Wednesday, July 17, 2024

Indian Journal of Anaesthesia (IJA) WEEKLY QUIZ #25

 Indian Journal of Anaesthesia (IJA)
WEEKLY QUIZ  #25

IJA Quiz Masters - 

Dr. Muralidhar Thondebhavi S, Dr. Manshad Showkath, Dr. Shilpa GK Bhat, Dr. Bhavna Gupta, Dr. Tushar Chokshi

 

Dr. Rakesh Garg

Editor-in-Chief

Indian Journal of Anaesthesia

 

Q1. Which of the following statements about low-flow anaesthesia (LFA) is NOT correct?

A) LFA helps reduce the environmental impact of anaesthesia by decreasing greenhouse gas emissions.
B) LFA necessitates the use of complex mathematical models due to the absence of modern gas analysers.
C) LFA can lead to significant economic savings compared to traditional high-flow anaesthesia.
D) Modern anaesthesia workstations can help individualize the delivery of volatile anaesthetics in LFA.

 

Answer: B) LFA necessitates using complex mathematical models due to the absence of modern gas analysers.

https://journals.lww.com/ijaweb/fulltext/2024/07000/evolution_of_low_flow_anaesthesia.2.aspx

Zilberman, Paul. Evolution of low-flow anaesthesia. Indian Journal of Anaesthesia 68(7):p 590-591, July 2024. | DOI: 10.4103/ija.ija_441_24

 

 

Q2. Which of the following perioperative outcomes was significantly reduced by Goal-Directed Fluid Therapy (GDFT) in neurosurgical patients according to the meta-analysis?

A) Neurological outcomes
B) Total intraoperative fluids administered
C) Postoperative complications
D) Intraoperative blood loss

 

Answer: C) Postoperative complications

 

https://journals.lww.com/ijaweb/fulltext/2024/07000/intraoperative_goal_directed_fluid_therapy_in.3.aspx

Jangra, Kiran†; Gandhi, Aravind P.1,†; Mishra, Nitasha2; Shamim, Muhammad Aaqib3; Padhi, Bijaya K4. Intraoperative goal-directed fluid therapy in adult patients undergoing craniotomies under general anaesthesia: A systematic review and meta-analysis with trial sequential analysis. Indian Journal of Anaesthesia 68(7):p 592-605, July 2024. | DOI: 10.4103/ija.ija_240_24

 

 

Q3. Which of the following statements is true regarding the findings of the meta-analysis comparing the classical and costoclavicular (CC) approaches for infraclavicular brachial plexus block (ICB)?

A) The CC approach demonstrated a significantly faster sensory block onset time compared to the classical approach.

B) The classical approach showed a significantly shorter block performance time (BPT) compared to the CC approach.

C) There was no significant difference in the motor block onset time between the classical and CC approaches.

D) The quality of evidence for the outcomes was deemed high.

 

Answer: C) There was no significant difference in the motor block onset time between the classical and CC approaches.

https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_the_classical_approach_and.4.aspx

Garg, Heena; Makhija, Purva; Jain, Dhruv; Kumar, Shailendra; Kashyap, Lokesh. Comparison of the classical approach and costoclavicular approach of ultrasound-guided infraclavicular block: A systematic review and meta-analysis. Indian Journal of Anaesthesia 68(7):p 606-615, July 2024. | DOI: 10.4103/ija.ija_1124_23

 

 

Q 4. Which of the following statements is accurate regarding the pain management efficacy of ultrasound-guided erector spinae plane (ESP) block versus pericapsular nerve group (PENG) block in paediatric hip surgeries, according to the study?

A) The ESP block resulted in significantly higher postoperative pain scores compared to the PENG block at all measured times.

B) The PENG block significantly reduced postoperative morphine consumption compared to the ESP block.

C) The ESP block significantly prolonged the time to first rescue analgesia compared to the PENG block.

D) Both the ESP and PENG blocks showed significantly different intraoperative haemodynamics.

 

Answer: C) The ESP block significantly prolonged the time to first rescue analgesia compared to the PENG block.

https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_ultrasound_guided_erector_spinae.5.aspx

Mostafa, Tarek A. H.; Omara, Amany F.; Khalil, Naglaa K.. Comparison of ultrasound-guided erector spinae plane block with ultrasound-guided pericapsular nerve group block for paediatric hip surgery: A randomised, double-blinded study. Indian Journal of Anaesthesia 68(7):p 616-622, July 2024. | DOI: 10.4103/ija.ija_867_23

 

 

 

Q5. Which of the following findings was observed in the CPB + NO group compared to the CPB group?

