Anaes Vivas · Neuro / orthopaedic anaesthesia
Prone spine surgery and perioperative visual loss — viva
Structured oral examination station for spine-prone-visual-loss.
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Prompt
Clinical stem centred on spine prone visual loss. Crisis focus: Reported bilateral visual loss after prolonged multilevel prone fusion.
Opening
State the one-line plan: for prone spine surgery secure the airway, protect pressure points and eyes, minimise abdominal compression, plan for blood loss and neuromonitoring, and reduce POVL risk — held registry factors are obesity, male sex, Wilson frame use, longer duration, greater blood loss and lower colloid share.[1]
References3ShowHide
- [1]The Postoperative Visual Loss Study Group Risk factors associated with ischemic optic neuropathy after spinal fusion surgery. Anesthesiology, 2012.PMID 22185873
- [2]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
- [3]Frerk C et al. Difficult Airway Society 2015 guidelines for management of unanticipated difficult intubation in adults. British Journal of Anaesthesia, 2015.PMID 26556848