Peri operative Care

Question 1

Describe the WHO surgical Checklist

Answer 1

50% of adverse events in hospitals occur in theatre and half of these are thought to be avoidable.
Divided into three sections:

Sign In – To be completed before the induction of anaesthesia, in the presence of the anaesthetist

Time Out – To be completed before the first incision, acting as the final opportunity to identify the patient, the procedure, and the site involved

Sign Out – To be completed prior to the key members of the operating team leaving the operating room

Question 2

Day 3 post operative desaturation. What investigations would you order?

Answer 2

Question 3

Risk factors for DVT/PE

Answer 3

Question 4

Well’s score interpretation for a PE

Answer 4

> 4

Question 5

PE features on ECG

Answer 5

1. Sinus tachycardia
2. RBBB
3. SI QIII TIII pattern – deep S wave in lead I, Q wave in III, inverted T wave in III (20%). This “classic” finding is neither sensitive nor specific for PE

Question 6

Consent form

Question 7

Indications for a AXR

Answer 7

• Bowel obstruction
• Visceral perforation
• Acute inflammatory bowel disease
• Abdominal trauma
• Haematuria
• Renal calculus/renal colic