Unspecified hospital in Sydney

  • 63-year-old woman, three weeks in ICU with respiratory failure, secondary to pseudomonas pneumonia, complicated by a probable intracerebral event and slow wean, and a background of chronic lung disease. Clinical findings included presence of tracheostomy, hyperinflated chest, tachypnoea and poor lung compliance, severe cachexia and generalised weakness.
  • Candidates were asked to examine her and devise a weaning strategy