Case 1
A 54-year-old male has fallen down four steps and presents with a fracture/dislocation of his ankle. He has no other significant injuries. He last ate five hours ago and drank two hours ago. He is previously well and on no medication.
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Question 1 of 3
1. Question
What procedural sedation issues should you consider in this case?
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Question 2 of 3
2. Question
You elect to provide sedation using propofol and fentanyl. After the first bolus of 50mg propofol, he is consciously sedated but clearly grimacing on attempting to move his shoulder.
What should you do?
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Question 3 of 3
3. Question
After a total of 150mg propofol he is sufficiently relaxed and relocation is successful. Following reduction, he immediately becomes apnoeic, though his oxygen saturations remain 100%.
What should you do now?
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