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Opthalmic

Question 2 (March 2019)

 

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You are asked to assess a 15kg 4-year-old child who is scheduled for a strabismus (squint) correction as a day case procedure

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List the anaesthetic considerations of this case, with regards to:

a)  Age of the patient (4 marks)

 

b) Day case surgery (3 marks)

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c) Type of surgery (4 marks)

 

d) During the operation, the patient suddenly develops a profound bradycardia. What is your immediate management of this situation? (2 marks)

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e) What strategies would you employ to reduce postoperative nausea and vomiting (4 marks)

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f) What strategies would you employ to reduce postoperative pain (3 marks)

Question 1 (September 2018)

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An otherwise healthy, ASA 1, 32 year oldman who was involvd in a road traffic accident has suffered a penetrating eye injury

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a) Name 3 factors that determine the intraocular pressure in a healthy eye? (3 marks)

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b) Name 5 key points that you would need to know when assessing thi patient preoperativley (5 marks)

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c) The patient requires urgent surgery. Discuss 4 key goals of your specific intraoperative management (4 marks)

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d) Name 5 contraindications to performinga regional bok in elective opthalminc surgery (5 marks)

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e) Name 3 different types of regional block that are suitable for opthalmic surgery (3 marks)

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