By Simon Bricker
The medical technology viva voce exam is a vital component to the ultimate FRCA exam, masking utilized pharmacology, anatomy, body structure and physics. Written via the writer of the best-selling brief solution Questions in Anaesthesia, second variation, this new publication is the definitive consultant to this a part of the FRCA examination and can also be the appropriate significant other quantity to The scientific Anaesthesia Viva ebook by means of turbines et al., one other best-selling GMM name.
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As with the questions on the ulnar and radial nerves, you will be expected to outline the anatomy and to discuss the relevant local anaesthetic blocks. CHAPTER Direction the viva may take You may be asked about the indications for, and techniques of, median nerve blockade. ● ● Its main use is the provision of analgesia for procedures on the radial palm.
Destructive — Radiofrequency ablation: A needle is passed percutaneously and under X-ray control through the foramen ovale to the trigeminal ganglion. The entry point of the needle is below the posterior third of the zygoma. Chemical ablation may also be used. This technique can be complicated by anaesthesia dolorosa, in which the patient loses not only the pain, but also most of the sensation to that side of the face, which feels dead and ‘woody’. Surgical decompression — This is the most invasive therapeutic technique because it requires exploration of the posterior fossa to identify the aberrant vessel(s), which are compressing the nerve near its emergence from the pons.
Lateral relations: In the upper neck it is related to the lobes of the thyroid and to the carotid sheath. In its lower course it is related on the right to the lung and pleura, to the brachiocephalic artery and veins, to the azygos vein and to the superior vena cava. On the left it is related to the arch of the aorta and the left common carotid and subclavian arteries. The right and left main bronchi: The main bronchi are formed at about the level of T5. The right is shorter (3 cm long), wider and angled more vertically than the left, which means that foreign bodies and tracheal tubes are more likely to enter its orifice than the left.