
19/06/2025
๐ NEET SS 2025 โ Anesthesia MCQ of the Day
๐ Q: All except one are intraโoperative strategies to prevent postoperative pulmonary complications in atโrisk patients. Which one is NOT recommended?
1. Restrict duration of surgery
2. Avoid longโacting neuromuscular blocking agents
3. Lungโprotective mode of ventilation
4. Laparotomy preferred over laparoscopy
โ
Answer & Explanation:
The correct answer is 4. Laparotomy preferred over laparoscopy.
Rationale:
๐ซRestricting surgery duration, avoiding longโacting drugs, and using lungโprotective ventilation strategies (e.g. low tidal volume, PEEP) are proven intraoperative measures to reduce pulmonary complications
๐ซHowever, choosing laparoscopy over laparotomy is beneficial for the lungsโminimally invasive surgery reduces respiratory compromise. Thus, preferring laparotomy is not a valid preventive strategy .
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