Count to 10 - Anaesthetic Primary Podcast

EP36 - Practice Viva with Nic and Special Guest Celia | CT10

Apr 27, 2025
In this lively discussion, trainee anaesthetist Nic showcases his exam skills while being evaluated by special guest Celia, an experienced examiner. They delve into essential topics like the components and storage of blood products, the mechanisms of opioids, and the intricacies of thermoregulation. Nic explains how the body senses temperature and compares non-invasive vs invasive blood pressure measurement techniques. The pair wraps up with constructive feedback, highlighting Nic's strengths while identifying areas for improvement, all in a supportive learning atmosphere.
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ADVICE

Prepare Format And Ask For Clarification

  • Do familiarise yourself with the viva format and time limits before the exam to reduce anxiety.
  • Ask for clarification when unsure instead of guessing or going off-track.
INSIGHT

Biochemical Changes In Stored Red Cells

  • Stored packed red blood cells undergo predictable biochemical changes like rising potassium and falling 2,3-DPG.
  • These changes shift oxygen delivery and reduce some clotting factor activity over time.
INSIGHT

Why RBCs Use Anaerobic Metabolism

  • Red blood cells use only anaerobic glycolysis because they lack mitochondria.
  • This specialization maximises intracellular space for haemoglobin and efficient oxygen transport.
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