Post-operative complications Flashcards

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1
Q

What anaesthetic complications can occur immediately after surgery?

A
  • Arrythmia
  • Hypo/hypertension
  • Hyperthermia
  • Breathing problems
  • MI/Stroke
  • Allergy
  • Mouth damage
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2
Q

What complications can occur early after surgery?

A
  • Fluid depletion
  • Electrolyte imbalance
  • Local infection
  • Fluid collection
  • Atelectasis
  • DVT/PE
  • Wound breakdown
  • Anastomotic leak
  • Bed sores
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3
Q

What complications can occur after gasterctomy?

A
  • Dumping syndrome
  • Malabsorption
  • Anastamotic ulcer
  • Peptic/gastric ulcer
  • Small intestine bacterial overgrowth
  • Abdominal fullness/gas bloating
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4
Q

What are complications that can occur after small and large bowel surgery?

A
  • Ileus
  • Anastamotic leaks
  • Stoma retraction
  • Intra-abdominal collections
  • Pre-sacral plexus damage
  • Adhesions/intestinal obstruction
  • Damage to other local structures
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5
Q

What are complications of cholecystectomy?

A

Common bile duct injury/leak

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6
Q

What are complications that can occur after biliary surgery?

A
  • Common bile duct injury/leak
  • Common bile duct stricture
  • Anastamotic leak
  • Bleeding into biliary tree - jaundice
  • Pacreatitis
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7
Q

What are complications that can occur following CABG/coronary stenting procedures?

A
  • Reperfusion arrythmias
  • Post-op ACS
  • Inotrope therapy -> reduced perfusion to other organs
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8
Q

What are complications which can occur in vascular graft/stent/bypass procedures?

A
  • Graft failure
  • Haemorrhage
  • Haematoma
  • Infection
  • Re-thrombosis -> limb/organ ischaemia
  • AV fistula
  • Cholesterol embolism
  • ACS/Stroke/PE
  • Contrast complications - anaphylaxis, AKI
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9
Q

What are complications that can occur following thyroidectomy?

A
  • Airway obstruction 2o to haemorrhage
  • Hypocalcaemia
  • Recurrent laryngeal nerve palsy
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10
Q

What are complications of a parotidectomy?

A

Facial nerve damage

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11
Q

What complications can occur in any orthopaedic surgery?

A
  • Infection of prosthesis
  • Loss of position/failure to fixate
  • Non-union/malunion/delayed union
  • Neurovascular injury
  • Compartment syndrome
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12
Q

What are complications fo THR?

A
  • Sciatic nerve damage
  • Dislocation
  • Leg length difference
  • Loosening
  • Wear
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13
Q

WHat are complications of Cystoscopy/

A
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14
Q

What is the most common cause of post-operative pyrexia?

A

Sepsis

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15
Q

Why are surgical patients at risk of developing chest infections?

A

Suboptimal ventilation causing basal atelectasis

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16
Q

What are causes of post operative fever?

A

5 W’s

  • Wind - atelectasis/pneumonia
  • Water - UTI
  • Wound - wound or collection
  • Walking - VTE
  • Wonder drugs - Transfusion/drug reactions
17
Q

What are causes of hypotension postoperatively?

A
  • Hypovolaemia
  • Cardiogenic shock
  • Sepsis
  • Anaphylaxis
  • Sympathetic shock
18
Q

WHy can sympathetic shock occur post-operatively?

A

Epidural analgesia/high blocks can lose sympathetic outflow causing vasodilatation and cardiogenic shock

19
Q

If someone had hypotension post-op, what would you want to asses?

A

End organ dysfunction - ABG, UO, confusion

20
Q

What can cause pulmonary oedema in a post-op patient?

A
  • Large fluid shifts
  • Hypoalbuminaemia
  • Cardiac dysfunction
21
Q

What can cause low urine output in a post op?

A
  • Pre-renal - volume depletion
  • Renal - nephrotoxic drugs
  • Post-renal - Prostatic hypertrophy, raised intra-abdominal pressure
22
Q

How would you assess a patient with low UO?

A
  • Fluid status
  • Medicines review
  • Catheter examination/bladder
23
Q

How would you assess respiratory difficulties in a post-op patient?

A
  • Fluid status
  • Assess calves - DVT
  • CXR
  • ABG