Anaes Vivas · Plastics and burns anaesthesia
Free flap reconstruction: perfusion-focused anaesthesia — viva
Structured oral examination station for free-flap-reconstruction.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Doppler signal lost 2 hours after free flap arrival in recovery; flap blue and swollen.
Opening
State the one-line answer first: perfusion project — warm, filled, oxygenated, near-baseline pressure.[4][6]
References6ShowHide
- [1]Devereaux PJ, Yang H, Yusuf S, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial). Lancet, 2008.PMID 18479744
- [2]Lee TH, Marcantonio ER, Mangione CM, et al. Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation, 1999.PMID 10477528
- [3]Shakur H, Roberts I, Bautista R, et al. Effects of tranexamic acid on death, vascular occlusive events, and blood transfusion in trauma patients with significant haemorrhage (CRASH-2). Lancet, 2010.PMID 20554319
- [4]Ehmidat M et al. Pure Alpha Versus Mixed Adrenergic Vasopressors Perioperative Outcomes in Autologous Free Flap Surgery: A Systematic Review and Meta-Analysis. Plast Surg (Oakv), 2026.PMID 42039877
- [5]Larcher Q et al. Impact of Norepinephrine Use on Free Flap Survival in Breast Reconstructive Microsurgery. Microsurgery, 2025.PMID 39865374
- [6]Philteos J et al. Impact of goal-directed hemodynamic therapy on perioperative outcomes in head and neck free flap surgery: A before-and-after pilot study. Health Sci Rep, 2024.PMID 38524770