GasGasGas - Anaesthetic Science for Anaesthesia! VivaCast 15 - Clinical Case PsuedoAneurysm
Apr 3, 2025
Dive into a gripping clinical scenario featuring an intravenous drug user with an infected pseudoaneurysm. The hosts discuss the complexities of high BBV risk cases, including crucial assessment tactics and resuscitation priorities. Learn about vascular access options, the dangers of local anaesthetic toxicity, and the urgent management of seizures during procedures. The discussion wraps up with practical tips for clinical examination techniques and the importance of communication with the surgical team.
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Manage Blood‑Borne Virus Risk Proactively
- Use standard PPE and communicate BBV status to the team; follow occupational health pathways after any exposure.
- Obtain early consent to test the patient's blood if a needlestick occurs so post-exposure prophylaxis can be started promptly.
Plan Multimodal Analgesia For IVDU Patients
- Anticipate high opioid requirements in recent IVDUs and minimise systemic opioids where possible.
- Use multimodal analgesia, PCA, regional techniques, magnesium, clonidine, regular paracetamol, and NSAIDs if safe.
Safe Setup For A Femoral Nerve Block
- Perform informed consent, equipment checks, sterile prep, IV access, and monitoring before a femoral nerve block.
- Use ultrasound, Doppler to avoid vessels, and inject around the femoral nerve lateral to the artery.
