Fellowship - periop neuro Flashcards
You will be anaesthetising a 63-year-old man with severe Parkinson’s disease who is booked for an inguinal hernia repair. Discuss the issues that are relevant to providing perioperative care for this patient
A patient with myasthenia gravis presents for emergency laparotomy for small bowel obstruction. Discuss your perioperative management of this patient including your choice of anaesthetic.
You are asked to assess and anaesthetise a 54-year-old patient for a laparoscopic cholecystectomy. They received a heart transplant ten years ago. Discuss the issues relevant for this patient.
Discuss the anaesthetic considerations for an adult patient with rheumatoid arthritis presenting for wrist surgery.
A patient with a previous spinal cord injury presents for ureteric stenting. Discuss the pathophysiology of autonomic dysreflexia. (50%) Describe the intra-operative manifestations and subsequent management of autonomic dysreflexia. (50%)
Define frailty and discuss the role of prehabilitation for patients with frailty.
A 43-year-old man with Down Syndrome is booked for an inguinal hernia repair. Discuss the issues that are relevant in providing anaesthesia for this patient having this surgery.
“A 50-year-old woman with systemic sclerosis (scleroderma) presents for laparoscopic appendicectomy. She is currently treated with folate supplements and weekly methotrexate. Describe how your anaesthetic plan is modified by the presence of
scleroderma in this patient. “
“A 30-year-old patient with myotonic dystrophy is scheduled for surgery for acute appendicitis. Outline the important factors in the preoperative assessment of this patient. (50%) Describe how this patient’s myotonic dystrophy will affect your
anaesthetic management.(50%) “
“A 47 year old man presents to the emergency department with acute abdominal pain requiring a laparotomy. He is known to have chronic high intake of alcohol. Describe how chronic alcohol misuse will affect your perioperative management
of this patient. “
“A 68 year-old male with severe Parkinson’s Disease presents for elective right hemicolectomy. Current medications include levodopa/benserazide and selegiline (monoamine oxidase inhibitor). What clinical features of Parkinson ’s disease affect
anaesthesia? (50%) Justify your perioperative drug management plan. (50%) “
A 40 year old requires a laparotomy ten days after an isolated traumatic spinal cord transection at C6. Outline the key anaesthetic issues. (50%) How would these influence your anaesthetic management? (50%)
A 30 year old patient with myasthenia gravis presents for orthopaedic procedure and refuses a regional anaesthetic techniquea. What are the signs and symptoms of myasthenia gravis? (30%)b. How does the disease affect your anaesthetic management? (70%)
A 25-year-old female with longstanding C5-6 quadriplegia requires ureteric stent insertion.Outline the implications for anaesthesia.
What are the perioperative concerns for the anaesthetist managing a patient with epilepsy?
