Fwd: Bambury tutorial on preop assessment
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Dr. S. Siva Sankar presents on perioperative care and outlines key considerations for preoperative planning and patient optimization. This includes gathering relevant patient information, optimizing the patient's medical condition, choosing low-risk surgery, anticipating complications, and ensuring adequate hydration, nutrition and exercise. A thorough history and medical examination is performed focusing on systems relevant to surgery. Routine blood tests and surgery-specific investigations are also done. Specific preoperative conditions like cardiovascular, respiratory, gastrointestinal and endocrine diseases are discussed in terms of optimization and management to reduce surgical risk.
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2) Patients present with coagulopathy, encephalopathy, and multi-organ failure affecting the brain, cardiovascular, respiratory, and renal systems. Prognosis is poor without a liver transplant.
3) Management involves supportive care, treating complications, investigating the cause, and considering a liver transplant for eligible patients within 7 days to prevent death from hepatic encephalopathy and multi-organ dysfunction.
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2) Patients present with coagulopathy, encephalopathy, and multi-organ failure affecting the brain, cardiovascular, respiratory, and renal systems. Prognosis is poor without a liver transplant.
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The presentation deals with the basics of pre anesthetic checkups, its only for the educations purpose!
Any kind of replication, modifications and republication is strictly prohibited.
All Rights reserved to the Author. 2016
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Principles of preoperative and operative surgery
This document discusses principles of preoperative and operative surgery. It covers four main principles: preoperative preparation of the patient, a systems approach to preoperative evaluation, additional preoperative considerations, and a preoperative checklist. For preoperative evaluation and preparation, the document emphasizes assessing patient risk factors, especially cardiovascular risk, and optimizing high-risk patients prior to surgery through testing, medication, and consultation with specialists. The goal is to identify any medical issues that could impact the surgical outcome and take steps to improve the patient's status and reduce perioperative risk.
Anesthesia.routine preoperative investigations+ fasting guidlines.(dr.amer)
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The preoperative evaluation consists of gathering patient information and formulating an anesthetic plan to reduce perioperative risks. Inadequate planning and errors in preparation are common causes of anesthetic complications. The evaluation includes reviewing medical history and test results, performing a physical exam, consulting specialists, and optimizing the patient's medical condition prior to elective surgery. The goal is to ensure the patient is in the best possible state before undergoing anesthesia and procedures.
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The document discusses various aspects of pre-operative, operative, and post-operative surgical care including evaluating patient medical history and risk factors, optimizing medical conditions, obtaining informed consent, monitoring vital signs and drainage after surgery, and emphasizing the importance of proper preparation, timing, and follow-up to minimize risks and optimize surgical outcomes. Key factors discussed include cardiac, pulmonary, renal, hepatic, diabetic, nutritional status as well as use of prophylactic antibiotics and measures to prevent thromboembolic events.
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This document discusses preoperative evaluation and preparation of surgical patients. It begins with an introduction on the importance of preoperative preparation from initial patient contact through to surgery. Preoperative evaluation involves gathering a comprehensive history and physical exam, ordering appropriate investigations, assessing risks, communicating with the patient, and involving a multidisciplinary team. Key areas addressed include cardiovascular, respiratory, gastrointestinal, metabolic, coagulation disorders and ensuring medical optimization and documentation is complete prior to surgery. The goal is to minimize surgical risk and maximize postoperative outcomes.
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The document outlines the key steps and objectives of pre-anaesthetic consultation:
- Evaluate the patient's medical condition and optimise any risk factors.
- Determine the anaesthetic technique and perioperative care plan.
- Obtain informed consent from the patient after discussing anaesthesia and the procedure.
- The assessment may involve medical history, physical exam, and targeted lab/imaging tests to evaluate risk.
- The goals are to ensure patient safety and provide preoperative counselling and risk assessment.
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This document provides an overview of preoperative assessment, preparation, and documentation. It discusses the goals of preoperative evaluation, which include ensuring the patient is optimized for surgery and identifying any risks. The outline covers topics like the history, physical exam, investigations, and documenting the anesthesia record. Aspects of the history discussed include medical history, anesthetic history, allergies, and social history. The physical exam focuses on vital signs, cardiovascular, respiratory, airway, and neurological systems. Airway assessment involves observation, simple tests like Mallampati classification, and potential for difficult intubation. Thorough preoperative evaluation aims to reduce surgical risks and increase postoperative recovery.
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3) Management involves supportive care, treating complications, investigating the cause, and considering a liver transplant for eligible patients within 7 days to prevent death from hepatic encephalopathy and multi-organ dysfunction.
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The document describes a 65-year-old male patient with acute respiratory distress syndrome (ARDS), chronic obstructive pulmonary disease (COPD), and peripheral vascular disease who was admitted to the hospital. He was initially treated with a ventilator and tube feedings, but developed high gastric residuals and worsening respiratory status. His nutrition was modified by discontinuing enteral and parenteral feeds due to excessive calorie intake, as indicated by elevated CO2 levels and increased respiratory quotient. His respiratory status and nutrition were closely monitored until he was successfully weaned from the ventilator and discharged.
