Post op complications Flashcards
1
Q
Examples of early post op complications
A
Pyrexia Malignant hyperthermia Sepsis Bleeding Arrhythmia Post-op cognitive decline of elderly N+V Dyspnoea
2
Q
Examples of middle (1-3 days) post op complications
A
(Mostly due to RAAS activation) PE/DVT Aspiration pneumonia TRALI MI Heart failure Anastomotic breakdown
3
Q
Examples of late post op complications
A
Obstruction Adhesions Dehiscence Graft failure Sepsis
4
Q
How to control bleeding
A
Pressure on bleeding source IV fluids Group and cross match Coag screen Transfusions Tranexamic acid - inhibits fibrinogen breakdown
5
Q
Why do you need to control temperature
A
Trauma triad:
Hypothermia halts coag cascade due to suboptimal enzyme function
Coagulopathy leads to metabolic acidosis (lactic acidosis)
Acidosis decreases myocardial performance making hypothermia worse
6
Q
Cause of post op dyspnoea
A
Pneumonia Left ventricular failure PE Pneumothorax Atelectasis
