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Anaes VivasObstetric anaesthesia

Anaes Vivas · Obstetric anaesthesia

Data viva — the cardiotocograph (CTG) and the anaesthetic implications

A data viva on the foetal monitoring — the CTG bradycardia, the differential (uterine hyperstimulation, cord compression, placental abruption, maternal hypotension), and the anaesthetic implications (the category 1 caesarean).

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Target exams

ANZCAFRCAABAEDAIC
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Target exams

ANZCAFRCAABAEDAIC
Prompt
A cardiotocograph (CTG) showing a foetal bradycardia (the baseline heart rate falling from 140 to 60 bpm for 5 minutes) with a loss of variability.

Stimulus

A cardiotocograph (CTG) showing the foetal heart rate falling from a baseline of 140 to 60 bpm over 3 minutes, with a loss of variability. The anaesthetist is called to assess the patient for a possible category 1 caesarean.

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Anaesthesia fellowship library.

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References2ShowHide
  1. [3]Delgado C, Ring L, Mushambi MC. General anaesthesia in obstetrics. BJA Education, 2020.PMID 33456951
  2. [33456952]Bersten AD, Soni N (eds) Oh's Intensive Care Manual. 8th edition, Elsevier, 2018.
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PreviousClinical viva — spinal vs GA for caesarean sectionObstetric anaesthesiaNextEquipment viva — preparation for the obstetric GAObstetric anaesthesia