ABC OF POST OPERATIVE COMPLICATIONS.pptx

A simplified and concise journey through post operative complications from an anaesthetist's point of view

1. POST - OPERATIVE COMPLICATIONS

2. PERI OPERATIVE PERIOD

3. Post-operative Care

4. POST- OPERATIVE PERIOD

5. PACU

6. HANDOVER

7. Goals/Discharge Criteria

8. COMPLICATIONS unexpected and unwanted events 10% of anaesthetics. Death complicates five anaesthetics per million given in the UK (0.0005%). potential to cause lasting harm to the patient Recognise and manage deviations from norm promptly and appropriately Effective monitoring and vigilance allow a greater period for action before the complication grows in severity

9. CAUSES

10. PREVENTION

11. MANAGEMENT

12. MANAGEMENT

13. MANAGEMENT

14. RESPIRATORY COMPLICATIONS

15. HYPOVENTILATION HYPOXAEMIA

16. HYPOVENTILATION -result in hypercapnia and hypoxia

17. HYPOVENTILATION

18. Factors Affecting Airway

19. Factors Affecting Ventilatory Drive

20. Peripheral Factors

21. Management of Airway Obstruction Depends on the cause Suctioning, airway devices, laryngoscopy Recovery position oral, ENT surgery and all patients at risk of aspiration Maneuvers Chin lift Jaw thrust Pressure in the laryngospasm notch Drugs Sux, propofol, bronchodilators, adrenaline nebs, steroids

22. Management of Depressed Ventilatory Drive

23. Management of Peripheral Factors

24. SUXAMETHONIUM APNOEA???

25. TREATMENT

26. HYPOXAEMIA

27. HYPOXAEMIA

28. CAUSES

29. CAUSES Reduced venous oxygen content in V/Q scattering Malignant hyperthermia Shivering Restlessness

30. TISSUE HYPOXIA Tissue oxygenation may be impaired by left ventricular dysfunction, leftward shift of ODC and severe anaemia

31. OXYGEN THERAPY

32. Prolonged Oxygen Therapy

33. OTHER COMPLICATONS

34. CARDIOVASCULAR COMPLICATIONS

35. MANAGEMENT PREVENTATIVE, DIAGNOSE AND TREAT THE CAUSE

36. DEEP VEIN THROMBOSIS

37. RISK FACTORS

38. IXS Doppler USS CT/MR Venography D-Dimers

39. MANAGEMENT

40. Pulmonary Embolism

41. Massive or Showers

42. Investigations

43. MANAGEMENT

44. CNS Complications

45. DELAYED AWAKENING

46. DELIRIUM

47. RISK FACTORS

48. Prevention & Treatment Cognitive stimulation Avoid benzodiazepines and anticholinergics Pain control. Avoid opioids Avoid deep anaesthesia Simple communication standards

49. PAIN

50. OTHER COMPLICATIONS

51. Acute Kidney Injury

52. RISK FACTORS

53. OTHER COMPLICATIONS

54. SPECIFIC PROCEDURES… ITS COMPLICATED!!!

55. TURP SYNDROME THYROID STORM VENOUS AIR EMBOLISM REGIONAL/PERIPHERAL NERVE BLOCKADE URINARY RETENTION CAUDA EQUINA SYNDROME LA TOXICITY POST DURAL PUNCTURE HEADACHE TRANSIENT RADICULAR IRRITATION SYNDROME PNEUMOTHORAX

56. THANK YOU!