Obstetric Anaesthesia: worst case scenario

In these Worst Case Scenario videos, I'll run through examples of viva style exam scenarios where I ask all the tricky questions and outline many of the challenging situation you may be asked about in a particular case.
This is for anaesthesia trainees sitting the ANZCA part 2 exam but I feel it could be really valuable for anyone doing their anaesthesia training to gain an insight into some of the more complex aspects of our job.
Please post any comments or questions below.
Check out www.anaesthesiacollective.com and sign up to the ABCs of Anaesthesia facebook group for other content
good luck!
Disclaimer:
This contains general information about medical conditions and treatments. The information is not advice and should not be treated as such.
The medical information in this course is provided “as is” without any representations or warranties, express or implied.
The presenter makes no representations or warranties in relation to the medical information on this video.
You must not rely on the information as an alternative to assessing and managing your patient with your treating team and consultant
This document was created using a Contractology template available at www.contractolo....
Informed consent was gained from the patient where relevant

[@mohammadjan7049]

Brilliant👏🏼👏🏼👏🏼. We need more of these👍

[@matteoansaldi1068]

thank u for the video!

[@robc8892]

This is amazing stuff. Thanks for putting this out
10/10

[@iamgoku2024]

So flippen brilliant! Great content thank you 🙏

[@cooo6659]

Look for more of it .. thank you so much 😊

[@kababanoiskennelsiaya7757]

Thank you so much,very well tackled case scenario

[@harshiljoshimaitry]

What if patient has backpain and refusing epidural. How to explain or to reconsider decision and take consent? And what are the other options like NOX? How to administer on NOX

[@athenspen]

Thanks, these VIVA videos are really useful - just had a few questions
- would you consider CTG/FHR monitoring intra-operatively in the obstetric patient undergoing non-obstetric surgery if they were more than 23 weeks? if they were pre-viable then would a one-off CTG check post-op suffice?
- would you discuss with the surgeon re: doing an open appx to minimize physiological effects of pneumoperitoneum + also confers ability to do it under spinal only?

[@ABCsofAnaesthesia]

thanks! and yes, if viable pregnancy I would always ask the question whether obstetrics would like to attempt introap CTG. that said, I haven't seen it done in this context and am not aware of any guidelines to support it. def post here if you find any. ultimately all these decisions I would leave to the obstetrics team and make mention that I would raise the question and facilitate any monitoring and subsequent actions they lead to.
re: open vs lap. again, I think there's minimal evidence. there was a large study showing the great safety profile of lap surgery during pregancy. sorry I don't have a reference. but it was a review of 1000s of cases if I recall correctly.
also if we did open surgery, even through I would minimise intraop meds, patient may have longer recovery time, larger incision and lose the benefits of examining other parts of the abdomen that can be done with lap surgery. So great to consider but I suspect without larger case data we won't have a firm answer and best surgical approach for maternal health will be a logical status quo.
thanks for the question!

[@hazemsharaf5621]

Well done

[@subhahhayarana4110]

What did u study??

[@ABCsofAnaesthesia]

Hi : I’m an anaesthetist. In Australia I studied medicine MBBS then 3 years of residency (general doctor work) and 5 years of anaesthesia specialty training.
Why do you ask? :)

[@subhahhayarana4110]

@@ABCsofAnaesthesia thanx for answering

[@subhahhayarana4110]

@@ABCsofAnaesthesia can u plz tell me what r the subjects for anesthesia speciality

[@eduardodiaz9354]

@@ABCsofAnaesthesia interesting based on your skills of IV cannulation I would have imagined you were a CRNA certified registered nurse anesthetist. I do not know any Dr in the USA that know how to do IVS. Great videos, Paramedic and Critical Care Nurse here trying to become a CRNA

[@Propofol1234]

​@@eduardodiaz9354what the fuck are you talking about 😂😂😂
Anaesthetists are the bosses of IV access
Also wtf is a CRNA? Sounds like gibberish to me