Viva 4

Created on Thu, 06/04/2015 - 04:36
Last updated on Fri, 08/11/2017 - 00:46

You are taking over the care of a long-term patient in your Intensive Care Unit whom you have not previously treated.

The patient is a previously well 72-year-old female with an admission diagnosis of Guillain-Barre syndrome. She has been an inpatient in your unit for the last three months, and has suffered numerous complications during her stay, but is now reported to be clinically stable. She has a tracheostomy in situ and is awake and responsive, but remains ventilator dependant.

You are taking over the care of this patient for the first time. Outline your approach and how you would assess her.

Disclaimer: the viva stem above is the original CICM stem, acquired from their publicly available past papers. However, because the college do not make the rest of the viva text or marking criteria available, the rest has been confabulated. It sounds like a plausible viva and it can be used for the purpose of practice, but all should be aware that it does not represent the "true" canonical CICM viva station.