1 / 13

Postoperative Complications

Postoperative Complications. Lindsey E Goldstein, MD PGY 4. Always consider. What operation did the patient have? What are the most common complications of this operation? What is most life-threatening? What comorbidities does that particular patient have?. GO SEE THE PATIENT!.

kellsie
Download Presentation

Postoperative Complications

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Postoperative Complications Lindsey E Goldstein, MD PGY 4

  2. Always consider... • What operation did the patient have? • What are the most common complications of this operation? • What is most life-threatening? • What comorbidities does that particular patient have?

  3. GO SEE THE PATIENT!

  4. Hypotension 1. Hemorrhage 2. Hemorrhage 3. Hemorrhage 4. Medications 5. Normal blood pressure 6. Under resuscitation 7. Sepsis

  5. Sepsis • SIRS • Sepsis- SIRS with an infectious source • Severe sepsis- sepsis with new onset organ failure • Septic shock- circulatory collapse despite resuscitation

  6. Wound Complications • Surgical site infection: infections of the tissues, organs, or spaces exposed by surgeons during performance of an invasive procedure • Superficial v Deep • Necrotizing soft tissue infection • Hematoma • Seroma • Dehiscence • Evisceration

  7. Postoperative Fever - within 24 hours: atelectasis, not clearing secretions - 24-48 hours: respiratory complications - always consider lines and tubes

  8. Urinary Complications Oliguria - hypovolemia - depressed cardiac function - diuretic dependence - retention - obstruction Hyperkalemia Urinary tract infection

  9. Respiratory Complications • Atelectasis • Pneumonia • Aspiration • Pulmonary Edema • ARDS • Pleural effusion

  10. Respiratory Complications • Pulmonary embolism- tachycardia, shortness of breath, new onset arrhythmia • Venous thromboembolism- high risk patients include elderly, malignancy, immobilized orthopedic patients • Prevention- pharmacological (subQ heparin, lovenox, arixtra) PLUS sequential compression devices and graduated compression stockings

  11. GI Complications Ileus versus small bowel obstruction Anastomotic leak Fistulas GI bleeding Abscess

  12. Cardiac Complications • Arrhythmia • Atrial fibrillation • Sinus tachycardia • Ventricular arrhythmias • Ischemia- MI • Hypertension- pain, rebound hypertension, volume overload, hypoxia

  13. Neurologic Complications • Stroke • Neuroma • Peripheral motor and sensory deficits

More Related