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A. Silicone ống thông có thể được Thrombogenics B. Khoảng 40% của ống thông tĩnh mạch trung tâm thuộc địa, với các vi khuẩn trở thành C. Ống thông mạch máu liên quan đến nhiễm khuẩn huyết trong XẢY RA Khoảng 5% bệnh nhân D. Các điểm chèn cho một ống thông tại ngã ba đòn IS Giữa hai phần ba trung gian và thứ ba bên của xương đòn E. Các tĩnh mạch nằm bên đùi đến động mạch ở vỏ | Practical Procedures Questions Q 1. Regarding vascular access A. Silicone catheters can be thrombogenic B. Approximately 40 of central venous catheters become colonised with bacteria C. Vascular catheter related septicaemia occurs in approximately 5 of patients D. The insertion point for a subclavian catheter is at thejunction between the medial 2 3 and the lateral 1 3 of the clavicle E. The femoral vein lies lateral to the artery in the sheath Q 2. Regarding intra-cranial pressure ICP monitoring A. More than 50 of those needing operative treatment of head injuries have rises of ICP more than 20 mmHg B. ICP 40mmHg is associated with neurological abnormalities C. ICP 60mmHg is uniformly fatal D. Ventricular catheters or subarachnoid bolts are often used E. ICP monitoring is contra-indicated in infection Q 3. Complications of tracheotomy A. Pneumothorax occurs in upto 5 B. The inferiorjugular vein is most likely to cause bleeding problems C. Treatment of tracheo-innominate artery erosion TIAE requires urgent ligation of the artery D. Mortality of TIAE treated rapidly is 10 E. Approximately 5 of tracheal tubes are accidently dislodges Q 4. Cricothyroidotomy A. The entry point is the cricothyroid membrane inferior to the cricoid cartilage B. May be surgical or percutaneous MCQs Key Questions in Surgical Critical Care 61 Practical Procedures 5. 6. 7. C. Voice changes occur in half the patients D. Is associated with subglottic stenosis E. As an emergency procedure has double the complication rate of an elective procedure The following are complications of arterial line insertion A. False aneurysm B. Haematoma C. Occlusion D. Air embolus E. Thrombosis The following statements concern the internal jugular vein IJV A. Is formed at thejugular bulb and drains blood via the sigmoid sinus B. Starts its journey through the neck anterior to the carotid artery and ends up lateral to it C. It runs a straight path from jugular foramen to sternoclavicularjoint covered only by carotid
