Nutrition

Scenario:  A fifteen  (15) year  old female is admitted to your Intensive Care  Unit following  a laparotomy for perforated appendix and drainage of pelvic abscess. She has developed septic shock necessitating mechanical ventilation and inotropic support.
She has an intercurrent history of anorexia nervosa, for which she was attending counselling and was poorly compliant to follow up.
Her weight is 34 kg, she is 165 cm tall.

Introductory  question:  Describe  how you will manage  this patient  in the acute  stage  of  her intensive care stay?
Fourteen out of twenty-three candidates passed this section.

Disclaimer: the viva stem above is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.