Search our site 
Advanced Search
Home | Exam dates | Contact us | About us | Testimonials |

You are in Home >> Exams >> Final FRCA >> Final FRCA SOE

Final clinical long case 28

Created: 13/11/2008
An 81-year-old man presents with left ventricular failure and surgical emphysema on chest X-ray. He has a history of vomiting and chest pain. His C-reactive protein is raised, his white cell count is raised, he has bibasal crepitations and bronchial breathing on the left side. His arterial blood gases show respiratory acidosis, with a CO2 level of 8.9 kPA and normal bicarbonate. His surgical emphysema resulted from a ruptured oesophagus and he required urgent thoracotomy.

1. Summarise the case.
2. Discuss the use of one-lung ventilation during thoracotomy.
3. What strategies would you use to improve oxygenation intraoperatively?
4. Would you site an epidural? Discuss the pros and cons.

SiteSection: Article
  Posting rules

     To view or add comments you must be a registered user and login  

Login Status  

You are not currently logged in.
UK/Ireland Registration
Overseas Registration

  Forgot your password?

All rights reserved © 2021. Designed by AnaesthesiaUK.

{Site map} {Site disclaimer} {Privacy Policy} {Terms and conditions}

 Like us on Facebook