You are the anaesthetist covering the weekday morning emergency list in a tertiary metropolitan hospital. The emergency medicine physician on duty calls to inform you about a 55-year-old man who has presented with haematemesis. The only known past medical history is significant alcohol intake and his current medications are unknown.
He is currently in the Emergency Department.
His observations at the time of the call are:
HR 100 bpm
NIBP 90/60 mmHg
SpO2 96% on oxygen 6 L/min via Hudson mask
Height 1.7 m
Weight 72 kg
BMI 24.9kg/m2
His blood test results are as displayed.
He has a 20G IV cannula in his left basilic vein and is receiving 1 L crystalloid.
The gastroenterologist plans to perform an emergency endoscopy.
Sections covered in this viva
Initial resuscitation and anaesthetic management for a patient with bleeding varicesManagement of acute deterioration during endoscopic procedureManagement of lung isolation for thoracotomy and oesophageal repair. Post operative options for management of analgesia.