You are anaesthetising for an ophthalmology list at a standalone day-surgery unit with two operating theatres.
Your first patient is a 55-year-old man with a rapidly-progressive posterior subcapsular cataract in the right eye for a cataract extraction and intraocular lens insertion.
Medical history
Type 2 diabetes mellitus
- oral hypoglycaemics
- HbA1c 6.8% (51 mmol/mol)
- no known end-organ disease other than cataracts
Highly myopic, blind in left eye after previous macular retinal detachment at age 51 years
Medications
Metformin 1 g twice daily
Allergies: Nil
Examination is unremarkable, with body mass index of 24 kg/m2. Preoperative investigations have been reviewed and are normal. The patient is fasted and has been considered appropriate for day surgery.
Sections covered in this viva
Patient-Specific Risks and Sub-Tenon's BlockSurgical Complication and Conversion to GAPACU Assessment of Separate Patient