The Gabe Files - Appendix K
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This is a critical situation…or "This is urgent / an emergency" (let them know that you know that this is a critical situation)
I would do this and this and… ( sound like a consultant with confidence )
In an anaesthetically safe environment, my machine checked, drugs drawn up, skilled assistance…
Dr Paul Gary's mnemonic : Never start your anaesthetic without your "M.A.D.E." = (Monitors on, Assistance, Drugs drawn up, Equipment check and ready)
This is a controversial area… or  There is a lot of disagreement associated with this… ( make sure you know both sides of the argument and why you pick this one before the other)
In my experience… (use with caution - probably if you are talking about renal transplant at PA then it is definitely worthwhile)
After taking a thorough history from the patient and the appropriate examination and reviewed or ordered any necessary investigation, I would…
My approach would begin with taking a thorough History from the patient, perform the appropriate Examination(s) and review / order any necessary Investigation.
The ramble about doing blocks…..my version.
In an anaesthetically safe environment, trained assistant and adequate resus equipment, and after informed consent and IV insertion…
Patient position will be ..
The monitor(s) I would use is/are..
My landmarks are..
My approach is
My aseptic technique is /are..
My endpoints are..
I would use X mg/kg of LA - name the drug.
Expected onset of effects will be..
The expected effects / side effects are
Another Paul Gary mnemonic : for any regional blocks -
"C.I.M.P.L.E"
C - Consent
I - IV
M - Monitors
P - Position
L - Local Anaesthetic
E - Evaluate the block
Make sure you have a good definition / list for :
anaesthetically safe environment
thorough history
informed consent


Acknowledgements

I wish to thank all the wonderful people that have contributed, proof read and assisted in the writing of this initially "brief" guide to the part II exam.

First and forth most though, we must thank our spouse / partners who have put up with us during the run up time to the exam so that we now have time to write our retrospective wisdom down in order to help others. I am sure that I can say on behalf on all of us that have made it that without you, we would not have done it and nor would it be worthwhile!!

Best wishes for your exam!!

Gabriel Mar Fan

http://www.qldanaesthesia.com http://www.qldanaesthesia.com
Formatted for the web by  Kerry Brandis

Last updated Monday, 25 March 2002 11:51 PM EST

 

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