You are on an anaesthetic attachment in Day Surgery and are reviewing patients preoperatively. You review a 25-year-old man who is having an elective knee arthroscopy. He has not had a general anaesthetic before, but he tells you that his father had problems following suxamethonium anaesthetic, and he had to have a muscle sample sent off to find out the cause, which came back positive. His father is still alive.
Which of these is his father’s most likely diagnosis?
You are conducting a pre-assessment for a 28-year-old man who is scheduled to undergo a colectomy for treatment resistant ulcerative colitis. This will be his first surgery. Your intended anaesthetic plan involves using propofol and sevoflurane as induction agents and suxamethonium as a muscle relaxant. What aspects of the patient’s medical history and condition would cause you to modify your anaesthetic plan?
You are faced with a 60-year-old male patient who has a history of ischaemic heart disease (taking aspirin and clopidogrel) and reflux, and requires an emergency DHS for his neck of femur fracture. Despite administering a thiopentone and suxamethonium rapid sequence induction, you are unable to intubate the patient. You have attempted to reposition him, insert a bougie, and switch to a McCoy blade, but all efforts have been unsuccessful. The patient’s oxygen saturation has dropped to 88%, and you are unable to ventilate him via a face mask due to his large face and thick beard. You are losing your seal and cannot achieve any tidal volume.
What would be your next step in managing this patient?
A 55-year-old male in the postoperative ICU with a central line catheter is experiencing intermittent fevers. What is the probable microorganism responsible for this condition?
Before undergoing general anaesthesia, which regular medications need to be stopped?
A 60-year-old man comes to the clinic complaining of worsening shortness of breath over the past six months. Upon examination, he is diagnosed with aortic stenosis. What physical sign is the most reliable indicator of the severity of the valvular disease?
You are on call for the pediatric ward at night and are urgently called to a child who is choking on a piece of hot dog visible in their oropharynx. The child is in extremis with saturations of 87% and there is no effective cough.
What is the most appropriate immediate management for this pediatric patient?
What ASA grade (American Society of Anesthesiologists) is assigned to a patient with a severe systemic disease that poses a constant threat to their life?
Which of the following characteristics is not associated with cannabinoids?
How can suxamethonium be described accurately?