Episode 335: Keywords Part 34: Common Complications
Anesthesia and Critical Care Reviews and Commentary (ACCRAC) Podcast
Jed Wolpaw
4.8 • 1.5K Ratings
🗓️ 30 May 2026
⏱️ 50 minutes
🧾️ Download transcript
Summary
In this 335th episode I welcome Dr. Tym Kajstura back to the show for another ABA Keyword Episode. We cover what they call common complications in anesthesia, a grab bag of high yield board topics.
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Transcript
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| 0:00.0 | Hello and welcome back to Agrak. I'm Jen Walpaw, and I am back with the one and only Dr. Tim Kaishtura for another ABA keyword episode. |
| 0:22.8 | This time we're going to tackle a kind of a grab bag, I guess, that they're calling common complications in anesthesia, which really, I guess, some are common, some or not. |
| 0:31.3 | But as we just said, talking offline, this is kind of highly tested complications from anesthesia. |
| 0:36.7 | So you need to know it. Some of them, |
| 0:39.0 | you may see some of them you may never see, but we're going to go over it for you. And Tim, |
| 0:42.5 | welcome back to the show. Thanks so much for having me as always. And just like last time, |
| 0:47.2 | we're going to kick off today with a little bit of spaced repetition and review some questions |
| 0:50.9 | from previous keyword episodes. In no particular order, Jed, question number one. |
| 0:56.2 | A 59-year-old female with obesity, obstructive sleep apnea, high blood pressure, and diabetes |
| 1:01.3 | presents to an ambulatory surgery center for a distal toe amputation. |
| 1:05.7 | The patient refuses regional anesthesia, and you proceed with general anesthesia. |
| 1:09.9 | Which of a patient's risk factors |
| 1:11.3 | is most likely to result in unplanned post-operative hospital admission? A, obstructive sleep apnea, |
| 1:18.7 | B, high blood pressure, or C, obesity. Yeah, you know, I think this is a little tricky. |
| 1:25.1 | Obviously, if you remember when we talked about it last time, it wouldn't be, but because these things all seem, they all are risk factors. |
| 1:31.5 | I think maybe one way to think about this, just from a test-taking perspective, is which is the least |
| 1:36.4 | common, right? Obesity and high blood pressure are so common that it seems unlikely they give |
| 1:41.0 | you something that so many people have, whereas obstructive sleep apnea, |
| 1:44.5 | though, getting more common is not as common. And certainly also is something that, you know, |
| 1:49.3 | we see a lot of patients who can't pass a room air trial. They can't get out of the PACU because |
| 1:55.4 | they can't saturate okay on room air because of their obstructive sleep apnea. So that's certainly |
| 2:00.5 | what we see clinically. And I think from a test taking perspective is the most likely as well. So I'd go with a obstructive sleep apnea. Right. I think that's a great approach. And certainly there are BMI cutoffs at ambulatory surgery centers, but it's not just the presence of obesity. High blood pressure is not a contraindication. But if you work in a hospital |
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