Fellowship - plastics/burns Flashcards
“A 60-year-old woman is having breast reconstruction surgery using a deep inferior epigastric perforator free flap six months following a mastectomy for breast cancer. Discuss the issues of anaesthetic management relevant for
this procedure. “
Outline the physiological determinants of blood flow through a myocutaneous free flap? (50%) Evaluate the use of vasoconstrictors for support of blood pressure following reanastamosis of a myocutaneous free flap? (50%)
A 65 year old female patient is two hours into debridement and skin grafting for a 40% burn to her thorax and legs. She is intubated and paralysed. An arterial blood gas now shows: pH 7.12 PaO2 150 PaCO2 45 HCO3 15 K 6.3 a. Outline the potential causes for this patient’s hyperkalaemia (30%). b. Describe your management of this hyperkalaemia. (70%)
