GasGasGas - The FRCA Primary Exam Podcast VivaCast 15 - Clinical Case PsuedoAneurysm
Apr 3, 2025
Dive into a gripping clinical scenario featuring an intravenous drug user with an infected pseudoaneurysm. The hosts discuss the complexities of high BBV risk cases, including crucial assessment tactics and resuscitation priorities. Learn about vascular access options, the dangers of local anaesthetic toxicity, and the urgent management of seizures during procedures. The discussion wraps up with practical tips for clinical examination techniques and the importance of communication with the surgical team.
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Assess And Stabilise Before Planning Anaesthesia
- Go see the patient and perform a focused A-E assessment before planning anaesthesia.
- Start resuscitation on the ward or in the anaesthetic room if the patient is critically unwell.
Prepare For Bleeding And Difficult Access
- Prepare for significant blood loss and difficult vascular access in infected pseudoaneurysm cases.
- Arrange crossmatched blood, ultrasound-guided access, and consider wide-bore central access if bleeding risk is high.
Factor Smoking Into Cardiorespiratory Risk
- Consider smoking-related cardiorespiratory disease when assessing anaesthetic risk.
- Obtain ECG and past echocardiograms and anticipate reduced respiratory reserve and increased postoperative pulmonary complications.
