Part 2 Final Exam Viva Demonstration - Paediatric anaesthesia with Jo

Thanks and well done Jo on a really great practice viva! not bad for taking a decent break from study!

This exam is a marathon and a lot of us will study for up to 12 months to be able to absorb the knowledge and structures we need to pass this 'quiz'.

In this episode I go through a Paediatric anaesthesia worst case scenario.

·      Neonate with pyloric stenosis – medical emergency

·      Heart murmur sees you for elective procedure

·      URTI for tonsillectomy 

·      Anxious patient pre op

·      Emergence delirium in recovery

·      Bleeding tonsil presents back to ED with difficult airway

Pretty much everything you don't want in a Paeds case!

Here are some links to the content mentioned above:

https://www.rch.org.au/clinicalguide/

https://www.rch.org.au/clinicalguide/guideline_index/Pyloric_stenosis/

https://pubs.asahq.org/anesthesiology/article/131/4/762/894/GAS-PANDA-and-MASKNo-Evidence-of-Clinical

Neurodevelopmental outcome at 5 years of age after general anaesthesia or awake-regional anaesthesia in infancy (GAS): an international, multicentre, randomised, controlled equivalence trial

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(18)32485-1/fulltext

Interpretation
Slightly less than 1 h of general anaesthesia in early infancy does not alter neurodevelopmental outcome at age 5 years compared with awake-regional anaesthesia in a predominantly male study population.

https://das.uk.com/guidelines/das_intubation_guidelines
https://das.uk.com/files/APA3-CICV-FINAL.pdf


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

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