Viva 4

You are asked to urgently review a 72-year-old male with a BMI of 40 who was recently admitted to ICU following an apparently uneventful elective right carotid endarterectomy. He is complaining of shortness of breath and is refusing to lie flat.

He has the following observations:

  • SpO2 93% on 15L O2
  • Stridor and respiratory rate of 40/min
  • Heart rate 120 bpm
  • Blood pressure 200/110 mmHg Describe your immediate management priorities.
Describe your immediate management priorities.

(This viva dealt with the management of acute upper airway obstruction.)

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.