Surgery of the GI tract and complications

Question 1

GI surgery is delayed if the patient has had a recent

Answer 1

MI

Question 2

prevention of DVT post-op =

Answer 2

compression stockings
low dose S/C heparin
early mobilisation

Question 3

Risk factors for atelectasis(which leads to pneumonia) post GI surgery =

Answer 3

anaesthesia (increases secretions and decreases cilia activity)
postop pain (less coughing)
aspiration of stomach contents

Question 4

Prevention of PE post op

Answer 4

compression stockings
low dose S/C heparin
early mobilisation
anti-coagulation if have DVT

Question 5

PE goldstandard diagnostic test =

Answer 5

CT

Question 6

paralytic ileus post-op can be cause by hypo___

Answer 6

hypokalaemia

Question 7

Na hyaluronidate is used to prevent ___

Answer 7

adhesions (fibrin->fibrous tissue that joins bowel to itself or adjacent structures)

Question 8

For ERAS (enhanced recovery after surgery) pre-op procedures =

Answer 8

counsel
carb and fluid load
no premedication/prolonged fast/bowel prep
antibiotic and thromboprophylaxis

Question 9

For ERAS (enhanced recovery after surgery) op procedures =

Answer 9

short acting analgesia
no drains
avoid salt and H2O overload
maintain body temp

Question 10

For ERAS (enhanced recovery after surgery) post-op procedures =

Answer 10

no NG
early removal of catheter
early PO nutrition
early mobilisation
no opioid PO analgesia/NSAIDs