Long-Term Ventilation, Tracheostomy and Home Oxygen

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What this deck covers

Long-Term Ventilation, Tracheostomy and Home Oxygen in twelve illustrated clinical cases with worked explanations – case presentations built around clinical images, radiology, teaching illustrations and real laboratory data, with the reference range beside every value a case quotes. This visual, data-interpretation style of practice suits candidates preparing for MRCPCH AKP in particular, alongside the Saudi Prometric (SCFHS) exam, the Arab Board, DHA and OMSB. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong.

The twelve cases, in order

  1. The pump fails at night first
  2. The graduate with a cylinder
  3. Pressure, not breaths
  4. The airway that cannot wait
  5. Check the tip
  6. No air through the tube
  7. What discharge actually requires
  8. The newborn who breathes awake
  9. The settings he outgrew
  10. The red rim at the stoma
  11. Earning the way out
  12. The night the power failed

What this deck teaches

  • Name what is failing. Pump, drive, lung, airway or frame – the failure chooses the support.
  • The pump fails at night first. Morning headaches and a falling vital capacity earn a sleep study, never daytime oxygen.
  • Home oxygen has a planned exit. Targets of 93 percent or more, wean by recorded oximetry, daytime first.
  • Pressure splints, breaths ventilate. CPAP for obstruction, bilevel for hypoventilation – the sleep study names which.
  • The blocked tube drill. Suction, change the tube, smaller tube, stoma – rehearsed until it runs from memory.
  • Two carers or no discharge. Tube change and the drill, signed off, with the emergency box in reach.

Exam pearls from this deck

  • Morning headaches in a weak child are a carbon dioxide symptom until a sleep study proves otherwise.
  • Growth along a centile is the quiet oximeter – the infant failing to gain on an adequate flow is telling you something.

The twelve worked cases in this deck, with the images and the full explanation of every option, are part of Pediatric Case Review membership. See what is included, or start with the free Prometric question sets.

More from this system: all respiratory illustrated case decks · respiratory board questions for bank-style drilling · the free Pediatric Prometric question sets · pediatric reference values.

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