POST OPERATIVE CARE MANAGEMENT COMPLICATIONS

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POST OPERATIVE CARE MANAGEMENT COMPLICATIONS Powered By Docstoc
					POST-OPERATIVE CARE &
   MANAGEMENT OF
   COMPLICATIONS
   Dr. ADEFEMI O. AFOLABI

  DIVISION OF HEPATOBILIARY
    & ENDOCRINE SURGERY
  DEPARTMENT OF SURGERY
     COLLEGE OF MEDICINE
    UNIVERSITY OF IBADAN
        IBADAN, NIGERIA.
  INTRODUCTION
GENERAL CONSIDERATIONS

      PATHOLOGY

       SURGERY

     ANAESTHESIA
     CARE OF THE PATIENT
 POST-OPERATION ORDERS

 AIRWAYS

 C.V.S.

 OXYGEN THERAPY

 ANALGESIA AND SEDATION
      CARE OF THE PATIENT
   VOMITING
   NUTRITION
   URINE
   AMBULATION
   WOUND
   DAILY VISIT
   ROUTINE INVESTIGATIONS
        POST-OPERATIVE
        COMPLICATIONS

DEFINITION

COMPLICATIONS WHICH OCCUR WITHIN
   30/7 OF OPERATION OR >30/7 BUT
      DIRECTLY RELATED TO THE
             OPERATION.
COMPLICATIONS OF THE FIRST
       FEW HOURS

 RESPIRATORY INSUFFICIENCY

 CARDIOVASCULAR EMERGENCIES

 C.N.S. PROBLEMS
      COMPLICATIONS-
   USUALLY AFTER 24 HOURS
RESPIRATORY
 ATELECTASIS
 PNEUMONIA
 ASPIRATION PNEUMONIA
 HICCOUGH
 PULMONARY OEDEMA
 TRACHEO-BRONCHITIS
 PULMONARY EMBOLISM
 FAT EMBOLISM
 ACUTE RESPIRATORY FAILURE.
         CARDIOVASCULAR

   SECONDARY HAEMORRHAGE
   MYOCARDIAL
   INFARCTION
   DEEP VEIN THROMBOSIS
   PULMONARYEMBOLISM
   CEREBROVASCULAR DISEASE
   HYPERTENSION
       GENITO-URINARY
 URINARY RETENTION

 ACUTE RENAL FAILURE

 URINARY TRACT INFECTION
        GASTRO-INTESTINAL
        (POST-LAPAROTOMY)
   GASTRIC DILATATION
   PARALYTIC ILEUS
   POST-GASTRECTOMY SYNDROMES
   FISTULAE
   STOMA COMPLICATIONS
   ANASTOMOTIC LEAK
   PERITONITIS
   INTRA-ABDOMINAL ABSCESSES
   ENTEROCOLITIS
   ADHESIONAL INTESTINAL OBSTRUCTION
  WOUND COMPLICATIONS
 HAEMATOMA

 SEROMA

 INFECTION

 DEHISCENCE / INCISIONAL HERNIA
             FEVER

 INFECTIOUS CAUSES

 NON-INFECTIOUS CAUSES

 WITH RESPECT TO NUMBER OF DAYS
  POST OPERATION
       COAGULOPATHY
 HYPERCOAGULABLE STATES



 INHERITED THROMBOTIC DISORDERS
METABOLIC COMPLICATIONS

 DIABETES MELLITUS

 THYROID STORM

 MYXOEDEMA
 PSYCHIATRIC COMPLICATIONS


 DELIRIUM

 DEPRESSION

 DEMENTIA.

				
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