ANZCA Final Exam Resources
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Crises & Problems

Crises & Problems
1
Category
Crisis or Problem
Notes
Airway + Breathing
17
a CICO scenario
a high risk extubation
a pneumothorax
a pulmonary contusion
a tracheobronchial injury
a tracheostomy disaster
acute pulmonary oedema
acute severe asthma
an acute exacerbation of COPD
an airway disaster on the ward
an airway fire
an inhalational injury
flail chest
massive haemoptysis
perioperative aspiration
respiratory arrest
severe bronchospasm
Circulation
22
a fat embolism
a gas embolism
a tension pneumothorax
a traumatic aortic disruption
acute myocardial ischaemia
an acute aortic dissection
an intra-arterial injection
cardiac arrest
cardiac tamponade
coagulopathy in association with trauma or surgery
hyper/hypocalcaemia
hyper/hypoglycaemia
hyper/hypokalaemia
hyper/hypomagnesaemia
hypernatraemia
hyponatraemia and hypoosmolality
life-threatening bradycardia
life-threatening tachycardia
metabolic acidosis
myocardial contusion
pulmonary embolism
shock
Disability
8
acute intracranial/subarachnoid haemorrhage
acute spinal cord injury/neurogenic shock
acute traumatic brain injury
cerebral vasospasm
coma
prolonged seizures
raised intracranial pressure
unstable spinal injury
Intraoperative
10
high airway pressures
intraoperative bradycardia
intraoperative dyspnoea
intraoperative hypercapnia
intraoperative hypertension
intraoperative hypocapnia
intraoperative hypotension
intraoperative hypoxia
intraoperative oliguria/anuria
intraoperative tachycardia
Recovery
13
altered postoperative mental state
emergence delirium
failure to wake from anaesthesia
postoperative airway compromise
postoperative delirium
postoperative hypertension
postoperative hypotension
postoperative hypoxia
postoperative nausea and vomiting
postoperative oliguria
postoperative shock
postoperative tachycardia
severe postoperative pain
Other
45
a breathing circuit malfunction (stuck valve, massive leak)
a crush injury
a high spinal
a hyperosmolar, hyperglycaemic state
a hypoosmolar state
a pericardial effusion in the context of malignancy
abdominal sepsis
accidental awareness under anaesthesia
acute cord compression in the context of malignancy
acute drug intoxication
acute pancreatitis
altitude sickness
an Addisonian crisis
an anaesthesia machine/ventilator malfunction
an ischaemic/haemorrhagic stroke
an operating room fire
anaphylaxis
bone cement implantation syndrome
botulism
burns
carbon monoxide poisoning
caval obstruction in the context of malignancy
cerebral salt wasting syndrome
compartment syndrome
decompression syndromes
diabetes insipidus
diabetic ketoacidosis
drowning/near drowning
electrical power failure in the operating suite
electrocution
envenomation
graft vs host disease
haematemesis and melaena
ischaemic, perforated or obstructed gut
local anaesthetic toxicity
major abdominal trauma
malignant hyperthermia
oesophageal perforation
perioperative peripheral nerve injury
rhabdomyolysis
sepsis
severe hypothermia
tetanus
the failure of pipeline gas supply
thyroid storm
Obstetric
14
abnormal placental implantation
amniotic fluid embolism
antepartum haemorrhage
breech presentation
cord prolapse
eclampsia
foetal death in utero
maternal collapse
neonatal resuscitation
postpartum haemorrhage
premature labour
shoulder dystocia
uterine rupture
vaginal birth after caesarean (VBAC)


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