Day surgery

Question 7 (Sept 2019)

You are assessing a five year old for an elective ENT case. The parents describe how she has had a recent cough.

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a) Name 2 social factors that may preclude paediatric daycase surgery (2 marks)

 

b) List 3 reasons why might you proceed with surgery ( 3 marks)

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c) Outline 6 features in the history that you gather from the patients family that might cause a cancellation (6 marks)

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d) Outline 4 features in your examination that might cause a cancellation ( 4 marks)

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You discuss with a consultant and decide to go ahead with the theatre case. After securing IV access and on insertion of the airway the patient goes into laryngospasm

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e) Outline how would you manage this (give doses of drugs if indicated)? (5 marks)