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CRQ 498: Post-Thyroidectomy Bleed

CRQ Format: Please answer the following questions on the given topic The case will be displayed with the question parts displayed initially, followed the answers in order One mark is available for every point underlined in orange Only your first answers should be...

Give 4 alternatives to standard induction and the use of a direct/video laryngoscope that may be used in this situation and a limitation of each?

4

You use a nerve integrity monitoring (NIM) tube for the procedure. How should the tube be positioned to ensure correct monitoring of the vocal cords?

2

Induction and intubation is uneventful. You decide to use a remifentanil infusion as part of your anaesthetic maintenance technique. Give 2 advantages to the use of remifentanil infusion for thyroid surgery?

2

Postoperatively, she develop acute respiratory distress and agitation whilst in the recovery room. She has developed neck swelling and you suspect a haematoma has developed. Give 4 other causes for agitation and respiratory distress in a patient in the immediate postoperative period following thyroid surgery?

4

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