ANZCAl Finall Examl Latestl 2026l 2027l

ANZCAl Finall Examl (Latestl 2026/l 2027l Update)l Review|l 100%l Verifiedl Questionsl &l Answersl |l Gradel A

Q:l Whatl equipmentl dol wel commonlyl placel downl anl ETT?

Answer:

EQUIPMENTl THROUGHl ETT

·l Bronchoscope:

ol 3.2l mm ol 4l mml →l Usel forl placingl DLTl &l intubatingl vial LMA ol 5.2l mml →l 7.5l ETT

·l Cookl Froval Bougiel (Blue):

ol 14l Frl (4.7l mm) ol Compatiblel withl ≥l 6l ETT ol Notl compatiblel withl DLTl (shearingl endl ofl bougie)

·l Cookl exchangel catheterl (green/purple):

ol 11l Frl (3.7l mm)l →l Compatiblel 4l ETTl orl 35l Frl DLT ol 14l Frl (4.7l mm)l →l Compatiblel 5l ETTl orl 39l Frl DLT

·l Aintreel intubatingl catheter:

ol 19l Frl (6.3l mm)l →l Compatiblel 7l ETT ol Internall diameterl 4.7l →l Compatiblel 4l mml scope

Q:l Whatl concurrentl diseasesl dol obesel patientsl havel thatl affectl airwayl management?

Answer:

OSA:

70%l ofl ptsl withl BMIl >l 35l willl havel OSAl orl OHVSl (20%l ofl ptsl withl OSA) Thesel ptsl arel likelyl tol requirel HDU DMl (gastroparesis) GORD HH

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Q:l Whatl arel thel classesl ofl obesity?

Answer:

Q:l Whyl isl BMV/Facemaskl ventilationl suchl al probleml withl thel morbidlyl obese?

Answer:

Obesityl andl OSAl arel predictorsl ofl difficultl BMV ifl therel isl anyl concernl aboutl abilityl tol BMVl ->l carefull considerationl shouldl bel givenl tol intubatingl AWAKE

Q:l Whyl isl LMAl insertionl suchl al probleml withl thel morbidlyl obese?

Answer:

↓l chestl compliancel ->l difficultl ventilationl vial LMA Inl ptsl withl BMIl >l 35l -l LMA'sl arel unreliablel asl rescuel devices

Q:l Whatl arel thel concernsl withl intubationl ofl morbidlyl obesel patients?

Answer:

Inl ptsl withl BMIl >l 35l intubationl shouldl bel thel defaultl meansl ofl managingl thel airway LMAsl arel unreliable 2 / 4

Usel ofl al SGAl shouldl bel restrictedl tol extremel casesl where:l thel ptl canl SV,l thel procedurel isl shortl andl thel ptl canl bel rampedl forl thel entirel timel -l tol enablel quick,l easyl intubation

Predictorsl ofl difficultl laryngoscopy:

-l Neckl circumference -l Pre-tracheall softl tissuel >2.5cml predictorl ofl difficultl airway

Morbidl obesityl isl al weakl predictorl ofl failedl intubation Aspirationl risk:l obesityl isl al riskl fxl forl reflux,l HH,l diabetesl (gastroparesis),l gastricl bandingl -l thesel alll ↑l thel riskl ofl aspiration RSIl shouldl bel performedl inl obesel ptsl withl riskl fxl forl aspirationl inl additionl tol obesity ifl therel isl anyl concernl aboutl abilityl tol intubatel successfullyl ->l carefull considerationl shouldl bel givenl tol intubatingl AWAKE

Q:l Whatl isl yourl approachl tol thel intra-operativel airwayl managementl ofl morbidlyl obese?

Answer:

Positioningl forl intubation Rampedl -l sternuml +l EAMl level Improvesl preoxl /l FRC ↓l refluxl risk ↓l riskl ofl difficultl intubation Keepl inl thisl positionl throughoutl thel casel -l sol longl asl itl doesl notl interferel withl surgicall access preoxygenation Needsl tol bel perfectl b/cl thel timel tol desaturationl inl thel obesel ptl isl veryl short Ideallyl usel apnoeicl oxygenationl duringl airwayl securementl asl well Extubation Pre-oxygenatel inl rampedl position Havel patient awake reversedl (TOFl >l 0.9)

upright:l withl pillowsl underl armsl tol supportl them

bitel blockl -l tol preventl negl pressurel pulmonaryl oedema Airwayl adjuncts NPAl useful Regionall anaesthesia Shouldl bel stronglyl considered 3 / 4

BUTl therel needsl tol bel al clearl planl tol managel thel airwayl shouldl thel RAl techniquel faill beforel orl duringl OT Ifl RAl unlikelyl tol bel effectivel -l saferl justl tol gol withl GAl froml thel outset

Q:l Airwayl scenario:l 60l y/ol Ml postl XRTl SCCl P/Wl respl distressl d/tl B/Ll VCl palsy.l Whatl arel yourl considerationsl andl approach?

Answer:

Previousl neckl dissection:

Easyl BMV Easyl gdl 1l larynx Nasendoscopyl showsl clearl viewl ofl cordsl butl smalll glottisl openingl d/tl B/Ll VCl palsy Forl microlaryngoscopy

Actuall plan:

TIVA Roc Jetl ventl vial surgicall laryngoscopy LMAl postl laser

Q:l 42l y/ol F

burnsl tol facel /l eyesl /l lipsl neck Forl debridementl andl cleaningl ofl burns prevl GAl uneventful Whatl arel yourl considerationsl andl approach?

Answer:

Hxl /l Ex

Hx:l confinedl spacel etc

Examinel for:l carbonaceousl sputuml /l singedl nasall hair

Ix:l ABGl COl /l cyanidel -

errl onl thel sidel ofl givingl O2 Approach Co-operativel pt AFOI Uncooperativel pt RSI

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