ANZCA Final Exam Resources
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Anaesthetic Viva

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Structures

Opening Statement

Depending on the type of question asked, an opening statement may or not be appropriate. If making use of an opening statement, a reasonable structure would be:
Age
Gender
Elective/emergent/urgent
Level of risk
Location (major tertiary vs peripheral)
Dominant patient issue
Goals/concerns/requirements
This is a paediatric case with a five-year old boy presenting for a low-risk elective procedure at a major tertiary centre. The dominant patient issue is the background of cerebral palsy. My broad concerns are the age of the patient, remote location anaesthesia, MRI safety and behavioural/anaesthetic concerns related to cerebral palsy.

Bleeding

Surgical haemostasis
Medical haemostasis
Resuscitation

Anaesthetic Crises (Will Moor)

Structure
How urgent or severe is this?
Is this a specific crisis scenario that needs specific treatment?
Scan the monitors + patient + surgical field
Temporise
What is most likely?
What is most worrying?

Hypoxia Differentials

Ventilation
Diffusion
Perfusion

Intraoperative Hypertension Differentials

Anaesthetic
Awareness, pain, drug error
Surgical
Abdominal insufflation
Patient
Phaeo
Cushing response

Hypocapnia

Sample error
Reduced production
Increased elimination
Poor perfusion/ventilation

Hypercapnia

Decreased elimination
Increased production
Endogenous
Exogenous
Bicarbonate bolus
CO2 insufflation

Bradycardia

Anaesthetic
Patient
Cardiac
Structural
Ischaemic
Conduction
Non-cardiac

High Airway Pressure

Machine
Circuit
Patient

Tachycardia

Primary
Ischaemic
Structural
Valvular
Secondary
MH
Thyroid storm
Anaesthetic
Drug
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