OR complications Flashcards
Decreased sensation of lateral leg
Inability to evert foot
Foot drop
Peroneal nerve injury (stir-up pressure on side of leg)
thigh weakness after hyperflexion of thigh at hip
obturator nerve
weak plantar flexion, lateral foot sensation loss, posterior calf parasthesia
posterior tibial nerve (compression of posterior knee against stirrup)
Numbness in anterior & lateral thigh after pressure on lateral thigh
lateral femoral cutaneous nerve
Shoulder pain & arm weakness after hyper-abduction or arm under rib cage
brachial plexus
During psoas hitch, you can get a ___ nerve injury leading to loss of sensation to scrotum & medial thigh
genitofemoral nerve
During a pelvic lymph node dissection, a ____ nerve injury can impair leg adduction
obturator
During orchiectomy or hernia repair, a ___ nerve injury can lead to loss of inguinal and lateral scrotal sensation
Ilioinguinal
Free air in abdomen can be expected up to ___ Days post-op from insufflation
7
Rectal injury most commonly occurs during ___ dissection near the prostatic ____
posterior dissection…. prostatic apex
Cardiac response to insufflation
\_\_\_\_ venous return \_\_\_\_ cardiac output \_\_\_ stroke volume \_\_\_ SVR \_\_\_\_ HR
Decrease venous return
Decrease CO & SV
Increased SVR
= or Increased HR
Respiratory response to insufflation
____ inspiratory pressure
___ compliance
____ dead space
____ tidal volume
Increased inspiratory pressure & dead space
Decreased compliance & tidal volume
Intra-op urine output is NOT predictive of post-op ___
AKI
Trendelenburg effects
____ HR & SVR
____ CO & MAP
____ pulm compliance
___ intra-cranial pressure
Decreased HR & SVR
Increase CO & MAP
Decreased pulm compliance
Increase ICP
Normal patient increases _____ to blow off absorbed CO2 during insufflation
minute ventilation
