Viva 6

An obese 65-year-old male has been ventilated in your ICU for 10 days with severe community acquired pneumonia. A decision has been made to perform a tracheostomy.

Describe the preparation, including the indications and contraindications and equipment you require prior to commencing a percutaneous tracheostomy procedure in your ICU.


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.