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Final exam peper 2025.2 VIVA 4
Viva Stem
You are providing anaesthesia in the interventional radiology suite of your major hospital. On the list is a 22 year old woman who requires a CT-guided biopsy of a left renal mass that was discovered incidentally on abdominal imaging. The patient was admitted today for the procedure and is accompanied by her parents who are her legal guardians and carers. A postoperative bed has been booked for the patient.
Medical History
Severe cerebral palsy
- spastic quadriplegia
- moderate intellectual disability
Recurrent aspiration pneumonia
- severe gastro-oesophageal reflux
- oropharyngeal dysphagia
- gastrostomy feeding tube (feeds ceased for six hours)
Anxiety
- distress with medical procedures
Epilepsy
Medications
- Baclofen 10 mg tds
- Levetiracetam 1000 mg bd
- Pantoprazole 40 mg once daily
Allergies
- Nil known
Observations
- height 155 cm
- estimated weight 40 kg estimated
- (BMI approx. 16.6 kg/m2)
- HR 90 bpm
- BP 95/55 mmHg
- SpO2 96% on room air
Preoperative Investigations
- Blood test results are normal
- Blood Group and Hold has been conducted
What are your specific considerations when planning anaesthesia care for this patient?
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The information contained in this video/audio/graphic is for medical practitioner education only. It is not and will not be relevant for the general public.
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