Anaes Vivas · General surgery anaesthesia
Laparoscopic general surgery: pneumoperitoneum physiology and anaesthesia — viva
Structured oral examination station for laparoscopic-generalsurgery-anaesthesia.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Sudden ETCO2 fall, hypotension, millwheel-like murmur reported during insufflation.
Opening
State the one-line answer first: stop-gas-first drill with pressure-and-position physiology.[4]
References5ShowHide
- [1]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
- [2]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
- [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]Gutt CN et al. Circulatory and respiratory complications of carbon dioxide insufflation. Dig Surg, 2004.PMID 15010588
- [5]Valenza F et al. Management of mechanical ventilation during laparoscopic surgery. Best Pract Res Clin Anaesthesiol, 2010.PMID 20608559