Post-operative complications

2016 ◽  
Author(s):  
Claire Perkins
Keyword(s):  
At Risk ◽  
Surgical Patients ◽  
Good Knowledge ◽  
Appropriate Care ◽  
Post Operative Period ◽  
Care Treatment ◽  
Operative Complications ◽  
Treatment Plans ◽  
Operative Assessment ◽  
Post Operative Complications

Surgical patients are at risk of post-operative complications. A thorough pre-operative assessment and the implementation of appropriate care/treatment plans will reduce the likelihood of complications occurring. The surgical nurse should have a good knowledge and understanding of recognizing, preventing, and treating post-operative complications. The ABCDE approach should be used in the immediate post-operative period and if the patient becomes acutely unwell. This chapter uses body systems and the ABCDE approach to review post-operative complications.

scholarly journals Prevalence of hypomagnesemia in patients undergoing gynecological oncology surgery in tertiary care cancer institute of India

2017 ◽  
Vol 6 (10) ◽  
pp. 4355 ◽  
Author(s):  
Bikram Bhardwaj ◽  
Ava Dipan Desai ◽  
Bijal Manish Patel ◽  
Chetna Deepal Parekh ◽  
Shilpa Mukesh Patel
Keyword(s):  
Serum Magnesium ◽  
Gynecologic Oncology ◽  
Tertiary Care ◽  
Length Of Hospital Stay ◽  
Gynecologic Malignancy ◽  
Gynecological Malignancy ◽  
Entire Cohort ◽  
Post Operative Period ◽  
Operative Complications ◽  
Post Operative Complications

Background: Hypomagnesemia is an important but unknown risk factor for post-operative complications in patients undergoing surgery for presumed gynecological malignancy. This study aims to evaluate the prevalence of hypomagnesemia in patients undergoing surgery for presumed gynecological cancers referred to our tertiary care Cancer Institute.Methods: This is a prospective observational study of 100 patients admitted with provisional diagnosis of malignancy. They underwent surgery in one of the Gynecologic Oncology units at The Gujarat Cancer Research Institute, Ahmedabad from October 2016 to April 2017. Hypomagnesemia was defined a serum magnesium levels less than 1.8mg/dl.Results: The incidence of pre-operative hypomagnesemia in the entire cohort was 35%. Sixty three percent patients had normal pre-operative magnesium levels and hypermagnesemia was seen in 2% of study population. Patients with benign disease had 29.6% pre-operative hypomagnesemia compared with 39.6% in patients with gynecologic malignancy. Pre-operative hypomagnesemia and even falling levels in post-operative period are an important predictive marker for post-operative complications like increased post-operative pain, post-operative ileus, hypertension and even post-operative hypokalemia. Age, body mass index, hematocrit, surgical indication and length of hospital stay were not associated with hypomagnesemia. Patients undergoing neo-adjuvant chemotherapy before surgery had significant incidence of hypomagnesemia both pre-operatively and post-operatively.Conclusions: Hypomagnesemia is quite prevalent in patients of gynecologic-oncology undergoing surgery. Pre-operative hypomagnesemia and even falling levels in post-operative period have a bearing on the final surgical outcome. Hence pre-operative and post-operative magnesium levels may be included as a valuable marker in all patients undergoing surgery for gynecologic malignancy.

scholarly journals Frailty measures, inflammatory biomarkers and post-operative complications in older surgical patients

2010 ◽  
Vol 39 (6) ◽  
pp. 758-761 ◽  
Author(s):  
Benedicte Rønning ◽  
Torgeir Bruun Wyller ◽  
Ingebjørg Seljeflot ◽  
Marit Slaaen Jordhøy ◽  
Eva Skovlund ◽  
...  
Keyword(s):  
Inflammatory Biomarkers ◽  
Surgical Patients ◽  
Operative Complications ◽  
Post Operative Complications

scholarly journals Alcohol Misuse Prevalence and Associations with Post-Operative Complications in US Surgical Patients: A Review

2009 ◽  
Vol 2 (1) ◽  
pp. 50-58 ◽  
Author(s):  
Alex H. S. Harris ◽  
Madeleine S. Frey ◽  
Anna F. DeBenedetti ◽  
Katharine A. Bradley
Keyword(s):  
Alcohol Misuse ◽  
Surgical Patients ◽  
Operative Complications ◽  
Post Operative Complications

Comparison of preoperative screening tools predicting postoperative complications in oncogeriatric surgical patients.

