Your next patient on the emergency list is a 24-year-old man scheduled for a laparoscopic appendicectomy. His only past medical history is that of occasional self-limiting palpitations on exertion. He has been sick for three days with severe abdominal pain, nausea and vomiting.
He weighs 70 kg.
His vital signs are:
- temperature 38.5 degrees C
- heart rate 106 bpm
- blood pressure 100/71 mmHg
The surgeon suspects a perforated appendix.
He has an electrocardiogram (ECG) in his notes.
Sections covered in this viva
Preoperative and intraoperative management of WPW syndromeManagement of broad complex tachyarrhythmia including cardioversionLow saturation secondary to aspiration after cardioversion