Estimating P a O 2 and P A O2

You can estimate the P A O 2 P a O 2 in a healthy patient by multiplying percent O2 in the inspired gas mixture by 5.

Page 258: Quick Quiz: Respiratory, #29. The figure is missing. Here is the appropriate figure.

 

 

Page 361: Point #2 under Gases: Fick's law of diffusion applies

Graham's law : diffusion rate % MW , where MW = molecular weight (add "MW" after proportional (%) symbol)

Page 439: In the table, Face Mask and ETT are reversed; the correct table follows:

 

Comparison With:

Advantages

Disadvantages

Endotracheal
intubation

Hands-free operation
Better seal in bearded patients
Less cumbersome in ENT surgery
Often easier to maintain airway
Protects against airway secretions
Less facial nerve and eye trauma
More invasive
More risk of airway trauma
Requires new skill
Deeper anesthesia required
Requires some TMJ mobility
N2O diffusion into cuff

Face Mask

Less invasive
Less anesthetic depth required
Useful in difficult intubations
Less tooth and laryngeal trauma

(etc...)

Risk of GI aspiration
Prone or jackknife positions
Unsafe in morbidly obese
Limits maximum PPV

(etc...)

 

Page 441: Spinal (Subarachnoid) Neural Blockade

The ligamentum flavum and interspinous ligament bullet points are transposed. They should read:

Ligamentum Flavum (yellow ligament)
  • Thin membranous ligament
  • Thickest and broadest in lumbar region
  • Full length of column
Interspinous ligament
  • Short segments between spinous processes

Page 494: Peripheral Nerve Injury Quick Quiz Answer Key has a number of mis-keyed answers. Following are the correct answers

12, b; 14, d ; 15, a ; 16, b .

Page 582: Mock Board Exam, question #88, add "P" to "hysiologic"

P hysiologic alterations are least when the patient is in what position?