A 76-year-old man is scheduled for elective cataract surgery under local anaesthesia.
a) Summarise the goals of local anaesthesia (LA) for this procedure. (15%)
b) Which LA techniques may be used for cataract surgery? (20%)
c) List the contraindications to the use of LA as the sole technique for the procedure. (25%)
d) Which details specific to an LA block should be documented in the anaesthetic record? (40%)
81.5% pass rate.
This question was answered well and was also a good discriminator. The question was based on the document entitled Local anaesthesia for Ophthalmic Surgery (February 2012), Joint guidelines from the Royal College of Anaesthetists and the Royal College of Ophthalmologists.
List the nerves which supply the eye and its muscles. Briefly describe the relevant function of each nerve. (40%) What specific considerations would you take into account when providing general anaesthesia for adult vitreo-retinal surgery? (60%)
Question11 Critical care/management of airway problem/tracheostomy