Perioperative Management Flashcards
What are the NPO guidelines?
no solid food 6-8 hours prior to non-emergent surgery
no clear fluids within 2 hours pre-op
An SSI is an infection at or near the surgical site within ___ days of procedure
30
(90 days if prosthetic material implanted)
What are the SSI definitional criteria?
purulent exudate
positive culture
reopened wound due to signs of infection (pain, redness, swelling)
surgeon’s diagnosis (judgement)
what are SSI comorbidities?
smoker
obesity
DM
immunosuppressed
malnutrition
What is the most common causative organism of SSIs?
S. aureus (30%)
The presence of indwelling catheters or drains do not necessitate antibiotic prophylaxis - true or false
true
no evidence that it decreases infection
when might you screen (the nose) for Staph or MRSA colonization pre-op?
cardiac
orthopedic
what are the components of the airway assessment?
LEMON
Look: general impression - large tongue, beard
Evaluate: 3-3-2
Mallampati: less than or equal to 3
Obstruction/obesity: epiglottitis, peritonsillar abscess
Neck mobility
what is the major risk of an LMA?
it is not protected - high risk of aspiration of vomit
What are the rules of the surgical time out?
All immediate members of surgical team must be involved
must agree on correct patient identity
correct site
procedure to be done
complete documentation of same
what is the problem with propofol?
it causes hypotension
What are the inhaled general anaesthesia agents?
what is one of the major side effects of regional anaesthesia?
urinary retention
what does MAC stand for?
monitored anaesthesia care
What are the IV general anesthesia agents?