COPD with Respiratory Failure
This document describes the case of 65-year-old Daishi Hayato who was admitted to the hospital with acute respiratory distress, COPD, and peripheral vascular disease. He had a history of smoking 2 packs per day for 50 years. He developed respiratory failure and required intubation and ventilation. Enteral and parenteral nutrition were started but caused excessive calorie intake, as shown by elevated CO2 levels and increased RQ. Nutrition was modified to prevent further complications.
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Bzd 2012[1]
The document discusses benzodiazepines, including their uses, effects, risks of dependence and withdrawal, assessment and treatment of withdrawal, and overdose management. Benzodiazepines are widely used to treat anxiety, insomnia, and other conditions but can cause dependence, and withdrawal symptoms may include rebound anxiety, insomnia, tremors, and potentially seizures. Detoxification and tapering regimens aim to safely reduce the dose over time to minimize withdrawal symptoms.
Opioid withdrawal update3[1]
Opioids are a class of drugs that have morphine-like effects on the central nervous system. They are commonly used analgesics but prolonged use can lead to tolerance and dependence. Opioid withdrawal can be managed in the hospital setting using buprenorphine or methadone to relieve symptoms, along with supportive medications for nausea, muscle aches, diarrhea and sleeplessness. It is important for hospital staff to continue patients' opioid maintenance treatment and provide adequate pain relief while avoiding precipitated withdrawal.
Etoh[1]
This document provides information on alcohol, its effects on the body, alcohol dependence and withdrawal, and treatment approaches. It discusses how alcohol acts in the brain to produce both pleasurable and reinforcing effects. It outlines recommended daily and weekly drinking limits, signs and symptoms of alcohol intoxication at different blood alcohol levels. It also summarizes common presentations to the emergency department related to alcohol, approaches to assessing and managing alcohol withdrawal, risks of Wernicke's encephalopathy from thiamine deficiency, and options for ongoing treatment and support.
Fwd: Bambury Tutorial on Head and Neck
---------- Forwarded message ----------
From: UCD PAEDS <ucdpaeds@gmail.com>
Date: 2009/2/12
Subject: Fwd: Bambury Tutorial on Head and Neck
To: ucdgrad09@gmail.com
---------- Forwarded message ----------
From: Henning L. Stokmo <helangen@gmail.com>
Date: Wed, Feb 11, 2009 at 7:07 PM
Subject: Bambury Tutorial on Head and Neck
To: ucdpaeds@gmail.com
Fwd: lecture
---------- Forwarded message ----------
From: cormac joyce <cjoyce78@hotmail.com>
Date: 2009/2/28
Subject: lecture
To: ucdgrad09@gmail.com
------------------------------
Join the all-new Windows Live Messenger family Click here!<http://get.live.com/>
Fwd: Post op complications
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/25
Subject: Post op complications
To: ucdgrad09@gmail.com
Fwd: Skin Cancer (Cormac Joyce)
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/25
Subject: Skin Cancer (Cormac Joyce)
To: ucdgrad09@gmail.com
Fwd: Head injury Bambury
Head injuries most commonly occur in individuals aged 15-24 from vehicular accidents or falls in those over 75. The brain is surrounded by meninges including the dura, arachnoid and pia mater. Increased intracranial pressure can decrease cerebral perfusion and cause neurological deterioration, so monitoring and medical or surgical interventions aim to reduce pressure and maintain blood flow to the brain.
Fwd: Jaundice
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/25
Subject: Jaundice
To: ucdgrad09@gmail.com
Fwd: Diverticular Disease
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/25
Subject: Diverticular Disease
To: ucdgrad09@gmail.com
Fwd: Bambury lecture on venous and lymphatic disorders of the limb
---------- Forwarded message ----------
From: Henning L. Stokmo <helangen@gmail.com>
Date: 2009/2/12
Subject: Bambury lecture on venous and lymphatic disorders of the limb
To: ucdgrad09@gmail.com
Fwd: Bambury tutorial Upper GI Surgery
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/12
Subject: Bambury tutorial Upper GI Surgery
To: ucdgrad09@gmail.com
She does not know that we have this so please don't print it and bring it to
the lecture
Fwd: Benign Breast Disease Mr. Evoy
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Date: 2009/2/25
Subject: Benign Breast Disease Mr. Evoy
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Fwd: Thyroid Surgery (Cormac Joyce)
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/25
Subject: Thyroid Surgery (Cormac Joyce)
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Fwd: Cardiothoracic surgery Bambury
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Date: 2009/2/25
Subject: Cardiothoracic surgery Bambury
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Upper GI Bleeding (Liver and Spleen) Bambury
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From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/3/2
Subject: Upper GI Bleeding (Liver and Spleen) Bambury
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Fwd: Wound Healing
---------- Forwarded message ----------
From: UCD Graduate '09 None <ucdgrad09@gmail.com>
Date: 2009/2/20
Subject: Wound Healing
To: ucdgrad09@gmail.com
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Fwd: Bambury lecture on venous and lymphatic disorders of the limb
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Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
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Fwd: Bambury tutorial on preop assessment
- 1. Preoperative care Ms. Niamh Bambury 05/02/09
- 37. 50 Moribound 5 25 Incapacitating disease which is always life-threatening 4 4.5 Severe systemic disease that limits activity but isn’t incapacitating 3 0.4 Mild systemic disease that does not limit activity 2 0.05 Healthy individual 1 Mortality Definition ASA Grade
- 81. How do the specific type of antibiotics translate into the need for antibiotics?
- 92. Overview