Blue Book 2021 Flashcards
“34 year old male paraplegic with intrathecal baclofen scheduled for laparoscopic appendicectomy. He complaints of worsening muscle spasticity
Describe the clinical features to differentiate between intrathecal baclofen (ITB) overdose, ITB withdrawal, neuroleptic malignant syndrome and serotonin syndrome (80%)
List potential complications of intrathecal baclofen withdrawal (20%)”
“What are the common indications for DOACs
Compare and contrast the use of DOACs over warfarin, and lower molecular weight heparin (LMWH)”
“List causes of Eisenmenger syndrome (30%)
List complications of Eisenmenger syndrome (use organ system as categories) (30%)
Describe the haemodynamic aims in patients with Eisenmenger syndrome (40%)”
Describe perioperative anaesthesia considerations for endoscopy and band ligation of oesophageal varices (from 2023 blue book)
25yo, tibial shaft fracture emergency ORIF, Fontan. What is your perioperative management plan?
You are asked to assist in the development of the anaesthetic preassessment clinic at a newly established regional hospital. Outline your approach to this task.
Discuss the benefits of SGLT-2 inhibitors, and anaesthetic considerations for patients presenting for elective surgery on these medications
What scoring systems are available for frailty? (20%) Evaluate one of the scoring systems. (80%)
What are some of the strategies to reduce risk of delirium in the perioperative period?
What are the complications associated with a LV Ventricular Assisted Device? (30%) What is a suction event, and how is it managed? (70%)
Outline the intra-operative methods of detecting RV dysfunction?
Discuss the perioperative considerations for a 50-year old male presenting for elective ablation for paroxysmal atrial fibrillation
Justify your labour epidural prescription including local anaesthetic choice and adjuncts. Evaluate the use of a programmed intermittent epidural bolus (PIEB).