pre and postoperative care
DESCRIPTION
Pre and post operative CareTRANSCRIPT
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Preoperative Care
“The most important decision a surgeon can
make is to operate on a patient”
The decision is a Risk-Benefit Analysis
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Goals(Why)
Recognize and Optimize the risk factors for
surgery
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How to do it
History
Examination
nvestigations
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History Taking
!ast medical " surgical history #ardiac$ respiratory$ renal$ nutrition
Drug hx
Social Hx %unctional status
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ASA Classifcation
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Investigations
&asics 'for all age()*+ %&#$ urea,electrolyte
#-.$ E#/
Specific '0hen indicated+
L%12 !1,!11
3&/2 !ulmonary function test
others
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Special Preparation
Management of Dia4etes
D51 !rophylaxis
&o0el preparation
!rophylactic anti4iotics selectively
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Postoperative Care
.ecogni6e postop complications
!ain management
!ostop fevers
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Postop Coplications
General mportant examples7
3M
pneumonia,atelectasis renal failure
D51,!ulmonary em4olism
#53
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Postop Coplications
Specific Examples7
anastomotic leakage
a4scess formation 0ound infection
ileus
4leeding
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Scenario
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Pain !anageent
Essential part of postop management
!ain can increase risk of complications
!ain relief8 Multimodal E9g9 !#3$ M pethidine$ oral analgesics
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Postop "evers
3n important sign of postop complications
Many possi4le DD-
1ime of onset may guide the management
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Postop "evers
%irst :;hrs Atelectasis
1ransfusion rxn
!re8existing infection
<8= days7 infections U1$ 0ound infection$ pneumonia$ anastomotic
leakage
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Postop "evers
34out = days on0ards nfections
34scess formation
DVT/PE
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Postop "evers
History
Examination
nvestigations 'to confirm the diagnosis+
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S#ary
!re and !ostop care are essential parts of
surgical treatment
/ood History$ physical examination and
selected investigations are the key
#omplications do occur$ 4ut many are
preventa4le>