2013 ◽  
Vol 31 (15_suppl) ◽  
pp. 9557-9557
Author(s):  
Monique Huisman ◽  
Barbara Van Leeuwen ◽  
Giampaolo Ugolini ◽  
Isacco Montroni ◽  
Cesare Stabilini ◽  
...  
Keyword(s):  
Solid Tumors ◽  
Preventive Measures ◽  
Elective Surgery ◽  
Screening Tools ◽  
Surgical Patients ◽  
Major Surgery ◽  
Time Saving ◽  
Increased Risk ◽  
Operative Complications ◽  
Post Operative Complications

9557 Background: In the onco-geriatric surgical population it is important to identify patients at increased risk of adverse post-operative outcome in order to effectively implement preventive measures and to improve outcome in this population. There is need for a time saving and efficient screening tool. Our aim was to determine the predictive ability of the Mini Mental State Examination (MMSE), Brief Fatigue Inventory (BFI) and Timed “Up & Go” (TUG) concerning the occurrence of a major post-operative complication in a series of elderly patients undergoing elective surgery for solid tumors. Methods: In an international cohort, 329 patients ≥70years undergoing elective surgery for solid tumors were prospectively included. Primary endpoint was the incidence of a major complication during the first 30 days after surgery. Pre-operatively the MMSE, BFI and TUG were scored. TUG depicts the time needed to stand up from a chair, walk 3 meters, turn around, walk back and sit down. Data were analyzed using multivariable logistic regression analyses to estimate odds ratios (OR) and 95% confidence intervals (95%-CI). Results: The majority of patients underwent major surgery (n=219; 66.6%). A total of 71 (22.1%) patients experienced major complications. TUG, MMSE and BFI, adjusted for center, gender and minor or major surgery, were independent predictors of the occurrence of major post-operative complications (see Table). Conclusions: Screening tools are able to predict major post-operative complications in onco-geriatric surgical patients. TUG is most specific in identifying patients at risk and could be considered to allocate preventive measures effectively. [Table: see text]

scholarly journals Pre-Operative Assessment and Post-Operative Care in Elective Shoulder Surgery

2013 ◽  
Vol 7 (1) ◽  
pp. 316-322 ◽  
Author(s):  
Ahsan Akhtar ◽  
Robert J MacFarlane ◽  
Mohammad Waseem
Keyword(s):  
Health Professionals ◽  
Orthopaedic Surgery ◽  
Operative Management ◽  
Shoulder Surgery ◽  
Surgical Patients ◽  
Clinical Assessments ◽  
Elective Surgical Procedures ◽  
Operative Care ◽  
Operative Complications ◽  
Operative Assessment

Pre-operative assessment is required prior to the majority of elective surgical procedures, primarily to ensure that the patient is fit to undergo surgery, whilst identifying issues that may need to be dealt with by the surgical or anaesthetic teams. The post-operative management of elective surgical patients begins during the peri-operative period and involves several health professionals. Appropriate monitoring and repeated clinical assessments are required in order for the signs of surgical complications to be recognised swiftly and adequately.This article examines the literature regarding pre-operative assessment in elective orthopaedic surgery and shoulder surgery, whilst also reviewing the essentials of peri- and post-operative care. The need to recognise common post-operative complications early and promptly is also evaluated, along with discussing thromboprophylaxis and post-operative analgesia following shoulder surgery.

scholarly journals Outpatient Laparoscopic Cholecystectomy

HPB Surgery ◽  
1994 ◽  
Vol 7 (4) ◽  
pp. 261-264 ◽  
Author(s):  
R. Smith ◽  
D. Kolyn ◽  
R. Pace
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Open Cholecystectomy ◽  
Nausea And Vomiting ◽  
Post Operative Period ◽  
Conversion To Open Cholecystectomy ◽  
Operative Complications ◽  
The Future ◽  
Elective Cholecystectomy ◽  
Post Operative Complications

Outpatient Laparoscopic Cholecystectomy was attempted in 98 patients selected from 266 patients presenting for elective cholecystectomy (37%). Two patients required admission following conversion to “open” Cholecystectomy, one patient was admitted for observation because of a technically difficult Laparoscopic Cholecystectomy and 16 patients were admitted because of refractory nausea and vomiting in the early post-operative period. Seventy-nine patients (81%) were able to be discharged home within 4 to 6 hours of surgery, with only one patient requiring readmission to hospital because of the onset of nausea and vomiting. There were no post-operative complications attributable to the outpatient experience. We believe this approach to elective gallbladder pathology can be safely accomplished in selected patients and will be increasingly utilized in the future.

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