PMSP - 22B.pptx hajajshjejsjjdheudindjdjdjnd

Surgery

1. GOOD DAY! This is a special on-line lecture for IMD – 22-B

2. Physiologic Monitoring & Critical Care: Ensuring Safety of the Surgical Patient FITZGERALD ARANCEL, MD, FPCS, FPSGS, MDM Faculty – Department of Surgery College of Medicine, DMSF

3. Teaching & Learning Objectives: To define physiologic monitoring; To identify the tasks & determine the goal of physiologic monitoring; and To assign a clinical case that will highlight the need for vigilant physiologic monitoring. Source: Schwartz’s Principles of Surgery, 10 th Edition

4. To MONITOR Check Watch Observe Keep an eye on Monere – to warn

5. PHYSIOLOGIC Monitoring To detect alterations in various physiologic parameters Provide advanced warning of impending deterioration of one or more organ systems To titrate fluid resuscitation & the infusion of drugs

6. PHYSIOLOGIC Monitoring Encompasses… Recording & assessing: Patients complaints The 5 vital signs Fluid input Body fluid losses (urine, NGT output) Neurologic status ECG & cardiac status O 2 saturation & other respiratory parameters Performing: A focused PE

7. PHYSIOLOGIC Monitoring GOAL: Improve patient outcome CRITICAL: Integration of all physiologic data to arrive at a coherent plan

8. PHYSIOLOGIC Monitoring There is no single most appropriate monitoring parameter

9. ASSIGNMENT: Instructions: You will be given a surgical case to analyze. Answer the questions. Open books & other information sources. Use MSWord. Use one page only. Turn in assignment on-line via Telegram account of Dr. F Arancel on or before 7:00pm today, 4 October 2021. DO NOT FORGET TO WRITE YOUR NAME & ROLL NUMBER.

10. Surgical Case:

11. Consider this patient: 50/M/Indian 10 year history of right inguinal mass Underwent open mesh hernioplasty & will be closely monitored during the post-operative period

12. DISCUSS: Name 3 possible ACUTE COMPLICATIONS of the procedure. In each of these complications, what will be the important monitoring parameters? Why did you choose the monitoring parameters in question #2? Explain.