1. A woman who has undergone a hysterectomy for which you were the anaesthetist visits her GP 6 weeks later and complains that she was awake during her anaesthetic.
- How would you proceed? - Define implicit versus explicit. - What are the risk groups? - How do you avoid it? - What is likely to mask it? - Why do we not recommend bispectral index (BIS) monitoring routinely?
2. A young male presents for Open Reduction and Internal Fixation (ORIF) mandible.
- When would you do this and how? - How would you examine him? - What are the associated injuries? - What are the signs of a basilar skull fracture? - How do you “clear” a C-spine? - How does the consumption of alcohol affect stomach emptying? - How would you anaesthetize him?
3. An 80-year-old woman is brought to A&E unconscious.
- What are the possible causes? - What are the clinical features of mild/moderate/severe hypothermia? - What are the ECG findings of hypothermia? - How would you warm such a patient (active/passive)? - Where would you measure temperature?
ArticleDate:20190130
SiteSection: Article
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