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Primary Viva 20 (Clinical)

Created: 26/10/2007
Updated: 26/10/2007
An 80-year-old man, previously well and on no regular medication, presents for a laparotomy for bowel obstruction. He has not passed urine for the last 8 hours.

Observations: Blood pressure 100/60 mmHg; Radial pulse irregular, 90 bpm

1. Describe your assessment of this patient and discuss his management.
2. Critical incident: The patient regurgitates during rapid sequence intubation. How would you manage this?
3. Critical incident: You are called to recovery, where the patient is vomiting post-extubation. How would you manage this turn of events?

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