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DAY 2
STATION 1:
HYPOXEMIA: definition,causes, oxygen shunt, oxygen curves,.....
PG
ADH
Rhabdomyolysis
brachial plexus: motor supply. anatomy
station 2
tiva
pharmacokinetics of propfol
GFR
COAGULATION MONITORING :TESTS AND THEIR SIGNIFICANTS
LOCAL ANAESTHETICS PHARMACOLOGY
STATION 3
DIABETIC PATIENTS IN SEPTIC SHOCK: MANAGEMENT, MEDICATIONS>>>ANTIBIOTIC
REGMINE ,INVESTIGATIONS , INOTROPES USED AND WHY, ABG AND MANAGEMENT
ANAESTHESIA FOR PEDIATRICS:INDUCTION MODES AND USED MEDICATIONS
CHEST X RAY: SYSTEMATIC COMMENT AND FINDINGS
CAPNOGRAM>>> MALIGNANT HYPERTHERMIA: MANAGEMENT
STATION 4
CASE OF PLEURODESIS FOR PLEURSY >>> YOUNG AGE 25 YEARS OLD PT. FROM EAST
AFRICA WITH COUGH AND BREATHLESS ,HYPERTENTION :
INFECTIOUS DISAES IN EAST AFRICA>>>CHEST AND BLOOD
>>> ONE LUNG ANAESTHESIA >>> TUBES, HYPOXIA AND ITS MANAGEMENT
WPW (HEART BLOCK) ANAESTHETIC CONSIDRATIONS
ECG COMMENT
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Vienna 9/2015
Oxygen delivery-
starlings forces -
O2 dissociation curve-
CO 2 dis. Curve, co2 transport-
Neuromuscular junction-
.drug elimination -
.cardiac cycle curves -
dose response curves -
.genetic pleomorphism -
.I.V. induction agents _
stellate block -
blood supply to the heart -
cardiac output measurement -
.neuromuscular monitoring -
.capnography -
.awareness -
.D. D & severe asthma, management -
,pre-eclampsia -
.CEA -
.incompatible blood transfusion -
.cirrhotic pt for hemicolectomy, anesthetic management -
CXR & ECG -
ISTANBUL 2014
I Day
Session I
Which pulmonary .”respiratory insufficiency“ Head Q: What do you understand by
function tests would help in assessment ? How does anesthesia affect respiratory
?functions
:discussion the following questions were asked During
Pulmonary function tests and how to tell obstructive vs restrictive (clinical…blood… then
.).… spirometry and so on
.… ,O2 cascade, alveolar gas equation and shunt equation, O2 content, DO2
:The other 12.5 minutes
s a circle then went ’Blood supply to the brain: the circle of Willis, Draw, explain why it
into CEA and how to avoid brain ischemia (monitoring, the use of shunt, . . . ) which type
of anesthesia . . . stellate ganglion block . . . its complications . . . complications of Local
.Anesthetics
Physiological changes in pregnancy and how you manage a young lady with advanced
.pregnancy who collapses inside hospital
Anticoagulants and precautions with blocks
A patient underwent 60% hepatectomy: what is the investigation you would do
immediately postop and what are the likely electrolyte disturbance? What about his
?renal function
Session II
Draw a diagram representing drug concentration of a short acting induction agent. Show
s clearance, volume of distribution and how can you use this ’half time marks. What
.knowledge in drug infusion of anesthetics
.Context sensitive half life
.Factors affecting MAC and how to speed induction
.Metabolism of muscle relaxants
The other 12.5 min
) . . ,Visceral pain(define, criteria
)?ECG : wide complex tachycardia (can you calculate axis
Session III
A 66 y old male patient, smoker for 20 year (30 pack/ year) and stopped 3 years ago,
underwent radical cystectomy for cancer bladder. The procedure was lengthy because
of adhesions. The patient was shifted to ICU postoperativel where he was extubated
.successfully but then developed dyspnea
.Discussion of the case involved assessment, investigations and causes of his dyspnea
t use in surgery for cancer. (recent studies showed that ’Which anesthetics you can/can
patients with cancer anesthetized with GA+ regional technique had less recurrence than
)when opiods were used
.X-ray: left-sided diaphragmatic hernia
A patient undergoing laparoscopic fundoplication develops intraoperative hypoxia
)(diagnosis and management
.Management of status asthmaticus
Session IV
A 35 Y old, 34 week pregnant female with repeated attacks of severe headache
undergoes a brain CT which shows a big frontal meningioma leading to increased ICP
.and midline shift. Her blood pressure is 170/110
s your plan, what is causing her ’During case discussion I was asked the following (what
hypertension, how would you manage her hypertension and how to prevent acute
