Royal Brisbane Hospital

• A 61 year old man with DM, HT and PVD, presented with sepsis and renal failure. He is now recovering from this. Candidates asked to assess suitability for extubation.

 
°  Ongoing encephalopathy
°  Productive sputum
°  Tachypnoeic, requiring high PS and low TV.

Areas of weakness identified by examiners:

°  Lack of a clear plan for when they would extubate a patient
°  No clear plan for when they would consider a tracheostomy