5th Session (Cardiothoracic, Intensive Care, Anaesthesia For the Critically Ill, Anaesthesia for Patients with Comorbidities)

Nov 2024

Station 1

Scenario: A patient presents with severe DKA and is intubated, ventilated
General management of analgesia and sedation in the critically ill (PADIS)
A-Z of DKA management
⁠Complications of DKA and its management
Assessment of delirium (CAM-ICU) and its management

Station 2

Scenario: A patient is planned for TURP with a hisotry of non-valvular AF, recent stroke, and is on dabigatran
What are the perioperative concerns
Management
Risk scores for thromboembolic and bleeding events
Differences between CHADS2 and CHA2DS2VASC Scores
Management of NOACs vs other anticoagulants
Dabigatran’s basic pharmacology and comparison vs other agents
Bridging of dabigatran

Station 3

Scenario: A patient presents with significant burn injuries
Assessment and management. Further assessment reveals AKI with hyperkalemia, mixed respiratory failure
General management, especially with the need for escharotomy
Deciding on the timing of operation
Expected intraoperative issues

Station 4

A young patient is planned for endoscopic thoracic sympathectomy
Indications for the procedure
Perioperative & airway management
Methods of achieving lung isolation and its advantages/disadvantages
Types of DLT’s, differences between left and right sided DLT’s
Indication for right-sided DLT’s
Method of DLT insertion and confirmation of correct placement
Management of hypoxemia during one lung ventilation
How is CPAP applied on the operated lung
Types of bronchial blockers
General indication of bronchial blocker vs other methods of achieving lung isolation