EDAIC Part I case studies
EDAIC Part I · Put your knowledge to work in context.
The EDAIC Part I Examination is one component of the European Diploma in Anaesthesiology and Intensive Care (EDAIC), a qualification structure administered by the European Society of Anaesthesiology and Intensive Care (ESAIC). ESAIC describes its mission as fostering training and educational opportunities and ensuring "robust and standardised examination and certification systems to support the professional development of anaesthesiologists." The EDAIC family also includes a Part II Examination, OLA/HOLA assessments, and a dedicated "How to prepare for the exam" resource published by ESAIC. The EDAIC Part I case studies are 5 cases and about 3,945 words.
1Severe pre-eclampsia with a falling platelet count: is neuraxial anaesthesia defensible?
A 31-year-old nulliparous woman at 34+3 weeks' gestation is admitted with severe pre-eclampsia. Blood pressure is 168/104 mmHg despite two doses of oral labetalol; she has 3+ proteinuria, a persistent frontal headache and visual scintillations.
816 words, about 4 min2A 3-year-old with sleep-disordered breathing after a recent cold: proceed, postpone, or admit?
A 3-year-old boy (15 kg) is scheduled for adenotonsillectomy for recurrent tonsillitis and sleep-disordered breathing. His parents report loud snoring every night, witnessed apnoeas three to four times a week, and he falls asleep in the car within minutes.
812 words, about 4 min3Severe ARDS with right ventricular dysfunction: positioning, fluids and paralysis
A 58-year-old man is admitted to intensive care with severe community-acquired pneumonia. He has been intubated for 3 days and is sedated with propofol and fentanyl, ventilated with volume control: tidal volume 6 mL/kg predicted body weight, PEEP 14 cmH2O, FiO2 0.8 and respiratory rate 28/min.
792 words, about 4 min4Traumatic brain injury with hypotension: the induction plan is the danger
A 34-year-old man is brought to the emergency department after a high-speed motorcycle collision. He opens his eyes to pain, makes incomprehensible sounds and withdraws from pain (GCS 7).
776 words, about 4 min5Anaphylaxis on the operating table: differentiating and escalating
A 45-year-old woman with no known drug allergies is undergoing elective laparoscopic cholecystectomy under general anaesthesia. Ten minutes after induction, and 2 minutes after intravenous cefazolin and skin preparation with chlorhexidine, her blood pressure falls from 118/70 to 68/34 mmHg, heart rate rises from 72 to 132/min, and peak airway pressure increases from 22 to 38 cmH2O.
749 words, about 4 min