)increases in ICP with intubation
TEF (tracheoesophageal fistula): management and suppose fistula is at carina what will
?you do
Polythiacemia rubra vera: define, is there any bleeding tendency and what are the
.measures to prevent peri-operative venous thrombosis and PE
.Anesthetic management of patient with untreated hypertension
ICP (intracranial pressure): monitoring, normal value and how to decrease, neuraxial
with increased ICP
DAY II
Station I
.Pulmonary function tests
)Stellate ganglion block(anatomy, indications and complications
)Hypo- and hypercalcemia (causes, treatment and ECG changes
Station II
Measurements that can be obtained from pulmonary artery catheter
)Anti-coagulants (peri-operative management
.Perioperative use of B-blockers
.Perioperative oral hypoglycemic
.)Diuretics (perioperatively
Station III
male patient was found unconscious in a closed space during a burn A 27 y old
accident. There were burns to his face with soot around mouth. (Discussion went
through management of inhalational burn, complications and anesthesia for such
).patients
)Pulmonary embolism (management
X-ray: intubated patient with fracture rib and pneumothorax and lung contusion on the
.right side
Station IV
y old male patient, 179 cm height and 105 kg weight, was operated for right 65
hemicolectomy was admitted to ICU 5 weeks post-op for heart failure and sepsis. During
s scheduled for grafting of the bed sores. ’his stay he developed bed sores and he
(discussion went into causes for this, how to evaluate preoperatively and investigations
)needed then anesthetic management of such patient
.Phantom limb pain
Multiple sclerosis
Airway assessment for a patient with goiter and hypothyroidism
.degree heart block with septal infarction ECG: 1st
Compare ropivacaine to bupivacaine.
London 2014
Pharmacokinetics of opoids.
Contex sensitive half life.
Pharmacokinetics of propofol and comparison to thiopentone
Anatomy of brachial plexus
Comparison of aortic and femoral pulse wave. In which pressure is higher?
Comparison of O2 and CO2 dissociation curve and causes of shifting.
Transport of CO2.
Bohr effect.
Haldane effect.
Post tonsillectomy bleeding.
65 yrs old pt transferred to ICU after successful distal esophagectomy he was stable and
extubated. In the 1st po day he became tachypnic tachycardiac and feverish: your
management.
CXR: patient with cardiomegamly, pleural effusion, intubated and pacemaker in place.
60 yr pt with obstructed inguinal hernia he had inferior MI 2 months ago and pacemaker
one week ago: your management.
Scaral nerve block.
Types of pacemaker and intraoperative management.
Cerebral autoregulation curve.
Factors affecting speed of inhalation induction.
Patient had splenectomy surgery with intra operative bleeding and transfused and got
stable with large fluid support . He was admitted to intensive care post operative ..In 1st 12
Hrs ..exposed to Anurea / Oliguria .then sudden onset tachycardia......explain what to
expect ....what is best 1st choice management ...you need to do urgently.
CO2& O2 dissociation curve.
ETCo2 curve.
Propofol & thiopental.
Glucose metabolism.
Osmolality & osmorality.
Upper limb blocks.
Opioids: routes, pharmacokinetics.
Brain circulation
Autoregulation.
Plum function tests.
Central & peripheral arterial pressure curve.
Patient post lower oesophageal op, hypotension, tachypnea, tachycardia, oliguria.
Management of septic shock.
Managment of atrial fibrillation,
Anesthesia for emergency CS & difficult airway managment,
Types of LMA,
Anesthesia for post tonsillectomy bleeding 10yo.
CXR W pacemaker, ETT, cardiomegaly.
Patient with abd pain, nausia & vomiting, history of inferior MI 2month ago & pacemaker
insertion, with incarcerated inguainal hernia... Anesth managment, (pacemaker letters,
anticoagulant, post op complications, post op tachypnea,)
Lower limb blocks.
LA toxicity.
Inherited disease associated with problems in anesthesia.
ECG: bradycardia, junctional rhythm, LVH.
Turkey 2013
Porphyria
Femoral n anatomy
Cardiac transplant appendix
Lap in cardiac
Hypoxia
Hypothyroidism
Burn fluid
Away fire
Oxygenation Cascade
Obstetric physiology
Nausea v
Ideal gas
Dc
Brachial plexus block
Shunt
Management of cardiac transplant pt with appendicitis