A) Higher concentration of i-FABP after CPB
B) Lower ATP concentration 1 hour after CPB
C) Higher defaecation rate after CPB
D) Greater generalised oedema of intestinal membranes after CPB

 

Answer: C) Higher defaecation rate after CPB

https://journals.lww.com/ijaweb/fulltext/2024/07000/effect_of_inhaled_nitric_oxide_on_intestinal.6.aspx

Kamenshchikov, Nikolay O.1; Churilina, Elena A.1; Korepanov, Vyacheslav A.2; Rebrova, Tatiana Y.2; Sukhodolo, Irina V.3; Kozlov, Boris N.1. Effect of inhaled nitric oxide on intestinal integrity in cardiopulmonary bypass and circulatory arrest simulation: An experimental study. Indian Journal of Anaesthesia 68(7):p 623-630, July 2024. | DOI: 10.4103/ija.ija_1267_23

 

 

Q. 6 What is the atmospheric life year of N20 

A. Over 100 years

B. Over 75 years

C. Over a decade

D. No effect

 

Answer: A.  Over 100 years

 

Link : https://journals.lww.com/ijaweb/fulltext/2024/07000/effect_of_inhaled_nitric_oxide_on_intestinal.6.aspx

Kamenshchikov, Nikolay O.1; Churilina, Elena A.1; Korepanov, Vyacheslav A.2; Rebrova, Tatiana Y.2; Sukhodolo, Irina V.3; Kozlov, Boris N.1. Effect of inhaled nitric oxide on intestinal integrity in cardiopulmonary bypass and circulatory arrest simulation: An experimental study. Indian Journal of Anaesthesia 68(7):p 623-630, July 2024. | DOI: 10.4103/ija.ija_1267_23

 

 

 

Q.7 Which technology does the LMA® Protector™ use to facilitate continuous monitoring of intracuff pressures?

A.      Smart Cuff™

B.      Cuff Pilot™

C.      Pressure Guard™

D.     Air Seal™

 

ANS : B

 

LINK : https://journals.lww.com/ijaweb/fulltext/2024/07000/comparison_of_incidence_of_sore_throat_with.8.aspx

Mohan, Vidya; Rudingwa, Priya; Panneerselvam, Sakthirajan; Kuberan, Aswini; Srinivasan, Gnanasekaran; Arulprakasam, Santhosh. Comparison of incidence of sore throat with laryngeal mask airway Protector and laryngeal mask airway ProSeal: A randomised clinical trial. Indian Journal of Anaesthesia 68(7):p 637-643, July 2024. | DOI: 10.4103/ija.ija_1068_23

 

 

 

Q 8. What are AI hallucinations also known as?

 

A. AI dreams

B. AI confabulations

C. AI illusions

D. AI projections

 

ANS : B

 

LINK : https://journals.lww.com/ijaweb/fulltext/2024/07000/artificial_intelligence_hallucinations_in.11.aspx

Gondode, Prakash; Duggal, Sakshi; Mahor, Vaishali. Artificial intelligence hallucinations in anaesthesia: Causes, consequences and countermeasures. Indian Journal of Anaesthesia 68(7):p 658-661, July 2024. | DOI: 10.4103/ija.ija_203_24

 

 

Q.9  Which factor can lead to AI hallucinations due to insufficient training data?

 

A.      Overfitting

B.      High model complexity

C.      Lack of explainability

D.     Insufficient or biased training data

 

ANS : D

 

LINK : https://journals.lww.com/ijaweb/fulltext/2024/07000/artificial_intelligence_hallucinations_in.11.aspx

Gondode, Prakash; Duggal, Sakshi; Mahor, Vaishali. Artificial intelligence hallucinations in anaesthesia: Causes, consequences and countermeasures. Indian Journal of Anaesthesia 68(7):p 658-661, July 2024. | DOI: 10.4103/ija.ija_203_24

 

 

 

Q.10 Who might be held liable for errors caused by AI hallucinations?

 

A.      Only the AI developer

B.      Only the healthcare provider

C.      Only the hospital

D.     AI developer, healthcare provider, or hospital

 

ANS : D

 

LINK : https://journals.lww.com/ijaweb/fulltext/2024/07000/artificial_intelligence_hallucinations_in.11.aspx

Gondode, Prakash; Duggal, Sakshi; Mahor, Vaishali. Artificial intelligence hallucinations in anaesthesia: Causes, consequences and countermeasures. Indian Journal of Anaesthesia 68(7):p 658-661, July 2024. | DOI: 10.4103/ija.ija_203_24

 

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