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Scoliosis, Consent and Hypotension | Anaesthesia Worst Case Scenarios

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  • čas přidán 2. 06. 2024
  • For the full video, check out the Final Exam Course
    anaesthesia.thinkific.com/cou...
    Exam Stem
    You are seeing a 14yo female accompanied by her mother in preadmission clinic. She’s booked for a planned multilevel thoracic spine fixation in two week’s time for idiopathic scoliosis.
    Her regular medications are
    - Paracetamol
    - PRN diclofenac
    - Esomeprazole
    - Multivitamin
    - Vitamin D
    - Symbicort
    - Fluoxetine
    Past Medical History
    - Childhood asthma
    - Idiopathic scoliosis
    - Anxiety and depression
    Vitals
    - HR 80,
    - BP 110/70,
    - RR 16
    - Sats 97%
    - Height 156cm
    - 48kg
    She attends the local high school.
    What are the components of informed consent?
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    Disclaimer:
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    Where applicable patients have given written informed consent to the use of their images in video/photography and aware that it will be published online and visible by medical practitioners and the general public.
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Komentáře • 2

  • @tammybambini1096
    @tammybambini1096 Před 2 měsíci +1

    Fantastic presentation, thank you very much - and good luck in your final exam!
    3 remarks:
    a) given that it seems to be a slow bleed, you could do a contrast CT first to determine bleeding location and maybe it´s amenable to a interventional radiological procedure like coiling (before doing a very invasive procedure like laparotomy or thoracotomy) and
    b) does the initial X-ray actually show a situs inversus totalis or was that just something to throw off the candidate...?
    c) I´d also place a indwelling urinary catheter and have at least hourly a look at adequate urine output

  • @shefaligupta1591
    @shefaligupta1591 Před měsícem

    Can you pls explain how to assess this patients cardiac reserve in case of congenital scoliosis