ANZCA Final Exam Resources

Anaesthetic Viva

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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