1. Before your viva, you are given a card to read, which says the following:
“You have been called to A&E to provide anaesthesia for reduction of a Colles’ fracture. The patient is a 68-year-old heavy smoker and drinker, who has been involved in a house fire; she has burns to her face, chest and arms.”
– What assessment of the patient would you make?
– Discuss airway assessment, the significance of SaO2 and any other investigations you would perform(COHb).
– What are the indications for intubation?
– What fluid requirements will the patient have? What fluid would you give, when would you give it and why?
– Discuss analgesia – are burns painful?
– Would you give an anaesthetic for the fracture?
– Where should the patient be looked after?
2. What would you do if an anaesthetised patient suddenly became hard to ventilate?
– Discuss your management in this critical situation.
– What are the signs of a pneumothorax?
– How should a pneumothorax be treated?