Anaes Vivas · Neuroanaesthesia
Posterior fossa cranial nerve — viva
Structured oral examination station for posterior-fossa-cranial-nerve.
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Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Semi-sitting CPA surgery; sudden HR 30 with surgical retraction near brainstem; EtCO2 stable.
Opening
Stop stimulation first; differentiate trigeminocardiac/brainstem from VAE.
[4] [5]References5ShowHide
- [1]Goettel N, Bharadwaj S, Venkatraghavan L, et al. Dexmedetomidine vs propofol-remifentanil conscious sedation for awake craniotomy: a prospective randomized controlled trial. Br J Anaesth, 2016.PMID 27099154
- [2]Frerk C, Mitchell VS, McNarry AF, et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. Br J Anaesth, 2015.PMID 26556848
- [3]Lewis SC, Warlow CP, Bodenham AR, et al. General anaesthesia versus local anaesthesia for carotid surgery (GALA): a multicentre, randomised controlled trial. Lancet, 2008.PMID 19041130
- [4]Chowdhury T, Mendelowith D, Golanov E, et al. Trigeminocardiac reflex: the current clinical and physiological knowledge. J Neurosurg Anesthesiol, 2015.PMID 25602626
- [5]Mirski MA, Lele AV, Fitzsimmons L, et al. Diagnosis and treatment of vascular air embolism. Anesthesiology, 2007.PMID 17197859