Part 2 Final Exam Viva Demonstration - Airway surgery with Rachel

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Thanks Rachel for your great work at this exam!

50yo Male (80kg) presents for your ENT list for a biopsy +/- removal of vocal cord tumour.

What specifics would you like to know on assessment?       
Hx of lesion includes
Diagnosis
Mass effect
Critical structure effects - effects on the airway, symptoms, positional and rapidity of progression
Mets
Metabolic effects of mass
meds and treatments
Cause
and complications

How do you prepare/mitigate the risk of laser ?                                                                                    
Patient: low fiO2. Wet gauze. Saline bucket. ETT, matt instruments
Safety officers. Laser testing. Goggles. 1 footplate. Warning signs, mask for plume

Airway options
Closed systems: ETT/MLT/Laserflex 
Advantages are: Familiarity, Protects airway, Control of ventilation, Minimal pollution                                                                                                                
Open systems: intermittent apnoea, Jet ventilation via  hunsaker, benjet, suspension laryngscope, transcricoid puncture.
Advantages are: Better view of larynx. Laser safe if no ignition source                  

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Check out https://anaesthesiacollective.com/ for more useful information and dates for the Viva Boot Camp course for the part 2 ANZCA exam.

and check out the ABCs of Anaesthesia YouTube channel for more content
https://www.youtube.com/c/ABCsofAnaesthesia

If you have any questions, please email [email protected]  

Andrew Heards fantastic Youtube resource! 
https://youtu.be/SbhEyGIf9Y4

Disclaimer:

The information contained in this podcast is for medical practitioner education only. It is not and will not be relevant for the general public.

This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such. 

The medical information is provided “as is” without any representations or warranties, express or implied. 

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