Viva 2

A 45 year old man had an out of hospital cardiac arrest secondary to a large anterior ST elevation myocardial infarction. He underwent early successful percutaneous coronary intervention to his proximal LAD artery but had a significant aspiration pneumonia. He is now day 14 with a tracheostomy in situ commencing weaning from ventilation. His nurse asks you to review him as he is communicating that he ‘can’t get enough air’.

What is ‘dyspnoea’?

Disclaimer: the viva stem above may be an original CICM stem, acquired from their publicly available past papers. Or, perhaps it is a slightly altered version of the original CICM stem. Or, it is a completely original viva stem, concocted by the monstrously amoral author of Deranged Physiology for nothing more than his own personal amusement. In either case, because the college do not make the main viva text or marking criteria available, almost everything here has been confabulated. It might sound like a plausible viva and it could be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.