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Final basic sciences short case 30

Created: 31/7/2014
1. Describe the coronary circulation and draw a diagram.
- Describe the conducting system from the sino-atrial node to the Purkinje fibres.
- What are the causes of the long QT syndrome (LQTS)?
- Describe how you would anaesthetise a patient with LQTS.
- Describe an implantable cardiac defibrillator and diathermy.

2. Discuss the physiology of one-lung ventilation? Discuss shunt, VQ mismatch and hypoxic pulmonary vasoconstriction.
- Describe the management of intraoperative hypoxia.

3. Discuss the pharmacology of renal failure (include pH, protein binding, atracurium (Hoffman elimination), morphine and platelet dysfunction).

4. Describe Ayres T-piece
- Draw the Jackson–Rees modification.
- Describe the minimum gas flows, qualities and features of the system.
- What are the anatomical differences between the child and adult airway?

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