Anaes Vivas · Orthopaedic anaesthesia
Tourniquet physiology, bone cement implantation syndrome, and fat embolism — viva
Structured oral examination station for tourniquet-bcis-fes.
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ANZCAFRCAEDAICABAFCAI
Prompt
Clinical stem centred on tourniquet bcis fes. Crisis focus: BCIS grade 3 cardiac arrest during cemented hemiarthroplasty.
Opening
State the one-line plan: three linked orthopaedic crises — tourniquet physiology with practical time/pressure anchors per local protocol (pressure, duration, and padding scope);[4] BCIS at cementation with hypoxia/hypotension management and uncemented selection for high-risk patients (Donaldson);[1] and fat embolism (triad recognition and supportive care scope).[5]
References3ShowHide
- [1]Donaldson AJ et al. Bone cement implantation syndrome. British Journal of Anaesthesia, 2009.PMID 19059919
- [4]Unterman K, Fada L, Clark KA, et al. Tourniquet Use and Anesthesiology Considerations in Patients With Hypermobile Ehlers-Danlos Syndrome: Balancing Orthopedic Needs With Anesthetic Safety. Cureus, 2026.PMID 41978595
- [5]Shaikh N, Alali B, Amara UE, et al. Fat Embolism Syndrome: Evolving Perspectives on Diagnosis and Care. Cureus, 2025.PMID 41356881