Anaesthesia Viva

Open Eye Injury in Intoxicated Patient

Reading Time

2:00

Clinical Stem

2020.1
You are at home and the junior night anaesthetic registrar rings you at 0200 to let you know about a case which has just been booked. There is an 18-year-old man with a right open eye injury which the ophthalmology team want to explore within the next six hours. Your registrar tells you he has just started an appendicectomy. He hasn't done any eye cases before and would like to know what he should do. The history from the ophthalmology registrar is that the patient had been out drinking, has allegedly been assaulted, fell to the ground and has a large facial swelling and an open eye injury and is alert. He has taken a photo. The patient is uncooperative but the registrar doesn't think there are any other injuries and the patient is otherwise well. Your registrar would like to do the case after the appendicectomy.

Sections covered in this viva

Management of eye injury in intoxicated patientDevelopment of raised ICP from late intracranial bleedTiming of eye surgery and extubation planning

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