Viva 4

You are taking over the care of a long-term patient in your Intensive Care Unit whom you have not previously treated.

The patient is a previously well 72-year-old female with an admission diagnosis of Guillain-Barre syndrome. She has been an inpatient in your unit for the last three months, and has suffered numerous complications during her stay, but is now reported to be clinically stable. She has a tracheostomy in situ and is awake and responsive, but remains ventilator dependant.

You are taking over the care of this patient for the first time. Outline your approach and how you would assess her.

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.