Anaes Vivas · Vascular anaesthesia
Thoracoabdominal aortic surgery and spinal cord protection — viva
Structured oral examination station for thoracoabdominal-aorta-spinal-cord.
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Study tools
Target exams
ANZCAFRCAEDAICABAFCAI
Prompt
Night of surgery: legs were moving; now dense bilateral leg weakness; MAP 65; CSF drain clamped.
Opening
State the one-line answer first: cord perfusion is MAP minus CSF pressure — this is a crash call, not a morning scan.
[1]References3ShowHide
- [1]Miller LK, Patel VI, Wagener G. Spinal Cord Protection for Thoracoabdominal Aortic Surgery. J Cardiothorac Vasc Anesth, 2022.PMID 34366215
- [2]Coselli JS, Green SY, Price MD, et al. Spinal cord deficit after 1114 extent II open thoracoabdominal aortic aneurysm repairs. J Thorac Cardiovasc Surg, 2020.PMID 30904252
- [3]Wong CS, Healy D, Canning C, et al. A systematic review of spinal cord injury and cerebrospinal fluid drainage after thoracic aortic endografting. J Vasc Surg, 2012.PMID 22884456